By Michel Hersen, Samuel M. Turner
Over the years, in our educating of diagnostic interviewing to graduate scholars in medical psychology, psychology interns, clinical scholars, and psychiatric citizens, we've looked for acceptable studying fabrics that surround theoretical purpose, scientific description, and the pragmatics of "how to. " even if, dazzling because it could seem, there isn't any one paintings that comes with the theoretical, the medical, and the prac tical lower than one hide. This being the case, we notion it'd be important to us in our pedagogic efforts if shall we prepare this sort of textual content. And it's to this finish that we built the description for our multiauthored textual content and offered it to Plenum Press for his or her overview. We felt then, as we do now, that the cloth during this e-book easily doesn't symbolize "the cat being skinned in yet one more approach. " We essentially think that our stu dents relatively do want this one, and it truly is to them that we devote Diag nostic Interviewing. Our publication is split into 3 elements. within the first half (General Issues), simple interviewing options and the psychological prestige exam are cov ered. the majority of the publication (Parts II and III) is dedicated to exam of diagnostic interviewing for the key psychiatric problems and for spe cial populations.
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Additional info for Diagnostic Interviewing
Patients' presenting problems dictate both the types of questions asked and the depth of inquiry necessary for a coherent and complete assessment of the mental status. In general, the more deviant and severely disturbed the patient, the more probing the mental status examination should be. " In such cases, the relevant mental status information can be largely gleaned from a well-conducted history-taking or intake interview. Bizarre ideation, unusual preoccupations, memory or concentration disturbances, and disturbances in mood and perceptions, if any, can be assessed quite readily in this type of interaction.
A patient with deficits in attention has trouble achieving the appropriate set that would permit the interview to proceed: he or she may fall asleep as you talk; he or she may practically ignore you, being distracted by television, telephone, and other irrelevant stimuli. He or she cannot filter relevant from irrelevant stimuli as they pertain to the interview situation. Care must be taken to distinguish between deficits in attention, which are involuntary, and lack of cooperation or oppositional behavior, which is a purposeful attempt to obstruct the interview process.
Insight usually depends on adequate intellectual functioning, but the converse is not true, that is, many highly intelligent people may be sorely lacking in insight. Commonly Misused Terms and Their Diagnostic Significance Beginning clinicians often find it difficult to distinguish between apathetic, depressed, and flat affect (Andreasen, 1979b). Apathy can some- times be due to severe physical illness wherein the patient simply feels too ill and too weak to engage in a conversation. Apathy can, however, also be encountered in chronic schizophrenia and organic mental states.
Diagnostic Interviewing by Michel Hersen, Samuel M. Turner