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The Clinical Interview Using DSM-IV-TR: Volume 1: Fundamentals » (New Edition)

Book cover image of The Clinical Interview Using DSM-IV-TR: Volume 1: Fundamentals by Ekkehard Othmer

Authors: Ekkehard Othmer, Sieglinde C. Othmer
ISBN-13: 9781585620500, ISBN-10: 1585620505
Format: Hardcover
Publisher: American Psychiatric Publishing, Incorporated
Date Published: October 2001
Edition: New Edition

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Author Biography: Ekkehard Othmer

Othmer, E

Book Synopsis

In this new edition, completely updated for DSM-IV-TR, the authors transform their professional experience into clear, concise, practical, and learnable skills. They teach how to master each of the four basic interview components separately, and how to make them interact optimally during the five phases of the patient interview. Also included is an example of a write-up of a psychiatric evaluation that will satisfy most third-party payers, taking the reader through the write-up step by step and showing how it can be adapted to virtually any procedural or research need.

Changes to this edition:


    • Addition of discussion of violence and duty to warn
    • Expansion of attention problems, suicide intent, and comorbidities of personality disorders
    • Addition of formal assessments of executive functions and of dementia (in appendix)

As with the previous edition, The Clinical Interview Using DSM-IV-TR presents a unique vision of how to use the most powerful assessment strategies developed in the field of clinical psychology and psychiatry.

Doody Review Services

Reviewer:Diana Marta, BSN, RN(Rush University Medical Center)
Description:This clear and practical guide to the clinical psychiatric interview breaks the process down into four parts: establishing rapport with the client, how to apply effective interviewing techniques, assessing mental status, and diagnostic decision making, based on the DSM IV TR.
Purpose:It guides the clinician in how to approach a client so that diagnostic criteria are highlighted and appropriate treatments can be applied. This volume coincides with the publication of DSM IV TR and uses the current consensus diagnoses. It does an excellent job illustrating the "rights" and "wrongs" of interviewing techniques and how different approaches can elicit varying information and levels of cooperation.
Audience:The book can benefit any clinician but it is especially useful for mental health professionals and psychiatric residents hoping to perfect their interviewing and assessment techniques. It breaks down the process into understandable and manageable components. The authors both have high credentials in the field of academic and clinical psychiatry.
Features:This is a wonderful guide to conducting the initial psychiatric interview. It not only enhances an understanding of the DSM IV TR, but provides excellent clinical examples and transcripts to illustrate the rationale behind diagnoses and the approaches used to arrive at them. The introductory outlines in each chapter are helpful, as are the clearly designed charts and diagrams. This particular edition goes on to demonstrate how to clearly document the clinical interview, so necessary in this age of managed care and third-party payors.
Assessment:This is the best teaching instrument I've encountered on how to conduct the psychiatric interview. It is well organized, clearly presented, and even demonstrates the novice's vs. instructor's approach to interviewing techniques to illustrate the most effective way to elicit information and engage the client in the process.

Table of Contents

List of Figures
List of Tables
About the Authors
Foreword to the Second Edition
Foreword to the First Edition
Preface to the DSM-IV-TR Edition
Preface to the Second Edition
Acknowledgments
Ch. 1Prologue: Framework1
1Insight- and Symptom-Oriented Interviewing2
2The Four Components8
3The Multiphasic Approach10
4Disorder-Specific Interviewing11
Ch. 2Strategies for Rapport13
1Put the Patient and Yourself at Ease14
2Find the Suffering - Show Compassion21
3Assess Insight - Become an Ally24
4Show Expertise31
5Establish Leadership33
6Balance the Roles34
Ch. 3Strategies to Get Information: Techniques45
1Complaints47
2Resistance70
3Defenses79
Ch. 4Three Methods to Assess Mental Status101
1Observation104
2Conversation111
3Exploration128
Ch. 5Testing169
1Level of Consciousness: Lethargy, Stupor, and Coma174
2Attention and Vigilance: Distractibility and Perseveration175
3Memory: Amnesia and Inability to Learn177
4Orientation: Confusion182
5Language: Aphasia183
6Knowing: Agnosia192
7Performing: Apraxia192
8Pathological Reflexes and Movements192
9Range of Affect196
10Suggestibility: Dissociation198
11Abstract Thinking: Concreteness199
12Intelligence: Dementia, Mental Retardation201
13Serial Testing of Selected Psychological States203
Ch. 6Five Steps to Make a Diagnosis211
1Diagnostic Clues217
2Diagnostic Criteria230
3Psychiatric History261
4Diagnosis278
5Prognosis284
Ch. 7Five Phases and the Four Components: How to Put it all Together289
1Phase 1: Warm-Up and Screening of the Problem292
2Phase 2: Follow-Up of Preliminary Impressions295
3Phase 3: History and Database296
4Phase 4: Diagnosis and Feedback298
5Phase 5: Prognosis and Treatment Contract300
6Interview With a Cooperative Patient302
7Case Summary Format322
Ch. 8A Difficult Patient333
Ch. 9Disorder-Specific Interviewing: Clinical Disorders359
1Perplexity and Suspiciousness in Dementia360
2Deception and Denial in Alcohol Abuse and Dependence368
3Irritable Hyperactivity in Bipolar Disorder376
4Suspiciousness in Delusional Disorder382
5Avoidance in Phobia393
6Disbelief and Embarrassment in Panic Disorder398
7Persecutory Feelings in Mental Retardation407
8Laziness in Narcolepsy415
Ch. 10Disorder-Specific Interviewing: Personality Disorders423
1Emotional Withdrawal and Odd Behavior - Cluster A427
2Exaggerated, Dramatic Emotionality - Cluster B436
3Anxious, Resistive Submissiveness - Cluster C451
4Personality Disorders Not Otherwise Specified460
Epilogue475
Glossary477
Appendix493
Bibliography515
Index525

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