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
Othmer, E
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:
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.
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.
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. 1 | Prologue: Framework | 1 |
1 | Insight- and Symptom-Oriented Interviewing | 2 |
2 | The Four Components | 8 |
3 | The Multiphasic Approach | 10 |
4 | Disorder-Specific Interviewing | 11 |
Ch. 2 | Strategies for Rapport | 13 |
1 | Put the Patient and Yourself at Ease | 14 |
2 | Find the Suffering - Show Compassion | 21 |
3 | Assess Insight - Become an Ally | 24 |
4 | Show Expertise | 31 |
5 | Establish Leadership | 33 |
6 | Balance the Roles | 34 |
Ch. 3 | Strategies to Get Information: Techniques | 45 |
1 | Complaints | 47 |
2 | Resistance | 70 |
3 | Defenses | 79 |
Ch. 4 | Three Methods to Assess Mental Status | 101 |
1 | Observation | 104 |
2 | Conversation | 111 |
3 | Exploration | 128 |
Ch. 5 | Testing | 169 |
1 | Level of Consciousness: Lethargy, Stupor, and Coma | 174 |
2 | Attention and Vigilance: Distractibility and Perseveration | 175 |
3 | Memory: Amnesia and Inability to Learn | 177 |
4 | Orientation: Confusion | 182 |
5 | Language: Aphasia | 183 |
6 | Knowing: Agnosia | 192 |
7 | Performing: Apraxia | 192 |
8 | Pathological Reflexes and Movements | 192 |
9 | Range of Affect | 196 |
10 | Suggestibility: Dissociation | 198 |
11 | Abstract Thinking: Concreteness | 199 |
12 | Intelligence: Dementia, Mental Retardation | 201 |
13 | Serial Testing of Selected Psychological States | 203 |
Ch. 6 | Five Steps to Make a Diagnosis | 211 |
1 | Diagnostic Clues | 217 |
2 | Diagnostic Criteria | 230 |
3 | Psychiatric History | 261 |
4 | Diagnosis | 278 |
5 | Prognosis | 284 |
Ch. 7 | Five Phases and the Four Components: How to Put it all Together | 289 |
1 | Phase 1: Warm-Up and Screening of the Problem | 292 |
2 | Phase 2: Follow-Up of Preliminary Impressions | 295 |
3 | Phase 3: History and Database | 296 |
4 | Phase 4: Diagnosis and Feedback | 298 |
5 | Phase 5: Prognosis and Treatment Contract | 300 |
6 | Interview With a Cooperative Patient | 302 |
7 | Case Summary Format | 322 |
Ch. 8 | A Difficult Patient | 333 |
Ch. 9 | Disorder-Specific Interviewing: Clinical Disorders | 359 |
1 | Perplexity and Suspiciousness in Dementia | 360 |
2 | Deception and Denial in Alcohol Abuse and Dependence | 368 |
3 | Irritable Hyperactivity in Bipolar Disorder | 376 |
4 | Suspiciousness in Delusional Disorder | 382 |
5 | Avoidance in Phobia | 393 |
6 | Disbelief and Embarrassment in Panic Disorder | 398 |
7 | Persecutory Feelings in Mental Retardation | 407 |
8 | Laziness in Narcolepsy | 415 |
Ch. 10 | Disorder-Specific Interviewing: Personality Disorders | 423 |
1 | Emotional Withdrawal and Odd Behavior - Cluster A | 427 |
2 | Exaggerated, Dramatic Emotionality - Cluster B | 436 |
3 | Anxious, Resistive Submissiveness - Cluster C | 451 |
4 | Personality Disorders Not Otherwise Specified | 460 |
Epilogue | 475 | |
Glossary | 477 | |
Appendix | 493 | |
Bibliography | 515 | |
Index | 525 |