Chapter 8 The Chinical Interview Flashcards
Assessment techniques should possess
Validity
Reliability
Utility
Also commonly involve clients feedback
What kind of information would we want to gather from a client
Birth and development
Family of origin
Education, employment, sexual, relationship history
Recreation
Alcohol and drugs
Physical health
Slides 112-114
General skills an interviewer should have
Quieting yourself
Being self-aware
Ability to develop a positive working relantionship
Specific behaviors an interviewer should have
Eye contact
Body language
Vocal qualities
Verbal tracking
Referring to the client by the proper name
Rapport
Positive comfortable relationship between interviewer and client
Leads to client disclosing more information
Directive technique
Questions targeted toward specific information
Nondirective technique
Allows the client to guide the course of the interview
Open and closed ended questions
Large impact on the information a client provides
Open allows for individualized response
Closed allows for less elaboration and self expression
Clarification
Question is to make sure the interviewer has an accurate understanding of the clients commments
Confrontation
When an interviewer notices discrepancies or inconsistent in an clients comments
Paraphrasing
Used to assure the clients that they are being heard
Repharasing the content of the clients message
Reflection of feeling
Echoes the client’s emotions- make the client feel that their emotions are being recognizes
Interviewer is making an inference
Summarizing
Involves tying together various topics that may have been discussed and identifying themes that have recurred
Pragmatics of the interview
Note taking
Audio and video recording- requires written permission
The interview room- clients are confortable in neat room
What is an intake interview
To deter Maine whether to intake the client- whether the client need treatment and why type
What is a diagnostic interview
Purpose to diagnose the client
Assign DSM diagnosis
What is a structured interview
A perdetermined, planned sequence of questions that an interviewer asks a clients
What is an unstructured interview
No predetermined or planned questions— interviewers instead improvise based on what they believe is relevant during the interview
Structured Clinical Interview for DSM Disorders (SCID)
Provide a diagnosis based explicitly on DSM criteria
• Tend to be more highly reliable
• Format is typically rigid—can inhibit rapport
• Don’t typically allow for inquiries such as relationship issues, personal history, etc.
• Tend to be fairly lengthy
What is a mental status exam
Assesses how the client is functioning at the time of evaluation
General appearance and behavior, speech and thought, consciousness, perception, memory
What is a crisis interview
Special type of clinical interview that is designed to assess a problem demanding urgent attention (most often clients considering suicide or harming others) and provide immediate intervention
• Must quickly establish rapport, express empathy for crisis
Five issues in a crisis interview
How depressed is the client?
Does the client have suicidal thoughts?
Does the client have a suicide plan?
How much self-control does the client currently appear to have?
Does the client have definite suicidal intentions?
