Clincal Interviewing (Sommers-Flanagan & Sommers-Flanagan, 2017)

Question 1

Clinical interview

Answer 1

Clinical interview is a common phrase used to identify an initial and sometimes ongoing contact between a professional clinician and a client

Question 2

Clinical interviewing

Answer 2

Clinical interviewing is a flexible procedure that mental health professionals from many different disciplines used to initiate treatment

Question 3

Semi – clinical interview

Answer 3

Semi – clinical interview combine tightly standardized, interview questions with unstandardized or spontaneous questioning

Question 4

Structured clinical interviews

Answer 4

 structured, clinical interviews are standardized and involved, asking the same questions and the same order with every client

Question 5

Unstructured clinical interviews i

Answer 5

Unstructured clinical interviews, involve the subjective in spontaneous relational experience.. less structured

Question 6

Formal definitions of clinical interviews

Answer 6

Formal definitions of the clinical interview, emphasize its two primary functions or goals: assessment and helping (including referral)

Question 7

The nature of an ethical, professional relationship

Answer 7

Using an explicit form consent, process, ensures that clients understand and have freely consented to treatment

Question 8

The nature of an ethical, professional relationship

Answer 8

Professional, relationships, involve power differentials; the professional is an authority figure with specialized experience. Clients are in need of this expertise.

Question 9

Why clients choose therapy

Answer 9

 For one of the following reasons:

The client is experiencing subjective distress, discontent, or problem that’s limiting in someway

Someone, perhaps a spouse, relative or probation officer, insisted on counseling

Personal growth and development

Question 10

Collaborative goal, setting

Answer 10

Collaborative goal setting is a common clinical practice that should occur within the course of an initial clinical interview

Question 11

Therapist as expert

Answer 11

Therapist are culturally, accepted, experts and mental health, and have the responsibility to evaluate clients professionally before proceeding with treatment

Question 12

Quiet yourself and listening well

Answer 12

To be an effective clinician, you need to quiet yourself and listen to someone else

Question 13

Adopting a helpful and nonjudgmental attitude towards all clients

Answer 13

Having and holding a non-judgmental attitude – toward all clients – he’s impossible. this is because clients will engage in behaviors and hold values and start contrast to your behaviors and values. The expectation remains the same: maintain a helpful and non-judgmental attitude towards all clients.

Question 14

Learning diagnostic and assessment skills

Answer 14

The primary purpose of assessment and diagnosis is to aid and treatment planning necessary to help clients move from a problem, state towards solution or growth

Question 15

Multicultural competence

Answer 15

Culture is ubiquitous

Question 16

Cultural self-awareness

Answer 16

White privilege is defined as “ earned assets”

Question 17

Culture, specific, expertise

Answer 17

Culture – specific expertise speaks to the need of clinicians to learn skills for working effectively with different minority populations

Question 18

Scientific minded

Answer 18

Scientific mindedness involves forming and testing hypothesis about client culture, rather than coming to premature conclusions.

Question 19

Dynamic sizing

Answer 19

Dynamic sizing is a complex multicultural concept that guides clinicians on when they should, and should not make generalizations based on an individual clients belonging to a specific cultural group

Question 20

 micro aggression

Answer 20

Micro aggressions are brief and commonplace and occur in every day settings, it involves verbal, behavioral and environmental indignities, whether intentional or unintentional, that communicate hostility, derogatory, or negative statements about a group or person

Question 21

Advocacy

Answer 21

Advocacy is a process through which clinicians become aware of social or cultural barriers that clients face and work with clients to constructively address those barriers

Question 22

Multicultural humility

Answer 22

Multicultural humility requires that clinicians need to be able to let go of their cultural perspective and value the different perspective of their clients

 It also includes three dimensions:

And other Dash orientation instead of a self orientation

Respect for others, in their values and ways of being

An attitude that includes a lack of priority

Question 23

Time

Answer 23

Clinical interviews typically last 50 minutes. This time. Though arbitrary, is convenient.

Question 24

Confidentiality

Answer 24

Confidentiality refers to both an ethical duty to keep client, identity and disclosure, secret and illegal duty to honor the fiduciary relationship with a client

Also, don’t forget the limits to confidentiality

Question 25

Inform consent

Answer 25

Inform consent involves the ethical and sometimes legal mandate to inform clients about the nature of their treatment

Question 26

Documentation procedures

Answer 26

Soap, notes – subjective, objective, assessment and plan.

Dap notes – data, assessment, and plan 

Question 27

Invisibility syndrome

Answer 27

Invisibility syndrome refers to white cultures, fear based tendencies to marginalized black males, and treat them as if they were invisible

Question 28

Stages of a clinical interview

Answer 28

1. The introduction
2. The opening
3. The body
4. The closing
5. The termination

Question 29

Tasks common to interviews

Answer 29

Putting the patient

Eliciting information

Maintaining control

Maintaining rapport

Bringing Closure

Question 30

Rapport

Answer 30

Rapport is defined as an especially harmonious connection with another person; disconnection may occur immediately or required extended interaction

Question 31

Role induction

Answer 31

Role Induction involves educating clients about their role and what to expect in the assessment and treatment process

Question 32

The opening

Answer 32

The opening is a nondirective or unstructured interview stage lasting about 5 to 8 minutes… consider an opening statement. The opening statement is your first direct inquiry into the clients concerns.

Question 33

The body

Answer 33

Tia is the longest clinical interviewing stage. It’s where most of the assessment and helping activities are implemented.

During this stage, the following are discussed or accomplished :

The purpose of the interview
You’re setting
Your theoretical orient
And the clients problems or needs

Question 34

Applying the four print

Answer 34

1. Is the sadness adversely affecting the clients, interpersonal relationships, ability to function at work, or enjoyment of recreational activities
2. Is the sadness disturbing or upsetting to the client?
3. Is the sadness particularly disturbing to other people people in the client’s environment?
4. Is there a rational or cultural or medical explanation for cultural or medical explanation for the client’s sadness?

Question 35

Reassuring and supporting your clients

Answer 35

‘You coveted lots of ground today.

‘Thanks for being open and sharing with me.

‘I appreciate your efforts in telling me about yourself

Question 36

Case formulation

Answer 36

Case formulation involves integrating assessment information with a theoretically supported or evidence-based approach to guide subsequent therapeutic work.

** Case formulation is the explanation for why you’ve chosen your particular treatment plan.

Question 37

Terminating

Answer 37

Terminating or the ending of the clinic interview occurs as both parties acknowledge that the meeting is over.

Question 38

The generic mental status exam

Answer 38

Appearance
Behavior/psychomotor
Attitude toward examiner
Affect and mood
Speech and thought
Perceptual disturbances
Orientation and consciousness
Memory and intelligence
Reliability, judgment, and insight

Question 39

Hallucinations

Answer 39

Hallucinations are false sensory impressions or experiences.

Hallucinations occur in any sensory modality: visual, auditory, olfactory , gustatory , and tactile 

Question 40

Why mental disorder and not mental illness?

Disorder

Answer 40

 The term disorder implies the existence of a clinically recognizable set of symptoms or behaviors associated in most cases with distress and interference with personal functions

The ICD and DSM, both explicitly and intentionally use, and plan to continue using the term mental disorder

Question 41

Syndrome

Answer 41

A mental disorder is a syndrome characterized by clinically significant disturbance in an individuals, cognition, emotional regulation or behavior that reflects a dysfunction in the psychological, biological or developmental processes underlying mental functioning

Question 42

Why diagnose?

Answer 42

 Accurate diagnosis improves, predict client prognosis

Treatments can be developed for specific diagnoses

Communication with other professionals and third-party payers can be more efficient

Research on the detection, prevention, and treatment of mental disorders is facilitated

Clinicians are encouraged to closely observe, and monitor specific symptoms and diagnostic indicators

*** diagnosis implies hope, and can be a big relief to be diagnosis since I have their problems named categorized and defined

Question 43

Potential signs of resistance

Answer 43

Talking too much
Talking to little
Arriving late
Arriving early
Being unprepared for psychotherapy
Being overprepared for psychotherapy