The First Interview (4th Edition)
James Morrison
Language: English
Pages: 385
ISBN: 1462529836
Format: PDF / Kindle (mobi) / ePub
This trusted practitioner resource and course text is grounded in James Morrison's experience with more than 15,000 mental health patients. Morrison provides a complete framework for interviewing adult patients about their current symptoms, personal and family history, mental status, behavioral risks, and other relevant issues. He offers guidance for selecting the best strategy for any clinical situation, building rapport, overcoming common challenges, and communicating findings. Appendices include a detailed semistructured interview and a self-assessment tool for interviewers, both with permission to photocopy. Purchasers also get access to a Web page where they can download and print the reproducible materials in a convenient 8 1/2" x 11" size.
New to This Edition
*Revised throughout for DSM-5.
*Updated resources and suggested readings.
Designing and Reporting Experiments in Psychology
Designing and Reporting Experiments in Psychology
Occupy Psyche: Jungian and Archetypal Perspectives on a Movement
Solution-Focused Therapy: Theory, Research & Practice
lean toward someone who is feeling angry, you might be rewarded not with more information, but with hostility or deepening silence. Judging when a patient will not be receptive can be tricky. Your best bet is to start slowly. Be friendly and pleasant, but not aggressively so. Watch for cues. If you are being too aggressively forward, your patient may exhibit some of these behaviors: Loss of eye contact Frozen expression Decreased speech output Nervous shifting of position If you spot any of these
or friend, try to elicit feelings about these duties. Can you tell how well this function is carried out? How much social support does your patient have? Are there personal contacts, or is support received principally through electronic social networks? Try to find out about the quality of relationships with family, friends, and co-workers. Are there memberships in any clubs or support groups? Have any government or private agencies helped out? What about home food services like Meals on Wheels?
between patient and relatives, both current and during childhood; and (3) learn whether any mental disorders occur in your patient’s family, 88 The First Interview including distant relatives. (Remember that a familial disorder could be transmitted through either a genetic or an environmental mechanism.) You might start with an open-ended request for information about your patient’s current family at home: “Tell me how you get along with your [spouse, children].” “What sort of people are
take your first drink, do you have trouble stopping?” For personal and interpersonal problems, ask: “Do you sometimes feel guilty about how much you drink?” “Have you ever gotten into fights when drinking?” “Has drinking ever caused a divorce or other serious domestic problems?” “Has it lost you friends?” For job problems, ask: “Has drinking ever caused you to be absent from work? Late to work?” “Have you ever been fired from a job because of drinking?” For legal problems, ask: “Have you ever
the patient’s current mental functioning. Originally a part of the traditional neurological exam, now it is a staple of the initial mental health evaluation. This and the following chapter discuss the complete MSE. The amount and type of material presented here may seem daunting at first, but once learned, it becomes automatic and easy to cover in a few minutes. The MSE is usually divided into several parts. They can be arranged in many different ways. Arrange your MSE any way you wish, as long