x Clinical Interviewing
o Clinical interview is focused on current and past behaviors. Not only about
current symptoms it will move toward the narrow aspect of the persons past
behavior and current behavior, and of their presentation of their self. Key
categories with attention toÆ primary complaint. Life events that might have
preceded the onset of the problem. (interpersonal life events), quality of
interpersonal relationships? Family relations? Negative interpersonal
relationships can have a lot of stress. Psychiatric problems can be buffered by
positive social support. Studies show better outcome. Family functioning:
how does the family function. What is the structure of the family. Who issues
discipline. One parent or two. The script/identity of the person in the family.
How do other members of the family see this individual. Cultural issues:
certain psychiatric issues are more prevalent in certain cultures. The same
order can be expressed differently depending on the culture. Certain cultures
produce unique disorders. There are certain disorders only known in certain
cultures. E.g. Kora²only observed in Asian cultures.
o Formal interview with scoring components. The mental status examination.
(1) assessment of appearance and behavior (overt behavior/expression on
face/ presentation anxious/fidgety e.g. hunched over= depressed/agitated )
(2) thought processes (rate of speech/content of speech/ continuity of speech
(clear continuous or clear and then lowers and the pauses for 15 minutes)
(3) mood and affect (predominant feeling state of that person? Consistent
stable pattern of this person shows stable emotions over time) affect (emotion
expressed at a given point of time) how appropriate is the persons affect?
When having loss someone important for them, are they laughing, if
incongruence b/w expression of emotion and situation. The appropriateness of
emotion fits the expression. Or is the person showing no emotion at all.
(4) individual functioning: types of vocabulary (best predictor of IQ)
(5) sensorioum: awareness of patient surrounding? Do they know the date
time, or where they are.
This type of interview would likely to administer to those who have been
shown up in the ER hospital. Preliminary determination of what should be
x Behavioural Assessment
o Formally assess peoples thinking and feeling patterns in a certain situations.
o The ABCs of observation:
Antecedents: factors that occur that either bring up or make the
problem worse. When and where were you when the symptoms begin
to occur. With whom? When does the problem not occur
Behavior: what is the actual problem. What is the person doing while
the problem is occurring. When someone is feeling depressed, a classic
behavioral response social withdrawal. Disengagement and giving up
on goals. Someone who is manic: overengages in new goal and does it
their thoughts and feelings that impact on their lives. These test are