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Chapter 4

Chapter 4 Interviewing and Observation in Clinical Psychology.pdf

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PSY 257
Donna Darbellay

Chapter 4 : Interviewing and Observation in Clinical Psychology September-25-12 10:05 AM 1. What is a clinical interview? A Clinical Interview is - A conversation with a goal. Central to clinical psychology b/c it is: - A flexible tool. - Inexpensive - A good source of V and N-V information - Helps build the therapeutic relationship There are different types of interviews & different structures for them 2. Interviews Typed according to Structure: Unstructured The Unstructured interview: Client -directs course and content of interview -speaks more than the therapist Therapist –encourages client -facilitates detail, clarity and flow Uses: psychodynamic/humanist techniques - Often mid-course and mid-session 3. Interviews Typed according to Structure: Semi -structured Varying degrees of SOME structure: -maintains a specific goal - Loose direction: open-ended questions -allows breadth and depth -measured flexibility (experience and active listening/responsiveness) Client – allows recall, honest, open Therapist – reflection, clarification, expansion -requires knowledge and presence 4. Interviews Typed according to Structure: Structured Primarily Q/A format: pre-scripted Therapist - directs the process to a goal - limits fidelity - Not about the CEE; about information Client - answers specific questions - Expectation is for diagnosis Bandwidth or fidelity - decision tree 5. Advantages and Disadvantages of Structure Advantages - -Increased reliability by ◦reducing -reducing -reducing ◦ Disadvantages - - - - - 6. Interviews typed to Purpose: Intake Interview - First step with 3 goals: establish and begin diagnosis and parameters -can be designated person/s -orients the person (varies according to purpose: treatment, research or assessment) 7. Interviews typed to Purpose: Termination or Debriefing Purpose: to bring closure Termination therapy ◦De-briefing after participating in research -Termination: more than one session (10-15%) Patient terminated therapy Duty to warn, examine own role and refer 8. Stages in Interview & Therapy -think of a good report/well-written paragraph -Beginning-Middle-End; -some flow -loose script -varies with situation -“meat” is the middle 9. Stages in the Intake Interview Beginning ◦-establish rapport -Engage client in process - comfortable -Informed consent-confidentiality limits – outline Orientation Middle ◦-rapport deepens with empathy, feedback, challenge -review the five axes mentally (re-assess_ End ◦-prepare the client-cue directly and indirectly - review session... homework? Praise with care! -feedback to self or client as needed 10. Differences between engagement & rapport for assessment / therapy Therapy - More personal engagement -less structure required -confidentiality -more reflection, empathy, feedback and other skills Assessment - More professional engagement -more structure is needed -usually a release - More focused-seeking specific information for evaluation - Different challenges 11. Common skills needed
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