The Clinical Interview Using DSM-IV-TR: Volume 2: The Difficult Patient / Edition 1

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The Clinical Interview Using DSM-IV-TR, Volume 2: The Difficult Patien t applies the four-dimensional interviewing approach outlined it its c ompanion volume (The Clinical Interview Using DSM-IV-TR, Volume 1: Fun damentals) to the difficult patient. It also enhances the interviewing process by employing specialized techniques that correspond with diff iculties often encountered by clinicians. Through numerous case exampl es, this book shows how integrating psychodynamic, cognitive, and neur opsychiatric approaches-as well as the legal system's methods of cross -examination and voices stress analysis-can help elicit reliable infor mation from tough patients and aid in solving their diagnostic puzzles . Completely updated for DSM-IV-TR, this book strives to overcome gen eralization in interviewing by promoting a differential approach that individualizes and explores each disorder and all its contributing fac tors in depth, thus preparing the patient for optimal therapeutic inte rvention.

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Editorial Reviews

Doody's Review Service
Reviewer: John Claro Onate, BS, MD (Rush University Medical Center)
Description: This book presents interviewing skills and diagnostic techniques for use with patients with different symptom categories, based on the DSM-IV-TR, that are considered difficult. It uses the algorithm listen, tag, confront, solve, and approve.
Purpose: The purpose is to show different approaches, both psychodynamic and descriptive (biological) geared toward specific symptom clusters. It also demonstrates the need for a flexible and broad set of clinical skills. The book uses helpful clinical vignettes.
Audience: The book is intended for residents and experienced clinicians needing additional information and strategies on the diagnostic interview. This is based on the Othmer's broad clinical and research experience in both biologic and psychotherapeutic psychiatry. This book would be better suited to residents.
Features: Interview techniques and clinical vignettes are included on conversion disorder, disassociative disorder, delirium, dementia, mental retardation, factious and malingering. The clinical vignettes show how different approaches can be helpful. The section on symptom language is the most helpful and informative feature, but the entire book is practical. The unique feature is the algorithm: listen, tag, confront, solve and approve. The book could be improved with more evidence for hypnosis, incorporation of psychopharmacology, and a chapter on OCD.
Assessment: This is a very helpful book on a difficult area of psychiatry. I have not read other books on the subject that focus only on interviewing strategies for difficult patients. I feel that this book is appropriate for basic psychiatric training literature. The book develops its goals well.

3 Stars from Doody
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Product Details

  • ISBN-13: 9781585620531
  • Publisher: American Psychiatric Publishing, Incorporated
  • Publication date: 10/28/2001
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 544
  • Product dimensions: 6.00 (w) x 9.00 (h) x 1.50 (d)

Table of Contents

Part I: Symptom Language. Conversion. Dissociation. Posttraumatic stress. Somatization. Part II: Psychotic Communication. Psychotic acting out. Catatonia. Part III: Cognitive Impairment. Inattention and hyperactivity. Amnesia. Delirium. Dementia. Mental retardation. Part IV: Self-Protective and Deceptive Behavior. Concealing. Falsifying and lying. Factitious behavior. Self-deceptive behavior. Index.

American Psychiatric Publishing

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