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The Medical Interview: Clinical Care, Education, and Research / Edition 1

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Overview

The medical interview is a core clinical skill. It is the medium of doctor-patient communication and relationship, the most important single source of diagnostic data, and the means through which the physician elicits the patient's cooperation in the processes of care. This book draws together a wealth of research and scholarship concerning the medical interview and structures the large domain of knowledge addressing the medical interview and related skills.
The book begins with general aspects of the interview, then focuses on specific situations and types of interviews, and finally, covers ethics, teaching, evaluation, research, and resources.

The book contains no figures.

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Editorial Reviews

Doody's Review Service
Reviewer: Isaac Kleinman, MD (Baylor College of Medicine)
Description: This book is the first of a planned series in primary care aimed at teachers of primary medicine. The preface suggests the whole series will be strongly weighted to psychosocial issues. This first volume is a compendium attempting to cover, and to some extent codify, the entire field. It covers theory, structure, effects of the interview, interviewing techniques, special interview situations, ethics, interview teaching, and research on the medical interview.
Purpose: The aim is to "coalesce the finding of the 1970s through the early 1990s into readable segments" to the end of encouraging research, education, and faculty development in medical interviewing.
Audience: Although aimed at a fairly broad audience, the book will mainly be of interest to specialists in the field of the interview itself and perhaps to psychologists and counselors.
Features: The first section is really an annotated guide to the literature of the past 20 years with the references incorporated into the text at the rate of about one to three references per paragraph—a technique that adversely affects readability. The interview process described, while instructive, is so elaborate and involved that it would be impractical in day-to-day use in a busy office. Those chapters that are how-to chapters (The Sexual History, The Geriatric Interview) are likely to be the most useful to the practicing physician.
Assessment: Some of the chapters devoted to specific interviewing situations, especially those on cultural factors, are quite good. Useful examples of bad interviewing technique are scattered through the text as well as good advice on how to make contact with the patient, guide and interpret the interview, and avoid pitfalls. But more particularly, specialists in the medical interview, its development and assessment, will find much information has been collected here for them.
Isaac Kleinman
This book is the first of a planned series in primary care aimed at teachers of primary medicine. The preface suggests the whole series will be strongly weighted to psychosocial issues. This first volume is a compendium attempting to cover, and to some extent codify, the entire field. It covers theory, structure, effects of the interview, interviewing techniques, special interview situations, ethics, interview teaching, and research on the medical interview. The aim is to "coalesce the finding of the 1970s through the early 1990s into readable segments" to the end of encouraging research, education, and faculty development in medical interviewing. Although aimed at a fairly broad audience, the book will mainly be of interest to specialists in the field of the interview itself and perhaps to psychologists and counselors. The first section is really an annotated guide to the literature of the past 20 years with the references incorporated into the text at the rate of about one to three references per paragraph--a technique that adversely affects readability. The interview process described, while instructive, is so elaborate and involved that it would be impractical in day-to-day use in a busy office. Those chapters that are how-to chapters (The Sexual History, The Geriatric Interview) are likely to be the most useful to the practicing physician. Some of the chapters devoted to specific interviewing situations, especially those on cultural factors, are quite good. Useful examples of bad interviewing technique are scattered through the text as well as good advice on how to make contact with the patient, guide and interpret the interview, and avoid pitfalls. But more particularly,specialists in the medical interview, its development and assessment, will find much information has been collected here for them.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780387942575
  • Publisher: Springer-Verlag New York, LLC
  • Publication date: 1/1/1995
  • Series: Frontiers of Primary Care Series
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 643

Table of Contents

Series Preface
Preface
Contributors
1 Three Functions of the Medical Interview 3
2 Hypothesis Testing 20
3 Therapeutic Aspects of the Clinical Encounter 32
4 The Interview as a Clinical Negotiation 50
5 Performing the Interview 65
6 The Mental Status Examination 83
7 Use and Management of Physicians' Feelings During the Interview 104
8 Barriers to Effective Communication 110
9 Patient Education in the Medical Encounter: How to Facilitate Learning, Behavior Change, and Coping 122
10 Enhancing Cooperation with the Medical Regimen 134
11 Patients and Their Lives: Psychosocial and Behavioral Aspects 147
12 Cultural Factors in the Medical Interview 153
13 Gender Effects in Physician/Patient Interaction 163
14 The Bilingual Interview and Medical Interpretation 172
15 Conducting a Family Interview 178
16 The Telephone Interview 187
17 Terminating the Doctor/Patient Relationship 196
18 Interviewing Pediatric Patients 209
19 The Geriatric Interview 221
20 The Sexual History 235
21 Personality Styles 251
22 Interviewing the Psychotic Patient 275
23 Effective Interviewing and Intervention for Alcohol Problems 284
24 Interviewing the Suicidal Patient 294
25 Caring for Patients with Life-Threatening or Terminal Illness 303
26 Delivering Sad or Bad News 316
27 Bereavement 324
28 Shame, Humiliation, and Stigma in the Medical Interview 333
29 Medical Ethics and Doctor/Patient Communication 345
30 The Role of the Medical Interview in the Physician's Search for Meaning 368
31 Educational Theory and Teaching Medical Interviewing 379
32 A Developmental Awareness for Teaching Doctor/Patient Communication Skills 388
33 Standardized (Simulated) Patients and the Medical Interview 397
34 Teaching with Role-Play: A Structured Approach 405
35 Teaching Interviewing Using Direct Observation and Discussion of Actual Interviews 413
36 Teaching Medical Interviewing: The Lipkin Model 422
37 Evaluating a Faculty Development Course on Medical Interviewing 436
38 Evaluation of Medical Interviewing: Concepts and Principles 451
39 Evaluation Instruments for Medical Interviewing Skills 460
40 An Overview of Research on Medical Interviewing 475
41 A Guide to the Research Literature on Doctor/Patient Communication 482
42 Coding Categories for Investigating Medical Interviews: A Metaclassification 489
43 Affective and Nonverbal Aspects of the Medical Visit 495
44 Psychological Research on Diagnostic Reasoning 504
45 Accuracy of the Medical History: A Review of Current Concepts and Research 511
46 Patient Recall and Comprehension After the Medical Visit 525
47 The Patient-Centered Interview: Research Support 530
48 Patients' Assessments of Quality 538
App. A. Instructional Use of Audio and Video Recording 559
App. B. Bibliography 567
Index 629
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