The Medical Interview: The Three-Function Approach / Edition 2

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Overview

The 2nd Edition of THE MEDICAL INTERVIEW presents basic interviewing skills in a systematic approach designed to assist students in mastering communicating with patients. A new unit on managing common challenging communicating situations* including language and cultural barriers, pediatric and elderly patients, and non-verbal communication*has been added. The text emphasizes straightforward tasks, behaviors, and skills that can be easily demonstrated, practiced, and mastered by learners.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Martin J. Carey, MG, BCh, MPH (University of Arkansas for Medical Sciences)
Description: This book is a thorough review of the skills necessary to perform an effective medical interview. The information is presented in a readable, structured format with many excellent examples and anecdotes.
Purpose: The editors aim to provide a "cognitive framework that is simple enough to master relatively quickly, yet robust enough to touch upon the most important dimensions of the communication process." This is a valuable and useful book for anyone entering the field of medicine, or indeed anyone who is expected to communicate with patients or relatives. The editors completely fulfill their stated aims and objectives.
Audience: "The medical student [is] the prime focus of the text." However the editors state that it could be used in a variety of other medical settings, including residencies, nursing programs. and social work programs. The book hits its target, but many practitioners, even those who have been in medicine for many years, could learn much from this text. The editors are recognized authorities in this field.
Features: The "three functions" of the book title are introduced, and the editors give a clear and reasoned rationale for implementing this approach in medical interviewing. The functions are described as "building relationships, gathering information, and managing problems." The approach is explained in detail using clear and interesting examples. The accounts of interviews are very realistic, the sort of interaction medical students could easily imagine occurring. After an introduction to basic interviewing techniques, more complex interactions are described and methods of approaching these interactions are discussed within the framework of the three basic functions. This approach is very effective. Throughout, excellent examples of interviews and interactions are used to illustrate the points made in the text. The book could be considered a little like having the opportunity to watch a number of skilled interviewers in action. The units are well organized. Of interest and note is the section on Higher Order Skills, in which areas of communication that are often overlooked are addressed, such as the use of nonverbal communication skills — the one area of the text where illustrations are used. There is also an introduction to some of the psychological principles that are used in interviewing. Although this section is brief it serves as an important introduction to the topic.
Assessment: As a teacher of communication skills for medical students, I found this book to be an excellent resource. It would be an ideal text for students learning the skills of interviewing, whether using standardized patients or "real" patients. Some of the interactions discussed serve as ideal areas for initiating discussion in small group settings. The text could also be used by those designing standardized patient programs, where patients could be trained to initiate discussions similar to those described in the text — a true example of how theory and practice could work together effectively. This second edition expands upon the first in a number of areas. It is a very important addition to the literature in the area of medical communication, and will be useful to both the target audience of medical students and can also be a resource for many involved in the area of patient communication.
Martin J. Carey
This book is a thorough review of the skills necessaryto perform an effective medical interview. The information ispresented in a readable, structured format with many excellent examplesand anecdotes. The editors aim to provide a ""cognitive frameworkthat is simple enough to master relatively quickly, yet robust enoughto touch upon the most important dimensions of the communicationprocess."" This is a valuable and useful book for anyone entering thefield of medicine, or indeed anyone who is expected to communicate withpatients or relatives. The editors completely fulfill their statedaims and objectives. ""The medical student [is] the prime focus ofthe text."" However the editors state that it could be used in avariety of other medical settings, including residencies, nursingprograms. and social work programs. The book hits its target, but manypractitioners, even those who have been in medicine for many years,could learn much from this text. The editors are recognizedauthorities in this field. The ""three functions"" of the book titleare introduced, and the editors give a clear and reasoned rationale forimplementing this approach in medical interviewing. The functions aredescribed as ""building relationships, gathering information, andmanaging problems."" The approach is explained in detail using clearand interesting examples. The accounts of interviews are veryrealistic, the sort of interaction medical students could easilyimagine occurring. After an introduction to basic interviewingtechniques, more complex interactions are described and methods ofapproaching these interactions are discussed within the framework ofthe three basic functions. This approach is very effective.Throughout, excellent examples of interviews and interactions are usedto illustrate the points made in the text. The book could beconsidered a little like having the opportunity to watch a number ofskilled interviewers in action. The units are well organized. Ofinterest and note is the section on Higher Order Skills, in which areasof communication that are often overlooked are addressed, such as theuse of nonverbal communication skills -- the one area of the text whereillustrations are used. There is also an introduction to some of thepsychological principles that are used in interviewing. Although thissection is brief it serves as an important introduction to thetopic. As a teacher of communication skills for medical students, Ifound this book to be an excellent resource. It would be an ideal textfor students learning the skills of interviewing, whether usingstandardized patients or ""real"" patients. Some of the interactionsdiscussed serve as ideal areas for initiating discussion in small groupsettings. The text could also be used by those designing standardizedpatient programs, where patients could be trained to initiatediscussions similar to those described in the text -- a true example ofhow theory and practice could work together effectively. This secondedition expands upon the first in a number of areas. It is a veryimportant addition to the literature in the area of medicalcommunication, and will be useful to both the target audience ofmedical students and can also be a resource for many involved in thearea of patient communication.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780815119920
  • Publisher: Elsevier Health Sciences
  • Publication date: 5/5/2000
  • Edition description: Older Edition
  • Edition number: 2
  • Pages: 295
  • Product dimensions: 6.16 (w) x 8.86 (h) x 0.55 (d)

Table of Contents

Foreword to the Second Edition
Foreword to the First Edition
Preface to the Second Edition
I. The Three Functions of Effective Interviewing
Introduction: Learning to Interview by Using the Three-Function Approach
Why Three Functions?
Function 1: Build the Relationship
Function 2: Assess the Patients Problems
Function 3: Manage the Patients Problems
II. Meeting the Patient
Ten Common Concerns
III. Structure of the Interview
The Opening
The Chief Complaint and Survey of Problems
History of Present Illness (Problem Exploration)
Past Medical History
Family History
Patient Profile and Social History
The Review of Systems
Mental Status
IV. Understanding the Patients Emotional Responses
Understanding Normal Emotional Responses
Understanding Maladaptive Emotional Responses
V. Managing Communication Challenges
Troubling Personality Styles and Somatization
High Risk Health Behaviors and High Risk Life Situations
Culture, Cultures, and the Culturally-Sensitive Medical Interview
Interviewing the Family
Interviewing Elderly Patients
Breaking Bad News
Sexual Issues in the Interview
Selected Psychiatric Problems
VI. Higher Order Skills
Non-Verbal Communication
Psychological Principles (Psychodynamic and Behavioral)
Clinical Reasoning, Clinical Inference, and Flexibility
Appendix: Table of Skills

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