The First Interview, Third Edition / Edition 3

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Overview

Rewritten to incorporate the new DSM criteria, The First Interview updates a text that is rapidly becoming a standard in the field. This timely, accessible volume covers a broad range of personalities and problems typically encountered in the first interview, offering fresh insight on how to elicit key diagnostic details from even the most challenging patient. Completely up to date, all references to DSM-III-R have been revised, and outlines of the most common diagnoses have been rewritten in accordance with the new criteria. The First Interview specifies what you need to ask, and how best to frame your questions. Presented in a conversational, forthright style, these techniques are further brought to life by illustrative clinical vignettes. The author takes you through each stage of an interview, demonstrating how to derive maximum information while establishing and maintaining trust and rapport. Effective verbal and nonverbal communication skills are emphasized, with techniques provided to help draw out feelings and determine symptoms, mental status, family background, personal strengths, and vulnerabilities such as a history of violence or childhood abuse. The volume concludes with a detailed discussion of how clinicians can most effectively present findings and recommendations to patients and their families in a manner that offers information with a sense of trust and hope. Clinically useful appendices include a sample interview and written report, DSM-IV diagnoses in abbreviated form for easy reference, standards for scoring the initial interview, and a list of recommended readings. For the seasoned clinician, this new edition of The First Interview provides a refresher course on the initial interview, and alternative approaches for interviewing difficult patients. It is also an ideal introductory text for students in psychology, psychiatry, social work, pastoral counseling, medicine, and nursing.

Discusses interviewing about feelings/developing rapport/ history of the present illness/meeting resistance/etc.

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Editorial Reviews

Doody's Review Service
Reviewer: Aaron Plattner, MD (Pine Rest Christian Mental Health Services)
Description: This book thoroughly covers the interview of a patient, with a focus on the mental health interview. It details how to ask specific questions, addresses different potential conflicts and/or issues that may arise, explains the different parts of the Mental Status Exam, describes how to communicate findings to others, and suggests how to improve interviewing skills through self-reflection and feedback.
Purpose: The purpose is to provide a baseline foundation and tools for becoming an efficient interviewer as well as providing the basic foundation of the different aspects of the field of mental health.
Audience: Medical, psychology, social work, physician assistant, and other students who are enrolled in classes focused on the mental health are the intended audience.
Features: The book provides detailed explanations and examples of all of the different aspects of interviewing a patient in the context of mental health, as well as explanations of why the different areas are important. Areas include the basic format of an interview, how to perform the interview, how to address different potential conflicts that may arise, different symptoms of various diseases, how to end an interview, how to gather all of the gathered information into a diagnosis, and how to present the information in an efficient way. The appendixes provide detailed examples of the interview process and various examples of types of questions that can be used in an interview.
Assessment: When I was starting my patient interviews, I simply read different books on interviews for all areas with specific instructions for each of the different areas of medicine, with the result that psychiatry was covered in one paragraph. With this book, I found it easy to identify with the examples and I appreciated the advice for the more complicated scenarios, including patients who are resistant to an interview. However, as a resident, I feel that this book is much too basic and not necessarily useful for someone trying to hone one's skill. Although this book is ideal for students going into mental health for the first time, this is also a very stressful time for young clinicians and they may find themselves hard pressed to be able to complete it before they are overwhelmed with all the other responsibilities in a rotation. This book could be used by students as they progress through their education.
From The Critics
Reviewer: Aaron Plattner, MD(Pine Rest Christian Mental Health Services)
Description: This book thoroughly covers the interview of a patient, with a focus on the mental health interview. It details how to ask specific questions, addresses different potential conflicts and/or issues that may arise, explains the different parts of the Mental Status Exam, describes how to communicate findings to others, and suggests how to improve interviewing skills through self-reflection and feedback.
Purpose: The purpose is to provide a baseline foundation and tools for becoming an efficient interviewer as well as providing the basic foundation of the different aspects of the field of mental health.
Audience: Medical, psychology, social work, physician assistant, and other students who are enrolled in classes focused on the mental health are the intended audience.
Features: The book provides detailed explanations and examples of all of the different aspects of interviewing a patient in the context of mental health, as well as explanations of why the different areas are important. Areas include the basic format of an interview, how to perform the interview, how to address different potential conflicts that may arise, different symptoms of various diseases, how to end an interview, how to gather all of the gathered information into a diagnosis, and how to present the information in an efficient way. The appendixes provide detailed examples of the interview process and various examples of types of questions that can be used in an interview.
Assessment: When I was starting my patient interviews, I simply read different books on interviews for all areas with specific instructions for each of the different areas of medicine, with the result that psychiatry was covered in one paragraph. With this book, I found it easy to identify with the examples and I appreciated the advice for the more complicated scenarios, including patients who are resistant to an interview. However, as a resident, I feel that this book is much too basic and not necessarily useful for someone trying to hone one's skill. Although this book is ideal for students going into mental health for the first time, this is also a very stressful time for young clinicians and they may find themselves hard pressed to be able to complete it before they are overwhelmed with all the other responsibilities in a rotation. This book could be used by students as they progress through their education.
From the Publisher
"Even as an experienced interviewer, I was well rewarded by reading this comprehensive guide to all aspects of interviewing. Morrison's extensive experience, elegant wordings for use in difficult situations, and sage clinical and diagnostic advice truly shine. No other book on interviewing is as rich and rewarding for students. It provides specific insights for doing the best possible interviews and describing and communicating the findings. This is an essential book for all mental health clinicians."—Edward L. Zuckerman, PhD, author of Clinician's Thesaurus

"This well-written book is an excellent tutorial for professionals who need to take patients' psychiatric and medical histories. It is laced with helpful pointers, clinical vignettes, and 'dos and don'ts' that guide the reader through the interview process. While it is especially relevant for students, even interviewers as experienced as myself can find helpful tips to make the interview process more efficient. This book adds to Morrison's strong body of work intended to help clinicians perform their jobs better, and is certainly a 'must read' for those just beginning the training process."—David L. Dunner, MD, FACPsych, Director, Center for Anxiety and Depression, Mercer Island, Washington, and Department of Psychiatry and Behavioral Sciences, University of Washington

"This book was written to help transform those just starting out in mental health services into discerning and welcoming observers who can interact with patients to obtain the best information, make sound decisions, and create strong relationships. Psychiatrists, psychologists, social workers, nurse practitioners, and all who talk to patients will profit from learning and applying the strategies so clearly outlined here."—Rodrigo Muñoz, MD, Department of Psychiatry, University of California, San Diego

Booknews
This volume, revised to incorporate the new DSM-IV criteria, covers a broad range of personalities and problems typically encountered in the first psychiatric interview, offering insight on eliciting diagnostic details from even the most difficult patients. Clinical vignettes illustrate techniques for each stage of the interview and offer ways to establish rapport and determine symptoms. Appendices provide a summary of the initial interview, describe criteria for selected disorders, and include a sample interview and written report. Annotation c. Book News, Inc., Portland, OR (booknews.com)
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Product Details

  • ISBN-13: 9781593856366
  • Publisher: Guilford Publications, Inc.
  • Publication date: 1/4/2008
  • Edition description: Third Edition
  • Edition number: 3
  • Pages: 370
  • Product dimensions: 6.30 (w) x 8.90 (h) x 1.20 (d)

Meet the Author

James Morrison, MD, graduated from Reed College and earned his MD at Washington University in St. Louis, where he trained in psychiatry. He is currently Professor of Clinical Psychiatry at Oregon Health and Science University in Portland. Dr. Morrison’s other books for professionals include Diagnosis Made Easier, DSM-IV Made Easy, When Psychological Problems Mask Medical Disorders, and Interviewing Children and Adolescents. In 2002 he wrote a comprehensive guide for patients and their relatives, Straight Talk about Your Mental Health.

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Table of Contents

Introduction: What Is Interviewing?

1. Openings and Introductions

2. Chief Complaint and Free Speech

3. Developing Rapport

4. Managing the Early Patient Interview

5. History of the Present Illness

6. Getting the Facts about the Present Illness

7. Interviewing about Feelings

8. Personal and Social History

9. Sensitive Subjects

10. Control of the Later Interview

11. Mental Status Exam I: Behavioral Aspects

12. Mental Status Exam II: Cognitive Aspects

13. Signs and Symptoms in Areas of Clinical Interest

14. Closure

15. Interviewing Informants

16. Meeting Resistance

17. Special or Challenging Patient Behaviors and Issues

18. Diagnosis and Recommendations

19. Sharing Your Findings with the Patient

20. Communicating Your Findings to Others

21. Troubleshooting Your Interview

Appendix A. Summary of the Initial Interview

Appendix B. Description and Diagnostic Criteria for Selected Disorders

Appendix C. Sample Interview with Report

Appendix D. A Semistructured Interview

Appendix E. Assessing Your Interview

Appendix F. Bibliography and Recommended Reading

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Sort by: Showing all of 4 Customer Reviews
  • Posted July 13, 2010

    more from this reviewer

    Very good start

    When I took my 1st practicum practice I had read this book as a text book for that class. It really helped me a lot via examples and clarifications by the author and helped be in my confidence as a future therapist to really target the key questions that needs to be asked to really help customer.

    1 out of 1 people found this review helpful.

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  • Posted June 23, 2012

    An excellent first read or refresher

    I have been practicing for over 20 years and recently read this. It was an easy read yet very valuable as a refresher. I have since recommended it to two trainees who felt it was very valuable. I recommend it highly.

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    Posted October 25, 2008

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