Psychiatric Interviewing: The Art of Understanding: A Practical Guide for Psychiatrists, Psychologists, Counselors, Social Workers, Nurses, and Other Mental Health Professionals, with online video modules / Edition 3

by Shawn Christopher Shea MD

Overview

Print purchase includes enhanced Expert Consult eBook with over 7.5 hours of streaming video; quickly search text, figures, references, and videos on laptops, tablets, and smart phones.

With time at a premium, today's clinicians must rapidly engage their patients while gathering an imposingly large amount of critical information. These clinicians appropriately worry that the "person" beneath the diagnoses will be lost in the shuffle of time constraints, data gathering, and the creation of the electronic health record. Psychiatric Interviewing: The Art of Understanding: A Practical Guide for Psychiatrists, Psychologists, Counselors, Social Workers, Nurses, and other Mental Health Professionals, 3^rd Edition tackles these problems head-on, providing flexible and practical solutions for gathering critical information while always attending to the concerns and unique needs of the patient.

Over five years in the making, this classic introduction to the art of clinical interviewing returns, updated, expanded and innovatively designed for today's reader with over 7.5 hours of streaming video integrated directly into the text itself. Readers now also become viewers, acquiring the rare opportunity to see the author both illustrating specific interviewing techniques and subsequently discussing effective ways in which to employ them. The founder and Director of the acclaimed Cape Cod Symposium, Rob Guerette, describes Dr. Shea's skills as a speaker as follows, "Dr. Shea is an extremely gifted teacher, whose vibrant story-telling skills and compelling videos have led to him garnering some of the highest evaluations in the 30 year history of the Cape Cod Symposium. In short, readers are in for a rare treat when viewing the book's video component."

Within the text, Dr. Shea deftly integrates interviewing techniques from a variety of professional disciplines from psychiatry to clinical psychology, social work, and counseling providing a broad scope of theoretical foundation. Written in the same refreshing, informal writing style that made the first two editions best sellers, the text provides a compelling introduction to all of the core interviewing skills from conveying empathy, effectively utilizing open-ended questions, and forging a powerful therapeutic alliance to sensitively structuring the interview while understanding nonverbal communication at a sophisticated level. Updated to the DSM-5, the text also illustrates how to arrive at a differential diagnosis in a humanistic, caring fashion with the patient treated as a person, not just another case.

Whether the reader is a psychiatric resident or a graduate student in clinical psychology, social work, counseling or psychiatric nursing, the updated third edition is designed to prepare the trainee to function effectively in the hectic worlds of community mental health centers, inpatient units, emergency rooms, and university counseling centers. To do so, the pages are filled with sample questions and examples of interviewing dialogue that bring to life methods for sensitively exploring difficult topics such as domestic violence, drug abuse, incest, antisocial behavior, and taking a sexual history as well as performing complex processes such as the mental status. The expanded chapter on suicide assessment includes an introduction to the internationally acclaimed interviewing strategy for uncovering suicidal ideation, the Chronological Assessment of Suicide Events (CASE Approach). Dr. Shea, the creator of the CASE Approach, then illustrates its techniques in a compelling video demonstrating its effective use in an interview involving a complex presentation of suicidal planning and intent.

A key aspect of this text is its unique appeal to both novice and experienced clinicians. It is designed to grow with the reader as they progress through their graduate training, while providing a reference that the reader will pull off the shelf many times in their subsequent career as a mental health professional. Perhaps the most unique aspect in this regard is the addition of five complete chapters on Advanced and Specialized Interviewing (which comprise Part IV of the book) which appear as bonus chapters in the accompanying e-book without any additional cost to the reader. With over 310 pages, this web-based bonus section provides the reader with essentially two books for the price of one, acquiring not only the expanded core textbook but a set of independent monographs on specialized skill sets that the reader and/or faculty can add to their curriculum as they deem fit.

New and Expanded Content:

• Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, references, and videos from the book on a variety of devices
• Bonus chapter on advanced aspects of cross-cultural interviewing, including approaches for recognizing clinician biases and exploring the client’s spirituality and framework for meaning
• Bonus chapter on motivational interviewing
• Bonus chapter on transforming patient anger and moments of potential disengagement
• Bonus chapter for prescribing clinicians — such as psychiatrists and psychiatric nurse clinicians — on how to collaboratively talk with patients about their medications
• Includes over 7.5 hours of video illustration and instruction
• Brings to life the pain and phenomenology of people coping with severe mental illnesses, such as schizophrenia, bipolar disorder, and major depressive disorder
• An entire chapter on engaging patients with difficult personality disorders, such as borderline personality disorder and narcissistic personality disorder
• A new and unique chapter covering often overlooked areas, such as positive psychology and methods for uncovering client wellness and strengths
• Extensive chapter on nonverbal communication, including the complex challenges related to interviewing on the web by text and/or tele-psychiatry
• A comprehensive introduction to facilics (an innovative supervision system for helping clinicians learn how to transform interviews into naturalistically flowing conversations), including an interactive web-based self-learning module on facilic supervision schematics for both faculty and students
• Practical tips for creating a good EHR/write-up, in addition to sample clinical forms for EHR/written documentation
• A specialized appendix for faculty, which includes four complete articles from the Psychiatric Clinics of North America that address educational topics including: effectively designing interviewing training courses and macrotraining suicide assessment skills

Product Details

ISBN-13:	9781437716986
Publisher:	Elsevier Health Sciences
Publication date:	10/25/2016
Edition description:	New Edition
Pages:	876
Product dimensions:	7.50(w) x 10.50(h) x 1.40(d)

Table of Contents

Part I: Clinical Interviewing: the Principles Behind the Art

1. The Delicate Dance: Engagement and Empathy

2. Beyond Empathy: Cornerstone Concepts and Techniques for Enhancing Engagement

3. The Dynamic Structure of the Interview: Core Tasks, Strategies, and the Continuum of Open-Endedness

4. Facilics: The Art of Transforming Interviews into Conversations

5. Validity Techniques for Exploring Sensitive Material and Uncovering the Truth

6. Understanding the Person Beneath the Diagnosis: the Search for Uniqueness, Wellness, and Cultural Context

7. Assessment Perspectives and the Human Matrix: Bridges to Effective Treatment Planning in the Initial Interview

8. Nonverbal Behavior: The Interview as Mime

Part II: The Interview and Psychopathology: from Differential Diagnosis to Understanding

9. Mood Disorders: How to Sensitively Arrive at a DSM-5 Differential Diagnosis

10. Interviewing Techniques for Understanding the Person Beneath the Depression

11. Psychotic Disorders: How to Sensitively Arrive at a DSM-5 Differential Diagnosis

12. Interviewing Techniques For Understanding the Person Beneath the Psychosis

13. Personality Disorders: Before the Interview Begins – Core Concepts

14. "Personality Disorders: How to Sensitively Arrive at a DSM-5 Diagnosis"

15. Understanding and Effectively Engaging People with Difficult Personality Disorders: the Psychodynamic Lens

Part III: Mastering Complex Interviewing Tasks Demanded in Everyday Clinical Practice

16. The Mental Status: How to Perform and Document It Effectively

17. Exploring Suicidal Ideation: The Delicate Art of Suicide Assessment

18. Exploring Violent and Homicidal Ideation: From Domestic Violence to Mass Murder

Part IV: Specialized Topics & Advanced Interviewing – Bonus Material Online

19. Transforming Anger, Confrontation, and Other Points of Disengagement

20. Culturally Adaptive Interviewing: The Challenging Art of Exploring Culture, Worldview, and Spirituality

21. Vantage Points: Bridges to Psychotherapy

22. Motivational Interviewing (MI): A Foundation Stone in Collaborative Interviewing

23. Medication Interest Model (MIM): Moving from Mere "Adherence" to Genuine Interest and Effective Use

Glossary & Appendices

App I: Annotated Interview (Full 60-Minute Intake)

App II: The Written Document/Electronic Health Record (EHR): Effective Strategies

App IIA: Practical Tips for Creating a Good EHR/Write-Up

App IIB: Dictation Prompts and Quality Assurance Guidelines for the Written Document

App IIC: Sample Written Assessment

App IID: Initial Clinical Assessment

GL: Glossary of Interview Supervision Terms

What People are Saying About This

From the Publisher

Flexible and practical solutions for gathering critical information.

Editorial Reviews

"Enormously practical, elegant in execution and delightfully fun to read, every page holds clinical wisdom . . . . I can think of no better first book for any trainee in mental health, for it is not only, in my opinion, an unsurpassed book about how to interview, it is a book about why we interview. It is a book that captures the wonderment of our work and the soul of our mission. . . . I have never seen such great teaching videos on eliciting suicidal ideation. They are a treasure, and I believe that many lives will be saved by those lucky enough to view them." —From the Foreword by Jan Fawcett, M.D.. Professor of Psychiatry, University of New Mexico. Recipient of Lifetime Achievement Awards. from both the American Association of Suicidology. and the American Foundation for Suicide Prevention

"Dr. Shea has done the impossible – written a text that works for bachelors, masters, and doctoral level social workers. Throughout the text, Shea integrates cultural humility, the client perspective, clinical wisdom, and the best that research has to offer. The accompanying videos are the most amazing instructional videos I’ve ever seen – they include mini-lectures, video of an actual client interview, and wondrously realistic role-plays (which invite you into the mind of a master) and speak directly to the content in the text. I hate to say it, but a medical doctor has written the best social work interviewing text on the market. I hope this text gets adopted in every school of social work." —Jonathan B Singer, Ph.D., LCSW, Associate Professor, School of Social Work, Loyola University Chicago, Founder and host, Social Work Podcast

"Insightful, wonderfully practical, and surprisingly comprehensive, Shea’s chapter on culturally sensitive interviewing in Psychiatric Interviewing: the Art of Understanding, 3^rd Edition sets a new bar on effective literature on multiculturalism. Shea not only eloquently delineates important cross-cultural principles for students - while modeling numerous immediately useful questions and strategies - he provides examples of clinician/client dialogue in which the student can actually see the interviewer gracefully transforming awkward cultural disconnects. I’ve never seen anything quite like it in the clinical literature. Simply superb! PS: Year after year my master level counseling students have raved - and I mean raved - about Shea’s textbook, and this Third Edition looks to be even better! I know of no book that better prepares a student for actual clinical practice." —Dottie R. Morris, Ph.D., Chief Officer of Diversity and Multiculturalism, Keene State College, Former Director of Student Affairs for the Clinical Mental Health Counseling, Program at Antioch University New England

"Interviewing skills are not only indispensible, they are the rate-limiting factor in providing quality care. In the 3^rd Edition of Dr. Shea’s classic text, we now have an indispensable book to match the training needs of our psychiatric residents (indeed, of our trainees in any mental health discipline). The skills delineated within these chapters should, in my opinion, be taught in all psychiatric residency programs. Every resident should buy and read this entire book before taking his or her first night of call. Every resident. In fact, I recommend reading it twice. I almost forgot to mention, Shea’s extraordinary streaming videos will thrust this book to the forefront of web-based learning. Trust me on this point. They’re fabulous." —James L. Knoll, IV, M.D., Professor of Psychiatry, Director of Forensic Psychiatry, SUNY Upstate Medical University

From the Publisher

Reviewer: Marina Bayeva, M.D., Ph.D.(Northwestern University Feinberg School of Medicine)
Description: The importance of a thorough and effective clinical interview in psychiatry is indisputable. With no reliable biological tests for the majority of psychiatric illnesses, an interview remains the key diagnostic tool. However, the utility of a psychiatric interview goes well beyond a simple survey of signs, symptoms, and historical events that would culminate in the generation of a differential diagnosis and treatment plan. For many patients, the initial interview can be a test drive of the field in general and their provider in particular and, if done well, can forge a trusting bond essential for future engagement in treatment. If done poorly, however, the same initial interview may irreparably damage rapport and sabotage success even of an otherwise straightforward patient. To add to its utility as a diagnostic and empathic tool, the psychiatric interview can go even further and function as a therapeutic intervention in and of itself by artfully pointing out a patient's maladaptive patterns or generating much-needed motivation for change. In the third edition of this highly-successful book on psychiatric interviewing, Dr. Shea provides step-by-step guidance and demystifies the process of a successful psychiatric interview through ample examples, practical points, and side-by-side comparisons of various approaches, while effectively using humor and personal anecdotes to keep readers engaged. New to this edition are expanded and updated chapters on such important topics as motivational interviewing, suicide assessment strategies, and medication discussions with patients, as well as additional coverage of issues pertinent to intercultural communication and familial factors. Finally, new to this book is over 7.5 hours of streaming video, adding yet another learning modality to this already excellent book.
Purpose: The purpose is to "prepare the trainee to function effectively, and with compassion, [through] acquisition of a series of advancing interviewing skills that must be developed sequentially throughout the years of their residency and graduate training." Dr. Shea's solution to this complex task is to start with mastering the so-called "core interviewing skills," such as empathy, engagement, structuring and uncovering of sensitive topics, and then to apply these basic skills to real world psychiatry by expanding on more advanced interviewing topics. The author promises to make his "best effort to address these progressive steps in a fashion that makes their acquisition both more pleasant and more effective," which he indeed delivers.
Audience: This book is primarily targeted at "young mental health professionals," including psychiatry residents and graduate students in psychology, although other psychiatric workers, such as nurses, counselors, or social workers likely will find this book useful in sharpening their interview skills and expanding clinical approaches. Finally, seasoned experts who are interested in learning about more specialized topics or looking for a textbook to teach interviewing skills also may find this book helpful.
Features: Dr. Shea's goal is to guide readers through the process of the psychiatric interview, starting with essential core skills and adding on layers of complexity in order to develop a flexible and versatile diagnostic and therapeutic tool that the psychiatric interview is designed to be. He accomplishes this in the print book of 18 chapters grouped into three parts, supplemented by a fourth part and streaming video online. Part I is primarily focused on the basics of psychiatric interviewing, such as structuring and leading the interview, effective use of close-ended and open-ended questions, and systematic information gathering, while maintaining empathic connection and learning to view each patient as a unique individual - "the person beneath the diagnosis." At the end of part I, an introductory section covers nonverbal behaviors inherent in any formal interview or a casual conversation, yet often omitted from formal learning. Part II is focused on applying these core interviewing skills to distinct diagnostic categories, including mood, psychotic, and personality disorders. The author shows how the basic interview format can be modified to meet particular clinical needs, while emphasizing sensitivity and artfully explaining why a certain approach ought to succeed or fail with each type of a patient. Part III further hones advanced interviewing skills, dissecting the mental status exam into easily digestible bites, and demonstrating the intricacies of suicidal and homicidal evaluations through a series of in-depth discussions supplemented by several annotated video clips. New to this edition of the book, the author demonstrates the Chronological Assessment of Suicide Events (CASE) approach with several video examples of complete interviews.
Assessment: This edition retains all the elements responsible for the success of the earlier editions, yet is significantly expanded with ample new material in the print version, additional online material, and videos. This remains one of the premier books on the psychiatric interview.

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