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Lecture Exam 2 Notes - PSY 364 Lecture Overview-what is...

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PSY 364 February 10, 2009 Lecture Overview -what is clinical interview? -how does it differ from other ways of talking to each other? -what are the advantages of the interview? -what are the major types of clinical interviews? -what are some the therapist behaviors that affect the interview? -demonstration? Clinical Interview-Definition -quote on PP -important points: *primarily vocal communication (more or less voluntary) *roles are clear that there is an expert or clinician and the one who is being interviewed *an area of problem is the focus “Conversation with a Purpose” Conversation vs. Interview -conversation -no central theme -participant’s roles do not have to be defined -starts and ends at will -interview -directed content to achieve a specific purpose -defined roles between participants (expert and interviewee) -occurs at a definite time and place Things to Know about the Clinical Interview -it is not a cross-examination (i.e. attorney and witness on a stand) but rather a process during which the interviewer must be aware of the client’s voice intonations, rate of speech, as well as non-verbal messages such as facial expression, posture, and gestures -not just want the client says -although it is sometimes used as the sole method of assessment, it is more often used along with several of other methods -it serves as the basic context for almost all other psychological assessments -foundation for other assessment strategies can be used -it is most widely used clinical assessment method -helps to establish rapport and socialize the patient to the assessment and/or therapy process
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Advantages of the Clinical Interview -inexpensive -taps both verbal and nonverbal behavior -portable -i.e. Telch and women with OCD in shower -flexible -other tests come in sequences, but in the interview, depending on what they say, can branch off and go into other topics -facilitates the building of a therapeutic relationship Characteristics of Good Interviewing Skills -convey to the interviewee that you understand their feelings and attitudes -don’t feel sadness, but convey you understand their sadness (empathetic connection) -how to make them feel you understand: -rephrasing, stating back, summarizing -use language that is understandable and not offensive -use open-ended rather than close-ended questions to extract more information -however, at SOME point you will have to ask close-ended questions, but you want to use open-ended to get a richer amount of information about the client -avoid excessive talking about personal experiences in the interview -client may feel ripped-off -allow the interviewee to use silence for reflection -some people have silence phobias—feel uncomfortable -set an agenda for the interview -what do you want to accomplish in the interview -able to impose structure to the interview -some clients like to go on tangents and accomplishments can get blown, but you must know how to reel them back on track -provide the client Components of Good Listening -elimination of distractions -i.e. exterior noise, using the bathroom earlier, cell off, etc.
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