PSY71 - History and Interviewing

PSY71 - History and Interviewing - Clinical interviewing...

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1 Clinical interviewing and Taking a History (time limited) Gina R Kuperberg NOTE: this is a skill that comes with PRACTICE PRACTICE PRACTICE! The aim of these seminars is to give you an introduction as to what is involved. Interviewing: Preparing • You are in a privileged position • Dress and act professionally • Be friendly and polite • Take notes but not too many! • Categorize information as you go along • Strike balance between letting patient tell the story and completing your database • Control the interview without overtly controlling the patient
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2 What you have to cover 1. Presenting/current complaint(s): “Complaining of. .” 2. History of presenting/current complaint(s) with relevant ‘review of systems’ (ROS) 3. Past psychiatric and psychological history 4. Past medical history 5. Family history 6. Personal history (includes psychosexual history; occupational history) 7. Drugs and alchohol 8. Forensic 9. Personality 10. Social history Some time-limited interviewing techniques • Guided interviewing: makes the processes transparent and demystified. This: – Cues patient as to what you are doing and not doing – Reminds you where you are in the process • Keeping on track but still being polite – Warn ahead of time that patient will be interrupted Types of Questions Closed vs open questions Closed: those answered by ‘yes’ or ‘no’. ONLY use to fill in gaps in knowledge, e.g. “have you been waking early recently?” Directive open questions Directs to the area chosen by interviewer but that cannot be answered by ‘yes’ or ‘no’, e.g. “Please describe this particular feeling to me” Leading questions Questions that suggest a reply to the patient. Use only rarely.
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3 More interviewing techniques Clarification An exact description of what the patient experienced Delayed verbal cues Bringing patient back to something s/he said earlier that was not picked up at the time Picking up non-verbal cues Making something that you notice the subject of
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This note was uploaded on 03/26/2008 for the course PSYCH 71 taught by Professor Kuperberg during the Spring '08 term at Tufts.

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PSY71 - History and Interviewing - Clinical interviewing...

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