CLP 6169, Week 4 Notes
CLP 6169, Week 4 Notes CLP 6169
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This 2 page Class Notes was uploaded by Jadenole on Sunday January 31, 2016. The Class Notes belongs to CLP 6169 at Florida State University taught by Dr. E in Spring 2016. Since its upload, it has received 19 views. For similar materials see Adult Development and Psychopathology in Language at Florida State University.
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Date Created: 01/31/16
Lecture 4: Interviewing ** Use in conjunction with the lecture 4 PowerPoint on Blackboard Presenting Problem: Starts off the clinical interviewing process Important Q: Have other people noticed a change in the client’s mood or behavior? o Examples: colleagues at work, significant others, or family members o If a client is completely concealing the problem, the practitioner may need to handle the interview (and treatment) in a different manner It’s important to discuss what the client has already tried in regards to their presenting issues o Don’t suggest ways to fix the problem in the interview There are people who do not want to get rid of their problem o Good Q: What would your life look like if the problem was solved? Psychiatric History: Primacy Effect – avoid relying on information that is initially presented o Don’t use the initial symptoms to jump to a diagnosis, there is only a 58% chance that this information (i.e., from first 5 minutes) is incorporated into the final diagnosis Family history – important due to the heavy genetic influence of disorders o Follow up on what client reports that sounds like a disorder (especially psychosis) Hospitalization – know the details, when it occurred, & the duration of treatment Delusions may start off as sounding semi-normal, but then the practitioner begins to see the abnormal thoughts or behaviors Substance use – over the counter and prescription medications can be difficult to determine as substance abuse, but it is absolutely possible. Example: sleeping medication or cough syrup Medical History: Be wary of medications that can result in symptoms that are part of the presenting problem There could be a lack of communication, or miscommunication between doctors o Double dosage, interference caused by another medication, etc. Social History: Families can provide a wealth of information about the client and their behaviors Racial, Ethnic, & Cultural Identity: Ask questions to determine what culture the client identifies with, and how this impacts their conceptualization of the problem and treatment (including therapy) Break down the barrier by being open to exploring differences in race, cultural background, and other differences between the therapist and the client Ask how the client’s sociopolitical environment and upbringing impacts their views Be aware of common diagnostic errors for certain racial/ethnic groups Significant Life Events & Role Transitions: Changes in life events do not always bring negative stress, there are times when certain events can relieve stress o Example: Divorce in a very stressful marriage, or being fired from a bad job Differential vulnerability: coping resources and coping styles determine how people are impacted by transitions o More coping resources and certain coping styles are better Trait approach: differences in the characteristics of the actual event o Example: Funeral vs Wedding o People interpret events in all different ways. There are times when a funeral can be a relief due to the complete deterioration of a person Romantic Relationships: Relationship problems tend to be repetitive Relationship patterns Past relationships are just as important to explore as present ones (if related to presenting problem) Level of satisfaction in relationships Client can bring up sexual functioning if they want to talk about this area of life Trauma: You do not have to be a victim to be traumatized by an experience Trauma is subjective – depends on the person, how they interpret the event, and how they cope Experiencing a loss of a job or going through a divorce can be traumatic Childhood abuse, neglect, or poor family functioning (including parents with mental illness) can result in chronic trauma o These factors are strong predictors of adult psychopathology Confidentiality & Informed Consent: Duty to warn – necessary if the client discloses homicidal ideation Consider legal and ethical ramifications
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