Chapter 8 Lecture: Clinical Interview
Chapter 8 Lecture: Clinical Interview PSYC 3339
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This 17 page Class Notes was uploaded by lambdalambdalambdas on Sunday June 28, 2015. The Class Notes belongs to PSYC 3339 at University of Houston taught by Noblin in Spring2015. Since its upload, it has received 387 views. For similar materials see Intro to Clinical Psychology in Psychlogy at University of Houston.
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Date Created: 06/28/15
Clinical Psychology Science Practice and Culture EEEEE ON Chapter 8 The Clinical Interview Andrew M Pomerantz The Clinical Interview a Assessment is closely linked with the identity of clinical psychologists No other mental health profession incorporates assessment into their work as clinical psychologists do I Clinical interviews are the most frequent assessment tool More than any specific test Vast majority of practicing clinical psychologists use interviews Essential Quali es of Assessment Techniques I All assessment techniques including interviews should have adequate Validity measures what it claims to measure Reliability yields consistent repeatable results Clinical utility benefits the clinician and ultimately the client Validity Reliability and Clinical Utility Reliability yields consistent repeatable results Testretest reliability yields similar results across multiple administrations at different times Interraterrenabmw Internal reliability consists of items that are consistent with one another Clinical utility improves delivery of services or client outcome Feedback a Common to all kinds of psychological assessment a Provide results of tests or interviews I May be facetoface a report etc The Interviewer a General skills Quieting yourself Minimize excessive internal selfdirected thoughts that detract from listening Being selfaware Know how you tend to affect others interpersonally and how others tend to relate to you Develop positive working relationships Can segue into psychotherapy Respectful and caring attitude is key The Interviewer cont a Specific behaviors Listening the primary task of the interviewer consisting of numerous building blocks Eye contact Body language Vocal qualities Verbal tracking Referring to client by proper name Components of the Interview a Rapport Positive comfortable relationship between interviewer and client How an interviewer is with clients a Technique What an interviewer does with clients Directive vs nondirective styles Specific Interviewer Responses n Openended and closedended questions Openended questions Allow individualized and spontaneous responses from clients Elicit long answers that may or may not provide necessary info Closedended questions Allow less elaboration and selfexpression by the client Yield quick and precise answers Specific Interviewer Responses cont n Clarification Question to make sure the interviewer accurately understands the client s comments I Confrontation For discrepancies or inconsistencies in a client s comments I Paraphrasing Restatement of client s comments to show they have been heard Specific Interviewer Responses cont n Reflection of feeling Echo client s emotions even if not explicitly mentioned a Summarizing Tie together various topics connect statements that may have been made at different points and identify themes Pragmatics of the Interview a Noteta king Little consensus about notetaking Provide a reliable written record but can be distracting to client and interviewer I Audio and Videorecording Also provide a reliable record but can be inhibiting to clients lVIust obtain permission Pragmatics of the Interview cont n The Interview Room Professional yet comfortable I Confidentiality Explain confidentiality and its limits to clients eg child abuse intention to harm Types of Interviews n Intake interviews To determine whether to intake the client into the agency or refer elsewhere Types of Interviews cont n Diagnostic interviews To provide DSM diagnosis Structured interviews often used IVIinimize subjectivity enhance reliability SCID is an example Semistructured interviews include some structure but also some flexibility or opportunities to improvise Types of Interviews cont n Mental status exam Typically used in medical settings To quickly assess how a client is functioning at that time a Crisis interviews Assess problem and provide immediate intervention Clients are often considering suicide or other harmful act Cultural Components n Appreciating the cultural context Knowledge of the client s culture as well as the interviewer s own culture For behavior described or exhibited during interview I Acknowledging cultural differences Wise to discuss cultural differences rather than ignore Sensitive inquiry about a client s cultural experiences can be helpful