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- Wiley
More About This Title Clinical Interviewing, Fifth Edition
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English
Clinical Interviewing—now in its Fifth Edition— guides clinicians through elementary listening skills onward to more advanced, complex clinical assessment processes such as intake interviewing, mental status examination, and suicide assessment.
Clinical Interviewing has been updated with the latest content from the DSM-5, including:
Defining psychological and emotional disorders (Chapter 6: An Overview of the Interview Process)Diagnostic impressions (Chapter 7: Intake Interviewing and Report Writing)Assessing for depression (Chapter 9: Suicide Assessment)History and evolution of the DSM, defining mental disorders, specific diagnostic criteria, diagnostic assessment, diagnostic interviewing, and using diagnostic checklists (Chapter 10: Diagnosis and Treatment Planning)Violence assessment (Chapter 12: Challenging Clients and Demanding Situations)Featuring an accompanying DVD with real-life scenarios of actual counselors and clients demonstrating techniques for effective clinical interviews, the new edition presents:
A greater emphasis on collaborative goal setting and the client as expertNew discussion on multicultural orientation and multicultural competencyNon-face-to-face assessment and interviewing—including a structured protocol-- via email, telephone, texting, videoconferencing/Skype, instant messaging, and online chattingAn increased focus on case formulation and treatment planning- English
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JOHN SOMMERS-FLANAGAN, PhD, is Professor of Counselor Education at the University of Montana. He serves as a mental health consultant for Trapper Creek Job Corps. His research interests include clinical interviewing, parent consultations, and adolescent psychotherapy.
RITA SOMMERS-FLANAGAN, PhD, is Professor of Counselor Education at the University of Montana. She provides mental health consultation at Trapper Creek Job Corps, and has taught and written in the area of applied, practical ethics for the past twenty years.
John and Rita have coauthored nine books, including Counseling and Psychotherapy Theories in Context and Practice, Second Edition; Becoming an Ethical Helping Professional; and How to Listen so Parents Will Talk and Talk so Parents Will Listen, all published by Wiley.
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Preface xiii
Acknowledgments xix
About the Authors xxi
PART ONE BECOMING A MENTAL HEALTH PROFESSIONAL 1
Chapter 1 Introduction: Philosophy and Organization 3
Welcome to the Journey 4
Theoretical Orientations 8
Goals and Objectives of This Book 19
Summary 19
Suggested Readings and Resources 20
Chapter 2 Foundations and Preparations 21
Defining Clinical Interviewing 22
Self-Awareness 30
The Physical Setting 36
Professional and Ethical Issues 43
Summary 55
Suggested Readings and Resources 56
PART TWO LISTENING AND RELATIONSHIP DEVELOPMENT 57
Chapter 3 Basic Attending, Listening, and Action Skills 59
Attending Behavior 60
Moving Beyond Attending 68
Nondirective Listening Behaviors 70
The Pull to Reassurance 83
Directive Listening Behaviors 84
Summary 94
Suggested Readings and Resources 95
Chapter 4 Directives: Questions and Action Skills 97
Section One: Using General and Therapeutic Questions 98
Section Two: Directive Interviewing Techniques (AKA Directives) 116
Summary 133
Suggested Readings and Resources 134
Chapter 5 Evidence-Based Relationships 135
Carl Rogers’s Core Conditions 136
Evidence-Based Psychoanalytic and Interpersonal Relationship Concepts 149
Additional Theoretical- and Evidence-Based Concepts Related to the Therapeutic Relationship 160
Concluding Comments 166
Summary 166
Suggested Readings and Resources 167
PART THREE STRUCTURING AND ASSESSMENT 169
Chapter 6 An Overview of the Interview Process 171
Structural Models 172
The Introduction: First Contact 173
The Opening 183
The Body 191
The Closing 196
Termination 202
Summary 205
Suggested Readings and Resources 205
Chapter 7 Intake Interviewing and Report Writing 207
What Is an Intake Interview? 207
Objectives of Intake Interviewing 208
Factors Affecting Intake Interview Procedures 227
Brief Intake Interviewing 228
The Intake Report 230
Summary 246
Suggested Readings and Resources 247
Chapter 8 The Mental Status Examination 249
Objectivity 250
What Is a Mental Status Examination? 250
The Generic Mental Status Examination 252
When to Use Mental Status Examinations 283
Summary 285
Suggested Readings and Resources 286
Chapter 9 Suicide Assessment 289
Personal Reactions to Suicide 290
Suicide Statistics 291
Suicide Risk Factors 292
Suicide Assessment Interviewing 302
Suicide Intervention 317
Professional Issues 322
Summary 325
Suggested Readings and Resources 327
Chapter 10 Diagnosis and Treatment Planning 329
Principles of Psychiatric Diagnosis 329
Diagnostic Assessment: Methods and Procedures 337
The Science of Clinical Interviewing: Diagnostic Reliability and Validity 339
A Balanced Approach to Conducting Diagnostic Clinical Interviews 341
Treatment Planning 347
Summary 360
Suggested Readings and Resources 361
PART FOUR INTERVIEWING SPECIAL POPULATIONS 363
Chapter 11 Interviewing in a Diverse and Multicultural World 365
Four Large Worldviews 367
Other Diverse Client Populations 383
Cultural Complexities and Identities 390
Assessment and Culture-Bound Syndromes 391
Professional Considerations 395
Summary 397
Suggested Readings and Resources 397
Chapter 12 Challenging Clients and Demanding Situations 399
Challenging Clients 400
Demanding Situations: Crisis and Trauma 419
Summary 430
Suggested Readings and Resources 431
Chapter 13 Interviewing and Working With Young Clients 433
Considerations in Working With Children 434
The Introduction 435
The Opening 438
The Body of the Interview 449
The Closing 461
Termination 464
Summary 464
Suggested Readings and Resources 465
Chapter 14 Principles and Tips for Interviewing Couples and Families 467
Some Ironies of Interviewing Couples and Families 468
Interviewing Stages and Tasks 470
Special Considerations 492
Summary 502
Suggested Readings and Resources 502
Chapter 15 Interviewing in Online and Other Non–Face-to-Face (Non-FtF) Environments 505
Technology as an Extension of the Self 506
Non-FtF Assessment and Intervention Research 512
Ethical and Practical Issues: Problems and Solutions 516
Conducting Online or Non-FtF Interviews 522
Summary 525
Suggested Online Training Resources 526
Appendix: Extended Mental Status Examination—Interview Protocol 527
References 537
Author Index 581
Subject Index 591
About the DVD 597
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“The authors of this Fifth Edition of Clinical Interviewing have enhanced their already fine work with the addition of a few timely topics, including: increased focus on multicultural competency; emphasis on collaborative goal setting; increased attention to evidence-based relationships; and a new chapter on online interviewing formats. For students wanting to learn about the assessment and interviewing process, this book offers a comprehensive approach to putting skills and knowledge into action.”—Marianne Schneider Corey, M. A., Licensed Marriage and Family Therapist, Consultant & Gerald Corey, Ed.D., ABPP, Diplomate in Counseling Psychology, Professor Emeritus of Human Services and Counseling, California State University, Fullerton, co-authors of I Never Knew I Had a Choice
“Clinical Interviewing, Fifth Edition is well organized, written in a nonjudgmental, easily accessible style, and contains excellent case examples representing real-world dilemmas. Of particular value are the clearly stated objectives at the beginning of every chapter and practical up-to-date information on topics that are often not discussed or included in training programs. Clinical Interviewing is a "must-read" for all beginning therapists and supervisors and, I would add, even seasoned psychotherapists will find important new ideas for improving their work!”—Pamela A. Hays, Ph.D. Author or Addressing Cultural Complexities in Practice: Assessment, Diagnosis, & Therapy; and Connecting across Cultures: The Helper’s Toolkit
“A superb synthesis and presentation of the key concepts any beginning student absolutely needs to know about clinical interviewing. John and Rita Sommers-Flanagan make an eloquent case that connecting with the client on a human level is the superordinate task, without which little else of value can be achieved. Replete with relevant clinical examples, helpful how-to hints, as well as pearls of clinical wisdom, this comprehensive yet accessible text is highly recommended."—Victor Yalom, Ph.D., Founder and CEO, Psychotherapy.net