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With time at a premium, today's clinicians must rapidly engage their patients while gathering an imposingly large amount of critical information. These clinicians appropriately worry that the "person" beneath the diagnoses will be lost in the shuffle of time constraints, data gathering, and the creation of the electronic health record. Psychiatric Interviewing: The Art of Understanding: A Practical Guide for Psychiatrists, Psychologists, Counselors, Social Workers, Nurses, and other Mental Health Professionals, 3rd Edition tackles these problems head-on, providing flexible and practical solutions for gathering critical information while always attending to the concerns and unique needs of the patient.Within the text, Dr. Shea deftly integrates interviewing techniques from a variety of professional disciplines from psychiatry to clinical psychology, social work, and counseling providing a broad scope of theoretical foundation. Written in the same refreshing, informal writing style that made the first two editions best sellers, the text provides a compelling introduction to all of the core interviewing skills from conveying empathy, effectively utilizing open-ended questions, and forging a powerful therapeutic alliance to sensitively structuring the interview while understanding nonverbal communication at a sophisticated level. Updated to the DSM-5, the text also illustrates how to arrive at a differential diagnosis in a humanistic, caring fashion with the patient treated as a person, not just another case.Whether the reader is a psychiatric resident or a graduate student in clinical psychology, social work, counseling or psychiatric nursing, the updated third edition is designed to prepare the trainee to function effectively in the hectic worlds of community mental health centers, inpatient units, emergency rooms, and university counseling centers. To do so, the pages are filled with sample questions and examples of interviewing dialogue that bring to life methods for sensitively exploring difficult topics such as domestic violence, drug abuse, incest, antisocial behavior, and taking a sexual history as well as performing complex processes such as the mental status. The expanded chapter on suicide assessment includes an introduction to the internationally acclaimed interviewing strategy for uncovering suicidal ideation, the Chronological Assessment of Suicide Events (CASE Approach). Dr. Shea, the creator of the CASE Approach, then illustrates its techniques in a compelling video demonstrating its effective use in an interview involving a complex presentation of suicidal planning and intent.A key aspect of this text is its unique appeal to both novice and experienced clinicians. It is designed to grow with the reader as they progress through their graduate training, while providing a reference that the reader will pull off the shelf many times in their subsequent career as a mental health professional. Perhaps the most unique aspect in this regard is the addition of five complete chapters on Advanced and Specialized Interviewing (which comprise Part IV of the book) which appear as bonus chapters in the accompanying e-book without any additional cost to the reader. With over 310 pages, this web-based bonus section provides the reader with essentially two books for the price of one, acquiring not only the expanded core textbook but a set of independent monographs on specialized skill sets that the reader and/or faculty can add to their curriculum as they deem fit.
Part I: Clinical Interviewing: the Principles Behind the Art1. The Delicate Dance: Engagement and Empathy2. Beyond Empathy: Cornerstone Concepts and Techniques for Enhancing Engagement3. The Dynamic Structure of the Interview: Core Tasks, Strategies, and the Continuum of Open-Endedness4. Facilics: The Art of Transforming Interviews into Conversations5. Validity Techniques for Exploring Sensitive Material and Uncovering the Truth6. Understanding the Person Beneath the Diagnosis: the Search for Uniqueness, Wellness, and Cultural Context7. Assessment Perspectives and the Human Matrix: Bridges to Effective Treatment Planning in the Initial Interview8. Nonverbal Behavior: The Interview as MimePart II: The Interview and Psychopathology: from Differential Diagnosis to Understanding9. Mood Disorders: How to Sensitively Arrive at a DSM-5 Differential Diagnosis10. Interviewing Techniques for Understanding the Person Beneath the Depression11. Psychotic Disorders: How to Sensitively Arrive at a DSM-5 Differential Diagnosis12. Interviewing Techniques For Understanding the Person Beneath the Psychosis13. Personality Disorders: Before the Interview Begins - Core Concepts14. "Personality Disorders: How to Sensitively Arrive at a DSM-5 Diagnosis"15. Understanding and Effectively Engaging People with Difficult Personality Disorders: the Psychodynamic LensPart III: Mastering Complex Interviewing Tasks Demanded in Everyday Clinical Practice16. The Mental Status: How to Perform and Document It Effectively17. Exploring Suicidal Ideation: The Delicate Art of Suicide Assessment18. Exploring Violent and Homicidal Ideation: From Domestic Violence to Mass MurderPart IV: Specialized Topics & Advanced Interviewing - Bonus Material Online19. Transforming Anger, Confrontation, and Other Points of Disengagement20. Culturally Adaptive Interviewing: The Challenging Art of Exploring Culture, Worldview, and Spirituality21. Vantage Points: Bridges to Psychotherapy22. Motivational Interviewing (MI): A Foundation Stone in Collaborative Interviewing23. Medication Interest Model (MIM): Moving from Mere "Adherence" to Genuine Interest and Effective UseGlossary & AppendicesApp I: Annotated Interview (Full 60-Minute Intake)App II: The Written Document/Electronic Health Record (EHR): Effective StrategiesApp IIA: Practical Tips for Creating a Good EHR/Write-UpApp IIB: Dictation Prompts and Quality Assurance Guidelines for the Written DocumentApp IIC: Sample Written AssessmentApp IID: Initial Clinical AssessmentGL: Glossary of Interview Supervision Terms
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