Sommers-Flangan and Zeleke (2015)
the clinical interview involves a professional relationship between a mental health provider and a patient/client.
what are the 4 primary goals of a clinical interview which includes informed consent?
interview techniques for a clincial interview
-confidentiality - reminding a patient that their info will not be shared with others unless immediate danger to patient/someone else - will help to build trust and allow patient to be honest.
Morrison (1995) + Okun (2001)
Clinical interviewing is used to monitor daily functioning and client progress. May be used to evaluate the process by asking clients Q concerning degree to which sessions were helpful
Types of clinical interview
Intake Interview
focuses on gathering info.
Therapists generally gather demographic info(marital status,race,ethnicity+emplyment) and info on current problems (freq of problem,degree problem affects functioning)
Additional Q asked about social support, medical history and current meds
may as Q regarding suicide, substance use + issues with violence
types of clinical interview
Psychodiagnostic Interviewing
types of clinical interview
Benefits of Psychodiagnostic Interviewing
types of clinical interview
Limitations of Psychodiagnostic Interviewing
types of clinical interview
Mental status Exam (MSE)
types of clinical interview
Mental status Exam (MSE)
what should mental status examiners base their reports on ?
Their direct observations and minimise interpretive statements.
- special care to cross check conclusive statements (triangulation) necessary when writing about clients who are part of opressed minority groups. (Sommers-Flanagan and Sommers-Flanagan ,2017)
types of clinical interview
Define triangulation
Triangulation happens when one or both of the people involved in the conflict try to pull a third person into the dynamic, often with the goal of: deflecting some of the tension. creating another conflict to take the spotlight off the original issue. reinforcing their sense of rightness or superiority.
types of clinical interview
Suicide Assessement Interviewing
what are the 8 superordinate suicide dimentions
methadology of clinical interviews
Structured interview
methadology of clinical interviews
Unstructured interviews
methadology of clinical interviews
Semi-Structured interviews
EG: PRISM designed to deal with prob of psych diagnosis when patients drink heavily/use drugs.Helpful to diagnose mental disorders and chemically induced disorders. Max reliability and valid in heavy drinkers and drug users.
methadology of clinical interviews
Benefits of clinical interviews
methadology of clinical interviews
Limitations of clinical interviews
methadology of clinical interviews
Conclusion - clinical interview
To conclude, the different types of clinical interviews, ie, intake, diagnostic diagnostic, MSE, and suicide assessment, enable the clinician to obtain specific information and to explore behaviour or response in depth. A structured interview has reliability, validity, and allows for predictive behaviour (Sommers-Flanagan; Jobes) while a semi structured interview provides greater insight into a client’s perspectives (De
Jonckheere & Vaughn, 2019) and can take cultural differences into account. Despite the drawbacks of possible interpreter bias that can be overcome by interrater
reliability and triangulation of methods which are time consuming (Suhr), clinical interviews are one of the best ways to assess clients and are often the first form of assessment used by psychologists to increase a clinician’s understanding of the client.
Ethnographic research
What is Ethnography?
style of reseach involving fieldwork that involves the ethnographer participating, overtly or covertly, in people’s daily lives for an extended period of time, watching what happens, listening to what is said, asking questions, in fact, collecting whatever data are available to throw light on issues that are the focus of the research (Hammersely and Attkinson 1995)
What type of research method is ethnography?
Qualitative.
refers to scientific description of different races and cultures. It is a non-manipulative study of the cultural characteristics of a particular ethnic group, carried out in a natural setting.
Ethnographic research with children - Same or different?
Research with children should not take for granted an adult/child distinction (Christensen & James 2000), yet the adult
researcher who wishes to research with children must confront generational issues (Mayall, 2000).
Steps in Ethnographic Research
Factors to consider with Ethnographic research
Anticipate - Range of ethical issues, potential difficulties and dilemmas, emotional costs of doing fieldwork (Lee-Treweek & Linkogle, 2000).
Reflexivity can become self-regarding, pompous indulgence in which more is learned about the fieldworker than the field. What ethnographers practice and what they preach can vary significantly (Calvey, 2000).