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Clinical Interviewing, 5th Edition

Clinical Interviewing, 5th Edition

John Sommers-Flanagan, Rita Sommers-Flanagan

ISBN: 978-1-119-08423-5

Jun 2015

624 pages


The classic guide to proven, practical strategies for conducting effective interviews

Clinical Interviewing, Fifth Edition blends a personal and easy-to-read style with a unique emphasis on both the scientific basis and interpersonal aspects of mental health interviewing. It guides clinicians through elementary listening and counseling skills onward to more advanced, complex clinical assessment processes, such as intake interviewing, mental status examination, and suicide assessment. Fully revised, the fifth edition shines a brighter spotlight on the development of a multicultural orientation, the three principles of multicultural competency, collaborative goal-setting, the nature and process of working in crisis situations, and other key topics that will prepare you to enter your field with confidence, competence, and sensitivity. Included with this text is an access code for the Video Resource Center that features commentary from the authors, as well as counseling demonstrations that show what clinical interviewing skills look like in different environments and with a range of clients.

Effective interviewing skills will serve to support your career for decades to come, and will help you to accurately diagnose your clients while earning their trust and creating an environment in which they feel safe and open to discussion. In Clinical Interviewing, Fifth Edition you’ll find:

  • DSM-5™ content emphasizing case formulation and treatment planning
  • A greater emphasis on collaborative goal setting and the client as expert
  • New discussion on multicultural counseling, orientation, and competency
  • Research supporting evidence-based relationships
  • Coverage of assessment and interviewing via e-mail, telephone, texting, instant messaging, and online chatting
  • Structured protocol for conducting a face-to-face, telephone, or video conferencing/Skype mental status examination interview
Clinical Interviewing, Fifth Edition is a valuable resource that will lead you through the art of interviewing diverse clients.

Related Resources

Video Resource Center Contents xi

Preface xiii

Acknowledgments xix

About the Authors xxi


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


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


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


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 Video Resource Center 597