Clinical Interviewing

Praise for Clinical Interviewing

"I′m a huge admirer of the authors′ excellent work. This book reflects their considerable clinical experience and provides great content, engaging writing, and enduring wisdom."
John C. Norcross, Ph.D., ABPP, Distinguished Professor of Psychology, University of Scranton

"This text is outstanding. Well–grounded in theory and research, it brings to life real challenges confronting mental health professionals. Especially impressive is the integration of cultural competence and cultural humility in the interview process. This is an awesome book."
Derald Wing Sue, Ph.D. Department of Counseling and Clinical Psychology, Teachers College, Columbia University

"This is a ′must–have′ resource that belongs on the bookshelf of every mental health counselor trainee and practitioner."
Barbara Herlihy, PhD. NCC, LPC–S, University Research Professor, Counselor Education Program, University of New Orleans

Fully–updated guide to proven, practical strategies for conducting effective interviews

Clinical Interviewing is the essential guide to conducting initial interviews, suicide assessment, mental status examinations, and psychotherapy skill development. The Sixth Edition includes:

Updates focusing on latest trends in clinical interviewing research and practice Access to over 70 videos that show the authors discussing and demonstrating crucial interviewing techniques Online instructor′s manual and resources to facilitate teaching

This edition also includes a unique Registration Code to access the Wiley Interactive E–Text (Powered by VitalSource), enhanced with dynamic content, including video, to further enrich student learning.

Preface

About the Authors

Part One: Foundations of Clinical Interviewing

Chapter 1: An Introduction to the Clinical Interview

Chapter Orientation

Welcome to the Journey

What is a Clinical Interview?

Clinical Interviewing vs. Counseling and Psychotherapy

A Learning Model for Clinical Interviewing

Multicultural Competencies

Multicultural Humility

Summary

Suggested Readings and Resources

Chapter 2: Preparation

Chapter Orientation

The Physical Setting

Professional and Ethical Issues

Multicultural Preparation

Stress Management and Self–Care

Summary

Suggested Readings and Resources

Chapter 3: An Overview of the Interview Process

Chapter Orientation

Stages of a Clinical Interview

The Introduction

The Opening

The Body

The Closing

Ending the Session (Termination)

Summary

Suggested Readings and Resources

Part Two: Listening and Relationship Development

Chapter 4: Nondirective Listening Skills

Chapter Orientation

Listening Skills

Adopting a Therapeutic Attitude

Why Nondirective Listening is also Directive

The Listening Continuum in Three Parts

Nondirective Listening Behaviors: Skills for Encouraging Client Talk

Ethical and Multicultural Considerations

Not Knowing What to Say

Summary

Suggested Readings and Resources

Chapter 5: Directive Listening Skills

Chapter Orientation

Directive Listening Behaviors: Skills for Encouraging Insight

Questions

Ethical and Multicultural Considerations when Using Directive Listening Skills

Summary

Suggested Readings and Resources

Chapter 6: Skills for Directing Clients toward Action

Chapter Orientation

Readiness to Change

Skills for Encouraging Action Using Questions

Using Educational and Directive Techniques

Ethical and Multicultural Considerations when Encouraging Action

Summary

Suggested Readings and Resources

Chapter 7: Evidence–Based Relationships

Chapter Orientation

The Great Psychotherapy Debate

Carl Rogers s Core Conditions

Other Evidence–Based Relationship Concepts

The Working Alliance (aka The Therapeutic Relationship)

Evidence–Based Multicultural Relationships

Summary

Suggested Readings and Resources

Part Three: Structuring and Assessment

Chapter 8: Intake Interviewing and Report Writing

Chapter Orientation

What s an Intake Interview?

Identifying, Evaluating, and Exploring Client Problems and Goals

Obtaining Background and Historical Information

Assessment of Current Functioning

Brief Intake Interviewing

The Intake Report

Dos and Don ts of Intake Interviews with Diverse Clients

Summary

Suggested Readings and Resources

Chapter 9: The Mental Status Examination

Chapter Orientation

What Is a Mental Status Examination?

Individual and Cultural Considerations

The Generic Mental Status Examination

When to Use Mental Status Examinations

Summary

Suggested Readings and Resources

Chapter 10: Suicide Assessment

Chapter Orientation

Facing the Suicide Situation

Suicide Risk Factors, Protective Factors, and Warning Signs

Building a Theoretical and Research–Based Foundation

Suicide Assessment Interviewing

Suicide Interventions

Ethical and Professional Issues

Summary

Suggested Readings and Resources

Chapter 11: Diagnosis and Treatment Planning

Chapter Orientation

Modern Diagnostic Classification Systems

Defining Mental Disorders

Diagnostic Interviewing

The Science of Clinical Interviewing: Diagnostic Reliability and Validity

Less Structured Diagnostic Clinical Interviews

Treatment Planning

Case Formulation and Treatment Planning: A Cognitive–Behavioral Example

Additional Cultural Modifications and Adaptations

Summary

Suggested Readings and Resources

Part Four: Special Populations and Situations

Chapter 12: Challenging Clients and Demanding Situations

Chapter Orientation

Challenging Clients

Motivational Interviewing and Other Strategies for Working Through Resistance

Assessment and Prediction of Violence and Dangerousness

Demanding Situations: Crisis and Trauma

Cultural Competencies in Disaster Mental Health

Summary

Suggested Readings and Resources

Chapter 13: Interviewing Young Clients

Chapter Orientation

Considerations in Working with Children and Adolescents

The Introduction

The Opening

The Body of the Interview

Closing and Termination

Culture in Young Client Interviews

Summary

Suggested Readings and Resources

Chapter 14: Interviewing Couples and Families

Chapter Orientation

Challenges and Ironies of Interviewing Couples and Families

The Introduction

The Opening

The Body

Closing and Termination

Special Considerations

Diversity Issues

Summary

Suggested Readings and Resources

Chapter 15: Electronic and Telephonic Interviewing

Chapter Orientation

Technology as an Extension of the Self

Definition of Terms and Communication Modalities

NonFtF Assessment and Intervention Research

Ethical and Practical Issues: Problems and Solutions

Conducting Online or NonFtF Interviews

Multicultural Issues: Culture and Online Culture

Summary

Suggested Online Training Resources

Appendix: Extended Mental Status Examination Interview Protocol

References

Index

JOHN SOMMERS–FLANAGAN, PHD, is a clinical psychologist and professor of counselor education at the University of Montana. He is a long–time member of both the American Counseling Association (ACA) and the American Psychological Association (APA).

RITA SOMMERS–FLANAGAN, PHD, is professor emeritus at the University of Montana. As a clinical psychologist, she has worked with youth, families, couples, and women for many years.