By Robert Poole, Robert Higgo
This booklet can help psychological healthiness execs to improve the basic time-honored talents in interviewing and evaluation which shape the basis of psychiatric perform. it really is concerning the strategy of achieving a analysis and is a realistic advisor to assist the reader make the transition from amateur to useful clinician. it truly is in line with genuine difficulties encountered in glossy basic grownup psychiatric perform, and is determined in a number environments, within the sanatorium and locally. The textual content is punctuated by means of a range of case reports to demonstrate the foundations highlighted within the publication. This booklet may be crucial studying for all individuals of the psychological healthiness group. Its functional grounding in daily scientific event will entice trainee psychiatrists and more matured clinicians alike, in addition to to nurses, social staff and psychologists.
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Extra resources for Psychiatric Interviewing and Assessment
Main points in this chapter 1. An adequate history is the most important part of psychiatric assessment. 2. Psychiatric histories are highly structured and require the interpretation and organisation of information. 3. The standard schema of psychiatric history taking is not a guide to the structure of the interview itself. 4. History taking is never a completed task, no matter how long you have known the patient. No one can ever know everything about another human being. 5. We do not like assessment proformas or the concept of pre-morbid personality, but we strongly suspect that both of them will outlive both of us.
Where there are command hallucinations, one needs to fully explore the content and the factors, if any, which restrain the person from acting. 43 Abnormal perceptions Pseudo-hallucinations and related phenomena There are several psychopathologies that are broadly similar to true hallucinations. It can be very hard to distinguish delusions of reference from hallucinations. Classically, delusions of reference are beliefs that neutral and impersonal materials, such as television programmes or car number plates, carry a personal and intentional message.
It is usually appropriate to ask a general question as to whether the person has had unwanted sexual experiences. Asked in this way, histories of childhood sexual 24 History abuse and rape may be volunteered. It is important not to press people into early disclosure of bad sexual experiences, as making such a disclosure to a stranger can be traumatising and unhelpful. The point is to indicate that the issue is available for discussion. Many people make disclosures in later interviews after initial denials, having had a chance to think about it and prepare themselves.
Psychiatric Interviewing and Assessment by Robert Poole, Robert Higgo