PSYC-339 Lecture Notes - Lecture 8: Unstructured Interview, Anxiety Disorder, Structured Interview
22 Sep 2017
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Unfortunately rarely used: often not available prior to first visit. Can determine lying in patient, scamming for compensation (malingering etc) Requires patient consent to look at the data/history. Assessment: employee reports, school reports, forensic reports, reports from doctors. Mental status exam: done without the client knowing/done covertly. Mini mental state exam: looks for improvement esp. in inpatient cases. Serial sevens: count by 7"s, language: identify items, spell world backwards. Interview is most common method: clinical interview can be structured, unstructured, semi-structured. Includes personal history including hildhood, educational background, health conditions, etc. Unstructured interview (30-45 minutes) have no preplanned questions, follow the clients thoughts to gain information, open ended. Semistructured: basic set of questions to be covered, but will follow through on questions that seem to lead somewhere, about 90 minutes. Con of structured interview: client fatigue, esp in low attention patients (ex schizophrenic); if frustrated the relationship is destroyed between patient and therapist.
