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Clinical Interviewing


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Table of Contents

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

About the Author

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.


"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 "The most recent edition of Clinical Interviewing is simply outstanding. It not only provides a complete skeletal outline of the interview process in sequential fashion, but fleshes out numerous suggestions, examples, and guidelines in conducting successful and therapeutic interviews. Well-grounded in the theory, research and practice of clinical relationships, John and Rita Sommers-Flanagan bring to life for readers the real clinical challenges confronting beginning mental health trainees and professionals. Not only do the authors provide a clear and conceptual description of the interview process from beginning to end, but they identify important areas of required mastery (suicide assessment, mental status exams, diagnosis and treatment electronic interviewing, and work with special populations). Especially impressive is the authors' ability to integrate cultural competence and cultural humility in the interview process. Few texts on interview skills cover so thoroughly the need to attend to cultural dimensions of work with diverse clients. This is an awesome book written in an engaging and interesting manner. I plan to use this text in my own course on advanced professional issues. Kudos to the authors for producing such a valuable text." Derald Wing Sue, Ph.D., Professor of Psychology and Education, Teachers College, Columbia University "This 6th edition of Clinical Interviewing is everything we've come to expect from the Sommers-Flanagan team, and more! Readers will find all the essential information needed to conduct a clinical interview, presented in a clear, straightforward, and engaging style. The infusion of multicultural sensitivity and humility prepares the budding clinician not only for contemporary practice, but well into the future. Notable strengths of the book are its careful attention to ethical practice and counselor self-care. The case studies obviously are grounded in the authors' extensive experience and bring to life the complexities of clinical interviewing. 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

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