Week 11 - interviews and behaviour rating scales Flashcards
(38 cards)
Why are interviews important?
Why are scales not enough?
Interviews are important sources of information.
What can the client or significant others tell us?
How they speak, how they dress for example.
What is the purpose of a clinical interview?
Depends on when or why the interview is conducted.
Used gather information about the referral question, client history, goals etc.
Can you provide support and help to this individual?
What types of interviews are there and what is the purpose of those interviews?
- initial interview.
- Post-assessment interview.
- Follow-up interview.
Is it true that those who are not trained in interviewing will make up their mind about the person in the first 20 seconds?
Yes. The rest of the interview will be confirming their decision/bias.
Why is it important to know how to interview as a psychologist?
What are some differences between a formal clinical interview and a normal conversation?
What is the difference between an unstructured, semi-structured, or structured interview?
Unstructured interviews can unfold naturally and organically.
Semi-structured are guided by certain parameters or goals.
Structured have a set guide with little room for deviating from this protocol.
What are the advantages or disadvantages of the different interview types?
What are the strengths of clinical interviews?
Build rapport.
Understand context/reason for referral.
Observe interactions between significant others, such as partner or parent or child, and interaction with practitioner.
Gather info on history, values, desires, and goals.
Gain info about client’s willingness to engage in intervention - receptivity.
What are the weaknesses of clinical interviews?
Reliability and validity of information gathered from a clinical interview can often be low - dependent on the clinician/client rapport, among other factors.
Some clinitians may gather info that others do not, and vice versa.
The clinician may not be able to ellicit the required/useful information.
The examiner and/or client may exhibit non-verbal cues that are interpreted in a way that prevents the client from disclosing honestly.
There may be cultural influences that affect the interaction, such as gender roles that prevent the disclosure of clinically relevant information.
Interview setting may prevent the client from expressing themselves freely and openly - perhaps there is a lack of trust for authority for cultural and historical reasons, e.g. Aboriginal and Torres Strait Islander people - especially toward psychologists.
Both examiner and client may have biases that influence they engage with each other and understand each other.
What is rapport based on?
Mutual confidence, respect, and acceptance.
What are some ways to develop rapport?
Commonality - what do you have in common and how can you connect first, before entering into a more formal, and potentially emotionally challenging, conversation.
Posture mirroring.
Non-judgemental attitude.
Emotional mirroring - empathising.
Tone and tempo matching.
Inviting behaviour, as such as open, non-domineering posture and body language.
What is some of the interview that may be collected in the initial interview?
Why are we collecting the information that we are collecting?
Should you ever assume a shared understanding of a term?
No.
What are the stages the clinician’s tasks?
Stage 1
Stage 2
What is the Mental Status Examination (MSE)?
It is a general strucutre of interviewing that aims to assess the major areas of psychiatric functioning, such as insight, mood and affect, cognition, perception, appearance and behaviour.
Aim is to gather info to form a general idea of the general psychological state of the individual.
Note, there is no universal fromat for the Mental State Examination.
What factors of behaviour should you keep an eye out for when interviewing?
Posture
Hygiene
Attire
What factors of a client’s speech should you consider?
Tone
Flow
Volume
What factors of thought process form should you consider?
Flows logically?
Word salad?
Easily goes on tangents?
What factors around content of thoughts should you consider?
Obsessions?
Delusions?
Fear?
What factors around cognition should you consider?
Memory?
Alertness?
Attention?
Concentration?
What factors of orientation should you consider?
Oriented to time and place?
What factors of attention and concentration should you consider?
Are they able to concentrate?
Do they seem distracted?
