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10 - Clinical Interviewing

from Part II - Specific Clinical Assessment Methods

Published online by Cambridge University Press:  06 December 2019

By
John Sommers-Flanagan ,
Veronica I. Johnson  and
Maegan Rides At The Door
Edited by
Martin Sellbom  and
Julie A. Suhr
Martin Sellbom
Affiliation:
University of Otago, New Zealand
Julie A. Suhr
Affiliation:
Ohio University
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Summary

Clinical interviewing is a flexible method for gathering assessment information and initiating psychotherapy. Clinical interviews can be used to establish therapeutic relationships, provide role inductions for psychotherapy, gather assessment information, develop case formulations/treatment plans, and for implementing therapeutic interventions. When used for assessment or intake purposes, clinical interviews focus on specific content, such as psychodiagnosis, mental status, and suicide risk. Although central to psychodiagnostic assessment, interview reliability and validity can be adversely affected by noncredible client responding (e.g., the over- or underreporting of symptoms). To address noncredible client responding, clinicians need to (1) be aware of the potential for inaccurate reporting, (2) adopt a “scientific mindedness” approach, (3) manage their countertransference, (4) use specific questioning or interpersonal strategies, and (5) triangulate data by using information from multiple sources. Undoubtedly, technology and other forces may change how future clinicians conduct clinical interviews; however, it is likely that clinical interviews will remain foundational to psychological assessment and treatment.

Keywords

clinical interviewassessmentdiagnosisnoncredible respondingintake interviewmental status examinationpsychodiagnostic interviewsuicide assessment interview
Type
Chapter
Information
The Cambridge Handbook of Clinical Assessment and Diagnosis , pp. 113 - 122
Publisher: Cambridge University Press
Print publication year: 2019

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References

American Counseling Association. (2014). The American Counseling Association code of ethics. Alexandria, VA: Author.Google Scholar
American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.Google Scholar
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: Author.Google Scholar
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.Google Scholar
APA (American Psychological Association). (2010). Ethical principles for psychologists and code of conduct. Washington, DC: Author.Google Scholar
Bahorik, A. L., Newhill, C. E., Queen, C. C., & Eack, S. M. (2014). Under-reporting of drug use among individuals with schizophrenia: Prevalence and predictors. Psychological Medicine, 44(1), 61–69.Google Scholar
Basterra, M. D., Trumbull, E., & Solano-Flores, G. (2011). Cultural validity in assessment: Addressing linguistic and cultural diversity. New York: Routledge.Google Scholar
Edens, J. F., Kelley, S. E., Lilienfeld, S. O., Skeem, J. L., & Douglas, K. S. (2015). DSM-5 antisocial personality disorder: Predictive validity in a prison sample. Law and Human Behavior, 39(2), 123–129.Google Scholar
Elkind, D. (1964). Piaget’s semi-clinical interview and the study of spontaneous religion. Journal for the Scientific Study of Religion, 4, 40–47.CrossRefGoogle Scholar
First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. L. (2016). Structured Clinical Interview for DSM-5 Disorders, clinician version (SCID-5-CV). Arlington, VA: American Psychiatric Association.Google Scholar
Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). Mini-mental state: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189–198.Google Scholar
Frances, A. (2013). Essentials of psychiatric diagnosis: Responding to the challenge of DSM-5 (rev ed.). New York: Guilford Press.Google Scholar
Ganzini, L., Denneson, L. M., Press, N., Bair, M. J., Helmer, D. A., Poat, J., & Dobscha, S. K. (2013). Trust is the basis for effective suicide risk screening and assessment in veterans. Journal of General Internal Medicine, 28(9), 1215–1221.Google Scholar
Green, D., & Rosenfeld, B. (2011). Evaluating the gold standard: A review and meta-analysis of the structured interview of reported symptoms. Psychological Assessment, 23(1), 95–107.CrossRefGoogle Scholar
Green, D., Rosenfeld, B., & Belfi, B. (2013). New and improved? A comparison of the original and revised versions of the structured interview of reported symptoms. Assessment, 20(2), 210–218.Google Scholar
Hanley, T., & Reynolds, D. J. (2009). Counselling psychology and the internet: A review of the quantitative research into online outcomes and alliances within text-based therapy. Counselling Psychology Review, 24(2), 4–13.Google Scholar
Hays, P. A. (2016). Addressing cultural complexities in practice: Assessment, diagnosis, and therapy (3rd ed.). Washington, DC: American Psychological Association.Google Scholar
Hook, J. N., Davis, D. E., Owen, J., Worthington, E. L., & Utsey, S. O. (2013). Cultural humility: Measuring openness to culturally diverse clients. Journal of Counseling Psychology, 60(3), 353–366.Google Scholar
Hormes, J. M., Gerhardstein, K. R., & Griffin, P. T. (2012). Under-reporting of alcohol and substance use versus other psychiatric symptoms in individuals living with HIV. AIDS Care, 24(4), 420–423.Google Scholar
Hoyt, M. F. (2000). Some stories are better than others: Doing what works in brief therapy and managed care. Philadelphia: Brunner/Mazel.Google Scholar
Jobes, D. A. (2016). Managing suicidal risk: A collaborative approach (2nd ed.). New York: Guilford Press.Google Scholar
Joiner, T. (2005). Why people die by suicide. Cambridge, MA: Harvard University Press.Google Scholar
Kroshus, E., Kubzansky, L. D., Goldman, R. E., & Austin, S. B. (2015). Norms, athletic identity, and concussion symptom under-reporting among male collegiate ice hockey players: A prospective cohort study. Annals of Behavioral Medicine, 49(1), 95–103.Google Scholar
Kutchins, H., & Kirk, S. A. (1997). Making us crazy. New York: Free Press.Google Scholar
Large, M. M., & Ryan, C. J. (2014). Suicide risk categorisation of psychiatric inpatients: What it might mean and why it is of no use. Australasian Psychiatry, 22(4), 390–392.Google Scholar
Lilienfeld, S. O., Smith, S. F., & Watts, A. L. (2013). Issues in diagnosis: Conceptual issues and controversies. In Craighead, W. E. & Miklowitz, D. J. (Eds.), Psychopathology: History, diagnosis, and empirical foundations (2nd ed., pp. 1–35). Hoboken, NJ: Wiley.Google Scholar
Lobbestael, J., Leurgans, M., & Arntz, A. (2011). Inter‐rater reliability of the structured clinical interview for DSM‐IV axis I disorders (SCID I) and axis II disorders (SCID II). Clinical Psychology and Psychotherapy, 18(1), 75–79.Google Scholar
Miller, W. R., & Rollnick, S. (2013). Motivational interviewing: Preparing people for change (3rd ed.). New York: Guilford Press.Google Scholar
Norcross, J. C., & Lambert, M. J. (2011). Psychotherapy relationships that work II. Psychotherapy: Theory, Research, and Practice, 48, 4–8.Google Scholar
Richman, W. L., Weisband, S., Kiesler, S., & Drasgow, F. (1999). A meta-analytic study of social desirability distortion in computer-administered questionnaires, traditional questionnaires, and interviews. Journal of Applied Psychology, 84(5), 754–775.CrossRefGoogle Scholar
Rogers, C. R. (1957). The necessary and sufficient conditions of therapeutic personality change. Journal of Consulting Psychology, 21, 95–103.Google Scholar
Rogers, R. (2008). Clinical assessment of malingering and deception (3rd ed.). New York: Guilford Press.Google Scholar
Rogers, R., Sewell, K. W., & Gillard, N. D. (2010). SIRS-2: Structured Interview of Reported Symptoms: Professional manual. Odessa, FL: Psychological Assessment Resources.Google Scholar
Salamon, S., Santelmann, H., Franklin, J., & Baethge, C. (2018). Test-retest reliability of the diagnosis of schizoaffective disorder in childhood and adolescence: A systematic review and meta-analysis. Journal of Affective Disorders, 230, 28–33.Google Scholar
Sellbom, M., & Hopwood, C. J. (2016). Evidence‐based assessment in the 21st century: Comments on the special series papers. Clinical Psychology: Science and Practice, 23(4), 403–409.Google Scholar
Shea, S. C. (1998). Psychiatric interviewing: The art of understanding (2nd ed.). Philadelphia: Saunders.Google Scholar
Solano-Flores, G., & Nelson-Barber, S. (2001). On the cultural validity of science assessments. Journal of Research in Science Teaching, 38, 553–573. https://doi.org/10.1002/tea.1018Google Scholar
Sommers-Flanagan, J. (2016). Clinical interview. In Norcross, J. C., VandenBos, G. R., & Freedheim, D. K. (Eds.), APA handbook of clinical psychology (pp. 3–16). Washington, DC: American Psychological Association.Google Scholar
Sommers-Flanagan, J. (2018). Conversations about suicide: Strategies for detecting and assessing suicide risk. Journal of Health Service Psychology, 44, 33–45.Google Scholar
Sommers-Flanagan, J., & Sommers-Flanagan, R. (1998). Assessment and diagnosis of conduct disorder. Journal of Counseling and Development, 76, 189–197.Google Scholar
Sommers-Flanagan, J., & Sommers-Flanagan, R. (2017). Clinical interviewing (6th ed.). Hoboken, NJ: Wiley.Google Scholar
Strub, R. L., & Black, F. W. (1977). The mental status exam in neurology. Philadelphia: Davis.Google Scholar
Sue, D. W., & Sue, D. (2016). Counseling the culturally diverse (7th ed.). Hoboken, NJ: Wiley.Google Scholar
Sue, S. (1998). In search of cultural competence in psychotherapy and counseling. American Psychologist, 53(4), 440–448.Google Scholar
Suhr, J. A. (2015). Psychological assessment: A problem-solving approach. New York: Guilford Press.Google Scholar
Suhr, J. A., & Berry, D. T. R. (2017). The importance of assessing for validity of symptom report and performance in attention deficit/hyperactivity disorder (ADHD): Introduction to the special section on noncredible presentation in ADHD. Psychological Assessment, 29(12), 1427–1428.Google Scholar
Suhr, J. A., Cook, C., & Morgan, B. (2017). Assessing functional impairment in ADHD: Concerns for validity of self-report. Psychological Injury and Law, 10(2), 151–160.Google Scholar
Sullivan, B. K., May, K., & Galbally, L. (2007). Symptom exaggeration by college adults in attention-deficit hyperactivity disorder and learning disorder assessments. Applied Neuropsychology, 14(3), 189–207.Google Scholar
Tolin, D. F., Gilli Tolin, D. F., Gilliam, C., Wootton, B. M., Bowe, W., Bragdon, L. B. et al. (2018). Psychometric properties of a structured diagnostic interview for DSM-5 anxiety, mood, and obsessive-compulsive and related disorders. Assessment, 25(1), 3–13.Google Scholar
Vannoy, S. D., Andrews, B. K., Atkins, D. C., Dondanville, K. A., Young-McCaughan, S., & Peterson, A. L. (2017). Under reporting of suicide ideation in US Army population screening: An ongoing challenge. Suicide and Life-Threatening Behavior, 47(6), 723–728.Google Scholar
Welfel, E. R. (2016). Ethics in counseling and psychotherapy: Standards, research, and emerging issues (6th ed.). Boston: Cengage.Google Scholar
Wiarda, N. R., McMinn, M. R., Peterson, M. A., & Gregor, J. A. (2014). Use of technology for note taking and therapeutic alliance. Psychotherapy, 51(3), 443–446.Google Scholar
Widiger, T. A., & Edmundson, M. (2011). Diagnoses, dimensions, and DSM-5. In Barlow, D. H. (Ed.), The Oxford handbook of clinical psychology (pp. 254–278). New York: Oxford University Press.Google Scholar
Yalom, I. D. (2002). The gift of therapy. New York: HarperCollins.Google Scholar
Zander, E., Willfors, C., Berggren, S., Coco, C., Holm, A., Jifält, I. et al. (2017). The interrater reliability of the autism diagnostic interview-revised (ADI-R) in clinical settings. Psychopathology, 50(3), 219–227.Google Scholar

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