Interviewing and Diagnostic Exercises for Clinical and Counseling Skills Building

ISBN-10: 0805846409
ISBN-13: 9780805846409
Edition: 2004
List price: $56.95 Buy it from $27.80
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Description: This book, specifically designed to meet the needs of those teaching and learning interviewing and diagnostic skills in clinical, counseling and school psychology, counselor education, and other programs preparing mental health professionals, offers  More...

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Book details

List price: $56.95
Copyright year: 2004
Publisher: Routledge
Publication date: 11/5/2004
Binding: Paperback
Pages: 312
Size: 8.00" wide x 10.50" long x 0.75" tall
Weight: 1.936

This book, specifically designed to meet the needs of those teaching and learning interviewing and diagnostic skills in clinical, counseling and school psychology, counselor education, and other programs preparing mental health professionals, offers a rich array of practical, hands-on, class- and workshop-tested role-playing and didactic exercises. The authors, who bring to their task a combined 31 years of practice and 24 years of teaching these skills, present 20 complex profiles of a broad range of clients--adults, teens, and children; differing in ethnicity, gender, religion, socioeconomic status, presenting problems, and problem severity. The profiles provide students/trainees with a wealth of information about each client's feelings, thoughts, actions, and relationship patterns on which to draw as they proceed through the different phases of the intake/initial interview, one playing the client and one the interviewer. Each client profile is followed by exercises, which can also be assigned to students not participating in role-playing who have simply read the profile. The profiles are detailed enough to support a focus on whatever interviewing skills an instructor particularly values. However, the exercises highlight attending, asking open and closed questions, engaging in reflective listening, responding to nonverbal behavior, making empathetic comments, summarizing, redirecting, supportively confronting, and commenting on process. The authors' approach to DSM-IV diagnoses encourages students to develop their diagnostic choices from Axis I to Axis V and then thoughtfully review them in reverse order from Axis V to Axis I to ensure that the impacts of individual, situational, and biological factors are all accurately reflected in the final diagnoses. Throughout, the authors emphasize the importance of understanding diversity and respecting the client's perceptions--and of reflecting on the ways in which the interviewer's own identity influences both the process of interviewing and that of diagnosis. Interviewing and Diagnostic Exercises for Clinical and Counseling Skills Buildingwill be welcomed as a invaluable new resource by instructors, students, and trainees alike.

Acknowledgments
Preface for Instructors/Supervisors
Preface for Students/Trainees
Types of Interviewing Skills Indexed by Chapter: Table 1
Diagnoses Indexed by Chapter: Table 2
Conceptual Issues Indexed by Chapter: Table 3
Introduction
Interviewing Skills Highlighted in the Text
Why Were Certain Skills Selected?
What Is Attending Behavior?
What Is Verbal Attending?
What Is Nonverbal Attending?
Responding to Nonverbal Behavior
Identifying Nonverbal Behavior
Identifying Feelings
What Are Open-Ended and Closed Questions?
Using Open-Ended Questions
Using Closed Questions
Further Examples of Open-Ended and Closed Questions
What Are Reflective Listening Comments?
Examples of Reflective Listening
What Is an Empathetic Comment?
Empathetic Comments That Show Clients You Understand Them
Empathetic Comments That Validate Clients' Experiences
Empathetic Comments to Support Emotional Control
Further Examples of Empathetic Comments in Response to Client Information
What Is Summarizing?
Summarizing to Demonstrate Listening
Summarizing to Highlight Themes
Summarizing as a Transition
Summarizing to Decrease Emotional Intensity
What Is Redirecting?
Redirecting for Clarity
Redirecting to Prevent Avoidance
Redirecting to Change the Subject
What Is Supportive Confrontation?
When Do You Make a Supportive Confrontation?
How Do You Make a Supportive Confrontation?
What Is a Process Comment?
Describing a Client's Interpersonal Pattern Across Relationships
Describing the Interpersonal Process Between Client and Interviewer
Issues in Human Diversity During Interviewing
Highlighted Diagnostic Practice
Start the Diagnostic Process With a Thorough Intake Interview
Be Aware of the Limited Nature of Your Information
Ask Questions That Would Rule Out Diagnoses
Consider Your Diagnostic Choices
Be Stringent in Your Use of Diagnostic Criteria
Double-Check Your Clinical Judgment
Conclusion
Adult Profiles for Use in Individual Sessions
Preface to Part II
Taking the Client Role
Taking the Interviewer Role
What Will Be Kept Confidential?
Does the Client Differ From You in Important Ways?
Case of Monisha: Presenting Issues-College Adjustment, Academic Pressure
Monisha, African-American (age 18) role-play material
Exercises for developing a multiaxial diagnosis for Monisha with a highlighted diagnosis of Adjustment Disorder
Exercises for deepening the interview with Monisha, highlighting the skills of responding to nonverbal behavior and open-ended and closed questions
Exercises for thinking about Monisha from the interviewer's perspective, highlighting the decision to take a narrow versus wide focus to treatment
Case of Jie: Presenting Issues-School Performance, Culture
Jie, Taiwanese (age 18) role-play material
Exercises for developing a multiaxial diagnosis for Jie with a highlighted comparison between Anxiety Disorder and Adjustment Disorder
Exercises for deepening the interview with Jie, highlighting the skills of nonverbal attending, responding to nonverbal behavior, and summarizing
Exercises for thinking about Jie from the interviewer's perspective, highlighting cultural issues in developing rapport and developing a treatment plan
Case of Brenda: Issues-Parenting Young Children, Identity Shift
Brenda, European-American (age 30) role-play material
Exercises for developing a multiaxial diagnosis for Brenda with a highlighted diagnosis of Major Depressive Disorder
Exercises for deepening the interview with Brenda, highlighting the skills of summarizing and reflective listening
Exercises for thinking about Brenda from the interviewer's perspective, highlighting the areas of development, gender, and medication
Case of Aaron: Presenting Issues-Hallucinations, Substance Abuse
Aaron, African-American (age 25) role-play material
Exercises for developing a multiaxial diagnosis for Aaron with a highlighted comparison of Schizophrenia and Substance-Related Disorders
Exercises for deepening the interview with Aaron, highlighting the skills of nonverbal attending, open-ended and closed questions, reflective listening, and empathetic comments
Exercises for thinking about Aaron from the interviewer's perspective, focusing on reactions to psychotic thinking
Case of Mary: Presenting Issues-Depression, Anxiety
Mary, European-American (age 55) role-play material
Exercises for developing a multiaxial diagnosis for Mary with a highlighted comparison between Major Depressive Disorder and Bereavement
Exercises for deepening the interview with Mary, highlighting the skills of nonverbal attending, open-ended and closed questions, reflective listening, and empathetic comments
Exercises for thinking about Mary from the interviewer's perspective, focusing on sexual orientation, suicide, and religion as a cultural influence
Case of Mark: Issues-Survival Guilt, Career Confusion
Mark, European-American (age 18) role-play material
Exercises for developing a multiaxial diagnosis for Mark with a highlighted diagnosis of Posttraumatic Stress Disorder
Exercises for deepening the interview with Mark, highlighting the skills of reflective listening, empathetic comments, and redirecting
Exercises for thinking about Mark from the interviewer's perspective, focusing on reactions to trauma
Case of Sarah: Issues-Husband With Alzheimer's Disease, Family Pressure
Sarah, European-American (age 70) role-play material
Exercises for developing a multiaxial diagnosis for Sarah with a highlighted diagnosis of Adjustment Disorder
Exercises for deepending the interview with Sarah, highlighting the skills of redirecting and responding to nonverbal behavior
Exercises for thinking about Sarah from the interviewer's perspective, with emphasis on personal boundaries and health
Case of David: Presenting Issues-Substance Abuse, Employment
David, European-American (age 34) role-play material
Exercises for developing a multiaxial diagnosis for David with a highlighted diagnosis of Substance-Related Disorders
Exercises for deepening the interview with David, highlighting the skills of open-ended and closed questions, supportive confrontation, and redirecting
Exercises for thinking about David from the interviewer's perspective, with emphases on client sexual overtures and substance use
Case of Lisa: Presenting Issues-Marital Difficulties, Life Changes
Lisa, European-American (age 45) role-play material
Exercises for developing a multiaxial diagnosis for Lisa with highlighted diagnoses of Adjustment Disorder and Phase of Life Problem
Exercises for deepening the interview with Lisa, highlighting the skills of summarizing and process comments
Exercises for thinking about Lisa from the interviewer's perspective, focusing on gender roles and health issues
Case of Gary: Presenting Issues-Aggression, Substance Abuse
Gary, European-American (age 24) role-play material
Exercises for developing a multiaxial diagnosis for Gary, with a highlighted comparison of Intermittent Explosive Disorder and Substance-Related Disorders
Exercises for deepening the interview with Gary, highlighting the skills of nonverbal attending, empathetic comments, supportive confrontation, and process comments
Exercises for thinking about Gary from the interviewer's perspective, with the focuses being danger to others and substance abuse
Child and Teen Profiles for Use in Individual Sessions
Preface to Part III
Taking the Client Role
Taking the Interviewer Role
What Will Be Kept Confidential?
What Do Children Understand?
Use Simple Language
Use Directed and Concretely Focused Questions
Focus on One Clear Issue at a Time
How Are Children and Teens Going to Communicate With You?
Does the Client Differ From You in Important Ways?
Case of Cynthia: Issues-Eating Disorder, Emerging Sexuality
Cynthia, European-American (age 13) role-play material
Exercises for developing a multiaxial diagnosis for Cynthia, with a highlighted comparison of Bulimia Nervosa and Eating Disorder NOS
Exercises for deepening the interview with Cynthia, highlighting the skills of empathetic comments, summarizing, and open-ended and closed questions
Exercises for thinking about Cynthia from the interviewer's perspective, highlighting the areas of development, absent father, and culture
Case of Jeffrey: Issues-Social Alienation, School Failure
Jeffrey, European-American (age 16) role-play material
Exercises for developing a multiaxial diagnosis for Jeffrey, with a highlighted comparison of Major Depressive Disorder and Oppositional Defiant Disorder
Exercises for deepening the interview with Jeffrey, highlighting the skills of responding to nonverbal behavior, empathetic comments, and reflective listening
Exercises for thinking about Jeffrey from the interviewer's perspective, focusing on the issues of suicide and violence
Case of Melissa: Presenting Issues-Divorce, Shared Custody
Melissa, European-American (age 10) role-play material
Exercises for developing a multiaxial diagnosis for Melissa, with a highlighted diagnosis of Adjustment Disorder
Exercises for deepening the interview with Melissa, highlighting the skills of responding to nonverbal behavior, reflective listening, empathetic comments, and open-ended and closed questions
Exercises for thinking about Melissa from the interviewer's perspective, emphasizing issues of custody, confidentiality, and individual versus family treatment
Case of Edward: Presenting Issues-Single-Parent Family, Acculturation
Edward, African-American (age 12) role-play material
Exercises for developing a multiaxial diagnosis for Edward, with a highlighted diagnosis of Learning Disorder
Exercises for deepening the interview with Edward, highlighting the skills of responding to nonverbal behavior and open-ended and closed questions
Exercises for thinking about Edward from the interviewer's perspective, focusing on single-parent family, culture, and poverty
Case of Raoul: Presenting Issues-Racial Prejudice, Substance Use
Raoul, Mexican-American (age 17) role-play material
Exercises for developing a multiaxial diagnosis for Raoul, with a highlighted comparison between Conduct Disorder and Substance-Related Disorders
Exercises for deepening the interview with Raoul, highlighting the skills of reflective listening, empathetic comments, supportive confrontation, and process comments
Exercises for thinking about Raoul from the interviewer's perspective, with emphases on racism, poverty, and confidentiality
Case of Erica: Presenting Issues-Bereavement, Behavior Problems
Erica, European-American (age 7) role-play material
Exercises for developing a multiaxial diagnosis for Erica, with a highlighted comparison between Adjustment Disorder and Bereavement
Exercises for deepening the interview with Erica, highlighting the skills of nonverbal attending, responding to nonverbal behavior, open-ended questioning, and redirecting
Exercises for thinking about Erica from the interviewer's perspective, focusing on development, religion, and personal boundaries
Case of Joseph: Presenting Issues-Abandonment, Aggression
Joseph, biracial Puerto Rican/Caucasian (age 10) role-play material
Exercises for developing a multiaxial diagnosis for Joseph, with a highlighted comparison between Conduct Disorder and Separation Anxiety Disorder
Exercises for deepening the interview with Joseph, highlighting the skills of responding to nonverbal behavior, empathetic comments, reflective listening, and supportive confrontation
Exercises for thinking about Joseph from the interviewer's perspective, highlighting custody, poverty, and biracial identity development
Case of Sabina: Issues-Acculturation Conflicts, Emancipation
Sabina, Bangladeshi-American (age 16) role-play material
Exercises for developing a multiaxial diagnosis for Sabina, with a highlighted comparison between Identity Problem and Child or Adolescent Antisocial Disorder
Exercises for deepening the interview with Sabina, highlighting the skills of nonverbal attending, empathetic comments, reflectie listening, open-ended and closed questions, and process comments
Exercises for thinking about Sabina from the interviewer's perspective, with highlighted areas being culture and religion
Case of Alex: Presenting Issues-Neglect, Behavior Problems
Alex, European-American (age 8) role-play material
Exercises for developing a multiaxial diagnosis for Alex, with a highlighted comparison between Oppositional Defiant Disorder and Parent-Child Relational Problem
Exercises for deepening the interview with Alex, highlighting the skills of responding to nonverbal behavior, summarization, and redirecting
Exercises for thinking about Alex from the interviewer's perspective, with focus on responding to aggression
Case of Cathy: Presenting Issues-Sexual Abuse, Abandonment
Cathy, European-American (age 11) role-play material
Exercises for developing a multiaxial diagnosis for Cathy, with a highlighted comparison between Posttraumatic Stress Disorder and Sexual Abuse of Child
Exercises for deepening the interview with Cathy, highlighting the skills of empathetic comments, summarization, and process comments
Exercises for thinking about Cathy from the interviewer's perspective, with highlighted areas being sexual orientation and sexual overtures from clients
References
Suggestions for Further Reading
Supervisory Feedback Worksheet
Interviewing Skills Worksheets

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