By Claudio Cepeda
This ebook bargains a accomplished and sensible consultant to the kid and adolescent psychiatric interview, delivering an summary of ways first to elicit info from more youthful sufferers and their households, then the best way to set up and combine this data to shape a definitive application of care. scientific guide for the Psychiatric Interview of kids and teens indicates tips on how to concentration the exploration of universal psychiatric syndromes whereas supplying assistance in such concerns as common rules of interviewing, use of the AMSIT in psychological prestige examinations, and assessment of either internalizing and externalizing signs. The handbook is phenomenally sensible, illustrated with scientific vignettes and improved with quick-reference tables that summarize key issues. as well as masking the psychiatric evaluate, it additionally brings clients in control on such themes as neuropsychiatric evaluation, psychiatric formula, comorbidities, resistances, and countertransference. It expands tremendously at the assurance within the writer s past ebook Concise consultant to the Psychiatric Interview of kids and teenagers, and lines new chapters on engagement, distinctive ideas, evaluation of the relations, supplying suggestions to households, and designated populations.
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Extra resources for Clinical Manual for the Psychiatric Interview of Children and Adolescents
Example text
An important early goal of the examiner is to facilitate the child’s and the family’s participation in defining the problems and in finding ways to solve them. If everything proceeds well, later during the interpretive phase of the evaluation (see Chapter 5, “Providing Postevaluation Feedback to Families”), the child’s, parents’, and examiner’s views regarding what the problems are and what needs to done about them will converge. Factors That Facilitate Engagement of Family The examiner increases engagement of the family by demonstrating respect to each family member and by listening attentively to what each member, even the smallest, has to say.
These adjustments of verbal and nonverbal communication put the clinicians in immediate contact with the child’s developmental level. The following case example illustrates the process of engagement in an impaired and defensive early adolescent. George, a 12-year-old Asian-American boy, was a very defensive and uncooperative child. He was clever and liked to outsmart adults and his peers. He had a history of chronic affective psychosis and had an extensive psychiatric history, including prolonged hospitalizations for suicidal and aggressive behaviors.
This approach parallels an open-ended exploration. The examiner pays particular attention to the child’s emotional expression and to the manner in which the child articulates the difficulties. This allows the examiner to appreciate the child’s prevailing mood, cognitive organization, and adaptive resources. Observations made during the engagement phase stimulate a number of clinical hunches or incipient hypotheses. These impressions may serve as bases for exploring further or for probing a number of diagnostic areas.