Clinician's Thesaurus, 6th Edition; The Guide to Conducting Interviews and Writing Psychological Reports

by Edward L. Zuckerman, PhD, Armbrust, PA

Edition:

6th

ISBN13:

9781572304376

ISBN10:

1572304375

Format:

Trade Paper

Pub. Date:

8/19/2005

Publisher(s):

The Guilford Press

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Summary

Now in a revised and updated sixth edition, this perennially popular resource provides quick and handy access to the entire language of the mental health professions. More than a giant collection of synonyms, the book includes thousands of useful words, phrases, clinical tips, and interview questions to help practitioners conduct thorough assessments, accurately describe nearly any clinical situation, and shape raw data into effective reports. Updated for compliance with HIPAA privacy regulations, the sixth edition features easier-to-navigate, reorganized contents; numerous additional terms; matched listings for DSM-IV-TR and ICD-9 diagnostic criteria; many helpful website addresses; and much more--all in a large-size format with convenient lay-flat binding.

Author Biography

Edward L. Zuckerman received his PhD in clinical psychology from the University of Pittsburgh and remained there as an adjunct teacher of personality psychology and human sexuality for 14 years. He taught abnormal psychology at Carnegie Mellon University for 9 years and now consults to the Social Security Disability Determination Division. He was in the independent general practice of clinical psychology for more than 15 years and has worked in state hospitals and community mental health centers. He lives on a small farm in Pennsylvania with his wife, a daughter, and their horses, chickens, dogs, cats, geese, and ducks.

Getting Oriented to the Clinician's Thesaurus

(1)

What Is the Clinician's Thesaurus and What Does It Do?

(1)

How This Book Is Organized

(1)

Understanding the Style and Format of the Chapters

(5)

A Functional Guide to Report Construction

(6)

Further Guidelines and Advice on Report Writing

(2)

Some Ways to Use the Clinician's Thesaurus

(1)

A Cautionary Note and Disclaimer

(4)

PART I. Conducting a Mental Health Evaluation

Beginning and Ending the Interview

(4)

Structuring the Interview

(1)

Introducing Yourself and Noting Possible Communication Difficulties

(1)

Assessing the Client's Understanding of the Interview Situation

(1)

Obtaining Informed Consent

(1)

Other Points for All Interviews

(1)

Eliciting the Chief Concern/Complaint/Issue

(1)

Eliciting the Client's Understanding of the Problem

(1)

Dimensionalizing the Concern/Problem

(1)

Ending the Interview

(1)

Mental Status Evaluation Questions/Tasks

(17)

Introduction to the Mental Status Questions

(1)

Background Information Related to Mental Status

(1)

Rancho Los Amigos Cognitive Scale

(1)

Glasgow Coma Scale

(1)

Orientation

(1)

Attention

(1)

Concentration

(1)

Comprehension of Language

(1)

Eye-Hand Coordination/Perceptual-Motor Integration/Dyspraxia/Constructional Ability

(1)

Memory

(2)

Fund of Information

(2)

Opposites

(1)

Differences

(1)

Similarities

(1)

Absurdities

(1)

Calculation Abilities

(1)

Abstract Reasoning/Proverbs

(1)

Paired Proverbs

(1)

Practical Reasoning

(1)

Social Judgment

(1)

Decision Making

(1)

Self-image

(1)

Insight into Disorder

(1)

Mental Status Evaluation Checklist

(3)

Questions about Signs, Symptoms, and Other Behavior Patterns

(37)

Introduction to the Questions about Signs, Symptoms, and Behavior Patterns

(1)

Abuse (Nonsexual)/Neglect of Spouse/Elder

(1)

Abuse (Nonsexual)/Neglect of Child

(1)

Abuse (Sexual) of Child or Adult

(1)

Affect/Mood

(1)

Anxiety

(1)

Compliance--Noncompliance with Treatment

(1)

Compulsions

(1)

Delusions

(2)

Depression

(1)

Dissociative Experiences

(1)

Eating Disorders

(2)

Gay and Lesbian Identity Formation

(1)

Hallucinations

(2)

Illusions

(1)

Impulse Control/Violence

(1)

Mania

(1)

Obsessions

(1)

Organicity/Cognitive Disorders

(1)

Pain, Chronic

(1)

Paranoia

(1)

Phobias

(1)

Self-Injury

(1)

Sexual History

(3)

Sexual Identity/Transgender Issues

(1)

Sleep

(2)

Substance Abuse: Drugs and Alcohol

(8)

Substance Use: Tobacco and Caffeine

(1)

Suicide and Self-Destructive Behavior

(7)

PART II. Standard Terms and Statements for Wording Psychological Reports

A. Introducing the Report

Beginning the Report: Preliminary Information

(8)

Heading and Dates for the Report

(1)

Sources of Information for the Report

(1)

Identifying Information about the Client

(2)

Self-Sufficiency in Appearing for Examination

(1)

Consent Statements

(1)

Reliability Statements

(2)

Confidentiality Notices

(2)

Referral Reasons

(5)

Statement of Referral Reason

(1)

Common Referral Reasons for Children at Home

(1)

Common Referral Reasons for Children at School

(2)

Common Referral Reasons for Children at Both Home and School

(2)

Background Information and History

(11)

History/Course of the Present/Chief Complaint/Concern/Problem/Illness

(1)

Medical History and Other Findings

(1)

Personal, Family, and Social Histories, and Current Social Situation

(3)

Adjustment History

(1)

Social History for a Disability Examination

(1)

Family Genogram/Family Tree/Pedigree

(5)

B. The Person in the Evaluation

Behavioral Observations

103

(11)

Appearance, Physical

103

(3)

Clothing/Attire

106

(1)

Communication Qualities

107

(1)

Movement/Activity

108

(2)

Speech Behavior

110

(3)

Other Behavioral Observations

113

(1)

Responses to Aspects of the Examination

114

(8)

Reaction to the Context of the Evaluation

114

(2)

Attention/Concentration/Effort

116

(1)

Response to the Methods of Evaluation/Tests/Questions

117

(1)

Persistence/Motivation

118

(1)

Relationship with the Examiner

119

(2)

Response to Success/Failure/Feedback

121

(1)

Presentation of Self

122

(5)

Dependency-Surgency

122

(1)

Presence/Style

122

(1)

Self-Image/Self-Esteem

123

(1)

Social Sophistication/Manners

124

(1)

Warmth-Coldness

124

(1)

Other Aspects of Self--Presentation

124

(3)

Emotional/Affective Symptoms and Disorders

127

(14)

General Aspects of Mood and Affects

127

(1)

Anger

128

(1)

Anxiety/Fear

129

(2)

Bipolar I Disorder

131

(1)

Bipolar II Disorder

131

(1)

Cyclothymia

131

(1)

Depression

132

(4)

Guilt/Shame

136

(1)

Mania

137

(2)

Panic

139

(1)

Seasonal Affective Disorder

139

(1)

Sexuality

139

(1)

Other Affects/Emotional Reactions

140

(1)

Cognition and Mental Status

141

(17)

No Pathological Findings: Summary Statements

141

(1)

Arithmetic

142

(1)

Attention

142

(1)

Concentration/Task Persistence

142

(1)

Consciousness Levels

143

(1)

Decision Making

143

(1)

Dementia

144

(1)

Information

145

(1)

Insight

145

(1)

Intelligence, Development, and Cognition: Assessment

146

(2)

Intelligence Scores: Classifications

148

(1)

Memory

148

(3)

Moral/Social Judgment and Knowledge

151

(1)

Motivation for Change: Summary Statements

152

(1)

Orientation

152

(1)

Reality Testing

152

(1)

Reasoning/Abstract Thinking/Concept Formation

153

(1)

Social Maturity

154

(1)

Stream of Thought

154

(3)

Test Judgment: Summary Statements

157

(1)

Other Summary Statements for Mental Status

157

(1)

Abnormal Signs, Symptoms, and Syndromes

158

(41)

Abuse

158

(1)

AIDS Dementia Complex

159

(1)

Attention-Deficit/Hyperactivity Disorder

159

(3)

Autsim Spectrum Disorders

162

(1)

Battered-Woman Syndrome

163

(1)

Chronic Fatigue Syndrome

164

(1)

Compulsions

165

(1)

Conduct Disorder

165

(1)

Delusions

166

(1)

Denial

167

(1)

Depersonalization and Deralization

168

(1)

Dual Diagnoses

168

(1)

Eating Disorders

168

(3)

Fetal Alcohol Syndrome

171

(1)

Gambling

171

(1)

Hallucinations

172

(1)

Homicide Risk Factors

173

(1)

Illusions

174

(1)

Impulse Control Disorders

174

(2)

Malingering

176

(2)

Obsessions

178

(1)

Oppositional Defiant Disorder

178

(1)

Pain Disorder/Chronic Pain Syndrome

178

(2)

Paranoia

180

(1)

Phobias

180

(1)

Premenstrual Dysphoric Disorder

180

(1)

Postconcussive Syndrome

181

(1)

Posttraumatic Stress Disorder

182

(1)

Rape Trauma Syndrome

183

(1)

Schizophrenia

184

(1)

School Refusal/Avoidance/``Phobia''

185

(1)

Self-Injurious Behavior

185

(1)

Sexual Abuse, Child

186

(1)

Sexual Impulsivity/``Addiction''/``Compulsion''

187

(1)

Side Effects of Psychotropic Medications/Adverse Drug Reactions

187

(1)

Sleep Disturbances

188

(2)

Stalking

190

(1)

Substance Use, Abuse, and Dependence

190

(4)

Suicide

194

(5)

Personality Patterns

199

(30)

Assessment of Personality

199

(2)

Cognitive or Thinking Styles

201

(1)

Interpersonal Diagnoses of Personality

202

(1)

A and B Personality Types

202

(1)

``Addictive'' Personality

203

(1)

Aggressive Personality

204

(1)

Antisocial Personality

204

(2)

Authoritarian Personality

206

(1)

Avoidant Personality

207

(1)

Borderline Personality

207

(2)

Codependent Personality

209

(2)

Compulsive Personality

211

(1)

Dependent Personality

212

(2)

Dissociative Identity Disorder

214

(1)

Histrionic Personality

215

(1)

Hypochondriacal Personality

216

(1)

Narcissistic Personality

217

(1)

``Nervous'' Personality

218

(1)

Normal/Healthy Personality

219

(1)

Obsessive Personality

220

(1)

Paranoid Personality

221

(2)

Passive-Aggressive Personality

223

(1)

Sadistic Personality

223

(1)

Schizoid Personality

224

(1)

Schizotypal Personality

225

(1)

Self-Defeating Personality

225

(4)

C. The Person in the Environment

Activities of Daily Living

229

(5)

Assessment

229

(1)

Assistance Level Required

229

(1)

Child Care

230

(1)

Chores/House Care/Domestic Skills

230

(1)

Cooking

230

(1)

Financial Skills

230

(1)

Hazard Recognition and Coping

231

(1)

Living Situation/Level of Support Needed

232

(1)

Quality of Performance

232

(1)

Self-Care Skills

232

(1)

Shopping

233

(1)

Transportation

233

(1)

Summary Statements

233

(1)

Social/Community Functioning

234

(2)

General Lifestyle

234

(1)

Involvement in Social/Community Activities

235

(1)

Problems/Conflicts in Community Relating

235

(1)

Couple and Family Relationships

236

(5)

Assessment of Families at Intake

236

(2)

Child Rearing/Raising: Aspects

238

(1)

Couple Relationships: Aspects

238

(1)

Family Interviewing Method

239

(1)

Systemic Family Evaluations

240

(1)

Vocational/Academic Skills

241

(7)

Basic Work Skills

241

(3)

History of Work

244

(1)

Language Skills: Reading and Writing Ability

244

(1)

Math Ability

245

(1)

Special Considerations for Disability Reports

246

(1)

Vocational Competence/Recommendations

246

(2)

Recreational Functioning

248

(2)

Entertainment: TV/Radio/Music

248

(1)

Hobbies

248

(1)

Participation/Performance Quality

248

(1)

Reading Materials

249

(1)

Sports

249

(1)

Other Specialized Evaluations

250

(11)

Coping Ability/Stress Tolerance

250

(1)

Culturally Sensitive Formulations

250

(2)

Developmental Stages

252

(1)

Financial Competence/Competence to Manage Funds

252

(1)

Homosexual Identity: Stages of Formation

253

(1)

Impairment's Effects on a Person

254

(1)

Puberty

254

(1)

The Refugee Process

255

(1)

Religious and Spiritual Concerns

256

(1)

Testamentary Competence/Competence to Make a Will

257

(4)

D. Completing the Report

Summary of Findings and Conclusions

261

(3)

Overview

261

(1)

Beginning the Summary

261

(1)

Summary of Previous Information

261

(1)

Relevant Findings and/or Conclusions

262

(1)

Diagnostic Statement

262

(1)

Consultations and Further Evaluations

262

(1)

Summarizing Treatment

262

(2)

Diagnostic Statement/Impression

264

(27)

Qualifiers for Diagnosis

264

(1)

ICD Versions

264

(1)

DSM-IV-TR

265

(1)

Anxiety Disorders

265

(1)

Mood Disorders

266

(3)

Stress and Adjustment Disorders

269

(1)

Personality Disorders

270

(1)

Impulse-Control Disorders Not Elsewhere Classified

271

(1)

Childhood Disorders

271

(4)

Eating and Elimination Disorders

275

(1)

``Organic'' Cognitive Conditions

275

(3)

Substance--Related Disorders

278

(4)

Psychotic Disorders

282

(1)

Sleep Disorders

283

(1)

Somatoform Disorders

284

(1)

Psychological Factors Affecting a Medical Condition

284

(1)

Dissociative Disorders

285

(1)

Sexual Dysfunctions and Disorders

286

(2)

Factitious Disorders

288

(1)

Medication-Induced Movement Disorders

288

(1)

V Codes, Etc.

288

(2)

Axis IV: Psychosocial and Environmental Problems

290

(1)

Axis V: Global Assessment of Functioning Scale

290

(1)

Recommendations

291

(5)

Need for Treatment

291

(1)

Treatments of Choice

292

(1)

Treatment Options/Case Disposition

293

(1)

Types of Therapies/Services

294

(2)

Prognostic Statements

296

(2)

General Prognostic Statement

296

(1)

Other Statements

296

(2)

Closing Statements

298

(5)

Value of the Information

298

(1)

Thanking the Referrer

298

(1)

Continued Availability

298

(1)

Signature, Etc.

299

(4)

PART III. Useful Resources

Treatment Planning and Treatment Plan Formats

303

(20)

The Flow and Nature of Treatment Planning

303

(1)

Some Advice on Writing Treatment Plans

303

(1)

Various Formats for Treatment Plans

304

(4)

A Treatment Plan Format for Managed Care Organizations

308

(10)

Treatment Plan Components for Clients with Substance Abuse

318

(2)

Treatment Plan Components for Crisis Interventions

320

(1)

Checklist of Strengths

320

(1)

Outcome Measures/Goal Achievements

321

(2)

Formats for Reports, Evaluations, and Summaries

323

(11)

A Standard Format for Reports of Evaluations

323

(1)

Format for Psychodynamic Evaluations: Developmental Model

324

(1)

Format for Psychodynamic Evaluations: Structural Model

325

(1)

Behavioral Diagnosis

326

(1)

Themes for Evaluations from an Existential Perspective

327

(1)

Adlerian Evaluations

328

(1)

Transactional Analysis

329

(1)

Nursing Diagnoses and Treatment Planning

329

(1)

Child Assessment Outline

330

(1)

Vocational and Nonclinical Personality Evaluations

331

(1)

Formats for Therapy Notes

332

(2)

Treatments for Specific Disorders and Concerns

334

(5)

Abuse/Aggression/Violence/Impulsive Behaviors

334

(1)

Attention-Deficit/Hyperactivity Disorder

334

(1)

Anorexia Nervosa and Bulimia Nervosa

335

(1)

Asperger's Syndrome

335

(1)

Bipolar I Disorder

335

(1)

Bipolar II Disorder

335

(1)

Borderline Personality Disorder

335

(1)

Dementia

335

(1)

Dissociative Identity Disorder

335

(1)

Dual Diagnosis

336

(1)

Pathological Gambling

336

(1)

Hypochondriacal Personality

336

(1)

Neuroleptic Malignant Syndrome

336

(1)

Obsessive--Compulsive Disorders

336

(1)

Pain, Chronic

336

(1)

Phobias

337

(1)

Posttraumatic Stress Disorder

337

(1)

Religious and Spiritual Concerns

337

(1)

Schizophrenia and Psychosis

337

(1)

Stalking

337

(1)

Strengths and Positive Psychology

338

(1)

Substance Abuse

338

(1)

Types of Therapies

338

(1)

Listing of Common Psychiatric and Psychoactive Drugs

339

(7)

Listing of Medications by Both Trade and Generic Names

339

(5)

Finding Street Drugs' Names

344

(1)

Results of Medication Treatment: Descriptors

344

(1)

Resources for the Clinician

345

(1)

Psychiatric Masquerade of Medical Conditions

346

(13)

Introduction

346

(1)

Anxiety

346

(1)

Sexual Dysfunction

347

(1)

Depression

347

(1)

Mania

348

(1)

Organic Brain Syndrome/Dementia

348

(2)

Psychosis

350

(1)

Medication-Induced Psychiatric Conditions

350

(3)

Appendices

Abbreviations in Common Use

353

(4)

Clinicians/Mental Health Professionals

353

(1)

Treatment

354

(1)

Diagnoses and Conditions

355

(1)

Relations

355

(1)

General Aids to Recording

355

(1)

Legal Terms

356

(1)

Medication Regimens

356

(1)

Educational Services

356

(1)

Annotated Readings in Assessment, Interviewing, and Report Writing

357

(2)

Feedback Solicitation Form

359

(2)

About the Clinician's Electronic Thesaurus, Version 6.0

361

(2)

References

363

(8)

Index

371

Excerpts

"Now in a revised and expanded sixth edition, this perennially popular resource provides quick and handy access to the entire language of the mental health professions. More than a giant collection of synonyms, the book includes thousands of useful words, phrases, clinical tips, and interview questions to help practitioners conduct thorough assessments, accurately describe nearly any clinical situation, and shape raw data into effective reports. Updated for compliance with HIPAA privacy regulations, the sixth edition features easier-to-navigate, reorganized contents; numerous additional terms; matched listings for DSM-IV-TR and ICD-9 diagnostic criteria; many helpful website addresses; and much more."--BOOK JACKET.

Clinician's Thesaurus, 6th Edition; The Guide to Conducting Interviews and Writing Psychological Reports

9781572304376

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Summary

Author Biography

Table of Contents

Excerpts