The Psychiatric Interview in Clinical Practice

by Mackinnon, Roger A., M.d.; Michels, Robert; Buckley, Peter J.

• ISBN13: 9781585620906
• ISBN10: 1585620904
• Edition: 2nd
• Format: Hardcover
• Copyright: 2006-07-30
• Publisher: Amer Psychiatric Pub Inc

Summary

In this meticulously revised and expanded edition of "The Psychiatric Interview in Clinical Practice," the authors continue to address the challenges inherent in clinical interviewing?the complexities of defense mechanisms, conflicts, wishes, and fantasies?as they did in their original 1971 edition, while also undertaking the daunting task of adapting their interviewing strategies to a new era of psychiatry, one that has witnessed revolutionary breakthroughs in neuroscience, genetics, psychopharmacology, and brain-imaging research. In 20 new and updated chapters, the authors comprehensively examine the strategy and conduct of psychodynamically informed clinical interviewing, accommodating the DSM-IV-TR diagnostic nomenclature but also being forthright in critiquing its limitations. Included are new chapters on traumatic, narcissistic, masochistic, anxiety, and borderline conditions and a contemporary perspective on interviewing ?the patient of different background? (i.e., the patient whose race, ethnicity, culture, age, or sexual orientation is different from that of the interviewer). Updated chapters discuss modern psychodynamic theories; interviewing in the context of psychosis, schizophrenia, and cognitive impairment; strategies with hospitalized, psychosomatic, and emergency patients; and approaches with depressed, obsessive-compulsive, and histrionic patients. Incorporated throughout are compelling vignettes of interviewer-patient interchanges garnered from the authors' extensive clinical experience.

Author Biography

Roger A. MacKinnon, M.D., is Professor Emeritus of Clinical Psychiatry at the College of Physicians and Surgeons of Columbia University in New York, New York.

Robert Michels, M.D., is Walsh McDermott University Professor of Medicine and Psychiatry at Weill Medical College of Cornell University in New York, New York.

Peter J. Buckley, M.D., is Professor of Psychiatry at Albert Einstein College of Medicine of Yeshiva University in Bronx, New York.

Table of Contents

Foreword	ix
Preface	xiii
Acknowledgments	xvii
PART I General Principles
General Principles of the Interview	3	(76)
General Principles of Psychodynamics	79	(28)
PART II Major Clinical Syndromes
The Obsessive-Compulsive Patient	107	(30)
The Histrionic Patient	137	(40)
The Narcissistic Patient	177	(28)
The Masochistic Patient	205	(24)
The Depressed Patient	229	(52)
The Anxiety Disorder Patient	281	(34)
The Iraumatized Patient	315	(10)
The Borderline Patient	325	(28)
The Antisocial Patient	353	(32)
The Paranoid Patient	385	(36)
The Psychotic Patient	421	(26)
The Psychosomatic Patient	447	(14)
John W. Barnhill
The Cognitively Impaired Patient	461	(20)
John W. Barnhill
PART III Special Clinical Situations
The Emergency Patient	481	(24)
The Hospitalized Patient	505	(16)
John W. Barnhill
The Patient of Different Background	521	(30)
PART IV Technical Factors Affecting the Interview
Note Taking and the Psychiatric Interview	551	(8)
Telephones, E-Mail, and the Psychiatric Interview	559	(24)
Afterword	583	(2)
Bibliography	585	(18)
Index	603