This theory and supporting empirical research indicates that during the course of a clinical interview, certain questioning procedures may move a previously. Clinical interviewing, 4th ed. Citation. Sommers-Flanagan, J., & Sommers- Flanagan, R. (). Clinical interviewing (4th ed.). Hoboken, NJ, US: John Wiley . Clinical interviewing, 5th ed. Citation. Sommers-Flanagan, J., & Sommers- Flanagan, R. (). Clinical interviewing (5th ed.). Hoboken, NJ, US: John Wiley .
|Published (Last):||19 August 2006|
|PDF File Size:||12.11 Mb|
|ePub File Size:||19.36 Mb|
|Price:||Free* [*Free Regsitration Required]|
Panic attacks General psychic anxiety Lack of interest or pleasure in usually pleasurable activities Alcohol abuse increase during depressive episodes Diminished concentration Global insomnia The client reports significant hopelessness, helplessness, or excessive guilt.
When you work with suicidal clients, keep documentation to show you: Power System Relaying Stanley H. Overall, the research clearly indicates that all individuals, depressed or not and suicidal or not, can have their mood quickly and adversely affected through rather simple experimental means.
Asking about suicidal thoughts or impulses is not the same as dwelling on negative and depressing thoughts and feelings. The client has made a previous suicide attempt. This possibility is consistent with constructive theory in that whatever we consciously focus on, be it relaxation or anxiety or depression or happiness, tends to grow.
This theory and supporting empirical research indicates that during the course of a clinical interview, certain questioning procedures may move a previously depressed client toward a more negative mood state with an accompanying increase in negative information processing and suicide ideation.
Consequently, in the following sections on suicide assessment interviewing, we guide you toward balancing negatively oriented depression and suicidality questions with an equal or greater number of questions and prompts designed to increase the focus on more positive client experiences and emotional states.
Looking for beautiful books? Thanks so much for sharing this info on suicide assessment and intervention.
Balancing the focus between negative and more positive, solution-focused material can be both wise and helpful. This serves two functions.
Author or Addressing Cultural Complexities in Practice: Leave a Reply Cancel reply Enter your comment here The client recently experienced a significant personal loss of ability, objects, or persons; e. Generation on a Tightrope Arthur Levine.
Clinical Interviewing, 6th Edition
Differential activation theory suggests that when previously depressed and suicidal individuals experience a negative sommers-flanzgan, they are likely to have their negative information processing biases reactivated. Fortunately, most people who experience depression recover, with or without treatment.
It will complement the chapter of your book.
Notify me of new posts via email. The client was recently prescribed an SSRI and has associated disinhibition or agitation. Description The classic text presenting proven, practical strategies for conducting effective interviews Clinical Interviewing now in its Fifth Edition guides clinicians through elementary listening skills onward to more advanced, complex clinical assessment processes such as intake interviewing, mental status examination, and suicide assessment.
This is especially important because many suicidal individuals feel socially disconnected, emotionally invalidated, and as if they are a burden to others Joiner, Using a Comprehensive Suicide Risk Factor Checklist for a Thorough Suicide Assessment For graduate students and practicing clinicians, having knowledge of suicide risk factors is very important, but a bit of a paradox.
Excellent content and processes — all evidence-based and one of the few that is, I might add. John and Rita Sommers-Flanagan make an eloquent case that connecting with the client on a human level is the superordinate task, without which little else of value can be achieved.
Featuring an accompanying DVD with real-life scenarios of actual counselors and clients demonstrating techniques for effective interviews, the new edition presents: Love that you are writing online now and happy to redirect others to your blog. Overall, our primary message is that we should always pay close attention to the manner in which we use words, questions, and language when conducting depression and suicide assessment interviews. Notify me of new comments via email.
The client meets DSM-IV sommers-flansgan ICD diagnostic criteria for a specific mental disorder clinical depression, bipolar disorder, schizophrenia, substance abuse or dependence, substance — induced disorders, borderline personality disorder, antisocial personality disorder, anorexia.
It is especially important when working with suicidal clients to document the rationale underlying your clinical decisions. Conducted a thorough suicide risk assessment.
Clinical Interviewing : John Sommers-Flanagan :
Frequency of thoughts How often do these thoughts occur? In fact, there are many studies indicating that both depressed and non-depressed clients and non-clients can be quickly and powerfully affected by mood inductions Lau et al.
Remember, the legal bottom line with regard to documentation is that if an event was not documented, it did not happen see also, Putting It in Practice 9. However, rather than relying on risk factors alone to try to predict suicide which is always a losing propositionthe effective clinical interviewer establishes rapport, works collaboratively with clients, and uses risk factors in combination with a thorough suicide risk interview.
The client is unmarried, alone, interviwing isolated. Just stumbled across your blog today! Goodreads is the world’s largest site for readers with over 50 million reviews. More than ever the United States media is involved in defining depressive states and promoting medical explanations for depression and suicidality.