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This new, third edition provides an up-to-date examination of the psychiatric interview that reflects changes introduced in DSM-5, while continuing to recognize that describing symptoms and establishing a diagnosis should command only a portion of the clinician's attention, and that a patient's personal history must be elicited and character structure addressed in the clinical engagement. Significant advances have been made in biological psychiatry, and research in genetics, cognitive neuroscience, psychopharmacology, brain imaging, and the neurosciences in general continues apace, informing the culture of psychiatry and providing growing insight into the etiology of mental illnesses. However, the book reflects the authors' belief that virtually all major psychiatric disorders are complex amalgams of genetic disposition and environmental influences. In this context, the psychiatric interview is a vitally important dialogue, and effective strategies are modeled through the use of clinical vignettes taken from the authors' experience.
General Principles
General Principles of the Interview
General Principles of Psychodynamics
Major Clinical Syndromes
The Obsessive-Compulsive Patient
The Histrionic Patient
The Narcissistic Patient
The Masochistic Patient
The Depressed Patient
The Anxiety Disorder Patient
The Traumatized Patient
The Borderline Patient
The Antisocial Patient
The Paranoid Patient
The Psychotic Patient
The Psychosomatic Patient
The Cognitively Impaired Patient
Special Clinical Situations
The Emergency Patient
The Hospitalized Patient
The Patient of Different Background
Technical Factors Affecting the Interview
Note Taking and the Psychiatric Interview
Telephones, E-Mail, and the Psychiatric Interview