The Clinical Interview

Commentary: the value of the clinical interview.

The potential for violence among hospitalized psychiatric patients is not a new phenomenon. Risk prediction in hospitalized psychiatric patients requires, in addition to actuarial tools, a firsthand understanding of the patient's psychiatric disorder, symptoms, personality structure, coping skills, and defense mechanisms. The current state of psychiatric hospital care and treatment of mental il...

"What else?" Setting the agenda for the clinical interview.

Identifying psychotic defenses in a clinical interview.

The Defense Mechanisms Rating Scales (DMRS), one of the most widely used and validated instruments in the study of defense mechanisms, does not include psychotic defenses. The Psychotic-DMRS (P-DMRS) has been developed to include 6 psychotic defense mechanisms: psychotic denial, autistic withdrawal, distortion, delusional projection, fragmentation, and concretization. We discuss psychotic defen...

Metaphor and meaning in a clinical interview.

This study examined the narrative features of 20 life histories gathered from psychiatric patients with the Occupational Performance History Interview. The aim was to identify how narrative features were present in the patient interview responses and to illustrate how such narrative features can be located. We found that the patients organized their interview responses with deep metaphors that ...

Clinical value of the cultural formulation interview in Pune, India

CONTEXT Development of the cultural formulation interview (CFI) in DSM-5 required validation for cross-cultural and global use. AIMS To assess the overall value (OV) of CFI in the domains of feasibility, acceptability, and utility from the vantage points of clinician-interviewers, patients and accompanying relatives. SETTINGS AND DESIGN We conducted cross-sectional semi-structured debriefin...