Title The clinical interview : skills for more effective patient encounters / Scott A. Simpson, MD, MPH and Anna K. McDowell, MD

Published London ; New York : Routledge, Taylor & Francis Group, 2020

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Description 1 online resource Contents Cover; Half Title; Title; Copyright; Dedication; Contents; Foreword; Preface; List of Contributors; Introduction: A New Approach to the Clinical Encounter; I Building Rapport; 1 Elicit One Goal: Be More Efficient by Learning the Patient's Agenda; 2 Validate Three Different Ways: Be Authentic in Your Validation by Expanding the Ways in Which You Can Agree With the Patient; 3 Mirror the Patient's Language to Build Rapport: Use the Patient's Phrasing to Avoid Misinterpretation 4 Use the Power of "And": Introduce "And" Rather Than "Or/But" Statements to Your Interview to Establish Rapport, Validate the Patient's Experience, and Facilitate Change5 Redirect Demanding Patients: Reinforce That the Patient, Like Everyone, Is Entitled to Good Medical Care; 6 Be Silent: Use Active Silence to Support the Patient's Emotional Expression; 7 Be Playful: Introduce Playful Irreverence to Challenge Rigidity, Signal Affection, and Build Social Connection 8 Handle the Hollering With a Calming Question: Through Tone of Voice, Active Listening, and Setting Limits, Invite a Conversation to De-Escalate a Shouting Patient9 Recognize Your Own Emotions: Identify and Process Your Countertransference During the Interview to Improve the Patient's Well-Being (and Your Own); 10 Reflect the Patient's Statements: Use a Well-Timed Reflection to Disrupt a Negative Thought Spiral; 11 Introduce Progressive Muscle Relaxation: Give the Patient an Active Task to Change Their Emotional Experience 12 Use Emotional Validation to Manage Negative Countertransference: Disarm Your Negative Emotions and Humanize Your Patients13 Consider Fear When the Patient Is Angry: Assess What the Patient Might Be Afraid of When They Become Upset; 14 Validate the Patient's Perspective of Where They Are Now and Where They Need to Go: Understand and Support the Patient's Reality and Goals to Enhance Motivation for Treatment; 15 Share How You Feel: Put Your Own Feelings Into Words to Reset a Difficult Conversation; 16 Agree to Disagree: De-Escalate an Argument by Repeating This Short Phrase 17 Be Honest About Your Limitations: Relieve Yourself of Unobtainable Expectations and Reset the Conflictual EncounterII Taking a History; 18 Be Curious: When Curious About What a Patient Has Said, Ask More Questions to Obtain Useful Information and Show the Patient That You Are Interested; 19 Prioritize Information You Need Right Now: Shift Your Line of Questioning Without Shifting the Topic; 20 Use Open-Ended Questions for Sensitive Topics: Invite Greater Honesty and Avoid a Sense of Judgment Through Open-Ended Questions Summary The Clinical Interview offers a new perspective on the patient encounter. Interpreting decades of evidence-based psychotherapy and neuroscience, it provides 60 succinct techniques to help clinicians develop rapport, solicit better histories, and plan treatment with even the most challenging patients. This book describes brief skills and techniques for clinical providers to improve their patient interactions. Although evidence-based psychotherapies are typically designed for longer specialized treatments, elements of these psychotherapies can help clinicians obtain better patient histories, develop more effective treatment plans, and more capably handle anxiety-provoking interactions. Each chapter is brief and easily digestible, contains sample clinical dialogue, and provides references for further reading. These skills help clinicians practice more effectively, more efficiently, and with greater resilience. Whatever your clinical specialty or role, whether you are a trainee or an experienced clinician, The Clinical Interview offers practical wisdom and an entirely new way to think about the clinical encounter. The Clinical Interview will be of great use to any student in a health-related field of study or a healthcare professional interested in refining their interviewing skills. It will help anyone from emergency medical technicians, nurses, and physician assistants, to nurse practitioners and physicians to build more meaningful patient relationships Bibliography Includes bibliographical references and index Notes Description based on print version record and CIP data provided by publisher Subject Interviewing -- Methods Mental illness -- Diagnosis. Medical personnel and patient. Medical history taking. Communication. Misinformation. Interview, Psychological -- methods Mental Disorders -- diagnosis Professional-Patient Relations Medical History Taking Communication PSYCHOLOGY -- Mental Health. Interviewing Mental illness -- Diagnosis Genre/Form Electronic books Methods (Music) Form Electronic book Author McDowell, Anna K., author LC no. 2020694116 ISBN 9780429437243 0429437242 9780429793455 0429793456 9780429793462 0429793464 9780429793448 0429793448

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