Download e-book for kindle: The Psychiatric Interview for Differential Diagnosis by Lennart Jansson, Julie Nordgaard

By Lennart Jansson, Julie Nordgaard

This booklet bargains an alternative choice to operational diagnostic manuals and manuals for dependent interviewing because the simply assets of theoretical and scientific wisdom. It presents an exposition of psychiatric interviewing that's theoretically and clinically good based and provides the reader with a coherent framework for functionality of a radical psychiatric exam. The aim isn't really to come back up with yet one other interviewscheme yet to facilitate an figuring out of the fundamental (but, at the present time, thoroughly ignored) tenets of psychopathology and phenomenology. This exposition pursuits the issues of subjectivity (consciousness), the second-person tactics concerned with changing subjective, first-person and observable information right into a 3rd individual, diagnostically priceless, structure. furthermore, the main pertinent medical descriptions about the significant diagnostic teams are awarded and discussed.

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Extra info for The Psychiatric Interview for Differential Diagnosis

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To put it in another way, the structured interview predefines what counts as information. The nature of this information is conceived on analogy of a substantial, temporally enduring thing, almost like a table or a chair. Benazzi (2003) conducted a study on the agreement of the diagnosis of bipolar II disorder between a structured diagnostic interview (the SCID) and a clinical semistructured diagnostic interview based on DSM-IV criteria, conducted by the same expert psychiatrist. A total of 111 patients in remission from major depressive episodes were examined twice: first with the structured interview and soon after with the clinical semi-structured interview.

Structured interview: Interviewer (I): Do you ever experience certain thoughts that are not your own are being placed your head? Patient (P): Hmm, no. I: What about thoughts being taken out of your head? P: Shakes his head to deny. Semi-structured interview: I: Does it ever become too much with all these thoughts? (Referring to previously addressed experience of difficulties in concentration and of thought pressure) P: Sometimes, I think the thoughts take over somehow, so I cannot get rid of them.

Jaundice pointing to the liver and coughing to the lungs. With a very few exceptions, we do not know the etiopathological causes in any diagnostically relevant sense in psychiatry. In contrast with somatic medicine, the psychiatric symptoms and signs are not devoid of subtle or complex forms of meaning and suitable for context-independent definition and measurement. Thus, a psychiatrist finds herself in a quite different situation than the somatic physician (Jaspers 1959/1963; Spitzer 1988). , another embodied consciousness with its realm of meaning.

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