Clinician's Thesaurus: The Guide to Conducting Interviews and Writing Psychogical Reports

418 Pages·2019·3.393 MB·English

by  Edward L. Zuckerman

ebook
THE GUILFORD PRESS
CLINICIAN’S THESAURUS, 8TH EDITION
Also from Edward L. Zuckerman
The Paper Office for the Digital Age, Fifth Edition:
Forms, Guidelines, and Resources to Make Your Practice Work
Ethically, Legally, and Profitably
Edward L. Zuckerman and Keely Kolmes
CLINICIAN’S THESAURUS
8th Edition
The Guide to Conducting Interviews
and Writing Psychological Reports
EDWARD L. ZUCKERMAN, PhD
THE GUILFORD PRESS
New York London
Copyright © 2019 Edward L. Zuckerman
Published by The Guilford Press
A Division of Guilford Publications, Inc.
370 Seventh Avenue, Suite 1200, New York, NY 10001
www.guilford.com
All rights reserved
Except as noted, no part of this book may be reproduced, translated, stored in a
retrieval system, or transmitted, in any form or by any means, electronic, mechanical,
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from the publisher.
Printed in the United States of America
This book is printed on acid-free paper.
Last digit is print number: 9 8 7 6 5 4 3 2 1
LIMITED DUPLICATION LICENSE
These materials are intended for use only by qualified mental health professionals.
The publisher grants to individual purchasers of this book nonassignable
permission to reproduce Form 1, Form 2, and the Feedback Solicitation Form.
This license is limited to you, the individual purchaser, for personal use or use
with clients. This license does not grant the right to reproduce these materials
for resale, redistribution, electronic display, or any other purposes (including but
not limited to books, pamphlets, articles, video- or audiotapes, blogs, file-sharing
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or webinars, whether or not a fee is charged). Permission to reproduce these
materials for these and any other purposes must be obtained in writing from the
Permissions Department of Guilford Publications.
The author has checked with sources believed to be reliable in his efforts to provide
information that is complete and generally in accord with the standards of practice
that are accepted at the time of publication. However, in view of the possibility of
human error or changes in medical sciences, neither the author, nor the editor
and publisher, nor any other party who has been involved in the preparation or
publication of this work warrants that the information contained herein is in every
respect accurate or complete, and they are not responsible for any errors or omissions
or the results obtained from the use of such information. Readers are encouraged to
confirm the information contained in this book with other sources.
Library of Congress Cataloging-in-Publication Data is available from the publisher.
ISBN 978-1-4625-3880-5 (paperback)
About the Author
Edward L. Zuckerman, PhD, consults and creates effective practice tools for clinicians. He found
his life’s passion while working as a psychiatric aide at New York’s Bellevue Hospital in the 1960s.
Dr. Zuckerman has worked with adults in a variety of clinical contexts, acted as liaison with state
hospitals, taught undergraduates, and maintained an independent practice in general clinical psy-
chology for many years. He lives in rural western Pennsylvania.
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Contents
Acknowledgments and an Invitation xv
Getting Oriented to the Clinician’s Thesaurus 1
What Is the Clinician’s Thesaurus and What Does It Do?, 1
How This Book Is Organized, 2
Internet Resources in the Clinician’s Thesaurus, 3
Understanding the Style and Format of the Chapters, 3
Example of a Report Constructed with the Clinician’s Thesaurus, 4
Some Ways to Use the Clinician’s Thesaurus, 8
A Cautionary Note and Disclaimer, 9
A Functional Guide to Report Construction 10
The Nature of Reports, the Steps of Their Construction, and the Corresponding
Portions of the Clinician’s Thesaurus, 10
Sample Report Using the Clinician’s Thesaurus, 16
Further Guidelines and Advice on Report Writing, 22
PART I. Conducting a Mental Health Evaluation
1. Beginning and Ending the Interview 29
1.1. Structuring the Interview, 29
1.2. Introducing Yourself and Noting Possible Communication Difficulties, 29
1.3. Assessing the Client’s Understanding of the Interview Situation, 30
1.4. Obtaining Informed Consent, 31
1.5. Other Points for All Interviews, 31
1.6. Eliciting the Chief Concern/Complaint/Issue, 32
1.7. Eliciting the Client’s Understanding of the Problem, 32
1.8. Dimensionalizing the Concern/Problem, 32
1.9. Ending the Interview, 33
1.10. Collections of Tools for Screening and Monitoring, 33
2. Mental Status Evaluation Questions/Tasks 35
2.1. Introduction to the Mental Status Questions, 35
2.2. Background Information Related to Mental Status, 36
2.3. Rancho Los Amigos Cognitive Scale, 36
2.4. Screening Tests for Cognitive Impairment, 36
2.5. Orientation, 37
2.6. Attention, 38
2.7. Concentration, 39
2.8. Comprehension of Language, 39
2.9. Eye– Hand Coordination/Perceptual– Motor Integration/Dyspraxia/
Constructional Ability, 40
2.10. Memory, 40
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viii Contents
2.11. Fund of Information, 43
2.12. Opposites, 44
2.13. Differences, 44
2.14. Similarities/Analogies, 45
2.15. Absurdities, 45
2.16. Calculation Abilities, 46
2.17. Abstract Reasoning/Proverbs, 46
2.18. Paired Proverbs, 47
2.19. Practical Reasoning, 48
2.20. Social Judgment, 48
2.21. Decision Making, 49
2.22. Self- Image, 49
2.23. Insight into Disorder, 49
2.24. Strengths and Coping, 50
2.25. Mental Status Evaluation Checklist, 50
3. Questions about Signs, Symptoms, and Other Behavior Patterns 54
3.1. Introduction to the Questions about Signs, Symptoms,
and Behavior Patterns, 54
3.2. Abuse (Nonsexual)/Neglect of an Adult (Partner or Elder), 55
3.3. Abuse (Sexual) of an Adult, 56
3.4. Affect/Mood, 57
3.5. Anxiety, 58
3.6. Body Dysmorphic Disorder, 58
3.7. Compliance– Noncompliance with Treatment, 59
3.8. Compulsions, 59
3.9. Delusions, 60
3.10. Depression, 61
3.11. Dissociative Experiences, 64
3.12. Eating Disorders, 65
3.13. Gay, Lesbian, and Bisexual Identity Inquiry, 66
3.14. Gender Identity, 67
3.15. Gender Identity: Transgender and Gender- Nonconforming, 68
3.16. Hallucinations, 69
3.17. Illusions, 70
3.18. Impulse Control, 71
3.19. Mania, 71
3.20. Obsessions, 72
3.21. Organicity/Cognitive Disorders, 73
3.22. Pain, Chronic, 73
3.23. Paranoia, 74
3.24. Phobias, 75
3.25. Self- Injury, 75
3.26. Sexual History, 76
3.27. Sleep, 78
3.28. Substance Abuse: Drugs and Alcohol, 80
3.29. Substance Use: Tobacco and Caffeine, 89
3.30. Suicide and Self- Destructive Behavior, 89
3.31. Violence, 92
PART II. Standard Terms and Statements for Wording
Psychological Reports
A. Introducing the Report
4. Beginning the Report: Preliminary Information 99
4.1. Heading and Dates for the Report, 99
4.2. Sources of Information for the Report, 100