The Psychiatric Interview in Clinical Practice

724 Pages·2015·11.2 MB·English

by  Roger A. Mackinnon

THE PSYCHIATRIC
INTERVIEW IN
CLINICAL PRACTICE
T H I R D E D I T I O N
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THE PSYCHIATRIC
INTERVIEW IN
CLINICAL PRACTICE
T H I R D E D I T I O N
ROGER A. MACKINNON, M.D.
Professor Emeritus of Clinical Psychiatry
College of Physicians and Surgeons of Columbia University
New York, New York
ROBERT MICHELS, M.D.
Walsh McDermott University Professor of Medicine and Psychiatry
Weill Medical College of Cornell University
New York, New York
PETER J. BUCKLEY, M.D.
Professor of Psychiatry and Behavioral Sciences
Albert Einstein College of Medicine of Yeshiva University
Bronx, New York
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tent with standards set by the U.S. Food and Drug Administration and the gen-
eral medical community. As medical research and practice continue to advance,
however, therapeutic standards may change. Moreover, specific situations may
require a specific therapeutic response not included in this book. For these rea-
sons and because human and mechanical errors sometimes occur, we recom-
mend that readers follow the advice of physicians directly involved in their care
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Library of Congress Cataloging-in-Publication Data
MacKinnon, Roger A., author.
The psychiatric interview in clinical practice / Roger A. Mackinnon, Robert
Michels, Peter J. Buckley ; with contributions by John W. Barnhill, Brad Foote,
Alessandra Scalmati. — Third edition.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-61537-034-4 (hardcover : alk. paper)
I. Michels, Robert, author. II. Buckley, Peter, author. III. Title.
[DNLM: 1. Interview, Psychological—methods. 2. Mental Disorders—diag-
nosis. 3. Physician-Patient Relations. 4. Psychotherapy—methods. WM 143]
RC480.7
616.8914–dc23
2015029338
British Library Cataloguing in Publication Data
A CIP record is available from the British Library.
This book is dedicated to Cynthia, Verena, and Maxine.
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CONTENTS
About the Authors . . . . . . . . . . . . . . . . . . . . . . . . . . . .ix
Preface. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xi
Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . xv
P A R T I
General Principles
1 General Principles of the Interview. . . . . . . . . . . . . . . . . . .3
2 General Principles of Psychodynamics. . . . . . . . . . . . . . . . . 77
P A R T I I
Major Clinical Syndromes
3 The Obsessive-Compulsive Patient . . . . . . . . . . . . . . . . . . 105
4 The Histrionic Patient. . . . . . . . . . . . . . . . . . . . . . . . . 133
5 The Narcissistic Patient. . . . . . . . . . . . . . . . . . . . . . . . 173
6 The Masochistic Patient. . . . . . . . . . . . . . . . . . . . . . . . 201
7 The Depressed Patient . . . . . . . . . . . . . . . . . . . . . . . . 225
8 The Anxiety Disorder Patient . . . . . . . . . . . . . . . . . . . . 277
9 The Borderline Patient . . . . . . . . . . . . . . . . . . . . . . . . 311
10 The Traumatized Patient . . . . . . . . . . . . . . . . . . . . . . . 339
Alessandra Scalmati, M.D., Ph.D.
11 The Dissociative Identity Disorder Patient . . . . . . . . . . . . . .373
Brad Foote, M.D.
12 The Antisocial Patient . . . . . . . . . . . . . . . . . . . . . . . . .405
13 The Paranoid Patient. . . . . . . . . . . . . . . . . . . . . . . . . .437
14 The Psychotic Patient . . . . . . . . . . . . . . . . . . . . . . . . .473
15 The Psychosomatic Patient. . . . . . . . . . . . . . . . . . . . . . .499
John W. Barnhill, M.D.
16 The Cognitively Impaired Patient . . . . . . . . . . . . . . . . . . .513
John W. Barnhill, M.D.
P A R T I I I
Special Clinical Situations
17 The Emergency Patient. . . . . . . . . . . . . . . . . . . . . . . . .533
18 The Hospitalized Patient. . . . . . . . . . . . . . . . . . . . . . . .557
John W. Barnhill, M.D.
19 The Patient of Different Background. . . . . . . . . . . . . . . . .573
P A R T I V
Technical Factors Affecting the Interview
20 Note Taking and the Psychiatric Interview. . . . . . . . . . . . . .603
21 Telephones, E-Mail, Other Digital Media,
and the Psychiatric Interview. . . . . . . . . . . . . . . . . . . . .611
Afterword . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .635
Bibliography. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .637
Index. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .657
ABOUT THE AUTHORS
Roger A. MacKinnon, M.D., is Professor Emeritus of Clinical Psychia-
try in the College of Physicians and Surgeons of Columbia University,
and Training and Supervising Analyst at the Columbia University Cen-
ter for Psychoanalytic Training and Research, in New York, New York.
Robert Michels, M.D., is Walsh McDermott University Professor of
Medicine and Psychiatry at Weill Medical College of Cornell University,
and Training and Supervising Analyst at the Columbia University Cen-
ter for Psychoanalytic Training and Research, in New York, New York.
Peter J. Buckley, M.D., is Professor of Psychiatry and Behavioral Sci-
ences at Albert Einstein College of Medicine of Yeshiva University in
Bronx, New York; and Training and Supervising Analyst at the Colum-
bia University Center for Psychoanalytic Training and Research in New
York, New York.
Contributors
John W. Barnhill, M.D., is Professor of Clinical Psychiatry, DeWitt Wal-
lace Senior Scholar, and Vice Chair for Psychosomatic Medicine in the
Department of Psychiatry at Weill Medical College of Cornell University;
and Chief of the Consultation-Liaison Service at New York-Presbyterian
Hospital/Weill Cornell Medical Center Hospital for Special Surgery in
New York, New York.
Brad Foote, M.D., is Associate Professor of Clinical Psychiatry and Be-
havioral Sciences at Albert Einstein College of Medicine/Montefiore
Medical Center in Bronx, New York.
Alessandra Scalmati, M.D., Ph.D., is Associate Professor of Clinical
Psychiatry and Behavioral Sciences at Albert Einstein College of Medi-
cine/Montefiore Medical Center in Bronx, New York.
The authors and contributors have no competing interests to report.
ix