The Shut-Down Interview and Relationships

  • James BinderEmail author
Part of the Current Clinical Practice book series (CCP)


Case: Amy is a second year pediatric resident who just had a difficult night covering the NICU. She has continuity clinic this morning and expects a full schedule of patients. Her first patient is Henry, a 9-year-old, slightly pudgy boy with a history of encoporesis. Henry makes no eye contact with Amy. Amy tries to appear friendly and attempts to join with Henry. Henry grunts several one word responses, never looking at Amy. Amy quickly recognizes a shut-down interview in this opening phase. Fortunately, Amy is curious. What is going on with Henry?


  1. 1.
    Shea SC (1998) Psychiatric interviewing: the art of understanding: a practical guide for psychiatrists, psychologists, nurses and other health professionals, 2nd edn. WB Saunders, PhiladelphiaGoogle Scholar
  2. 2.
    Joines V (1997) Accessing the natural child as the key to redecision therapy. In: Lennox C (ed) Redecision therapy: a brief, action-oriented approach. Jason Aronson, Northvale, NJGoogle Scholar
  3. 3.
    Roter DL, Hall JA (2006) Doctors talking with patients/patients talking with doctors: improving communication in medical visits, 2nd edn. Praeger, Westport, CTGoogle Scholar
  4. 4.
    Anderson CM, Stewart S (1983) Mastering resistance: a practical guide to family therapy. Guilford, New YorkGoogle Scholar
  5. 5.
    Interviewing tip of the month. Training Institute for Suicide Assessment and Clinical Interviewing. No. 60, February 2005. Accessed 8 Oct 2007
  6. 6.
    Kohlberg I, Rothenberg MB (1970) Comprehensive care following multiple life-threatening injuries. Am J Dis Child 119:449-451PubMedGoogle Scholar
  7. 7.
    Glasser H, Easley J (1998) Transforming the difficult child: the nurtured heart approach. Vaughan, Nashville, TNGoogle Scholar

Copyright information

© Humana Press, a part of Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Marshall University School of MedicineHuntingtonUSA

Personalised recommendations