Abstract
Becoming a skilled psychiatric diagnostic interviewer requires years of effort. The study of the basic science of psychopathology and clinical training are essentials. The interview can be conducted with different degrees of structure: fully structured, free style (fully unstructured), and semi-structured. We examine each methodological approach and the theories behind them, and we present results from empirical studies. We argue that the standardized, fully structured psychopathological diagnostic interview does not seem to be an epistemologically adequate or valid way of allocating psychiatric diagnoses. We recommend that a semi-structured, conversational, and phenomenologically oriented interview should be used for eliciting psychodiagnostic information. Further, we recommend that empathy, here understood as the strong intention to comprehend the patient’s experiences and experiential framework, must permeate the entire interview.
We provide practical suggestions useful in the interview and give examples of situations in which the patient’s psychopathology complicates the interview and offer advice on how to take this into account when interviewing.
Keywords
- Personality Disorder
- Structure Interview
- Psychotic Patient
- Unstructured Interview
- Experienced Psychiatrist
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
This chapter draws upon the papers:
Nordgaard J, Revsbech R, Saebye D, Parnas J (2012) Assessing the diagnostic validity of a structured psychiatric interview in a first-admission hospital sample. World psychiatry: official journal of the World Psychiatric Association 11 (3):181–185
Nordgaard J, Sass LA, Parnas J (2013) The psychiatric interview: validity, structure, and subjectivity. European archives of psychiatry and clinical neuroscience 263 (4):353–364. doi:10.1007/s00406-012-0366-z
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American Psychiatric Association A (1980) Diagnostic and statistical manual of mental disorders, IIIth edn. The American Psychiatric Association, Washington, DC
Andreasen NC (2007) DSM and the death of phenomenology in America: an example of unintended consequences. Schizophr Bull 33(1):108–112.
Bech P (2004) Modern psychometrics in clinimetrics: impact on clinical trials of antidepressants. Psychother Psychosom 73(3):134–138.
Beck SM, Perry JC (2008) The definition and function of interview structure in psychiatric and psychotherapeutic interviews. Psychiatry 71(1):1–12.
Benazzi F (2003) Diagnosis of bipolar II disorder: a comparison of structured versus semistructured interviews. Prog Neuropsychopharmacol Biol Psychiatry 27(6):985–991.
Bridgeman P (1927/1951) The logic of modern physics. Macmillan, New York
Carlson GA (2011) Will the child with mania please stand up? Br J Psychiatry J Ment Sci 198(3):171–172.
Carter JW, Schulsinger F, Parnas J, Cannon T, Mednick SA (2002) A multivariate prediction model of schizophrenia. Schizophr Bull 28(4):649–682
Cooper J, Kendell R, Gurland B, Sharpe L, Copeland J (1972) Psychiatric diagnosis in New York and London. Oxford University Press, Oxford
Duffy A, Doucette S, Lewitzka U, Alda M, Hajek T, Grof P (2011) Findings from bipolar offspring studies: methodology matters. Early Interv Psychiatry 5(3):181–191.
Feighner JP, Robins E, Guze SB, Woodruff RA Jr, Winokur G, Munoz R (1972) Diagnostic criteria for use in psychiatric research. Arch Gen Psychiatry 26(1):57–63
First MB, Spitzer RL, Gibbon M, Willians JBW (2007) Structured clinical interview for DSM-IV TR axis I disorders vol 1/2007 revision. Biometrics Research Department New York State Psychiatric Institute 1051 Riverside Drive – Unit 60 New York, New York 10032, New York
Fisher R, Geiselman R, Raymond D (1987) Critical analysis of police interview techniques. J Police Sci Adm 15(3):177–185
Gallagher S, Zahavi D (2008) Phenomenological mind: an introduction to philosophy of mind and cognitive science. Routledge/Taylor & Francis Group, London
Heidegger M (1927/1962) Being and time (trans: Macquarrie L, Robinson E). Rowman & Littlefield Publishers, Oxford
Hemmingsen R, Parnas J (2002) The diagnostic interview. In: Hemmingsen R, Parnas J, Gjerris A, Reisby N, Kragh-Sørensen P (eds) Klinisk Psykiatri. Munksgaard, Denmark
Hempel CG (1965) Explanation and other essays in the philosophy of science. Free Press, New York
Henriksen MG (2013) On incomprehensibility in schizophrenia. Phenom Cogn Sci 12:105–129
Jablensky A (2012) The nosological entity in psychiatry: an historical illusion or a moving target? In: Kendler K, Parnas J (eds) Philosophical issues in psychiatry II. Nosology. Oxford University Press, Oxford, pp 77–94
Jakobsen K (2007a) Politiets vidneafhøring set i et kognitionspsykologisk perspektiv. Politiskolen, Rigspolitiet, København
Jakobsen K (2007b) Politiets vidneafhøring set i kognitionspsykologisk perspektiv. Politiskolen, Rigspolitiet, København
Jakobsen K (2010a) Afhøring af sigtede. En undersøgelse af dansk politis afhøringspraksis. Politiets videnscenter, København
Jakobsen K (2010b) En undersøgelse af dansk politis afhøringspraksis. Politiets videncenter, København
Jaspers K (1959/1963) General psychopathology (trans: Hoenig J, Hamilton M). The John Hopkins University Press, London
Jaspers K (1963) General psychopathology (trans: Hoenig J, Hamilton MW). The John Hopkins University Press, London
Kebbell M, Wagstaff G (1999) Face value? Evaluating the accuracy of eyewitness information, Police Research Series Paper 102. Great Britain Home Office Research Development and Statistics Directorate, London
Kinsey A, Pomeroy W, Martin C (1948) Sexual behavior in the human male. W.B. Saunders Company, Philadelphia
Lazarsfeld P (1935) The art of asking WHY in marketing research: three principles underlying the formulation of questionnaires. Natl Mark Rev 1(1):26–38
Maj M (2011) When does depression become a mental disorder? Br J Psychiatry J Ment Sci 199(2):85–86. doi:10.1192/bjp.bp.110.089094
Minichiello V, Aroni R, Timewell E, Alexander L (1990) In-depth- interviewing: researching people. Longman Cheshire Pty Limited, Hong Kong
Mishler E (1986) Research interviewing. Context and narrative. Harvard University Press, Cambridge, MA
Nordgaard J, Revsbech R, Saebye D, Parnas J (2012) Assessing the diagnostic validity of a structured psychiatric interview in a first-admission hospital sample. World Psychiatry Off J World Psychiatr Assoc 11(3):181–185
Nordgaard J, Sass LA, Parnas J (2013) The psychiatric interview: validity, structure, and subjectivity. Eur Arch Psychiatry Clin Neurosci 263(4):353–364.
Parnas J (2012) A sea of distress. In: Kendler K, Parnas J (eds) Philosophical issues in psychiatry II: nosology, vol II. Oxford University Press, Oxford, pp 229–232
Parnas J, Bovet P (1995) Research in psychopathology: epistemologic issues. Compr Psychiatry 36(3):167–181
Parnas J, Moller P, Kircher T, Thalbitzer J, Jansson L, Handest P, Zahavi D (2005) EASE: Examination of Anomalous Self-Experience. Psychopathology 38(5):236–258.
Punch K (1998) Introduction to social research: quantitative and qualitative approaches. Sage Publications, London
Ratcliffe M (2012) Phenomenology as a form of empathy. Inquiry: an interdisciplinary. J Philos 55(5):473–495
Shanahan M (2016) The frame problem. In: Zalta E (ed) The Stanford encyclopedia of philosophy. http://plato.stanford.edu/archieves/spr2016/entries/frame-problem/
Shea S (1998) Psychiatric interviewing. The art of understanding, 2nd edn. Saunders, An Imprint of Elsevier, Philadelphia
Sheehan DV, Lecrubier Y, Sheehan KH, Amorim P, Janavs J, Weiller E, Hergueta T, Baker R, Dunbar GC (1998) The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. J Clin Psychiatry 59(Suppl 20):22–33; quiz 34–57
Skinner B (1976) About behaviorism. Random House, New York
Spitzer RL (1983) Psychiatric diagnosis: are clinicians still necessary? Compr Psychiatry 24(5):399–411
Spitzer M (1988) Psychiatry, philosophy and the problem of description. In: Sptizte M, Uehlein F, Oepen G (eds) Psychopathology and philosophy. Springer, Berlin
Spitzer RL, Endicutt J, Robins E (1975) Research Diagnostic Criteria, instrument number 58. (RDC). New York State Psychiatric Institute, New York
Stein E (1989) On the problem of empathy (trans: Stein W). ICS Publications, Washington, DC
Tallon A (1997) Head and heart. Affection, cognition, volition as triune consciousness. Fordham University Press, New York
Wing J, Cooper J, Satorius N (1974) Present State Examination (PSE). Measurement and classification of psychiatric symptoms. An instruction manual for the PSE and catego program. Cambridge University Press, Cambridge, UK
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Jansson, L., Nordgaard, J. (2016). The Psychiatric Interview: Methodological and Practical Aspects. In: The Psychiatric Interview for Differential Diagnosis. Springer, Cham. https://doi.org/10.1007/978-3-319-33249-9_4
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DOI: https://doi.org/10.1007/978-3-319-33249-9_4
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