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Clinical Interviewing

Sommers-Flanagan, John / Sommers-Flanagan, Rita


7. Auflage Februar 2024
688 Seiten, Softcover

ISBN: 978-1-119-98198-5
John Wiley & Sons

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Learn to conduct state-of-the-art clinical interviews in therapeutic settings

Clinical interviewing is the foundation upon which all counselling and psychotherapy rests. In the newly revised seventh edition of Clinical Interviewing, John and Rita Sommers-Flanagan provide a comprehensive analysis and discussion of the clinical interview, along with skill-building applications. Extensive and practical coverage of culturally sensitive assessment, case formulation, treatment planning, and psychosocial interventions are included. This new edition continues in the Sommers-Flanagan's tradition of relationally oriented clinical interviewing; it also offers fresh content, cutting-edge citations, diverse case examples, updated language, and more deeply integrates culture, ethnicities, and diverse representation, while strengthening the book's evidence-based orientation. Learners will have an engaging reading experience with trusted authors who cover vital content for all mental health professionals. Readers will also find:
* Complementary videos that feature a diverse range of clinicians and clients discussing core ideas and demonstrating key techniques
* Guidance and strategies for clinician stress management and self-care
* For the instructor's edition: An online instructor's manual with supplementary lecture ideas, discussion questions, classroom demonstrations, an online test bank, and downloadable PowerPoint slides

An essential text covering an equally essential topic, Clinical Interviewing is written for aspiring and practicing counselors, psychotherapists, and mental health professionals seeking up-to-date guidance on how to conduct a state-of-the-art (and science) clinical interview.

Preface xiii

About the Authors xxi

Part One: Foundations of Clinical Interviewing 1

Chapter 1: An Introduction to the Clinical Interview 3

Learning Objectives 3

Chapter Orientation 3

Welcome to the Journey 3

What Is a Clinical Interview? 5

Clinical Interviewing versus Counseling and Psychotherapy 7

Multicultural Competencies 13

Multicultural Humility 17

A Learning Model for Clinical Interviewing 25

Chapter Summary 28

Chapter 2: Preparation 31

Learning Objectives 31

Chapter Orientation 31

The Physical Setting 31

Professional and Ethical Issues 38

Multicultural Preparation 55

Stress Management and Self-Care 65

Chapter Summary 68

Chapter 3: An Overview of the Interview Process 71

Learning Objectives 71

Chapter Orientation 71

Stages of a Clinical Interview 71

The Introduction 73

The Opening 84

The Body 90

The Closing 95

Ending the Session (Termination) 104

Chapter Summary 107

Part Two: Listening and Relationship Development 111

Chapter 4: Nondirective Listening Skills 113

Learning Objectives 113

Chapter Orientation 113

Listening Skills 113

Adopting a Therapeutic Attitude 114

Why Nondirective Listening Is Also Directive 123

The Listening Continuum in Three Parts 125

Skills for Encouraging Client Talk 126

Ethical and Multicultural Considerations 142

Not Knowing What to Say 145

Chapter Summary 146

Chapter 5: Directive Listening Skills 149

Learning Objectives 149

Chapter Orientation 149

Skills for Encouraging Insight 150

Ethical and Multicultural Considerations 175

Chapter Summary 178

Chapter 6: Skills for Directing Clients Toward Action 181

Learning Objectives 181

Chapter Orientation 181

Readiness to Change 181

Skills for Encouraging Action 184

Using Educational and Directive Techniques 192

Ethical and Multicultural Considerations 204

Chapter Summary 215

Chapter 7: Evidence-Based Relationships 217

Learning Objectives 217

Chapter Orientation 217

The Great Psychotherapy Debate 217

The Core Conditions 218

Other Evidence-Based Relationship Factors 233

Evidence-Based Cross-Cultural Relationships 250

Chapter Summary 253

Part Three: Structuring and Assessment 255

Chapter 8: Intake Interviewing and Report Writing 257

Learning Objectives 257

Chapter Orientation 257

What's an Intake Interview? 257

Exploring Client Problems and Goals 259

Obtaining Background and Historical Information 267

Assessment of Current Functioning 276

Brief Intake Interviewing 280

The Intake Report 282

Do's and Don'ts of Intake Interviews with Diverse Clients 298

Chapter Summary 300

Chapter 9: The Mental Status Examination 303

Learning Objectives 303

Chapter Orientation 303

What Is a Mental Status Examination? 303

Individual and Cultural Considerations 305

The Psychiatric Mental Status Examination 308

When to Use Mental Status Examinations 340

Chapter Summary 342

Chapter 10: Suicide Assessment 345

Learning Objectives 345

Chapter Orientation 345

Facing the Suicide Situation 345

Suicide Risk Factors, Protective Factors, and Warning Signs 348

Building a Theoretical and Research-Based Foundation 356

Suicide Assessment Interviewing 360

Suicide Interventions 380

Final Ethical and Professional Issues 385

Chapter Summary 389

Chapter 11: Diagnosis and Treatment Planning 393

Learning Objectives 393

Chapter Orientation 393

Modern Diagnostic Classification Systems 393

Defining Mental Disorders 396

Diagnostic Interviewing 404

The Science of Clinical Interviewing 406

Less Structured Diagnostic Clinical Interviews 409

Case Formulation and Treatment Planning 415

Extended Case Example 423

Additional Cultural Modifications and Adaptations 427

Chapter Summary 428

Part Four: Diverse Populations and Situations 431

Chapter 12: Challenging Client Behaviors and Demanding Situations 433

Learning Objectives 433

Chapter Orientation 433

Challenging Clients 433

Motivational Interviewing and Other Strategies 436

Violence Risk Assessment (VRA) and Prediction 451

Demanding Situations: Crisis and Trauma 456

Cultural Competencies in Disaster Mental Health 468

Chapter Summary 470

Chapter 13: Interviewing Young Clients 473

Learning Objectives 473

Chapter Orientation 473

Considerations in Working With Young Clients 473

The Introduction 475

The Opening 479

The Body of the Interview 490

Closing and Termination 503

Culture in Young Client Interviews 506

Chapter Summary 508

Chapter 14: Online and Distance Clinical Interviewing** 553

Learning Objectives 533

Chapter Orientation 553

Technology as an Extension of the Self 554

Definition of Terms and Communication Modalities 557

Distance and Online Assessment and Intervention Research 561

Ethical and Practical Issues: Problems and Solutions 565

Conducting Online or Distance Interviews 573

Culture and Online Culture 575

Chapter Summary 576


References 589

Author Index 639

Subject Index 655
I have been using this splendid book for my first-year course in clinical interviewing in our clinical science program. The Sommers-Flanagans have produced another edition of their engaging and lucid textbook infused with that rare combination of clinical wisdom and evidence-based knowledge that embodies the scientist-practitioner model and helps students learn both the practice and scientific basis of clinical assessment via interviewing. I recommend this book both for graduate courses as well as for use by established practitioners who wish to continue honing their skills.
Gerald C. Davison, Ph.D. Professor of Psychology and Gerontology, University of Southern California, and coauthor of Abnormal Psychology and Clinical Behavior Therapy, and featured in the documentary film, Conversion.

I am delighted that John & Rita Sommers-Flanagan are continuing to update Clinical Interviewing; now in its 7th edition! I used prior editions in my basic practicum courses and found the text to be perfect for training psychotherapists. The book offers the breadth and depth needed to prepare students for clinical work. Each chapter is filled with state-of-the-art content and clear examples of clinical interactions that illuminate key points. The video demonstrations cover a wide range of skills and make the content come-to-life. The chapters on risk assessment and working with kids and teens are especially helpful. Using this book is like having two more instructors for the course and it's a great way to provide students (and their professor) the support they need to accomplish their mutual goals.
Heidi Zetzer, Ph.D., Teaching Professor and Director, Carol Ackerman Positive Psychology Clinic, University of California Santa Barbara

This state-of-the-art text is a must-read for counselors, psychotherapists, and mental health professionals in any role and setting. The authors provide clear and easy-to-understand evidence-based analyses, discussions, and applications of the clinical interview process with a 21st-century lens.
Eddy Fagundo, Eddy Fagundo, Ph.D., CRC, CVE | Senior Manager, Education Content, American Counseling Association

I wanted to share my thoughts about the "Clinical Interviewing" book, which I believe is an outstanding resource for Clinical Interview courses in Turkey and worldwide. One particular aspect of this book stands out for me: I've been working as a counselor educator for approximately seven years, and one of the greatest challenges in counselor education is helping students grasp the holistic nature of counseling. They may be well-versed in counseling theories, techniques, and the DSM, but often struggle to integrate this knowledge effectively. That's where this book has proven invaluable. We incorporate this book into our curriculum, especially during the initial weeks of supervision. I particularly admire the chapter titled 'An Overview of the Interview Process.' Starting with this book not only in supervision but also in the early stages of various courses, such as counseling with children and adolescents, provides my students with a solid framework within which to contextualize the information they'll acquire throughout the upcoming weeks. This book provides students with the essential framework for showcasing their counseling skills--where, how, and when to apply them, which makes "Clinical Interviewing" truly unparalleled in its value.
Umit Arslan

This textbook has been extremely helpful in highlighting how fundamental listening and reflecting is to the human experience. The insightful examples and invitational writing style help to bridge the gap of insecurity that many early students experience. I highly recommend this textbook for early skills courses and as a resource for counselors who find themselves in need of a professional "tune up."
Carol McGinnis

We LOVE this textbook for our Diagnosis course!
Meredith Rausch, Ph.D., NCC (She/Her), Associate Professor at Augusta University

One of my favorite textbooks from my graduate program and hands down that liking the two of you from this book and the accompanying videos, that it led me to your Strengths Based Suicide training was such a meaningful shift in my thinking and approach that I remain so grateful for. Excited for those who will continue to learn from the two of you!
Teresa Prince, LPC, Insights Counseling Center, LLC
JOHN SOMMERS-FLANAGAN, PhD, is a clinical psychologist and professor of counseling at the University of Montana. He is the author or co-author of over 100 professional publications and a longtime member of the American Counseling Association and the American Psychological Association.

RITA SOMMERS-FLANAGAN, PhD, is Professor Emerita at the University of Montana. Her work is focused on professional ethics, women's issues, and spirituality's connection to science and human well-being. She is a published poet, essayist, and clinical psychologist.

J. Sommers-Flanagan, University of Montana; R. Sommers-Flanagan, University of Montana