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Psychiatric Interview
The psychiatric interview refers to the set of tools that a mental health worker (most times a psychiatrist or a psychologist but at times social workers or nurses) uses to complete a psychiatric assessment. The goals of the psychiatric interview are: *Build rapport. *Collect data about the patient's current difficulties, past psychiatric history and medical history, as well as relevant developmental, interpersonal and social history. *Diagnose the mental health issue(s). *Understand the patient's personality structure, use of defense mechanisms and coping strategies. *Improve the patient's insight. *Create a foundation for a therapeutic alliance. *Foster healing. The data collected through the psychiatric interview is mostly subjective, based on the patient's report, and many times can not be corroborated by objective measurements. As such, one the interview's goals is to collect data that is both valid and reliable. Validity refers to how the data compares to an ideal absolu ...
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Psychiatric Assessment
A psychiatric assessment, or psychological screening, is the process of gathering information about a person within a psychiatric service, with the purpose of making a diagnosis. The assessment is usually the first stage of a treatment process, but psychiatric assessments may also be used for various legal purposes. The assessment includes social and biographical information, direct observations, and data from specific psychological tests. It is typically carried out by a psychiatrist, but it can be a multi-disciplinary process involving nurses, psychologists, occupational therapist, social workers, and licensed professional counselors. Purpose Clinical assessment A psychiatric assessment is most commonly carried out for clinical and therapeutic purposes, to establish a diagnosis and clinical formulation, formulation of the individual's problems, and to plan their care and treatment. This may be done in a hospital, in an out-patient setting, or as a home-based assessment. Forensi ...
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Rapport
Rapport ( ; ) is a close and harmonious relationship in which the people or groups concerned are "in sync" with each other, understand each other's feelings or ideas, and communicate smoothly. The word derives from the French language, French verb which means literally to carry something back (in the sense of how people relate to each other: what one person sends out the other sends back). For example, people with rapport may realize that they share similar values, beliefs, knowledge, or behaviors around politics, music, or sports. This may also mean that they engage in reciprocal behaviors such as posture mirroring or increased coordination in their verbal and nonverbal interactions. Rapport has been shown to have benefits for psychotherapy and medicine, negotiation, education, and tourism, among others. In each of these cases, the rapport between members of a dyad (e.g. a teacher and student or doctor and patient) allows the participants to coordinate their actions and establi ...
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Psychiatric History
A psychiatric history is the result of a medical process where a clinician working in the field of mental health (usually a psychiatrist) systematically records the content of an interview with a patient. This is then combined with the mental status examination to produce a " psychiatric formulation" of the person being examined. Psychologists take a similar history, often referred to as a psychological history. This article mainly covers the initial assessment history taking of a patient presenting for the first time with a new complaint. Background In the field of medicine a patient history is an account of the significant events in the patient's life that have a relevance to the issue being addressed. The clinician taking the history guides the process in an attempt to achieve a succinct summary of these relevant details. Much of the history is obtained by asking questions. Some of these questions are quite specific, such as, "How old are you?" and others are more open, such ...
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Medical History
The medical history, case history, or anamnesis (from Greek: ἀνά, ''aná'', "open", and μνήσις, ''mnesis'', "memory") of a patient is a set of information the physicians collect over medical interviews. It involves the patient, and eventually people close to them, so to collect reliable/objective information for managing the medical diagnosis and proposing efficient medical treatments. The medically relevant complaints reported by the patient or others familiar with the patient are referred to as symptoms, in contrast with clinical signs, which are ascertained by direct examination on the part of medical personnel. Most health encounters will result in some form of history being taken. Medical histories vary in their depth and focus. For example, an ambulance paramedic would typically limit their history to important details, such as name, history of presenting complaint, allergies, etc. In contrast, a psychiatric history is frequently lengthy and in depth, as man ...
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Mental Health
Mental health is often mistakenly equated with the absence of mental illness. However, mental health refers to a person's overall emotional, psychological, and social well-being. It influences how individuals think, feel, and behave, and how they cope with stress, relate to others, and make choices. Mental illness, on the other hand, refers to diagnosable conditions—such as depression, anxiety disorders, or schizophrenia—that disrupt a person's thoughts, mood, behavior, or functioning. It is possible for individuals with mental illness to experience periods of good mental health, just as people without a mental illness may struggle with poor mental well-being at times.[1][2] Mental health encompasses emotional, Psychology, psychological, and social well-being, influencing cognition, perception, and behavior. Mental health plays a crucial role in an individuals daily life when managing stress, engaging with others, and contributing to life overall. According to the World Heal ...
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Personality Psychology
Personality psychology is a branch of psychology that examines personality and its variation among individuals. It aims to show how people are individually different due to psychological forces. Its areas of focus include: * Describing what personality is * Documenting how personalities develop * Explaining the mental processes of personality and how they affect functioning * Providing a framework for understanding Individual, individuals "Personality" is a dynamic and organized set of characteristics possessed by an individual that uniquely influences their environment, cognition, emotions, motivations, and Behavioural sciences, behaviors in various situations. The word ''personality'' originates from the Latin ''persona'', which means "mask". Personality also pertains to the pattern of thoughts, feelings, Adjustment (psychology), social adjustments, and behaviors persistently exhibited over time that strongly influences one's expectations, Self-concept, self-perceptions, Valu ...
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Defense Mechanisms
In psychoanalytic theory, defence mechanisms are unconscious psychological processes that protect the self from anxiety-producing thoughts and feelings related to internal conflicts and external stressors. According to this theory, healthy people use different defence mechanisms throughout life. A defence mechanism can become pathological when its persistent use leads to maladaptive behaviour such that the physical or mental health of the individual is adversely affected. Among the purposes of defence mechanisms is to protect the mind/self/ego from anxiety or to provide a refuge from a situation with which one cannot currently cope. Examples of defence mechanisms include: '' repression'', the exclusion of unacceptable desires and ideas from consciousness; ''identification'', the incorporation of some aspects of an object into oneself; '' rationalization'', the justification of one's behaviour by using apparently logical reasons that are acceptable to the ego, thereby furthe ...
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Coping Strategies
Coping refers to conscious or unconscious strategies used to reduce and manage unpleasant emotions. Coping strategies can be cognitions or behaviors and can be individual or social. To cope is to deal with struggles and difficulties in life. It is a way for people to maintain their mental and emotional well-being. Everybody has ways of handling difficult events that occur in life, and that is what it means to cope. Coping can be healthy and productive, or unhealthy and destructive. It is recommended that an individual cope in ways that will be beneficial and healthy. "Managing your stress well can help you feel better physically and psychologically and it can impact your ability to perform your best." Theories of coping Hundreds of coping strategies have been proposed in an attempt to understand how people cope. Classification of these strategies into a broader architecture has not been agreed upon. Researchers try to group coping responses rationally, empirically by factor an ...
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Insight
Insight is the understanding of a specific causality, cause and effect within a particular context. The term insight can have several related meanings: *a piece of information *the act or result of understanding the inner nature of things or of seeing Intuition (knowledge), intuitively (called in Greek) *an introspection *the power of acute observation and Deductive reasoning, deduction, discernment, and perception, called intellection or *an understanding of cause and effect based on the identification of relationships and behaviors within a model, system, context, or scenario (see artificial intelligence) An insight that manifests itself suddenly, such as understanding how to solve a difficult problem, is sometimes called by the German language, German word . The term was coined by the German psychologist and theoretical linguist Karl Bühler. It is also known as an epiphany (feeling), epiphany, Eureka effect, eureka moment, or (for crossword solvers) the penny dropping moment ...
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Therapeutic Alliance
A therapeutic alliance, or working alliance, is a partnership between a patient and their therapist that allows them to achieve goals through agreed-upon tasks. The concept of therapeutic alliance dates back to Sigmund Freud. Over the course of its evolution, the meaning of the therapeutic alliance has shifted both in form and implication. What started as an analytic construct has become, over the years, a transtheoretical formulation, an integrative variable, and a common factor. Alliance as analytic In its analytic permutation, Freud suggested the importance of allowing for the patient to be a “collaborator” in the therapeutic process. In his writings on transference, Freud thought of the patient’s feelings towards the therapist as resembling the non-conflicted, trusting elements of early relationships with the patient’s parents, and that this could serve as the basis for collaboration in this way. In later years, ego psychologists popularized a construct that t ...
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Validity (logic)
In logic, specifically in deductive reasoning, an argument is valid if and only if it takes a form that makes it impossible for the premises to be truth, true and the conclusion nevertheless to be False (logic), false. It is not required for a valid argument to have premises that are actually true, but to have premises that, if they were true, would guarantee the truth of the argument's conclusion. Valid arguments must be clearly expressed by means of sentences called well-formed formula, well-formed formulas (also called ''wffs'' or simply ''formulas''). The validity of an argument can be tested, proved or disproved, and depends on its logical form. Arguments In logic, an argument is a set of related statements expressing the ''premises'' (which may consists of non-empirical evidence, empirical evidence or may contain some axiomatic truths) and a ''necessary conclusion based on the relationship of the premises.'' An argument is ''valid'' if and only if it would be contradicto ...
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Secondary Gain
Primary gain and secondary gain, and more rarely tertiary gain, are terms used in medicine and psychology to describe the significant subconscious psychological motivators patients may have when presenting with symptoms. If these motivators are recognized by the patient, and especially if symptoms are fabricated or exaggerated for personal gain, then this is instead considered malingering. The difference between primary and secondary gain is that with primary gain, the reason a person may not be able to go to work is because they are injured or ill, whereas with secondary gain, the reason that person is injured or ill is so that they cannot go to work. Primary gain Primary gain produces positive internal motivations. For example, a patient might feel guilty about being unable to perform some task. If a medical condition justifying an inability is present, it may lead to decreased psychological stress. Primary gain can be a component of any disease, but is most typically demonstrat ...
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