The Medical Interview

Steven Cole, MD is Professor of Clinical Psychiatry, Emeritus at S.U.N.Y. Stony Brook Health Sciences Center. He has been awarded grants from the National Institute of Mental Health and the John D. and Catherine T. MacArthur Foundation for clinical, disease management and educational work on depression in general medical settings. He has published more than 40 peer-reviewed journal articles and 30 book chapters, mostly related to psychiatric disorders in medical patients. https: //webcampus.drexelmed.edu/doccom/db/assets/authors/StevenCole.htm;

Foreword to the Second Edition Foreword to the First Edition Preface to the Second Edition I. The Three Functions of Effective Interviewing Introduction: Learning to Interview by Using the Three-Function Approach Why Three Functions? Function 1: Build the Relationship Function 2: Assess the Patients Problems Function 3: Manage the Patients Problems II. Meeting the Patient Ten Common Concerns III. Structure of the Interview The Opening The Chief Complaint and Survey of Problems History of Present Illness (Problem Exploration) Past Medical History Family History Patient Profile and Social History The Review of Systems Mental Status IV. Understanding the Patients Emotional Responses Understanding Normal Emotional Responses Understanding Maladaptive Emotional Responses V. Managing Communication Challenges Troubling Personality Styles and Somatization High Risk Health Behaviors and High Risk Life Situations Culture, Cultures, and the Culturally-Sensitive Medical Interview Interviewing the Family Interviewing Elderly Patients Breaking Bad News Sexual Issues in the Interview Selected Psychiatric Problems VI. Higher Order Skills Non-Verbal Communication Psychological Principles (Psychodynamic and Behavioral) Clinical Reasoning, Clinical Inference, and Flexibility Appendix: Table of Skills