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Psychiatric interviewing techniques V. Experimental study: eliciting factual information

A Cox, M Rutter, D Holbrook

    The British Journal of Psychiatry : the Journal of Mental Science
    |July 1, 1981
    PubMed
    Summary
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    Systematic questioning in psychiatric interviews effectively gathers factual data from mothers of referred children. This method enhances data quality without negatively impacting the expression of emotions or feelings.

    Area of Science:

    • Psychiatry
    • Clinical Psychology
    • Child Psychiatry

    Background:

    • Diagnostic interviews are crucial for assessing children referred to psychiatric clinics.
    • Mothers' accounts provide essential information for accurate diagnosis and treatment planning.
    • Various interview techniques exist, but their comparative effectiveness in eliciting factual data is not fully understood.

    Purpose of the Study:

    • To compare the efficiency of four expert-recommended interview styles in obtaining factual information from mothers during initial psychiatric diagnostic interviews.
    • To determine if systematic questioning impacts the elicitation of emotions and feelings.

    Main Methods:

    • Four distinct experimental interview styles were employed.
    • Interviews were conducted with mothers of children referred to a psychiatric out-patient clinic.

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  • Data quality and the elicitation of factual information and emotions were assessed.

    • Main Results:

    • Encouraging free speech elicited many key issues but not all.
    • Systematic questioning proved essential for obtaining high-quality factual data.
    • Sensitive probing and attention to factual cues improved data quality.
    • Clinically significant, idiosyncratic information was obtained across all styles.
    • Systematic questioning did not hinder the elicitation of emotions and feelings.

    Conclusions:

    • Systematic questioning is superior for obtaining factual information in initial psychiatric diagnostic interviews with mothers.
    • Effective interview techniques balance systematic inquiry with sensitivity to the informant's narrative.
    • The chosen interview style did not influence informant preference.
    • Factual data collection via systematic questioning does not compromise the assessment of emotional content.