Department of Child and Adolescent Psychiatry, Outpatient Child and Adolescent Psychiatry, NYU Langone Health, Bellevue Hospital, Hassenfeld Children's Hospital at NYU Langone, Child Study Center, 462 First Avenue, Room A244, New York, NY 10016, USA.
Department of Social Work, Southern Connecticut State University, 101 Farnham Avenue, Office 114, New Haven, CT 06515, USA.
Child Adolesc Psychiatr Clin N Am. 2019 Apr;28(2):157-169. doi: 10.1016/j.chc.2018.11.009.
In traditional medical practice, the diagnostic interview is focused on symptom collection, diagnosis, and treatment. The psychiatric interview is based on the medical model, but mental health clinicians lack the tests found in general medicine. Rapport is the most essential tool for the psychiatrist to uncover symptoms and develop a diagnosis and treatment plan. This article brings a scientific lens to the psychiatric interview. Under this microscope the value of eliciting the patient's well-being at the outset of the interview becomes clear. Using positive psychology, an evidenced-based rationale for the positive assessment is outlined and methodology and practice of the assessment reviewed.
在传统的医疗实践中，诊断性访谈主要集中在症状采集、诊断和治疗上。精神科访谈基于医学模式，但精神科临床医生缺乏一般医学中发现的测试。融洽关系是精神科医生发现症状、制定诊断和治疗计划的最基本工具。本文为精神科访谈带来了科学的视角。在这个显微镜下，从访谈一开始就引出患者的幸福感的价值就变得清晰了。本文运用积极心理学，概述了积极评估的循证依据，并回顾了评估的方法和实践。
