Psychiatric Interviewing by Shea Shawn Christopher

Author:Shea, Shawn Christopher
Language: eng
Format: epub, pdf
ISBN: 9781437737820
Publisher: Elsevier Health Sciences
Published: 2016-09-18T16:00:00+00:00

Goals of This Chapter and Core Definitions

Hopefully the following chapter is an antidote to the typical confusion encountered when first reading about object relations and self psychology. My goal is to provide a concise, clarifying, easily understood introduction to these psychodynamic topics that is both fun to read and of immediate practical application to the initial interview.

More specifically, in this chapter we will examine, in a simplified fashion, how object relations and self psychology can explain how a human being develops a secure and ultimately high-functioning sense of self. As these developmental stages are explored, we will uncover interviewing techniques that we can use during an initial interview to better achieve a sensitive differential diagnosis as rapidly as possible. Perhaps even more importantly, an understanding of object relations and self psychology will emerge that can help readers to effectively engage patients who present with severe personality dysfunction while simultaneously increasing the enjoyment of working with them.

This more compassionate framework, built upon an empathic groundwork, allows a clinician to understand the why and how of a patient's seemingly inexplicable behaviors. Specifically, an understanding of these two psychodynamic models facilitates the following three clinical interviewing skill sets: (1) it provides new signal signs for limiting the diagnostic field, (2) it provides new signal symptoms for limiting the diagnostic field, and (3) it provides new tools for enhancing engagement. Deeper into this chapter, as we uncover various psychodynamic concepts related to object relations and the psychology of the self (such as merger objects, splitting, and mirror-transferences), we will sequentially examine practical interviewing techniques from each of these three skill sets. But first we must begin our study by operationally defining object relations and the psychology of the self.

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