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Entretiens (Psychiatrie)

With time at a premium, today's clinicians must rapidly engage their patients while gathering an imposingly large amount of critical information. These clinicians appropriately worry that the "person" beneath the diagnoses will be lost in the shuffle of time constraints, data gathering, and the creation of the electronic health record. Psychiatric Interviewing: The Art of Understanding: A Practical Guide for Psychiatrists, Psychologists, Counselors, Social Workers, Nurses, and other Mental Health Professionals, 3rd Edition tackles these problems head-on, providing flexible and practical solutions for gathering critical information while always attending to the concerns and unique needs of the patient.

Over five years in the making, this classic introduction to the art of clinical interviewing returns, updated, expanded and innovatively designed for today's reader with over 7.5 hours of streaming video integrated directly into the text itself. Readers now also become viewers, acquiring the rare opportunity to see the author both illustrating specific interviewing techniques and subsequently discussing effective ways in which to employ them. The founder and Director of the acclaimed Cape Cod Symposium, Rob Guerette, describes Dr. Shea's skills as a speaker as follows, "Dr. Shea is an extremely gifted teacher, whose vibrant story-telling skills and compelling videos have led to him garnering some of the highest evaluations in the 30 year history of the Cape Cod Symposium. In short, readers are in for a rare treat when viewing the book's video component."

Within the text, Dr. Shea deftly integrates interviewing techniques from a variety of professional disciplines from psychiatry to clinical psychology, social work, and counseling providing a broad scope of theoretical foundation. Written in the same refreshing, informal writing style that made the first two editions best sellers, the text provides a compelling introduction to all of the core interviewing skills from conveying empathy, effectively utilizing open-ended questions, and forging a powerful therapeutic alliance to sensitively structuring the interview while understanding nonverbal communication at a sophisticated level. Updated to the DSM-5, the text also illustrates how to arrive at a differential diagnosis in a humanistic, caring fashion with the patient treated as a person, not just another case.

Whether the reader is a psychiatric resident or a graduate student in clinical psychology, social work, counseling or psychiatric nursing, the updated third edition is designed to prepare the trainee to function effectively in the hectic worlds of community mental health centers, inpatient units, emergency rooms, and university counseling centers. To do so, the pages are filled with sample questions and examples of interviewing dialogue that bring to life methods for sensitively exploring difficult topics such as domestic violence, drug abuse, incest, antisocial behavior, and taking a sexual history as well as performing complex processes such as the mental status. The expanded chapter on suicide assessment includes an introduction to the internationally acclaimed interviewing strategy for uncovering suicidal ideation, the Chronological Assessment of Suicide Events (CASE Approach). Dr. Shea, the creator of the CASE Approach, then illustrates its techniques in a compelling video demonstrating its effective use in an interview involving a complex presentation of suicidal planning and intent.

A key aspect of this text is its unique appeal to both novice and experienced clinicians. It is designed to grow with the reader as they progress through their graduate training, while providing a reference that the reader will pull off the shelf many times in their subsequent career as a mental health professional. Perhaps the most unique aspect in this regard is the addition of five complete chapters on Advanced and Specialized Interviewing (which comprise Part IV of the book) which appear as bonus chapters in the accompanying e-book without any additional cost to the reader. With over 310 pages, this web-based bonus section provides the reader with essentially two books for the price of one, acquiring not only the expanded core textbook but a set of independent monographs on specialized skill sets that the reader and/or faculty can add to their curriculum as they deem fit.

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- xxi, 302 p. : ill.
Cote : HV 6545 S539e 2008
Trad. de: The practical art of suicide assessment : a guide for mental health professionals and substance abuse counsellors

Suicide - Facteurs de risque ; Suicide - Prévention ; Comportement suicidaire - Facteurs de risque ; Évaluation du risque

Pratique et accessible, ce guide est conçu pour accompagner les cliniciens qui interviennent auprès des personnes en détresse psychique majeure.
Expert de la conduite de l'entretien clinique, S.C. Shea introduit d'abord les bases de la clinique de la crise suicidaire, à travers une compréhension psychopathologique, pleine de sensibilité, du chaos psychique et du désespoir. Ensuite, l'auteur montre de manière très approfondie et à l'aide de nombreuses situations illustrées par des dialogues :

• comment entrer en contact avec ces personnes,
• comment évaluer leur potentiel suicidaire,
• et surtout comment entrevoir avec elles puis construire un autre chemin.

L'exigence de l'auteur envers lui-même invite le lecteur à devenir encore un meilleur clinicien face aux personnes suicidaires. En particulier, il nous propose une technique d'entretien innovante qui permet, avec précision et tout en douceur, d'évaluer les idées, les intentions et les planifications suicidaires avec la méthode de l'Évaluation Chronologique des Événements Suicidaires (ECES).
Dans le cadre de la prévention du suicide, l'utilisation appropriée de cette méthode est un levier essentiel pour changer le cours d'un destin. Il permet d'une part, au clinicien de savoir où en est exactement la planification suicidaire et, d'autre part, au patient de savoir que quelqu'un peut venir le sortir du « couloir de la mort », avec compétence et humanité.

Pratique et accessible, cet ouvrage est un guide pour comprendre et évaluer cliniquement la phénoménologie des états suicidaires. L'auteur propose une technique d'entretien innovante permettant de repérer et évaluer les idéations, planifications et intentions suicidaires : la méthode Évaluation Chronologique des Événements Suicidaires (ECES).
Cette exploration phénoménologique partagée avec le patient permet de clarifier les risques de suicide immédiats. L'ouvrage mène le lecteur à travers ce processus pas à pas, lui offrant de nombreux exemples de questions utiles et d'extraits de dialogues cliniques.

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