Clinical Interviewing With Older Adults

Over the next few decades the older adult population will increase dramatically, and prevalence rates of psychiatric disorders are also expected to increase in the elderly cohort. These demographic projections highlight the need for diagnostic instruments and methods that are specifically tailored to older adults. The current paper discusses the benefits and drawbacks of clinical interviewing with older adults, using two popular interview protocols as illustrative examples. Drawing upon preexisting basic research and our own observations collected in clinical and research settings over a 10-year period, we suggest procedures and suggestions for augmenting existing interview protocols to increase their usefulness with older adults in research and clinical settings. Strategies to optimize interview duration and enhance retrospective data accuracy and the pros and cons of dimensional versus dichotomous response formats, among other relevant topics, are discussed.     

Interactional value theory: An interpretation

Summary The imperatives of organization, technology, and planning operate similarly in both capitalist and Marxist systems. Differences in behavioural outputs (such as organizational productivity, industrial relations behaviour, or the outcomes of different health services systems) can be explained by adopting a framework of an interactional value theory which accepts convergence of different value systems and points out and analyzes differences in outputs in light of interactions between available climatic techniques and preferred values. The interactional approach links together ethical theory and various issues in social philosophy, especially in the context of the resolution of conflict among values. The dynamics of economic and social change stem from differing values held by key actors in society - government, business and the public. Values are not categorical but integrative, and values held by various parties converge. Further research should be focussed to clarify value-beliefs of government, business and other key players in identifying the interactional characteristics of public policy issues.     

互动公正及其因素结构实证研究

在中国文化背景下,针对营利性组织中人际交往中互动公正的因素结构展开研究,通过实证调研、数据分析得出互动公正的二维结构,即尊重与认可、解释和领导方式,同时提出互动公正在人力资源管理实践中的指导意义。     

An Interactional Approach to Dysfunctional Silencing in Family Therapy

This paper presents an interactional approach to the problem of dysfunctional silencing in family therapy. Silencing is classified as dysfunctional if it satisfies two conditions: (a) it occurs repeatedly and independently of content, and (b) it functions as negative feedback that limits change in the family system. Dysfunctional silencing is defined as those efforts of one or more family members to limit change by repeatedly blocking the communication of another family member, who in turn colludes by tacitly agreeing to remain silent. The interactional approach presented utilizes conflict-resolution techniques and videotape feedback; it is illustrated by a case example.     

An Interactional Approach for Pharmacopsychologists and Psychologists: Gender Concerns

A knowledge base of culturally sensitive psychotropic pharmacotherapy is encouraged to help patients receive accurate diagnoses and beneficial treatment. Research is best informed if the complexity of individuals is directly addressed beyond main effects in research designs. The interactions of age, sex/gender, race/ethnicity, and cultural practices, as well as medication effects, need to be studied. Reporting data with distinctive characteristics exhibited by different ethnic-gender subgroups provides rich information with which psychologists can treat patients more effectively as well as ethically. Conceptual models of prescribing need to include perspectives of the whole person. An interactional model is one model that would address physiological, psychological, and sociocultural dimensions.     

Interactional Complexity and Communication

This paper draws attention to an oversimplification that we believe has been frequently made in the analysis of interpersonal communication. This happens when one uses interpersonal communication models that do not match the interactional complexity of the system under observation. The aim of the paper is to present some conceptual parameters (Territoriality, Temporality, Duality) of an N-adic model of communication in the effort to match the interactional complexity of the N-person games. In other words, if we accept the so-called "systems" approach, we need communication models that allow us to observe different levels of interactional complexity. The observer (the therapist) may decide on which level to take up his or her stance with reference to the particular case at hand and the goals in studying it.     

Interactional aspects of cognitive organization

Further propositions are formulated towards a comprehensive structural developmental theory of cognitive change, begun in Langer (1969a, 1969b). Here, the analytic focus is upon: (a) The organization of the subject's assimilatory operations and accomodatory figurations; (b) the intrinsic coordinations between the theoretical and empirical cognitions constructed, respectively, by these two kinds of functional structures; and (c) the cognitive developmental changes produced by intrinsic coordinations. Derivative empirical hypotheses are considered in light of findings summarized here and elsewhere.     

Interactional treatment of intractable hiccups

This article provides a comprehensive review of the literature regarding nonmedical approaches to the understanding and treatment of intractable hiccups. The author provides a rationale for an interactional view and presents a case in which post-surgical hiccups were successfully treated, using principles developed by the Mental Research Institute. Of particular interest is the manner in which the therapist managed a system that included the victim's wife, a physician, and other medical personnel who were all trying to eliminate the hiccups. Interventions were designed primarily to alter meanings attributed to the hiccups and, thus, to intervene in the system that was maintaining the problem. This article is presented as a response to Weakland's call for research and practice in family somatics.     

Tailored Interviewing: An Application of Item Response Theory for Personality Measurement

Despite recent technological advances in mass survey administration, surveys seeking to measure personality traits still employ procedures identical to the traditional paper-and-pencil scales, in which every respondent is asked exactly the same items, regardless of his or her trait level. We present an empirical application of personality measurement in which the number and sequence of scale items are tailored to the trait level of each respondent and show that the total number of questions asked of each respondent could be reduced substantially, with a measurable and controllable increase in the standard error of measurement.     

Time-Extended Family Interviewing

This paper presents a family-therapy technique — time-extended family interviewing — in which the therapist extends the traditional one-hour interview to three to seven hours, by plan, at a particular point in the life of a case and for a particular purpose. Extended sessions promote movement in a case for a variety of reasons. Furthermore, the use of such sessions highlights the dimension of time as an important element of good casework practice.     

Barriers to Learning Motivational Interviewing: A Survey of Motivational Interviewing Trainers' Perceptions

Trainers reported that motivational interviewing (MI)–inconsistent behaviors were frequently perceived during training and believed to create barriers to learning. More barriers were perceived in corrections than in mental health training audiences. Strategies to facilitate unlearning MI‐inconsistent behaviors may accelerate acquisition of MI.     

Client-Oriented Interactional Behaviors for Professional-Client Settings

The outcomes of professional-client relationships are often less satisfactory than one would expect them to be. This study suggested that professionals using client-oriented interaction behaviors grounded in the interactional view (Reusch & Bateson, 1968; Watzlawick, Beavin, & Jackson, 1967) would be rated as more effective than those who did not. A field study of computer professionals revealed that highly rated professionals used client-oriented communication behaviors more frequently than their counterparts who were rated lower. Moreover, the client-oriented interactional behaviors provided substantial discrimination between high- and low-performing professionals.     

Interactional Reconstruction in Real-Time Language Processing

This study documents and characterizes a phenomenon in naturally-occurring conversation which I have termed interactional reconstruction. Interactional reconstruction involves retroactive reinterpretation of an earlier utterance (or set of utterances) on the basis of a more recent utterance (or set of utterances). This work is meant to serve two functions: first, to enrich our theories of human communication; and second, to explore directions and implications for theories of meaning and discourse modeling within cognitive science.     

Viktor Frankl and Interactional Group Therapy

Although Viktor Frankl's Logotherapy concepts have been described as a basis for support groups and for small sharing groups, they have seldom been reported in the literature as a basis for the practice of interpersonal group psychotherapy. In this article the author overviews and outlines the treatment elements and dynamics of a Logotherapy approach to interpersonal group therapy. Clinical material is provided to give a flavor of the described treatment approach.