The cognitive interview technique: Reviving the issues

The cognitive interview technique (CI) has received considerable attention as one of the most succssful interview techniques applied to real-life investigations, particularly police investigations. Although the general effects of CI are well documented, there are grounds for critical assessment. In this paper the theoretical principles behind the cognitive components of CI are provided. Variables that have been manipulated will be reviewed, as will conditions under which CI has been studied. The intention is to generalize across the major studies of CI and explore what patterns are present in the data. Issues are introduced that attempt to refine the theoretical underpinnings of CI, and provide direction for research.     

The child-psychoanalytic play interview: a technique for studying thematic content.

Child psychoanalysts have long viewed play as a reflection of children's inner lives and have used the themes children represent in play for diagnostic and therapeutic work. Given the central role children's play has for clinical work, few studies have addressed play empirically. This paper presents a technique for studying the thematic content of children's play as it emerges during a play session with a child analyst. We report the steps involved in developing this investigative technique and describe the interobserver agreement among four rates using the technique with videotaped play sessions. Implications for future research using such an approach are discussed.     

The patient exit interview as an assessment of physician-delivered smoking intervention: a validation study.

In evaluating the efficacy of physician-delivered counseling interventions for health behavior changes such as smoking cessation, a major challenge is determining the degree to which interventions are implemented by physicians. The Patient Exit Interview (PEI; J. Ockene et al., 1991) is a brief measure of a patient's perception of the content and quantity of smoking cessation intervention received from his or her physician. One hundred eight current smokers seen in a primary care clinic completed a PEI following their physician visit. Participants were 45% male, 95% Caucasian, with a mean age of 42 years and an average of 22 years of smoking. The PEI correlated well with a criterion measure of an audiotape assessment of the physician-patient interaction (r = .67, p < .001). When discrepancy occurred, in general it was due to patients' over-reporting of intervention as compared with the criterion measure. Implications and limitations of these findings are discussed.     

The sense-making approach for audience assessment of adolescents

The purpose of the research was to test the methodology used to identify how adolescents approach their nutrition concerns and questions. The methodology was based on Dervin's sense-making theory. Using a time-line interview technique, 305 adolescents 14 to 16 years of age detailed a situation involving their most important nutrition concerns. Other pertinent information was obtained. Cluster analysis was chosen as the appropriate analysis to identify groups of adolescents who responded similarly to the technique. Discriminant analysis was then used to determine which variables maximally separated the groups. Four groups were identified, two of which described action-oriented approaches to dealing with nutrition situations and differed in terms of how much outside help they wanted. The remaining two groups perceived barriers to dealing with situations and also differed in how much help they wanted. A fifth group indicated no nutrition concerns or questions. The results will be used to develop and test the effectiveness of nutrition education when it is focused on the different approaches.     

The assessment of adolescents: preconceptions and realizations

The paper explores, in detail, the process of a single assessment as it unfolds session by session. It draws attention to the inevitability of the clinician's harbouring preconceptions of all kinds - especially when working with adolescents. It focuses on the difficulty of withstanding those preconceptions and allowing the patient's true anxieties, conscious and unconscious, to emerge. The process is a complex one requiring close attention to transference and countertransference manifestations, to the central significance of observation, to Bion's notion of the opacity of memory and desire. The case, that of a hypochondriacal 17-year-old young woman, highlights some main concerns and defences of the age group, for example, somatization, separation, fears of madness, issues of identity and, most fundamental of all, sexuality.     

A psychological interview process for career assessment

The authors present a comprehensive four-step process for conducting initial career assessment by interview. The process assesses skills, interests, values, non-work relationships, goals and activities, and psychological aspects such as self-esteem and work attitudes. The interview process is flexible, internally consistent and portable. Step One analyzes the client's work history and includes reasons why such a history may be inadequate. Step Two examines work-related preferences. Step Three investigates lifestyle context, and Step Four produces a summary of all the accumulated interview information, including options the client wishes to avoid. Detailed worksheets accompany the article.This article has been adapted, with permission, from Chapter 3, Promoting Client Self Understanding, in Yost, E. B., and Corbishley, M. A.Career Counseling: A Psychological Approach. San Francisco: Jossey-Bass, 1987.     

Exploring the career construction interview for vocational personality assessment

This mixed-methods study explored the validity and usefulness of the Career Construction Interview (CCI) with college students (n = 83) from a midsize Southern university. Using Pearson's r correlations, comparisons were made between the three-letter RIASEC Strong Interest Inventory (SII) theme code and RIASEC theme codes derived from coding the CCI narratives of the participants. Results indicated moderate correlation between the CCI and SII participant results.     

The assessment of suicidal behavior in adolescents.

All available assessment instruments (N = 29) used to study suicidal behaviors in adolescents and young adults (age 12-20) were collected and reviewed. Instruments were found to vary substantially in purpose, format, informat, and theoretical orientation. The items from these tools (N = 461) were categorized according to behavior type (thoughts, feelings, or actions) and content categories (death/life-related, disease-promoting/preventing, injury-producing/reducing, person-reducing/enhancing, and factual information). The majority of the items were found to assess thoughts and were focused on death-related content. Recommendations include the need for more rigorous validation of instruments, clearer operational definitions, additional normative information, and expansion of the pool of available items to encompass a broader array of self-destructive behaviors.     

Coping assessment in adolescents

The aim of this work was to obtain an abridged form of the Adolescent Coping Scale (Spanish version) that included items representative of the various factorial dimensions identified as stable. The scale (80 items) was administered to 800 Argentine adolescents. Factor analyses, principal axes and oblimin solution, were performed. An abridged scale was obtained, consisting of 46 items that were grouped into 11 dimensions: Cognitive Redefinition, Self-Blame, Fatalism, Evasion Through Amusement, Problem-Focused Coping (which includes requests for information and action), Evasion Through Physical Activity, Emotional Support, Emotional Discharge and Somatization, Anxiety, Isolation, and No Action. The reliability coefficients were found to be satisfactory.     

The relation between young children's cognitive role-taking and mothers' preference for a conflict-inducing childrearing method

In this study, we examined children's cognitive role-taking in relation to their mothers' choices of techniques to solve domestic dilemmas involving children's misbehavior, social skills, and logical reasoning. Results showed that a mother's preference for the childrearing strategy known as distancing, which uses a Socratic or dialectical inquiry to create cognitive conflict in the child, bore a significant association to her child's advancement in cognitive role-taking skill. This finding is discussed in relation to theories of cognitive development that postulate that mental conflict or tension stimulates cognitive growth. Practical factors that might inhibit mothers from making effective use of the distancing technique are also considered.     

Evaluation of the diagnostic interview for children and adolescents for use in general population samples

This article presents evaluative data on the use of the Diagnostic Interview for Children and AdolescentsRevised (DICAR) to classify DSM-IIIR disorders in the general population. Data for the analyses came from a probability sample (N=251) of parentchild/adolescent dyads aged 6 to 16 separately administered the DICAR on two occasions, 10 to 20 days apart, by trained lay interviewers and child psychiatrists. Data are presented on prevalence,testretest reliability, parentchild/adolescent agreement, and trained lay interviewerchild psychiatrist agreement. High prevalences of oppositional defiant disorder derived from parent assessments and overanxious disorder and dysthymia derived from adolescent assessments suggest that these disorders may be overidentified. Interview data provided by 6 to 11year olds to classify the internalizing disorders were too unreliable to be useful. Agreement between parentchild/adolescent dyads was generally low while agreement between trained lay interviewerschild psychiatrists was generally high.This work was supported by funds from the National Health Research and Development Program (grant number 6606-3760-42) and the Ontario Ministry of Community and Social Services, and was carried out by the Child Epidemiology Unit, Department of Psychiatry, McMaster University and the Child and Family Centre, Chedoke-McMaster Hospitals, Hamilton, Ontario. Dr. Boyle is supported by a William T. Grant Foundation Faculty Scholar Award; Dr. Offord by a National Health Scientist Award, Health and Welfare Canada; Dr. Szatmari by a Research Fellowship, Ontario Mental Health Foundation; and Dr. Fleming by a NARSAD Young Investigator Award. The authors wish to thank the Hamilton Board of Education, particularly Mr. Keith Reilly and Mr. Owen Jackson; principals and teachers of the Board; and parents and students for their help on this project. Our appreciation also extends to Ms. Barb Hall who assisted in the analysis of the data.     

The assessment of type a behavior in children and adolescents: An overview

The present article presents an overview of the instruments that have been used to assess the Type A behavior pattern in children and adolescents. The development, usage, and psychometric properties of each assessment technique are discussed, with methodological concerns being addressed whenever appropriate. The Matthews Youth Test for Health is the assessment of choice for children, because of its brevity, ease of administration, and adequate psychometric properties. The Hunter-Wolf A-B Rating Scale is desirable only for older, highly literate children. The Adolescent Structured Interview appears to be the most promising device for the adolescent age range. The other adolescent assessment devices are relatively unpopular, difficult to administer, and not always conceptually parallel to existing research on Type A behavior. Recommendations for future research are presented.