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CMN 548 Module 1 Study Guide For Final Exam Questions With Revised Correct Detailed Answers With Rationales |ALREADY GRADED A+ PASS > > BRAND NEW VERSION!! GUIDE SADOCK $12.99
CMN 548 Module 1 Study Guide For Final Exam Questions With Revised Correct Detailed Answers With Rationales |ALREADY GRADED A+ PASS > > BRAND NEW VERSION!! GUIDE SADOCK
CMN 548 Module 1 Study Guide For
Final Exam Questions With Revised
Correct Detailed Answers With
Rationales
|ALREADY GRADED A+ PASS >
> BRAND NEW VERSION!!
GUIDE SADOCK
The essential questions take 5 minutes to ask, whereas the extended version
takes 10 to 20 minutes and sh...
CMN 548 Module 1 Study Guide For
Final Exam Questions With Revised
Correct Detailed Answers With
Rationales
|ALREADY GRADED A+ PASS >
> BRAND NEW VERSION!!
GUIDE SADOCK
The essential questions take 5 minutes to ask, whereas the extended version
takes 10 to 20 minutes and should be reserved for occasions on which you can
take two sessions to do the evaluation.
summarizes the components of the social and developmental history: Early family
life.
Begin with the following introductory question:
Can you tell me a bit about your background, where you grew up, and how you
grew up?
Proceed to more specific questions, moving chronologically through the stages
of life.
How many siblings did you have, and where were you in the birth order?
Each family configuration has a unique impact on psychological development.
Typical scenarios include the loneliness of the only child, the eldest child of a
,large family who was forced into the role of a parent, the ignored middle child,
and the youngest child who grew up as the resented apple of his mother’s eye.
What did your parents do for a living?
Parental employment may have affected the patient’s relationship with her
parents. For example, a father who worked as a traveling salesman may not
have been home much. This question also gives you a sense of socioeconomic
situation: Did the patient grow up amid poverty or affluence?
How did you get along with your parents?
Although there’s not enough time to do this topic justice in the diagnostic
interview, these questions will give you an idea of the general flavor of the
home. Was it a peaceful, loving environment, or was it angry and chaotic?
What did they do when you disobeyed?
This question can gently introduce the topic of physical or sexual abuse.
Depending on the answer, you can follow up with a more explicit question, such
as
Were you abused physically or sexually as you grew up?
Were there any other important adults in the home?
Often, another relative was a major factor in the patient’s early life, with either
a positive or a negative effect.
How did you get along with your siblings?
A close relationship with siblings
can often compensate for a terrible relationship with parents.
Who were you closest to, growing up?
summarizes the components of the social and developmental history: education
Did you enjoy school?
This question will give you a sense of how the patient managed her first
encounter with the social field outside of the family.
,Did you have many friends, or did you keep to yourself?
Did you have a best friend?
The patient’s lifelong pattern of relating is often apparent in the first few years
of school.
What kinds of grades did you get?
Grades are a rough measure of intelligence and perseverance.
What did you do after you graduated (or dropped out)?
Did she take the straight and narrow course to college or into the job world? Or
did she wander for a while, not certain what to do with her life?
summarizes the components of the social and developmental history: work
history
While I have categorized asking about work under the social and developmental
history, this is often something you will ask quite early in the interview, as you
are “breaking the ice.”
But how should you ask this question, which is a loaded one for some patients?
For some patients, a straightforward “What do you do for a living” is entirely
appropriate.
But if you suspect that your patient may not be working, a couple of tactful
inquiries are “Do you have a job or are you between jobs?” or “Are you working
at the moment?” Perhaps the safest single question to ask is “How do you
support yourself?”
Such a question allows a patient who is on disability to reply, “I’m on disability,”
or allows a non-working partner to say “My spouse brings in the money for us”
(Suggestions adapted from Shea 2007).
Did you like your work?
How well did you get along with employers and colleagues?
Did the patient’s pattern of relating continue unaltered as she entered the work
environment?
, Did she have any difficulties dealing with authority figures?
summarizes the components of the social and developmental history: sexual
history
How does one ask about sexuality? It’s always an awkward topic, and patients
are usually guarded about revealing sexual information, especially when it
pertains to sexual orientation. One study showed that adolescents are four
times more likely to reveal a history of homosexual contact to a computer than
to a person, but even the responses revealed to the computer were well below
estimates of the actual prevalence of homosexuality in adolescents (Turner et
al. 1996). Thus, asking about sexual history requires extra sensitivity.
Recall that in Chapter 16, I suggested some sexual history questions in the
context of the medical history and the assessment of the risk for HIV. An
alternative tactic is to approach these issues from within the social history.
Here, the rationale for obtaining a sexual history is not so much to assess HIV
risk as it is to assess the quality of the patient’s intimate relationships. Is she
capable of relating intimately with another? Are her intimate relationships
stable or transient and chaotic, as in the case of patients with borderline
personality disorder?
As with the rest of the social history, proceed chronologically:
When did you first begin dating?
Eventually, you’ll decide on a way of asking about sexual orientation that is
comfortable for you. The trick is to be nonjudgmental.
Were you attracted to men, women, or both?
summarizes the components of the social and developmental history: current
activities and relationships
What attracted you to your current significant other?
How has your marriage (relationship) gone?
Do you have any close friends (aside from your spouse)?
Are you in touch with your family?
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