A review of the literature suggests that the teaching of interviewing skills in psychiatry residency programs has been largely ignored. The consequences of poor interviewing, the characteristics of good interviewing, and what is known about effective training techniques for the mastery of clinical interviewing are reviewed. The relevance of psychiatric training is discussed. Issues which warrant further research are presented.
References
1.
McGuireP.Psychiatrists also need interview training (Comments).Br J Psychiatry1982; 141: 423–424.
2.
RutterM., CoxA.Psychiatric interviewing techniques: I. Methods and measures.Br J Psychiatry1981; 138: 273–282.
3.
StollerR.J.Psychiatry's mind-brain dialectic, or The Mona Lisa has no eyebrows.Am J Psychiatry1984; 141 (4): 554–558.
4.
GoldbergD., HuxleyP.Mental illness in the community: the pathway to psychiatric care.London: Tavistock Publications, 1980.
5.
FletcherC.Listening and talking to patients. III. The exposition.Br Med J1980; 281: 994–996.
6.
ComstockL.M., HooperE.M., GoodwinJ.M., GoodwinJ.S.Physician behaviors that correlate with patient satisfaction.J Med Educ1982; 57: 105–112.
7.
ThompsonJ.A., ThompsonJ.L.Patient preferences and the bedside manner.Med Educ1982; 16: 17–21.
HelferR.E.An objective comparison of paediatric interviewing skills of freshmen and senior medical students.Paediatrics1970; 45: 623–627.
15.
ScottN.C., DonnellyM.B., HessJ.W.Changes in interviewing styles of medical students.J Med Educ1975; 50: 1124–1126.
16.
KnoxJ.D., AlexanderD.W., MorrisonA.T., BennettA.Communication skills and undergraduate medical education.Med Educ1979; 13: 345–348.
17.
WrightA.D., GreenI.D., Fleetwood-WalkerP.M., BishopJ.M., WishartE.H., SwireH.Patterns of acquisitions of interview skills by medical students.Lancet1980; 2: 964–966.
18.
MaguireP., RowP., GoldbergD., JonesS., HydeC., O'DowdT.The value of feedback in teaching interviewing skills to medical students.Psychol Med1978; 8: 695–704.
19.
Sanson-FisherR., FairbairnS., MaguireP.Teaching skills in communication to medical students — a critical review of the methodology.Med Educ1981; 15: 33–37.
20.
MaguireG.P., RutterD.R.History-taking for medical students. I. Deficiencies in performance.Lancet1976; 2: 556–558.
21.
ArmstrongD., HicksB.H., HigginsP.M., WeinmanJ.A.Teaching communication skills to pre-clinical medical students: a general practice based approach.Med Educ1979; 13: 82–85.
22.
KentG.G., ClarkeP., Dalrymple-SmithD.The patient is the expert: a technique for teaching interviewing skills.Med Educ1981; 15: 38–42.
23.
MaguireG.P., ClarkeD., JolleyB.An experimental comparison of three courses of history-taking skills for medical students.Med Educ1977; 11: 175–182.
24.
VerbyJ.E., HoldenP., DavisR.H.Peer review of consultation in primary care: the use of audio-visual recordings.Br Med J1979; 1: 1686–1688.
25.
PooleA.D., Sanson-FisherR.W.Understanding the patient: a neglected aspect of medical education.Social Science and Medicine1979; 13A: 37–43.
26.
WinefieldH.R.Subjective and objective outcomes in communication skills training in first year.Med Educ1982; 16: 192–196.
27.
EganG.The skilled helper: a model for systematic helping and interpersonal relating.Monterey, California: Brooks/Cole,1975.
28.
CarrollJ.G., MonroeJ.Teaching medical interviewing: a critique of educational research practice.J Med Educ1979; 54: 498–500.
29.
TannerL.A., SilvermanG.A teacher's guide to teaching medical interviewing.Med Educ1981; 15: 100–105.
30.
BryansA.M., CrothersK.The volunteer patient as an educational resource.J Med Educ1979; 54: 932–937.
31.
Sanson-FisherR.W., PooleA.D.Simulated patients and the assessment of medical students’ interpersonal skills.Med Educ1980; 14: 249–253.
32.
VoineskosG., GrebenS.E., LowyF.M., SmithR.L., SteinhauerP.D.The psychiatric training of medical students.Can J Psychiatry1981; 26 (5): 301–308.
33.
LeonR.L.Psychiatric interviewing: a primer.New York: Elsevier/North-Holland,1982.