Mr. and Mrs. Lawson brought their 4-year-old adopted daughter, Clara, to see Dr. Mason, a psychiatrist. Clara was polite in greeting Dr. Mason, but did not smile and kept her gaze down as she took a seat. Mr. and Mrs. Lawson sat next to Clara and began explaining their concerns. They described Clara as a quiet child who has recently begun throwing temper tantrums, during which she is inconsolable. Her sleep and eating patterns have changed, and she no longer wants to go to preschool.
Create a brief response to each of the following questions:
What other information would you like to learn during the interview with the family? What questions would you ask?
• Gathering information is critical to a successful initial interview. So I would spend time gathering information about each family member’s problems and feelings, lifestyle and relationships, and other personal history as is commonly done with the first interview. I want to know who everyone is individually as well as how they communicate with one another. I would find out what each person’s idea of therapy was as well as why/if they are seeking therapy in the first place in each of their own words. This will let me know what each family member considers important, what personal issues they may be dealing with as well as the perspective they have on each other. My questioning towards Clara would be much more open ended initially due to her age. I want her to feel comfortable and open up naturally without considering what her parents may think of her answers.
In addition to the clinical interview, what other clinical assessment tools should you consider? Why?
• The sociocultural perspective seems to make the most sense here so I would frame my questioning in the following areas: family, social, and cultural environments. Because in their own words the Lawson’s described their child as “as a quiet child who has recently begun throwing temper...