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Supervision of the Initial Interview: Title and subTitle BreakA Study of Two Methods

Stefan P. Stein, MD; Toksoz B. Karasu, MD; Edward S. Charles, MA; Peter J. Buckley, MB, ChB
[+] Author Affiliations

Accepted for publication July 8, 1974.

Reprint requests to the Psychiatric Out-Patient Services, Albert Einstein College of Medicine, 1165 Morris Park Ave, Bronx, NY 10461 (Dr. Stein).


Arch Gen Psychiatry. 1975;32(2):265-268. doi:10.1001/archpsyc.1975.01760200129013
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Two methods of supervision of the initial evaluation of outpatients by psychiatric residents were compared. In condition 1, residents evaluated patients and then presented the case material to a supervisor in the traditional manner. In condition 2, the supervisor observed the interview directly. Supervisor and residents then independently completed ratings of psychopathology, motivation, insight, and prognosis of the patients.

Significant differences in several variables between the two conditions were noted. Resident and supervisor ratings of patients were in clear agreement when both observed the interview.

REFERENCES

Kubie LS:  Research into the process of supervision in psychoanalysis . Psychoanal Q 27:226-236, 1958;.
Lewin KK:  Psychiatric supervision by direct observation . J Med Educ 41:860-866, 1966;.
Schuster DB, Freeman EN:  Supervision of the resident's initial interview . Arch Gen Psychiatry 23:516-523, 1970;.
Buehler JA:  Two experiments in psychiatric interrater reliability . J Health Human Behav 7:192-202, 1966;.
Dohrenwend BP, Egri G, Mendelsohn FS:  Psychiatric disorder in general populations: A study of the problem of clinical judgement . Am J Psychiatry 127:1304-1312, 1971;.
Hollingshead A: Two Factor Index of Social Position . New Haven, Conn, Yale University, 1957;.
Overall JE, Gorham DR: The brief psychiatric rating scale. Psychol Rep 10:799-812, 1962;.
Hollister LE, Overall JE, Katz G, et al:  Oxypertine and thiothizene in newly admitted schizophrenic patients . Clin Pharmacol Ther 12:531-538, 1971;.
Overall JE, Henry BW, Markett JR, et al:  Decisions about drug therapy: Prescriptions for adult psychiatric outpatients . Arch Gen Psychiatry 26:140-145, 1972;.
Gorham DR, Overall JE:  Drug-action profiles based on an abbreviated psychiatric rating scale . J Nerv Ment Dis 131:528-535, 1960;.
Overall JE, Klett CJ: Applied Multivariate Analysis . New York, McGraw-Hill Book Co Inc, 1972;.
Fleming J, Benedek TF: Psychoanalytic Supervision . New York, Grune & Stratton Inc, 1966;.

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Kubie LS:  Research into the process of supervision in psychoanalysis . Psychoanal Q 27:226-236, 1958;.
Lewin KK:  Psychiatric supervision by direct observation . J Med Educ 41:860-866, 1966;.
Schuster DB, Freeman EN:  Supervision of the resident's initial interview . Arch Gen Psychiatry 23:516-523, 1970;.
Buehler JA:  Two experiments in psychiatric interrater reliability . J Health Human Behav 7:192-202, 1966;.
Dohrenwend BP, Egri G, Mendelsohn FS:  Psychiatric disorder in general populations: A study of the problem of clinical judgement . Am J Psychiatry 127:1304-1312, 1971;.
Hollingshead A: Two Factor Index of Social Position . New Haven, Conn, Yale University, 1957;.
Overall JE, Gorham DR: The brief psychiatric rating scale. Psychol Rep 10:799-812, 1962;.
Hollister LE, Overall JE, Katz G, et al:  Oxypertine and thiothizene in newly admitted schizophrenic patients . Clin Pharmacol Ther 12:531-538, 1971;.
Overall JE, Henry BW, Markett JR, et al:  Decisions about drug therapy: Prescriptions for adult psychiatric outpatients . Arch Gen Psychiatry 26:140-145, 1972;.
Gorham DR, Overall JE:  Drug-action profiles based on an abbreviated psychiatric rating scale . J Nerv Ment Dis 131:528-535, 1960;.
Overall JE, Klett CJ: Applied Multivariate Analysis . New York, McGraw-Hill Book Co Inc, 1972;.
Fleming J, Benedek TF: Psychoanalytic Supervision . New York, Grune & Stratton Inc, 1966;.

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