{"id":1782,"date":"2010-12-28T10:41:25","date_gmt":"2010-12-28T10:41:25","guid":{"rendered":"https:\/\/cloverock.info\/mockosce23\/new\/preface\/"},"modified":"2023-09-19T16:02:37","modified_gmt":"2023-09-19T15:02:37","slug":"preface","status":"publish","type":"post","link":"https:\/\/www.qpercom.com\/sim\/index.php\/the-psychiatric-interview\/preface\/preface\/","title":{"rendered":"Preface"},"content":{"rendered":"<hr \/>\n<p><span style=\"color: #003366;\">Medicine requires <em>knowledge<\/em>, <em>expertise<\/em> and <em>skills<\/em> to successfully <span style=\"color: #33cccc;\"><strong>diagnose<\/strong><\/span> and <span style=\"color: #33cccc;\"><strong>treat<\/strong><\/span> patients. The diagnostic process involves various forms of examination, each with its own <span style=\"text-decoration: underline;\">systematic structure<\/span>. First and foremost, <span style=\"color: #33cccc;\"><strong>clear communication<\/strong><\/span> between physician and patient is required to <em>successfully <\/em><span style=\"text-decoration: underline;\">complete<\/span> the diagnostic and treatment process according to medical standards.<\/span><\/p>\n<hr \/>\n<p><span style=\"color: #003366;\">The mental functions of a patient form a crucial part in this diagnostic process. <\/span><\/p>\n<p><span style=\"color: #003366;\">These mental functions determine:<\/span><\/p>\n<ul>\n<li><span style=\"color: #003366;\">How the patient understands their complaints.<\/span><\/li>\n<li><span style=\"color: #003366;\">How the patient expresses their complaints.<\/span><\/li>\n<li><span style=\"color: #003366;\">To what extent the patient feels incapacitated by their complaints.<\/span><\/li>\n<li><span style=\"color: #003366;\">What potential the patient feels to have to solve their problems.<\/span><\/li>\n<\/ul>\n<p><span style=\"color: #003366;\"><em>For example, a patient suffering from a heart complaint is likely to communicate their complaints fearfully, while a patient suffering from a memory problem may have difficulty properly explaining the course of their complaint. A confused patient will be unable to explain their situation clearly, and a psychotic patient might offer an idiosyncratic explanation of their complaints, and may not be easily persuaded to cooperate in treatment. Moderately gifted patients may not have the words to explain their aches and pains, and those with a rigid mindset may not be open to possible alternative explanations of their complaints.<\/em><\/span><\/p>\n<hr \/>\n<p><span style=\"color: #003366;\"><span style=\"color: #33cccc;\"><strong>Mental functions<\/strong><\/span> are the basis of <span style=\"text-decoration: underline;\">human functioning<\/span> and <span style=\"text-decoration: underline;\">interaction<\/span> and determine <em>form<\/em> and <em>content<\/em> of <em>personal beliefs<\/em>, <em>emotions<\/em> and <em>behaviour<\/em>. Therefore, physicians cannot ignore mental functioning of their patients. Mental functions affect the patient\u2019s perception of the physical of mental complaints, and define how patients are able to agree with treatment suggestions. This means that all physicians need <span style=\"text-decoration: underline;\">proper knowledge<\/span>, <span style=\"text-decoration: underline;\">skills<\/span> and <span style=\"text-decoration: underline;\">expertise<\/span> in methodically <span style=\"color: #33cccc;\"><strong>observing<\/strong><\/span> and <span style=\"color: #33cccc;\"><strong>exploring<\/strong><\/span> psychopathological phenomena in the <em>behaviour<\/em>, <em>feelings<\/em> and <em>experiences<\/em> of their patients. In addition, each physician must have <span style=\"text-decoration: underline;\">sufficient knowledge<\/span> of the psychiatric diagnostic process to properly establish contact with a patient.<\/span><\/p>\n<hr \/>\n<p><span style=\"color: #003366;\">A dysfunction in one or more of these mental functions does not necessarily imply a psychiatric disorder in the person involved. Disturbances in mental functions lie in a continuum between \u2018<span style=\"color: #33cccc;\"><strong>normality<\/strong><\/span>\u2019 and \u2018<span style=\"color: #33cccc;\"><strong>psychiatric disorder<\/strong><\/span>\u2019, and are therefore not uncommon in the general population. In addition, disturbances in mental functions are commonly found in clinical syndromes of a purely somatic nature. When a physician observes mental dysfunctions in a patient, they should take into account the nature of psychiatric symptoms in the planning of future diagnostic <em>consultation<\/em>, <em>examination<\/em> and <em>treatment.<\/em><\/span><\/p>\n<hr \/>\n<p><span style=\"color: #003366;\">The goal of this program is to serve as a <span style=\"color: #33cccc;\"><strong>reference text<\/strong><\/span> for <span style=\"text-decoration: underline;\">medical students<\/span> but also for all <span style=\"text-decoration: underline;\">physicians<\/span> who want to <span style=\"color: #33cccc;\"><strong>deepen their knowledge<\/strong><\/span> of the mental state examination. It discusses the position and the key concepts of the mental status examination and shows how it is properly conducted.<\/span><\/p>\n<hr \/>\n<p><span style=\"color: #003366;\">There are videos available which contain a number of interviews with patients. We recommend that you watch the entire interview first in order to understand the context of the video. Then, you can choose to look at the more detailed explication of the mental status examination of the patient. These guided videos include commentary on \u201c<span style=\"color: #33cccc;\"><strong>what<\/strong><\/span>\u201d kind of psychopathology is to be seen and heard, \u201c<span style=\"color: #33cccc;\"><strong>how<\/strong><\/span>\u201d that psychopathology will be labelled and \u201c<span style=\"color: #33cccc;\"><strong>why<\/strong><\/span>\u201d this clinical judgment has been given.<\/span><\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Medicine requires knowledge, expertise and skills to successfully diagnose and treat patients. The diagnostic process involves various forms of examination, each with its own systematic structure. First and foremost, clear communication between physician and patient is required to successfully complete the diagnostic and treatment process according to medical standards. The mental functions of a patient [&hellip;]<\/p>\n","protected":false},"author":83,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[86],"tags":[150],"class_list":["post-1782","post","type-post","status-publish","format-standard","hentry","category-preface","tag-the-psychiatric-interview"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Preface - Qpercom | Skills in Medicine<\/title>\n<meta name=\"description\" content=\"Online Mock OSCEs with examiners, patient actors, instant results and personalised feedback. 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