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The Assessment Interview and Case History 79

Table 3.1 Checklist for an assessment interview and case history

History of the Problem


Description of the problem Intensity and duration
Initial onset Previous treatment
Changes in frequency Attempts to solve
Antecedents/consequences Formal treatment

Family Background
Socioeconomic level Cultural background
Parent’s occupation(s) Parent’s current health
Emotional /medical history Family relationships
Married/separated/divorced Urban /rural upbringing
Family constellation

Personal History
Infancy
Developmental milestones Early medical history
Family atmosphere Toilet training
Amount of contact with parents
Early and Middle Childhood
Adjustment to school Peer relationships
Academic achievement Relationship with parents
Hobbies/activities/interests Important life changes
Adolescence
All areas listed for early and middle Early dating
childhood Reaction to puberty
Presence of acting out ( legal, drugs,
sexual)
Early and Middle Adulthood
Career/occupational Marriage
Interpersonal relationships Medical /emotional history
Satisfaction with life goals Relationship with parents
Hobbies/interests/activities Economic stability

Late Adulthood
Medical history Reaction to declining abilities
Ego integrity Economic stability

Miscellaneous
Self-concept ( like/dislike) Somatic concerns ( headaches, stomach-
Happiest /saddest memory aches, etc.)
Earliest memory Events that create happiness/sadness
Fears Recurring/noteworthy dreams

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