Twenty years following a first edition, this reference work on the nursing interview in mental health in connection with the systemic approach is updated. Questions to Marie-Christine Cabié, psychiatrist, trainer in systemic therapy and hypnosis, co-author.
• The interview remains the basic tool of nursing care in psychiatry. Twenty years following the publication of this work, however, the context has evolved considerably. What’s new in this new edition?
I will not speak of novelties, but of updating points already present.
– The first is the enhancement of the competence of patients and their entourage. Over the past ten years, users have demonstrated their ability to help each other, for example with peer health mediators. The arrival of these new actors in the health system has been a source of turmoil in the healthcare teams. In solution-focused approaches and in the Bruges model, we now speak of client-directed therapy. Not only does the user define his care objectives and co-construct with the therapist and the care team the means to achieve them, but his continuous evaluation involves him more in the care process and makes it more effective.
– The second point is the importance of working with the patient’s family.
– The third point concerns the interview itself. It is first a matter of agreeing with the patient on the subject of the interview before getting into the subject. This common project makes it possible to frame the interview itself, and to give it meaning in the course of care.
Moreover, even if the nursing interview is no longer questioned, it remains ill-defined and its methods of application very variable. (…)
