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The Medical Interview
The Three Function Approach
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T H I R D E D I T I O N
The Medical
Interview
The Three Function Approach
STEVEN A. COLE, MD, MA, FAPA
Professor of Psychiatry, Emeritus
Stony Brook University School of Medicine
Stony Brook, NY
JULIAN BIRD, MA (CANTAB), FRCP, FRCPSYCH
Lately Senior Lecturer in Psychiatry
Guy’s Kings and St. Thomas’s School of Medicine
University of London
London, United Kingdom
1600 John F. Kennedy Blvd.
Ste 1800
Philadelphia, PA 19103-2899
THE MEDICAL INTERVIEW: THE THREE FUNCTION APPROACH ISBN: 978-0-323-05221-4
Copyright © 2014 by Saunders, an imprint of Elsevier Inc.
Copyright © 2000 by Mosby, Inc., an affiliate of Elsevier Inc.
All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means,
electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without
permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s
permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright
Licensing Agency, can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as
may be noted herein).
Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our
understanding, changes in research methods, professional practices, or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any
information, methods, compounds, or experiments described herein. In using such information or methods they
should be mindful of their own safety and the safety of others, including parties for whom they have a professional
responsibility. With respect to any drug or pharmaceutical products identified, readers are advised to check the
most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be
administered, to verify the recommended dose or formula, the method and duration of administration, and
contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their
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appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the authors, contributors, or
editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability,
negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in
the material herein.
Library of Congress Cataloging-in-Publication Data
Cole, Steven A., author, editor of compilation.
The medical interview: the three function approach / Steven A. Cole, Julian Bird.—Third edition.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-0-323-05221-4 (pbk.)
I. Bird, Julian, author, editor of compilation. II. Title.
[DNLM: 1. Medical History Taking. 2. Communication. 3. Physician-Patient Relations. WB 290]
RC65
616.07′51–dc23
2013037383
Senior Content Strategist: James Merritt
Content Development Specialist: Jacob Harte
Publishing Services Manager: Hemamalini Rajendrababu
Project Manager: Saravanan Thavamani
Design Manager: Ellen Zanolle
Marketing Manager: Debashis Das
Printed in United States of America
Last digit is the print number: 9 8 7 6 5 4 3 2 1
TO
my parents
John and Clara Cole
I wish you could have lived to see and enjoy this book
My children and grandchildren
Jamie, Eugenia, Ethan, Monika, Anna, Doug,
Kristen, MaryBeth, Michael,
Siena, Aria, Elliot, Kyra, and Naomi
You broaden and brighten my life.
AND
my wife
Mary
You bring peace and joy.
I cherish and treasure our life and love.
C O N T R I B U T O R S
Thomas L. Campbell, MD Roxane Gardner, MD, MPH, DSc
William Rocktaschel Professor and Chair Assistant Professor Obstetrics & Gynecology
Department of Family Medicine Harvard Medical School
University of Rochester School of Medicine Brigham and Women’s Hospital, Boston
and Dentistry Division of Adolescent Gynecology, Boston
Rochester, NY Children’s Hospital
Simulation Faculty—Center for Medical
Cecile A. Carson, MD
Simulation
Integrated Health Institute
Associate Medical Director, Obstetrics,
Honeoye, NY
CRICO Patient Safety
William Clark, MD, FAACH Boston, MA
Fellow, Past President, American Academy
Geoffrey H. Gordon, MD, FACP
on Communication in Healthcare
Staff Physician, Department of Pain
Lecturer in Medicine, Harvard Medical
Management
School
Northwest Permanente Medical Group
Woolwich, ME
Portland, OR
Mary DeGenaro Cole, MS, FNP-BC
Damara Gutnick, MD
Faculty, Stony Brook University School of
Clinical Assistant Professor of Medicine and
Nursing, Stony Brook, NY
Psychiatry
Kathy Cole-Kelly, MS, MSW New York University Langone School of
Professor of Family Medicine Medicine
Director, Communication in Medicine New York, NY
Case Western Reserve University School of Centre for Comprehensive Motivational
Medicine Interventions
Cleveland, OH Hope, BC Canada
Connie Davis, MN, RN, ARNP, GNP-BC Khati Hendry, MD, CCFP, FAAFP
Program Director Department Head of Family Practice,
Centre for Comprehensive Motivational Penticton Regional Hospital and
Interventions Managing Partner
Hope, BC Canada Rosedale Medical Associates,
Adjunct Clinical Faculty Summerland, BC Canada
University of British Columbia
Vancouver, BC Canada
vi
Contributors vii
Susan Lane, MD, FACP David J. Steele, PhD
Associate Professor of Clinical Medicine and Senior Associate Dean for Medical
Residency Program Director and Vice-Chair Education
for Education Professor, Family and Community Medicine
Department of Medicine Paul L. Foster School of Medicine
Stony Brook University School of Medicine Texas Tech University Health Sciences
Stony Brook, NY Center at El Paso
El Paso, TX
Steven Locke, MD
Associate Psychiatrist Guy Undrill, MB, ChB, MRCPsych
Massachusetts General Hospital Consultant Psychiatrist, 2gether NHS Trust
Associate Clinical Professor of Psychiatry Clinical Lecturer, University of Bristol
Consultant, The Center for Medical Gloucester, UK
Simulation
Toni B. Walzer, MD
Boston, MA
Assistant Clinical Professor of Obstetrics,
Catherine Nicastri, MD Gynecology, and Reproductive Biology
Associate Professor of Clinical Medicine Harvard Medical School
Program Director, Geriatric Fellowship Brigham and Women’s Hospital, Boston,
Program MA and
Department of Medicine Co-Director, Labor & Delivery Program,
Stony Brook University School of Medicine Center for Medical Simulation
Stony Brook, NY Boston, MA
Dennis H. Novack, MD Joseph Weiner, MD, PhD
Professor of Medicine Associate Professor of Clinical Psychiatry and
Associate Dean of Medical Education Medicine
Drexel University College of Medicine Hofstra North Shore-LIJ School of Medicine
Philadelphia, PA Hempstead, NY
