Asking Questions III: How to Change Topics with Style
Essential Concepts
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Use smooth transitions to cue off something the patient just said.
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Use referred transitions to cue off something said earlier in the interview.
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Use introduced transitions to pull a new topic from thin air.
Interviewing a patient for the first time requires touching on many different topics within a brief period. You’ll need to constantly change the subject, which can be jarring and off-putting to a patient, especially when she is involved in an important and emotional topic. Skilled interviewers are able to change topics without alienating their patients and use various transitions to turn the interview into what Harry Stack Sullivan (1970) called a “collaborative inquiry.”
SMOOTH TRANSITION
In the smooth transition (Sullivan 1970), you cue off something the patient just said to introduce a new topic. For example, a depressed patient is perseverating on conflicts with her husband and stepchildren; the interviewer wants to obtain information on family psychiatric history:

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