Roadmaps-psychiatric clinical interview – theoretical and methodological guidelines: “The routine established by tradition and custom”

Abstract

According to some manuals that integrate the medical-psychiatric literature, there is an interview script that must guide the professional practice. Those are the normative models, or SIK – “stock of interactional knowledge” in the terms of Peräkylä & Vehviläinen (2003). Such manuals represent the stocks of knowledge and offer the directives for undertaking the interview. The objective in this paper is to analyze the clinical agenda as inserted within the “institutional” context of rules and regulations (SARANGI; ROBERTS, 1999). It was observed that the scripts are inserted in basically two distinct models: i) a medical model centered on the doctor as a specialist – the frame of reference is the sign and the symptom; and ii) a model centered on the patient, whose focus is the interaction and the insertion of the patient in the discourse – the frame of reference is the world of experiences of the person who suffers, which thus occupies the center of the clinical activity.