Entrevisrta psicologica
Enviado por psicologojohnny • 20 de Noviembre de 2015 • Trabajo • 397 Palabras (2 Páginas) • 77 Visitas
ENTREVISTA PSICOLOGICA
Fecha:__________________________
FICHA DE IDENTIFICACION
Nombre_________________________________________________ Edad__________
Fecha y lugar de nacimiento_______________________________________________
Dirección______________________________________________________________
Estado civil_____________ Escolaridad_______________________________
Ocupación________________Religión_____________
DESCRIPCION DEL PACIENTE
Aspectos generales, características físicas
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Vestimenta
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Porte y actitud (modales)
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Movimientos. Voz y lenguaje
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Afecto
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MOTIVO DE CONSULTA
Historia del problema
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Clase de ayuda que espera encontrar
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Historial del conflicto (clínica)
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SITUACION ACTUAL
Descripción de un día de vida. Especificar cambios particulares en los fines de semana
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CONSTELACION FAMILIAR
Antecedentes patológicos
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Descripción de madre y padre
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Relación padres paciente
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Hermanos
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Papel del paciente dentro de la familia
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Uniones y fricciones dentro de la familia
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Normas sociales, culturales, morales y religiosas dentro de la familia
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Cambios en la constelación familiar (abandono, divorcio, muertes etc.)
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RECUERDOS TEMPRANOS
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HISTORIA PERSONAL
Embarazo y nacimiento
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