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27 Cards in this Set
- Front
- Back
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def. psychological assessment |
procedure in which clinician uses psychological TESTS, OBSERVATIONS, AND INTERVIEWS to develop a summary of the clients symptoms and problems |
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DEF. clinical diagnosis |
process thru which a clinician arrives at a general "summary classification" of the patients symptoms by following system like DSM5 |
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what are the 5 basic elements in assessment? (what does the clinician need to know?) |
1. presenting prob: major symptom(s) and behavior the client is experiencing 2. how long? 3. environmental stressors or disorder?(DSM5) 4. how is the person coping? (self-defeating or resourceful?) 5. how is it affecting them? (has it made them stop ADL's?) |
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2 important factors to consider in assessment? |
1. personality factors 2. social context |
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def. personality factors def. social context |
1. description of any relevant long-term personality characteristics 2. assess teh social context in which the ind. functions. what demands/stressors/support do they have? |
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what is the Minnesota Multiphasic Personality Inventory (MMPI-2) and why is it imp.? |
a test widely evaluated for its cultural competence and translated. appropriate for all cultures. |
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def. reliability |
degree to which an assessment measure produces the same result each time it is used to evaluate the same thing |
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def. validity |
extent to which a measuring instrument actually measures what its supposed to measure. a measure that is valid, should also be reliable. a measure that is reliable, is not always valid |
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def. standardization |
process by which psych tests is administered, scored, and interpreted in the same way, a standard manner. more fair. |
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how tobuild trust and rapport between clinician and client? (3) |
-must understand why and how assessment will be used for clients benefit -assure client that info is confidential (that's why sometimes court ordered clients difficult to build rapport with) -providing feedback after, as it has positive effects and they tend to improve. |
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why might a person need a general physical or neuro exam as well?? |
to determine if their psych probs are being caused by medical reasons (ex. pain can be due to sprained disk and some solely due to emotional factors) |
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what can a neurological exam do? |
can assess brain pathology with images |
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electroencephalogram (EEG) does? |
assesses brain wave patterns in awake and sleep states (can reveal brain tumors or lesions) |
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computerized axial tomography (CAT) scan |
provides access to structure of brain |
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magnetic resonance imaging (MRI) |
images of the interior of the brain are sharper |
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positron emission tomography (PET) scan |
allows appraisal of how an organ is FUNCTIONING by revealing areas of differential metabolic activity |
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functional MRI (fMRI) |
can reveal brain activity by measuring local oxygenation (blood flow) |
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what does a neuropsychological assessment do? |
use of various testing devices to measure a persons cognitive, perceptual, and motor performance as clues to extent adn location of brain damage |
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goal of psychosocial assessments |
to understand how the ind interacts with his or her social env. |
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the 2 psychosocial assessments? |
1. interview: structured (better) and unstructured 2. observation: direct obs. (appearance and behavior at therapy), role playing, self-monitoring, rating-scales |
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2 psychological tests |
-intelligence -personality |
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2 components of intelligence tests? good to use?? |
1.verbal component (list o]wrods and define) 2. performance (recalling #) not really, too long. and not necessary or possible to use these tests |
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def. projective personality tests good?? |
unstructured and use ambitious stimuli that can be interpreted differently (Ink Blots/sentence completion) eh, clinicians can interpret responses differently |
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def. objective personality tests good?? example?? |
structured, such as questionnaires, self report inventories, or rating scales. yeah, its reliable and precise ex. MMPI |
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integration of assessment data: private practice vs clincs/hospitals why need to evaluate data?? |
private: clinician gathers adn interprets by themselves clinic/hospital: group of MH pros discuss. evaluating data leads to diagnostic classification and treatment plan |
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5 ethical issues when evaluating test results |
1. potential cultural bias of test or clinician 2. theoretical orientation of clinician (are they bio, cognitive, physical...) 3. underemphasis on external situation 4. insufficient validation 5. inaccurate data or premature eval |
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formal diagnostic classfication of MD manuals used in USA and Europe+? |
Diagnostic and Statistical Manual of Mental Disorders (DSM-5) for USA International Classification of Diseases (ICD-10) for europe + |
