Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
83 Cards in this Set
- Front
- Back
Case history review
gather important info |
prsenting concerns, family history, relationship,s edu, employment, substance use, mental health, med history and legal history
|
|
how they are presenting themselves- what is it like to be with them?
|
affect, energy, appearance, life story themes, attitude towards you
|
|
mental status exam
|
if thought to be concern to measure strengths and weaknesses
|
|
evaulate
|
have a set goal in mind
why is there a deficit? What is it due to? |
|
avoid
|
interruptions to maintain confidentiality and comfort of patient
|
|
rapport
|
purpose of interview, comfortable atmosphere and mutual understanding of the interview- once patient realizes the clinician is trying to understand them a broader range of behaviors is possible- if patient accpepts this a state of mutual liking is not necessary
|
|
in beginning a session
|
small talk, determine roles , use language they will understand, clarify meanings, , assess the meaning of silence - could be organizing thoughts, dont jump to conclusions about patient and listen to what they are saying,
|
|
avoid self centeredness in therapy
|
focus must remain on the patient, must examine own experience and seek the bases for their own assumptions before making judgements of others
|
|
references
|
carefully go over all past paper work , establish the purpose of the interview,
|
|
differing types of interviews
|
sturctured or unstructured- ask any questions that come to mind
|
|
the intake admission interview
|
todetermine why patient has come to therapy, to see if facility meet needs and expectations of patient
|
|
case history interview
|
data, reason for coming, present situation, family, early recollection, birth and development, health, edu, work, recreation, sex marriage?, self- desrciption, turning points, future
|
|
mental status exam
|
assess preence of cog emotional or behav problems
|
|
crsis interview
|
hotlines etc.
|
|
diagnostic interview
|
standardized, interrater reliability, have preset questions that help the clinician be guided towards a diagnosis
|
|
criterion related reliability
|
ability of a masure to predict scores on other relevant measures
|
|
discriminant reliability
|
interviewers ability not to correlate with measures that are not theorectically related to the construct being measured
|
|
construct validity
|
all aspects of validity
|
|
Determinig treatment plan
|
done with client deterimne
nature of problem wishes of client training of therapist |
|
intellgience
|
aggregated global capacity of the individual to act purposefully to think rationally and to deal effectively with environ
|
|
intelligence is
one thing multliple |
g
|
|
what do iq tests mean?
|
good pedictor of school and occupational success
culturally limited |
|
nature sets upper and lower ends of potential range of intelligence
|
nuture determines where within this range intelligence will fall: edu, environ, nutrition, family size, motivation
|
|
assume intelligence is normally distributed
formula? |
Mental age/ cronilogical
if you get older but not smarter iq goes down |
|
lower iq
lower verbal lower spatial and qual |
afri amer and hispan
men women gender biases as tied into the culture |
|
stanford binet
|
verbal and non verbal
|
|
wais
|
full scale
verbal iq performance iq verbal working mem perceptual org processing speed |
|
purpose of psychological testing
|
current functioning, confirm, refute, modify impressions of client, iden ther needs, monitor treatment, provide feedback
|
|
relability
and validity in psychological testing |
measures the same construct
does it predict what you would want it to? |
|
psychological testing requires
|
a variety of measures that may be looked at together, some coeeficent may be indistinguishable
|
|
objective tests
|
standard set of questions with fixed set of options
|
|
advantages
disadvantages of obj tests |
easy to score, administer, reliabile , economical
cant measure motivation, can be due to a variety of factors, easy to fake answers, reading abilty, dont look at context or content, may give socially appropriate answer |
|
content validation in personality assesment
|
experts make up items they think are relevant
|
|
empirical criterion keying
|
identify items that distinguish b/t different groups can help in diagnosis
|
|
factor analysis
|
submit all items on a scale to factor analysis to see which items hang together and assess seperate factors- give factors that hang together names.
|
|
contruct valididty
|
combination of 3
|
|
MMPI content validation
|
gained from inventories experience and case histories
|
|
validity scale
|
fake answers
overly positive faking good infrequent responses near the end inconsistent responses tendency towards true |
|
MCMII
|
milon clinical multiaxial inventorycontructive validity- pesonality styles, disorders, traits
|
|
MCM II validity
validity scale disclosure desirability debasement |
include questions everyone marks false
measure openness to sharing tendency to potray in positive light look bad |
|
MCMIIII clinical personality pattern scales
schizoid aviodant depressive histronic narcistic antisocial sadistic compulsive negativistic masochistic |
Schizoid – social isolation
Avoidant – social detachment – approach-avoidance Depressive – pessimism Dependent – submissiveness, agreeableness Histrionic – extraversion, acting out Narcissistic – self-sufficiency, arrogance Antisocial – acting out, mistrust, independence Sadistic – aggression/hostility towards others Compulsive – conscientiousness, restraint Negativistic – resentment towards authority Masochistic – poor self-image, tendency to seek relationships in which they will be hurt |
|
MCMIIIl
Sever personality pathology scales |
Schizotypal – fear of human contact, suspicion & mistrust of others
Borderline – instability of moods, relationships, self-image Paranoid – suspicion, mistrust, superiority |
|
MCMIIIl
clinical syndromes scale |
anxiety
somatoform-physical dysthimia alcohol dependence drug post tramatic |
|
MCMIIIl
severe clinical scale |
Thought Disorder
Major Depression Delusional Disorder |
|
MCMIIIl
intepretation |
Validity and Response Style
Description of personality style Assess degree of personality dysfunction Assess for presence of clinical disorders |
|
projective tests
|
unstructured
unqiue aspects freedom of repsonse indirect |
|
neuropsychology
|
study of the realtion b/t brain function and behavior
|
|
neurological assessment
|
non invasive method of describing brain functioing based on performance on stan test that shows accurate and sensitive indicators of brain behavior
|
|
nuero assess can be used to
|
identify deficits in cog functioning, location in brain, change
|
|
brain impairment due to
|
trama, tumors, concussion, contusion, degenerative disease, nutritional deficits, toxic disroders-poisoning, alcohol abuse
|
|
wernicke
|
fluent receptive
|
|
broca
|
non fluent expressive
|
|
apraxia
|
inability to perform certain voluntary movements
|
|
agnosia
|
disturbed sensory perception
|
|
neurological damage +
|
inappropriate affect, impaired judgement, loss of emotinoal and mental resilence,
|
|
frontal lobe syndrome
|
poor impulse control, social judgement, plannig, concern for consequence
|
|
localization of function
|
specifc brain area control specific behaviors
|
|
equipotentiality
|
idea that all areas of brain contibute to overall intellectual functioning
|
|
neuro test interpretation
|
compare results, intra patient, pattern analysis, stats
|
|
single variables
|
have little effect on human behavior
|
|
Cog behav therapy
|
focusing on behav and maladaptive thinking patterns that contribute to behav prob
|
|
underlying premise
|
problematic or disordered thoughts, changing unhelathy thoughts to lead to healthy change in behav and emotions
|
|
depression stems from
|
thoughts and attributions people have about events in their lives - what they are saying about them , maladaptive cog structures,
|
|
cog schemas
|
of how they view themselves the future and the world- reason for anxiety
|
|
schemas are reinforced by
|
cog errors- all or nothing, overgenelaize, discount pos, jumping to con, mind reading, should/ must statments, labeling,
|
|
cog behav treatment
|
treat core beliefs as a hypothesis rather than fact , encouraged to alter harmful attributions
|
|
treatment examine validity of beliefs
|
daily record
3 evidence of belief alt interpretations implications if true iden and correct cog errors iden schemata recog sch influence on behav replace sch anticipate future situations |
|
rational-emotive therapy
emotional disturbance is caused by |
irrationality in how ppl interprate events cayses prob emotional or behav consequences
OR Activating events that tirgger belief> emtoinals and behav> consequences |
|
rat-emo
irrational beliefs |
rigid dogmatic, musts and oughts, unrealistic and overgeneralized
|
|
12 common irrational beliefs
|
All of the important people in my life must love and approve of me all of the time
I must be thoroughly competent If you hurt or upset me, you are universally bad and need to be punished If things don’t go my way, life is horrible and I won’t be able to stand it If I feel miserable, it is from an external cause If something is dangerous, I must become preoccupied with it It is easier to avoid things than deal with them proactively I will always be strongly influenced by my past Things should always turn out better than they do I can become happy by doing nothing Things must be in order for me to be comfortable I am only a good person if I perform well and people approve of me |
|
irrational beliefs lead to
|
healthy, emotions
|
|
rational beliefs
|
rational healthy emotions
|
|
treatment- rational emotive
|
help ppl confront their irrational illogical thinking, iden irrational beliefs, transfrom them,
|
|
therapy with ellis
|
person affects themselves more than their past, , repetition, practice and action of proper belief,
|
|
behav therapy
|
unconcerned with inferred vairables, observed behav
|
|
classical cond
|
behav is learned
|
|
operant cond
|
behav is reinforced by punishment
|
|
treatment in behav
|
is cooperative and edu, take prob at face value,
|
|
sys desen
|
hierarchy
teach how to relax use through higher level of anxiety |
|
exposure therapy
|
expose to fear inducing stiulus until anxiety reduces
|
|
exposure plus repsonse prevention for OCD
|
expose client to sit that creates obesses
prevent from engaging in compulsion compuksion is no longer needed to reduce anxiety |
|
behav rehearsal
|
accepts need of it
devel hierarchy behav rehar real life |
|
contingency mangagement
|
rewarding pos behav token reward system
|