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30 Cards in this Set

  • Front
  • Back

What are the settings for the assessments

School, psychiatric hospitals, medical settings, forensic contect, industrial / organizational, insurance

What are the goals of any assessment?

- Adress referral question


- Diagnosis


- Etiology


- Prognosis


- description


- prediction (what kind of treatments can be effective, will the person reoffend)



Which of the following is ongoing: case conceptualization, progress in treatment, treatment outcome.

Case conceptualization and progress in treatment

What are the sources of data that psychologists use?

interview


tests


Observations


life record

What tests are most frequently used by psychologists?

clinical interview


WAIS - III


MMPI - 2


TAT


Rorschach


Bender - Gestalt


Beck depression inventory


Peabody picture vocab (children)


MCIM

What is important to consider when picking an assessment measure?

- Reliability (internal consistency, test - retest, interrater)


- Validity ( content, criterion validity, predictive validity)


- Standardized norms (minimum level of education)


- Age group comparison


- cultural consideratoins

What is meant by internal consistency, content valicity, criterion validity, and predictive validity?

- internal consistency: correlation between items on the test


- content validity : does it assess the entire construct


- cireterion alidity: correlated with other established criteria


- Predictive validity: what does the score accurately predict

What should be included in the assessment report?

- demographics and general information about client


- source of reason of referral


- tests and procedures used


- Relevant background (about client)


- Assessment results


- summary + recommendartions

What are the essentials for interviewing?

- physical set up (quite and private without any distractions)


- informed consent


- note taking ( ask patient, especially to audio or video tape)


- Establishing rapport


- Effective inquiry (open ended questions)


- Reflections (reflect back feelings)

How should clinicians begin a session?

begin with casual conversation



What kind of language should be used when speaking to patients?

- understandable, matching their level of knowledge, people dont like to be talked down on, and they dont like to not understand



What's meant by "Gratification of self"?

meaning that clinicians must resist temptation to shift focus to themselves and avoid discussing their personal life

How can the clinican attach meaning to the behaviour of their patient that is biased?

by being unaware of personal impact on what patient is saying

What are some interview errors?

- Information giving (advice)


- Self - Disclosure


- Jargon


- Conversational style (i.e. "kind of" and "like")


- Leading questions


- Excessive questioning


- Irrelevant or poorly timed questions


- why questions

How does interviewing children differ from interviewing adults?

- face to face talking is adult, children may think theyre in troble


- props should be used, short sentnces, simple words,

What are the two types of interviews? How do they differ?

- Unstructured -- More casual, choice of what to ask


- Structured - rigid.

What are the benefits of unstructured interviews?

- flexible


- capture client's interpersonal style, organizationa coherence, non verbal behaviour, idiosyncratic behaviour



What are the drawbacks of unstructured interviews?

- lower in validity


- lower in inter-rater reliability

What are the two types of structured interviews? difference?

- semi - structured -- guidelines for conducting interview, flixibility in wording and order of questions)


- highly structured ( follow exact order, working, and coding, minimizes role of clinical judgement)

What is an example of highly structured clinical interview?

SCID structured clinical interview for DSM IV

What are the advantages of structured interviews?

- May look at areas that would otherwise be overlooked


- higher reliability and validity


- good for situations where everyone should be asked the same question



What are the disadvantages to structured interviews?

can interfere with more relaxed communication because it may feel like an inquisition


just eonugh time allotted for them, therefore there is no time to delve into areas that may arise.

What are the costs of biological, psychologican and social factors?

caused by a host of biological psychological and social factors

What are the constructs used to measure nature of violence risk?

- Nature (of violence)


- Severity


- Frequency


- Imminency


- Likelihood


- Context - specific



What are some approaches that could be used to assess risk?

- professional judgement (structured HCR - 20 / unstructured interview)


- Actuarial Decision ( tests i.e. MMPI and risk scales i.e. VRAG/ SARA)

What are the three levels of inference, what are they refering to, what levels are they?

- Samples, Correlates and signs


- samples -- what one knows


correlates -- what one knows about similar clients


Signs -- what one thinks may be underlying client's behaviour


- Samples -- low


correlates -- medium


signs -- high

What are the two types of factors that affect predicting suicide?

- Static factors


- Dynamic factors

What are static factors - in predicting suicides?

Age


Gender ( 3x more likely females to attempt, 3x more likely for males to succeed)


Prior suicide behaviour

What are dynamic factors -- in predicting suicides?

- Stress


- symptoms


- resources


- current suicide plan

What are the types of heuristics?

availability (memorable cases stand out)


anchoring (emphasis on earlier memories)


theoretical


patient


minority status


gender


Clinical experience


confirmatory bias


hindsight bias