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53 Cards in this Set

  • Front
  • Back

Ch. 3


Clinical Assessment

The process of gathering information about a person and his orher environment to make decisions about the nature, status, and treatment of psychological problems.

Ch. 3


Reliability

Measurement Consistency; Two types

Ch. 3


Reliability


1) Test- Retest

A type of reliability that is a measures the consistency of a psychological test, or assessment.

Ch. 3


Reliability


2) Inter-rater

A type of reliability that says an agreement or concordance is the degree of agreement among raters.

Ch. 3


Validity

Does the test measure what it is supposed to?



Ch. 3


Types of Validity


1) Discriminant

Tests whether concepts or measurements that are supposed to be unrelated are, in fact, unrelated.

Ch. 3


Types of Validity


2) Construct

The appropriateness of inferences made on the basis of observations or measurements, specifically whether a test measures what it is supposed to.

Ch. 3


Types of Validity


3) Predicative

The extent to which a score on a scale or test predicts scores on some criterion measure.



Ch. 3


Types of Validity


4) Face Validity

The degree to which a procedure, especially a psychological test or assessment appears effective in terms of its stated aims.

Ch. 3


Standardization



Consistent use of techniques, provides a normative population data.


Ex: Administrating procedures, Scoring, Evaluation of Data

Ch. 3


Clinical Interview

Unstructured, Semi-structured, and Structured. Questions are prepared in advance.

Ch. 3


Behavioral Assessment

Identification and observation of target behaviors, direct observations, minimally inferential. Focuses on interactions between two events.

Ch. 3


Behavioral Observation

Formal vs. Informal, Self Monitoring vs. Other Observing

Ch. 3


Psychological Testing

Reliability and Validity



Ch. 3


Projective Tests

Presentation of ambiguous stimuli, projection of personality and the unconscious, psychoanalytic roots.


Ex: Rorschach Inkblot Test and Thematic Apperception Test

Ch. 3


Minnesota Multiphasic Personality Inventory

-567 Items (MMPI-2)


-True/False Responses


-Adolescent Version


-Extensive Normative data


- Reliability and Validity



Ch. 3


What do Neuropsychological Tests measure?

-broad base of skills and abilities


-Brain-behavior relations


-Assets and deficits (strengths and weaknesses)


Ch. 3


Computerized Axial Tomography (CAT/CT)

-X-rays of the brain


-Pictures in slices

Ch. 3


Magnetic Resonance Imaging (MRI)

-Strong magnetic field


-Improved resolution


-Locates tumors, injuries, structural, or anatomical abnormalities

Ch. 3


Positron Emission Tomography (PET scan) and Single Photon Emission Computed Tomography (SPECT)

-Injection of radioactive isotopes


-React with brain oxygen, blood, and glucose


-Reveal metabolic deficiencies

Ch. 3


Functional MRI (fMRI)

Used to detect brief changes in brain activity

Ch. 5


Generalized Anxiety Disorder

-Excessive apprehension and worry


-Uncontrollable


-Strong, persistent anxiety


-Somatic symptoms (muscle tension, fatigue, mental agitation)


-Must be present for 6 months or more

Ch. 5


Generalized Anxiety Disorder


a. Causes

-Can be inherited


-Frontal lobe activation

Ch. 5


Generalized Anxiety Disorder


b. Treatments

-Antidepressants (Benzodiazepines)


-Cognitive-behavioral treatments


*Exposure to worry process


*Confronting anxiety-provoking images


*Coping strategies



Ch. 5


Panic Disorder

-Unexpected recurrent panic attacks


-Anxiety worry or fear of an attack


-Persists for 1 month or more

Ch. 5


Panic Disorder


a. Two Types

Types:


-Expected (situationally cued)


-Unexpected

Ch. 5


Agoraphobia

-Intense anxiety about being trapped, stranded, or embarrassed in a situation without help if a panic attack were to occur

Ch. 5


Agoraphobia


a. Treatments


1. Medications

Medications used for treatment:


-Serotonergic


-Noradrenergic


-Benzodiazepine GABA

Ch. 5


Agoraphobia


a. Treatments


2. Psychological

Psychological treatments include:


-Exposure


-Relaxation


-Breathing



Ch. 5


Agoraphobia


a. Treatments


3. Panic Control Treatment

This type of treatment includes:


-Exposure to introspective cues


-Cognitive Therapy


-Relaxation/Breathing

Ch. 5


Social Anxiety Disorder (Social Phobia)


This disorder includes:


-Extreme and irrational fear/shyness


-Social performance situations


-Significant Impairment

Ch. 5


Selective Mutism

Consistent failure to speak in specific social situations despite speaking in other situations

Ch. 5


Post- Traumatic Stress Disorder


1. Exposure

A traumatic event. This must have involved both loss of physical integrity or risk of serious damage, to self or others, and an intense negative emotional response.

Ch. 5


Post-Traumatic Stress Disorder


2. Symptoms and Duration

Symptoms:


-Continued re-experiencing


-Avoidance


-Emotional Numbing


-Interpersonal Problems


Duration:


-1 month

Ch. 5


Obsessive-Compulsive Disorders


1. Obsessions

-Intrusive and nonsensical thoughts, images, and urges


-Attempts to resist or eliminate

Ch. 5


Obsessive-Compulsive Disorders


2. Compulsions

-Repetitive thoughts or actions


-Suppress obsessions


-Intended to prevent/reduce distress

Ch. 5


Specific Phobia


1. Definition

-Extreme and irrational fear of a specific object or situation


-Recognize fears as unreasonable


-Avoidance

Ch. 5


Specific Phobia


2. Treatment

Treatments include:


Exposure


-Graduated


-Structured


-Consistent


Relaxation

Ch. 5


Fear

Innate, almost biologically based alarm response to a dangerous or life threatening situation

Ch. 5


Anxiety

A state in which one is inordinately apprehensive, tense, and uneasy about the prospect of something terrible happening.

Ch. 5


Body Dysmorphic Disorder

Includes:


-Preoccupation with perceived defects in appearance


-Fixation or avoidance of mirrors


-Suicidal ideation and behaviors

Ch. 5


Conditioned Fear Reactions

Psychological theory that an individual associates certain bodily sensations with memories of the last panic attack, causing a full blown panic attack even before biological changes occur

Ch. 5


Relaxation Training

Behavioral technique to treat panic disorders and agoraphobia. Client learns to systematically alternate tensing and relaxing muscles all over the body

Ch. 5


Panic Control Therapy

Cognitive model for treating panic disorders. Cognitive restraining and awareness of bodily cues associated

Ch. 5


Aversion

Very common responses of discomfort and dislike

Ch. 6


Soma (Body)

Includes:


-Preoccupation with health of appearance


-Physical complaints


-No identifiable medical condition



Ch. 6


Somatic Symptom Disorder

-Mental illnesses that cause bodily symptoms, including pain


-Disproportionate and persistent thoughts about the seriousness of one's symptoms

Ch. 6


Illness Anxiety Disorder (Hypochondria)

The obsessive, persistent, and irrational fear of suffering, or that one will suffer from, a disease or serious medical condition.

Ch. 6


Conversion Disorder

-Have to do with physical malfunctioning, such as paralysis, blindness, or difficulty speaking. Suggest some kind of neurological disease is affecting the sensory motor system


-One or more symptoms of altered voluntary motor sensory function


-The symptom causes clinically significant distress or impairment in social, occupational, or other important areas of functioning or warrants medical evaluation.

Ch. 6


Factitious Disorder

-Falsification of physical or psychological signs or symptoms, or induction of injury or disease, associate with identified deception


-Presents themselves to others as ill, impaired, or injured

Ch. 6


Depersonalization Derealization Disorder

-The presence of persistent or recurrent experiences or depersonalization, derealization


-Symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning

Ch. 6


Dissociative Amnesia

An inability to recall important autobiographical information, usually of a traumatic or stressful nature, that is inconsistent with ordinary forgetting

Ch. 6


Dissociative Identity Disorder

-Two or more distinct personality states


-Recurrent gaps in the recall of everyday events, important personal health information, and/or traumatic events that are inconsistent with ordinary forgetting