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45 Cards in this Set

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The assessment process begins with a ________

Referral

The most basic and the most serviceable technique used by the clinical psychologist.

Assessment Interview

General Characteristics of Interviews (3)

1. An Interaction


2. Interviewes


3. The Art of Interviewing

Advantages of Computer Interviewing (3)

1. Always asked all the questions assigned


2. For some patients at least, it is less uncomfortable and embarrassing.


3. Impersonal and dehumanizing

Computers cannot currently replace the clinicians (5)

1. Interviewer flexibility is not possible


2. Many non-verbal cues are not currently to computer based assessment.


3. Computer-based-technology cannot process unrestricted language


.4. Only clinicians can encode and process information relevant to the course of mental disorder or temporal sequencing of symptoms


5. Only clinicians are able to apply “clinical judgment

Interviewing Essentials and Techniques (2)

1. Physical Arrangements


2. Note Taking and Recording

the relationship between the clinician and patient.


Rapport

Involves comfortable atmosphere and mutual understanding of the purpose of the interview.


Rapport

Characteristics of a Good Rapport (4)

1. Does not require that the clinician like every patient.


2. Does not require the clinician to befriend every patient


3. Does not require the clinician to master the agreed-upon set of behaviors


4. Does require that patients not be prejudged based on the problems they seek help for.

Beginning a Session


Communication

Nothing is more disturbing to a beginning interview than_______

Silence

Understanding and acceptance is the product of ________

Listening

The clinical interview is not the time or the place for clinicians to work out their own problems.

The Gratification of Self

Varieties of Interviews (5)

1. Intake Admission Interview


2. The case history Interview


3. The Mental Status Examination Interview.


4. Crisis Interview


5. Structured Diagnostic Interview

2 Purpose:


1. to determine why the patient has come to the clinic or hospital


2. to judge whether the agency’s facilities, policies, and services will meet the needs and expectations of the patient

Intake Admission Interview

A personal and social history as possible is taken

Case History Interview

The clinician is interested both in concrete facts, dates, and events and in the patient’s feelings about them

Case History Interview

The purpose is to provide a broad background and context in which both the patient and the problem can be placed

Case History Interview

It covers both childhood and adulthood, and it includes educational, sexual, medical, parental-environmental, religious, and psychopathological matters

Case History Interview

Outside sources can be rich sources of information when the patient can’t provide their own personal-social history

Case History Interview

Is typically conducted to assess the presence of cognitive, emotional, or behavioural problems


MSE INTerview

The purpose is to meet problems as they occur and to provide an immediate resource

Crisis Interview

Other purpose is to deflect the potential for disaster and to encourage callers to enter into a relationship with the clinic or make a referral so that a longer-term solution can be worked out

Crisis Interview

Consists of a standard set of questions and follow-up probes that are asked in a specified sequence

Structured Diagnostic Interview

Ensures that all patients or subjects are asked the same questions

Structured Diagnostic Interview

RELIABILITY AND VALIDITY OF INTERVIEWS (4)

1. Reliability of an interview


2. Agreement


3. Kappa Coefficient


4. Clear Cut Scoring Guidelines


5. The Validity if an Interview

- is typically evaluated in terms of the level of agreement between at least 2 raters who evaluated the same patient or client.

Interrater Reliability

Refers to consensus on diagnoses assigned, on ratings of levels of personality trait, or on any other type of summary information derived from an interview

Agreement

The intra class correlation coefficient


Kappa Coefficient

Concerns how well the interview measures what it intends to measure

Validity of the measure

RELIABILITY (4)

1. Information Variants


2. Criterion Variants


3. Clear Cut scoring Guidelines


4. Test Retest Reliability

- refers to the variation in the questions that clinicians ask, the observations that are made during the interview, and the method of integrating the information that is obtained.


Information Variants

refers to the variation in scoring thresholds among clinicians

Criterion Variants

Make it more likely that two clinicians will score the same interviewee response in a similar way

Clear Cut Scoring Guidelines

The consistency of scores or diagnoses across time

Test Retest Reliability

VALIDITY (4)

1. Content Validity


2. Criterion Related Validity


3. Discriminant Validity


4. Construct Validity

refers to the measure’s comprehensiveness in assessing the variable of interest.

Content Validity

refers to the ability of a measure to predict (correlate with) scores on other relevant measures.

Criterion Related Validity

administered concurrently with the interview.

Concurrent Validity

Administered at some point in the future.


Predictive Validity

refers to the interview’s ability not to correlate with measures that are not theoretically related to the construct being measured

Discriminant Validity

used to refer to all of these aspects of validity

Construct Validity

Are all necessary in all types of interview (4)

1. Rapport


2. Good Communication Skills


3. Appropriate Follow up Question


4. Good Observational Skills

Two primary Distinguishing features of Interviews (2)

1. Differ in purpose


2. Unstructured or Structured

Communication (8)

1. Beggining a Session


2. Language


3. The use of Questions


4. Silence


5. Listening


6. Gratification of Self


7. The Impact of Clinician


8. The Clinician's Values and Background