15 - Clinical Interviewing Flashcards
LEAD Standard
Longitudinal
Expert
All
Data
-Integrate all info from a client across all raters across all timepoints to get a more accurate estimate of LATENT CLASS (diagnostic status)
Unstructured Interview Pros/Cons
Pros: building rapport
Cons: low reliability (inter-rater, test-retest), criterion variance, bias
Structured Interview Pros/Cons
Pros: high reliability and validity, less bias
Cons: reduces need for knowledge, lack of rapport
Semi-structured Interview Pros/Cons
Pros: provides leeway to interviewer, somewhat structured
Cons: require more training, sometimes interviewers go off the rails
Essentially balances improvements in validity with lower inter-rater reliability
DSM Concerns
- Utility: do these diagnoses help clinical decision making?
- Validity: are these categories actually real?