29. Screening + Exploring Causes of Distress Flashcards
What are the 2 most prevalent psychotic dx systems
DSM
ICD
–both provide forms of psychiatric disorder dianoses
General ICD facts
Clinical and research standard for the world (used by WHO members)
-in abnormal psychology, the section of the ICD dedicated to the classification of mental, behavioural and neurodevelopment disorders is used
Who is the DSM made by
written by APA
-American product (psychiatrists not psychologists)
differences in making dx in DSM and ICD
DSM- using diagnostic crietria, more strict and precise than dx guidlines, algorithm model
ICD- Uses dx guiltiness
Good and bad reliability dx for DSM
Good- PTSD, ASD, Schitz, Bipolar
Bad- Depressive, GAD
what is interrupter reliability
% of time different assessors arrive at the same dx
What is dx validity
Whether a dx is factually measuring what it claims to be
What is descriptive, face, predictive, construct, concurrent validity
descriptive- Whether a dx is factually describing what is being observed
Face- Whether a dx appears accurate at face value
Predictive- Whether a dx allows for prediction of outcomes
Construct- Whether a dx correlates w other measures
concurrent- the degree to which a test corresponds to an external criterion that is known concurrently
cons of diagnostic manuala
- reliability and validity probs
- Medicalizton of everyday probs
- increased pharmacological interventions
- unable to explain etiology
What is formulation dx
A hypothesis about a persons difficulty, which draws from psychological theory
- uses psychological and sociocultural theories, rather than medical model disorder categories
- Doesnt require a dx*
What is the criteria that all formulations must meet (5)
- Summarize the clients central prob
- Draw on the psychological theory to understand how clients issues are interrealted
- Use psychological theory to explain why the client has develop these issues
- develop plan for alleviating the difficulties
- must be revised and updated as needed
What are the 4 steps to integrative evidence based case formulation
- create a problem list (identify the problems related to self functioning, social/interpersonal functioning, societal functioning, red flag)
- Dx
- Develop an explanatory hypothesis
- Plan tx