Adult Psychopathology Chapter 3 Flashcards
What is adult psychopathology?
the scientific study of psychological disorders in adulthood e.g. the nature, casques, and treatment of psychological disorders.
What is a clinical assessment?
A systematic evaluation and measurement of psychological, biological, and social factors in a person presenting a possible psychological disorder.
What is diagnosis?
A process of determining whether a presenting problem meets the criteria for a psychological disorder.
To reach a diagnostic conclusion the diagnostic process relies on 2 components:
- Securing symptoms and signs and interpreting the sources of information.
- Requires knowledge about normal functioning and behaviour and their pathological counterparts.
What is a symptom?
It is a manifestation of a state or condition that is considered abnormal as reported by the affected individual.
What is a sign?
A sign is observed by another individual.
For the diagnostic process we want to know 3 things.
who; why; and what.
Algorithmic approach
step-by-step approach to solving problem.
Pattern recognition approach
recognising patterns.
Hypothetico deductive method
a hypothesis about the problem is formed where the history forms the main substance of the hypothesis.
Pathognomonic diagnosis
Clinician rules out problems in areas and focuses on more relevant areas.
Types of diagnosis (5):
- Experiential or phenomenological diagnosis.
- Syndromal diagnosis.
- Pathogenic or Aetiological diagnosis.
- Functional diagnosis.
- Differential diagnosis.
Key concepts that help determine the value of assessments:
- Reliability
- Validity
- Standardisation
Define reliability:
The degree to which a , measurement is consistent.
2 types of reliability:
- Test-retest reliability
- Inter-rater reliability
Define validity:
The degree to which a technique measures what it is designed to measure.
2 types of validity:
- Concurrent validity
- Predictive validity
Define standardisation:
Application of certain standards to ensure consistency across different measurements.
The clinical encounter involves 3 components:
- Clinical history
- Mental state examination
- Behavioural observations/assessment
Elements of the clinical history (6):
- Identifying & demographic information
- Primary complaint
- Systematic inquiry
- Medical history
- Habits
- Psychosocial adaptation & functioning
Define mental state examination:
Brief, but systematic overview of mental functioning across the domains of consciousness, cognitive functioning, emotions, reality testing, and behaviour.
What are the domains & features of a MENTAL STATE EXAMINATION (6) ?
- Description of general appearance
- Consciousness, arousal and cognitive functions
- Mood and Affect
- Reality testing
- Motoric and other behaviours
- Other observations
What is the “problem of reactivity” ?
Simply observing a behavior may cause it to change due to the person’s knowledge of being observed.
What are the “ABC’s” of observations ?
Antecedents (before behaviour)
Behaviour (now)
Consequence (after behaviour)