Ch 4 & 5 Flashcards
diagnostic labels can ________ a patient.
dehumanize
Diagnosis
Label attached to a set of symptoms that tend to occur together
Classification system
A list of categories and disorders with descriptions of the symptoms and guidelines for assigning individuals to the categories
Reliability
Consistency of assessment measures, yielding the same results in the same situation
Validity
Whether or not it measures what it’s supposed to measure
Categorical information
figuring out if and which psychological disorder a patient has
Dimensional information
figuring out the extent of severity of symptoms a patient has, often on severity scales.
Culture bound abnormality
mental disorders unique to a particular culture, growing from cultural pressures and ideas
Why a diagnostic system?
scientific reasons
clinical reasons
pragmatic reasons
DSM 5 as heuristic
mental shortcut that helps categorize, and has helped clinicians make diagnostic and treatment decisions efficiently but errors may occur
Strengths of DSM 5
- based on observable and describable behaviors
- common language
- categories + rating scales
Weaknesses of DSM 5
self reports
not all problems can be observed
some labels might not actually be disorders
Phenomenological impasse
not all symptoms are behavioral
Dangers of diagnosis
dehumanizing and labeling patients, and clinicians may use bias that may lead to incorrect diagnoses
Rosenhan study
being sane in insane places, no one realized they were sane, only some patients
Role of theory in DSM
DSM might profit from making underlying theories explicit and we have viewed theory as corrupting the diagnostic system
Treatment decisions
treatment plans usually reflect their theoretical point of view and how they have been trained to treat people
Therapy outcome studies
studies that measure the effects of various treatments
Meta analysis
combining findings of different studies into one statistical analysis
Uniformity myth
false belief that all therapies are equivalent despite differences in therapists’ training, experience and theoretical orientations
Reapproachment movement
tried to identify a set of common strategies that may run through the work of all effective therapists regardless of clinician’s prior orientations
Idiographic information
Individual information gathered on new clients
Interrater reliability
Different judges independently agree on how to score and interpret things
Predictive validity
Tool’s ability to predict future characteristics or behavior ex gathering parents info on smoking to predict child’s smoking behaviors or lack thereof
Concurrent validity
Degree to which the measures gathered from one assessment technique agree with measures gathered from other techniques
4 Ds of abnormality
Deviance
Distress
Dysfunction
Danger
Mental illness is ___________ with IQ.
Uncorrelated
A group of symptoms that tend to occur together
Syndrome