CH.3 Assessment, Clarification, Mental Disorders Flashcards
Assessment
On going evaluation
Intelligence test
Usually takes hours long to actually determine
-data is just a clue more clues become more accurate
systematically measure ppl
Reliable
consistently hitting target
-2 different outcomes YES you have and no you don’t
Validity
consistent & accurate
- really measuring what we say
- generalizability
Interview
unstructured- what brings you in
semi-open ended questions
structured- specific questions
Mental Status Exam
- obeservation
- rate of speech
- sensory perception
Observation
Naturalistic: in classrooms, labs
Reactivity: to a situation, influenced
Rorschach Inkblots
projecting feelings onto an ink blot
- abstract thinking like “my friend” had this problem
- deeper into unconscious
principle of the non self
Part of something larger, connected
Thematic Apperception Test (TAT)
31 different pictures: what is going on, what led up to, and after
Therese that can come up with certain pictures> I can’t do this, unworthy, fears
Beck Depression Inventory
- series of questions
- biological functioning: thinking, feeling, sleeping, sex drive, behavior
- easy to see where they are improving and what needs to be worke on overtime
MMPI
- 500 T/F questions for response patterns
- clinical scales: pattern of responses
- faking problems, chest pain, depression, paranoia.
Intelligence Testing
- behavioral performance testing
- ID kids who may need tutoring, placement, cognitive problems (IQ)
Wechsler Intelligence Scale
- information, comprehension, problem solving
- block design
- answer graded 0-2 scale
Bender Desgin Test
- neurological, brain damage
- replication
- translating something happening in the brain through patterns
Neurological
EEG -receiving information, processing, sleep disorders
CAT- X-ray of the brain, swelling, stoke
MRI-blood/necrosis, ligaments
PET- inject radioactive isotope metabolized into blood and light up when activity in areas of the brain
Diagnostic/ Classification.
Labels: nomenclature (diabetic, nice, organized, helpful)
Category: accurate and valid describes someone
DSM
-at least 5 of them for 2 weeks or more
DSM3 revised description: multi axial system (factors)
DSM4 more on culture, not separate mind and body
DSM5
2013
-no multi axial system
Aspburgers now a subcategory of autism
-No categories: dimensions of severity, symptom patterns
Generalized Anxiety Disorder
- Axis 1 disorder
- severity, reoccurrence of certain patterns
- symptoms: excessive worry most days during the week, irritability
- distress & impairment
Comorbidity
Co -occurring disorders
-more often more than one occurring
Clinical Efficacy
Effective , useful, internal validity
EX. CBT usually 1-4 months
Clinical Utility
External validity, only works with small sample
-EX. psychoanalysis , interpersonal therapy
Effective
No longer creating a significant interference
