Chapter 1 & 3 Flashcards

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1
Q

Clinical interview

A
  1. Attention on how the questions are answered
  2. Empathy is essential
  3. Extent of the structure depends on the experience of the clinician
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2
Q

Structured interviews

A
  1. Collect standardized information

2. Asked in certain order depending on how questions are answered

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3
Q

General adaptation syndrome

A
Biological response to lots of stress
3 phases of response:
1. Alarm phase
2. Resistance phase
3. Exhaustion phase
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4
Q

Assessment of stress tests

A
  1. Life Events and Difficulty Schedule (semi-structured)

2. Self-report stress checklist

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5
Q

Personality tests

A
  1. MMPI-2

2. Big Five Inventory-2

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6
Q

Intelligence tests

A
  1. WAIS-4
  2. WISC-5
  3. WPPSI-4
  4. Stanford-Binet-5
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7
Q

Ecological Momentary Assessment (EMA)

A

Collection of data in real time and report on recently experienced thoughts, moods or stressors

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8
Q

Reactivity

A

Behavior changes because someone knows they are being observed

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9
Q

Cognitive-Style Questionnaires

A

Used to help plan targets for treatment as well as to determine whether clinical interventions are helping to change negative thought patterns

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10
Q

Brain imaging types

A
Structure:
1. CT
2. MRI
3. fMRI
Function: 
1. fMRI
2. PET
3. SPECT
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11
Q

Neurotransmitter assessment

A
  1. Post-mortem analysis

2. PET scans

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12
Q

3 types of connectivity

A
  1. Structural or anatomical: how structures are connected via white matter
  2. Functional connectivity: between brain regions based on correlations between their BOLD signal
  3. Effective connectivity: combines both types, shows BOLD and also direction and timing
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13
Q

Neuropsychological assessment tests

A
  1. Tactile performance test-Time: fitting blocks in to spaces of a form board
  2. Tactile performance test-Memory: draw the form board from memory
  3. Speech sound perception test: hear word and select what they heard from alternatives
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14
Q

Psychophysiological assessment

A
  1. Electrocardiogram: heart rate electrical charges
  2. Electrodermal responding: measures skin conductance
  3. EEG: brain activity with electrical activity
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15
Q

3 elements of diagnostics

A
  1. Theory development of problems/complaints and problematic behavior
  2. Operationalization and its subsequent measurement
  3. Application of relevant diagnostic methods
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16
Q

Testing 5 steps

A
  1. Converting theory into hypothesis
  2. Selecting appropriate tools
  3. Making predictions
  4. Applying instruments
  5. Elaborating and explaining results
17
Q

5 basic questions in clinical psychodiagnostics

A
  1. Recognition: what are problems
  2. Explanation: why do the problems exist
  3. Prediction: how will client develop in the future
  4. Indication: how can problem be solved
  5. Evaluation: have problems been solved
18
Q

Synchronous and diachronous

A

Synchronous: at the same time as the behavior
Diachronous: prior to the behavior

19
Q

Diagnostic cycle

A
  1. Observation
  2. Induction
  3. Deduction
  4. Testing
  5. Evaluating
20
Q

Application

A

Information about the referrer and type of request. Clients mindset is observed. Information form other sources is gathered

21
Q

Hypothesis formulation

A

Based on recognition and explanation. Predictions must be concrete and verifiable

22
Q

Selection of examination tools

A

Suitable instruments are selected based on recognition and explanation

23
Q

Administration and scoring

A

Results first analyzed independently, then in relation to hypotheses

24
Q

Argumentation

A

Quality of tools are evaluated. Hypotheses are accepted or rejected. Diagnostician concludes outcome

25
Q

Report

A

Conclusion of report must be well defined. Language must be transparent and not too much technical jargon

26
Q

Diagnosis and Treatment Combinations

A

Allows treatment to be efficient and cost-effective. Once a patient has been efficiently diagnosed, the protocol-based treatment
that then takes place is preferably evidence-based and clearly fits the diagnosis that has been made.

27
Q

Problems with DTC

A
  1. Sometimes clients have more than one problem/complaint
  2. Sometimes there are no clearly defined problems
  3. Departments might overlook other more serious complaints due to strong focus on reported complaint
  4. Research on interaction between specific diagnosis and treatment is scarce
  5. Often insufficient time to carry out a
    comprehensive diagnostic examination of the causes of the complaint(s)/
    problem(s)
28
Q

Recognition components

A
  1. Inventory and description
  2. Organization and categorization in dysfunctional behavior clusters or disorders
  3. Examination of seriousness
29
Q

Explanation components

A
  1. The locus: the person or situation
  2. Nature of control: about the cause
  3. Synchronous and Diachronous explanations
  4. Induced and persistent conditions
30
Q

Indication components

A
  1. Knowledge of treatment and therapists
  2. Knowledge of relative usefulness of treatments
  3. Knowledge of clients acceptance of indication
31
Q

Heuristics clinical judgement

A
  1. Clinicians using clinical judgment evaluate only about 50% of the key criteria of structured interviews
  2. Symptoms that had been described as forming part of a causal relation are weighed more heavily as criteria
  3. Clinicians using clinical judgement often make diagnoses by comparing clients to ‘prototypes’
32
Q

Biases in PA

A
  1. Stereotyping
  2. Availability
  3. Premature closure
  4. Illusory correlation
  5. Confirmation
  6. Excessive data collection
  7. Self-report