chapter 3 Flashcards
1
Q
purpose of assessing
A
- understand person
- current distress, symptoms, impairment
- history
- functioning
- make sure its really happening
- determine a diagnosis
- treat
2
Q
reliability
A
- consistency of the measurement or procedures
- need a way to assess with same answers each time
3
Q
validity
A
- does it measure what its supposed to
4
Q
standardization
A
- procedures to ensure consistency
- done the same way every time
5
Q
structured interviews
A
- only ask questions on form
- skid: answer a question one way and ask a set of questions depending on answer
6
Q
semistructures
A
- must use set of questions but can add to it
- most used
7
Q
unstructured
A
- whatever the client wants to talk about
- ask about what is said
- can be invalid bc up to clinician
8
Q
multiple domains assessed
A
- why did they get help
- current behavior
- attitudes
- emotions
- history
- coping methods, strengths
- life functioning
- severity
9
Q
areas to assess
A
- current stresses
- anxiety
- trauma
- depressive symptoms
- suicidal
- functional impairment
- physical health
- social, emotional, relationship problems
- substance use or abuse
- family violence
10
Q
mental status exam
A
- provides clinical and cognitive functioning info about clients
- assesses functioning
- interview, get observations
11
Q
mse: appearance and behaviour
A
- long sleeves
- sluggish or fast
- spontaneous speech
- pressured or poverty speech
12
Q
mse: thought process
A
- langage or speech
- word salad
- loose associations
- disturbance in associations
- perceptual disturbances
- what is stress about
13
Q
intellectual functioning
A
- how intelligent
- cognitive measures
- memory
14
Q
sensorium
A
- orientation
- awareness
- consiousness
15
Q
behavioural assessment and observation
A
- identification and observation of target
- focus on interactions between events
- thought diary
- classroom observation
16
Q
ABC
A
- antecedents
- behaviour
- consequences
17
Q
psychological testing
A
- trying to answer a question
- give more information on areas of functioning and impairment
- tools: cognition and emotional functioning, personality traits and behaviour, neuropsychological functioning
- objective tests: standardized, self report measures
- projective tests: person responds to an ambiguous task
18
Q
cognitive testing
A
- determine intellectual ability
- strengths and limitations
- determine cognitive functioning, potential deficits
19
Q
MMPI
A
- 30-70 normal
- disorders on bottom, numbers on side
- PD = psychological deviance
- PA = paranoia
- PT - psychasthemia
- SC - schizophrenia
- M = mania
- SI = social interaction
20
Q
clinical scales
A
- if a person is truthful or not
- can be too uncomfortable to say something, may try to be sicker than they are
- Fscale: frequency or infrequency (pick up exaggerations)
- k = supressor scale (lessen exaggerations)
21
Q
psychophisiological assessment
A
- assessed activity of nervous system and other systems
- EEG, EKG, EMG
- what are physiological responses and bodily functions
22
Q
types of neuroimaging
A
- brain structure: CAT, CT, MRI
- brain function: PET, SPECT, fMRI
23
Q
classical categorical approach
A
- assumes each disorder unique with own symptoms
- used for a long time
- not a lot of crossover with symptoms
- need to fit all or most symptoms
24
Q
dimensional approach
A
- disorders on contimuum
- more inclusive
25
prototypical
- combines dimensional and classical
| - includes features and symptoms but there is variability
26
DSM
- standardized system for criteria and diagnosis
- reliability for diagnosis
- each version with new diagnoses
- 297 disorders
- research based
- inclusion and exclusion criteria clear
- fuller descriptions
- looks at severity
27
characteristics of DSM
- prototypical approach but greater emphasis on dimensional
| - greater emphasis on current research and practice, developmental considerations