Chapter 3 (Barlow) Flashcards
Systematic evaluation and measurement of psychological, biological, and social factors in an individual presenting with a possible psychological disorder.
Clinical assessment
Process of determining whether the particular problem afflicting the individual meets all criteria for a psychological disorder
Diagnosis
3 basic concepts that
help determine the value of our assessments
Reliability
Validity
Standardization
Degree to which a measurement is consistent.
Reliability
Whether something measures what it is designed to measure
Validity
Comparing the results of an assessment measure under consideration with the results of others that are better
known allows you to begin to determine the validity of the first
measure.
Concurrent or descriptive validity.
Process by which a certain set of standards or norms is determined for a technique to make its use
consistent across different measurements.
Standardization
Involves the systematic observation of an individual’s behavior
Mental Status Exam
5 categories of MSE
Appearance and behavior
Thought processes
Mood and affect
Intellectual functioning
Sensorium
- Overt behavior
- Attire
- Appearance, posture, expressions
Appearance and behavior
- Rate of speech
- Continuity of speech
- Content of speech
Thought processes
Disorganized speech pattern in some patients with schizophrenia
Loose association or derailment
Distorted views of reality
Delusions
3 types of delusion
Delusions of persecution
Delusions of grandeur
Ideas of reference
Someone thinks people are after him and out to get him all the time
Delusions of persecution
Individual thinks she is all-powerful in some way
Delusions of grandeur
Everything everyone else does somehow relates back to the individual.
Ideas of reference
Things a person sees or hears when those things really aren’t there.
Hallucinations
- Predominant feeling state of the individual
- Feeling state accompanying what
individual says
Mood and affect
Refers to the feeling state that accompanies what we say at a given point.
Affect
- Type of vocabulary
- Use of abstractions and metaphors
Intellectual functioning
- Awareness of surroundings in terms of
person (self and clinician), time, and place—
“oriented times three”
Sensorium
Possible existence of disorder
characterized by intrusive, unwanted
thoughts and resistance to them
Subsequent focus