CHAPTER 3: Clinical Assessment, Diagnosis and Treatment Flashcards
Definition of assessment?
Collection of relevant information to reach a conclusion;
idiographic information
Definition of Clinical assessment?
Information used to determine whether, how, and why a person is behaving abnormally and how that person may be helped
- Idiographic; program-based
Hundreds of clinical assessment tools have been developed and fall into three categories; What are the three categories?
- Clinical interviews
- Tests
- Observations
To be useful, assessment tools must be…
standardised and have clear reliability and validity
What is standardisation?
Standardising is a technique involves setting up common steps to be followed whenever it is administered
What are the three characteristics of assessment tools?
- Validity
- Reliability
- Standardization
What is reliability?
The consistency of an assessment measure
A good tool will always yield the same situation
What are the two main types of reliability?
- Test-retest reliability
- Interrater reliability
What is Test-retest reliability?
Yields the same results every time it is given to the same people
What is Interrater reliability?
Different judges independently agree on how to score and interpret a particular tool
What is validity?
The accuracy of a tool’s results
An assessment tool must accurately measure what it is supposed to measure
What are the three specific types of validity?
- Face validity
- Predictive validity
- Concurrent validity
What are clinal interviews?
- Face-to-face encounter
- Basic background data gathered with specific theoretical focus
- Unstructured or structured
What are limitations of clinical interview?
- Lack of validity or accuracy
- Interviewer bias or mistakes in judgment
- Lack of reliability
What are clinical tests used to gather information about?
• Used to gather information about psychological functioning from which broader information is inferred
What do projective tests require?
Projective tests require client interpretation of vague or ambiguous stimuli or open-ended instruction; psychodynamic orientation • Rorschach test • Thematic Apperception Test (TAT) • Sentence-completion test • Drawings
What is the Mindtech: Psychology’s WikiLeaks?
- In 2009, an emergency room physician posted all 10 Rorschach cards on the online encyclopedia, Wikipedia.
- Many psychologists argue that the test responses of patients who have previously seen the cards on Wikipedia cannot be trusted.
What is the Rorschach test? (InkBlot Test)
The Rorschach test is a projective psychological test in which subjects’ perceptions of inkblots are recorded and then analyzed using psychological interpretation, complex algorithms, or both.
What is the Thematic Apperception Test (TAT)
The Thematic Apperception Test (TAT) is useful in revealing a patient’s dominant motivations, emotions, and core personality conflicts. The TAT consists of a series of 20 cards depicting people in various interpersonal interactions that were intentionally created to be ambiguous.
What is the Sentence-completion test?
Sentence completion tests are a class of semi-structured projective techniques. Sentence completion tests typically provide respondents with beginnings of sentences, referred to as “stems”, and respondents then complete the sentences in ways that are meaningful to them.
What are drawing tests commonly used to assess?
Drawing tests are commonly used to assess the psychological functioning of children.
Strengths of clinical tests?
- Until the1 950s, the most commonly used tests for personality assessment
- Now used to gain supplementary information
Limitations of clinical tests?
- Reliability and validity not consistently shown
* May be biased against minority ethnic groups
What are personality inventories designed to measure?
• Designed to measure broad personality characteristics
What do personality inventories focus on?
• Focus on behaviors, beliefs, and feelings
What are personality inventories usually based on?
• Usually based on self-reported responses
What is the most widely used personality inventory?
Minnesota Multiphasic Personality Inventory
• For adults: MMPI (original) or MMPI-2 (1989 revision)
• For adolescents: MMPI-A
How many clinical scales does the MMPI consist of?
10 clinical scales