CIA Flashcards

1
Q

MMPI Clinical Scales

A
1 Hypochondriasis (Hs)
2 Depression (D)
3 Hysteria (Hy)
4 Psychopathic Deviate (Pd)
5 Masculinity-Femininity (Mf) 
6 Paranoia (Pa)
7 Psychasthenia (Pt)
8 Schizophrenia (Sc)
9 Hypomania (Ma)
0 Social Introversion (Si)
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2
Q

MMPI 2

```
Validity Scales
L
(F)
(K)
(VRIN)
(TRIN)
(CNS)
(FBS)
(S)
(Fback)
~~~

A

Mean: 50 STD: 10 Ages:18 +

(L)- Lie- Measures whether individual is trying to look good or rather is willing to own up to basic human vulnerabilities

(F)- Infrequency (faking bad)- Significantly high scores on this scale bring the validity of a profile into question. - Over reporting

(Fback) - The same as (F) but back half of test

(FBS) - Symptom Validity

(K)- Correction- Significantly high scores on this scale indicate a testee is defensive and attempting to hide something. - Underreporting.

(VRIN) Random Responding. VRIN > 80 Profile uninterpretable

(TRIN) Fixed Responding (i.e., marking all true)

(CNS) Cannot Say

(S) Superlative Self-Presentation - Contains subscales to assist in identifying specific areas of defensiveness:
– Belief in human goodness
– Serenity
– Contentment with life
– Patience and denial of irritability and anger – Denial of moral flaws

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3
Q

SCALE 1 – HYPOCHONDRIASIS (Hs)

A

T > 75 Extreme and sometimes bizarre somatic concerns; consider somatic delusions; chronic pain

T > 65-74 Somatic complaints, may develop somatic symptoms in times of stress; chronic pain

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4
Q

SCALE 2 – DEPRESSION (D)

A

T > 75 Serious clinical depression; suicidal ideation; feelings of unworthiness and inadequacy

T = 65-74 Moderate depression, worried, somatic complaints

T=55-64 Dissatisfied with life situation; introverted, withdrawn; restricted range of interests; lacking in self-confidence

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5
Q

SCALE 3 – HYSTERIA (Hy)

A

T > 75 Extreme somatic complaints; consider conversion disorder; reacts to stress by developing somatic symptoms which may disappear when stress subsides; chronic pain

T = 65-74 Somatic symptoms; chronic pain; lacks insight concerning causes of symptoms

T = 55-64 Somatic complaints; denial, immature, self-centered; demanding; suggestible, affiliative

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6
Q

SCALE 4 – PSYCHOPATHIC DEVIATE (Pd)

A

T > 75 Antisocial behavior; trouble with the law

T = 65-74 Rebellious, non-conforming; family problems; impulsive, angry, irritable, dissatisfied; creative; underachievement; poor work history

T=55-64 unconventional; immature, self-centered; superficial relationships; extroverted, energetic

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7
Q

SCALE 5 MASCULINITY-FEMININITY (Mf)

A

T = >65 Men Lacks traditional masculine interests

T = 45-64 Interests similar to most men

T 65 Women Rejects traditional feminine role

T = 45-64 Interests similar to most women

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8
Q

SCALE 6 – PARANOIA (Pa)

A

T > 75 Psychotic symptoms, including delusions of persecution and ideas of reference

T = 65-74 Paranoid style, guarded, extremely sensitive to opinions of others; may feel mistreated; blames others; suspicious, resentful, withdrawn; hostile and argumentative

T = 55-64 Overly sensitive; guarded, distruskul ,angry, resentful

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9
Q

SCALE 7 – PSYCHASTHENIA (Pt)

A

T > 75 Excessive fear and anxiety, Phobias, intruding thoughts, obsessive compulsive symptoms

T = 65-74 Moderate anxiety, depression, fatigue; insomnia, bad dreams; guilt, perfectionism, feels unaccepted

T = 55-64 Anxious, tense, uncomfortable; insecure, lacks self confidence; meticulous, indecisive; shy, introverted

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10
Q

SCALE 8 – SCHIZOPHRENIA (Sc)

A

T > 75 Confused, disorganized thinking; hallucinations and/or delusions; impaired contact with reality; rule out medical conditions, substance abuse

T = 65-74 Schizoid life style; unusual beliefs; eccentric behaviors; confused, fearful, sad; somatic complaints; uninvolved; excessive fantasy and daydreaming

T= 55-64 Limited interest in other people; impractical; feelings of inadequacy and insecurity

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11
Q

SCALE 9 – HYPOMANIA (Ma)

A

T > 75 Manic symptoms, including excessive, purposeless activity; hallucinations, delusions of grandeur; confusion, flight of ideas

T = 65-74 Excessive energy, lacks direction, conceptual disorganization, unrealistic self-appraisal; impulsive, low frustraWon tolerance

T = 55-64 Active, energetic, extroverted, creative, rebellious, enterprising, impulsive

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12
Q

SCALE 0 – SOCIAL INTROVERSION (Si)

A

T > 75 Extreme social withdrawal/avoidance

T = 65-74 Introverted, depressed, guilty, slow personal tempo; lacks self- confidence; lacks interests; submissive, compliant, emotionally over- controlled

T= 55-64 Shy, timid; lacks self-confidence; reliable, dependable

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13
Q

ADDRESSING Model

A
Age
Disability (developmental disability)
Disability (acquired physical/ cognitive/psychological disabilities
Religion
Ethnicity
Social Status
Sexual Orientation
Indigenous Heritage
Nation of Origin
Gender
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14
Q

(PC) Person Centered

A

Unconditional positive regard

Real vs. Ideal Selves

Incongruence vs. Congruence

Self Actualization

Conditions of Worth

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15
Q

(PC) Self-Actualization

A

Innate process toward growth

Constrained by tension between ideal and real self, experiences anxiety and incongruence.

The desire to please others limits authenticity, self-actualization

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16
Q

(PC) Necessary elements for change

A

Unconditional positive regard, authenticity (genuiness) and empathy from therapist.

As client is accepted explores and accepts true self, can express authentic emotional expression, increases self-regard and moves toward actualization.

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17
Q

Define the Biopsychosocial framework

A

The biopsychosocial framework was developed by George L. Engle that states that interactions between biological, psychological, and social factors determine the cause, manifestation, and outcome of wellness and disease.

Decide which aspects of biological, psychological, and social domains are most important to understanding and promoting the patient’s health
while providing them with sound multidimensional treatment

18
Q

IQ Testing
WAIS IV (16yrs and older)
WISC (16yrs and younger)

A

Mean: 100 STD: 15

IQ T-scores:
(130 and up) Very Superior.

(120 to 129) Superior

(110 to 119) High Average

(90 to 109) Average

(80 to 89) Low Average

(70 to 79) Borderline

(69 and below) Extremely Low.

Scaled Scores:
(5 and below) Borderline

(6-7) Low Average

(8-11) Average

(12-13) High Average

(14-15) Superior

(16 and up) Very Superior

19
Q

IQ Components

A

(PRI) Perceptual Reasoning - It measures an individual’s degree and quality of nonverbal contact with the environment, the ability to integrate perceptal stimuli with relevant motor responses, the capacity to work in concrete situations, the ability to evaluate visuospatial information

  • Block Design
  • Matrix Reasoning
  • Visual Puzzles
  • Figure Weights
  • Picture Completion

(PSI) Processing Speed - It measures the speed of processing information, planning and organization, motor control and motivation.

  • Coding
  • Symbol Search
  • Cancellation

(WM) Working Memory - It measures concentration and attention, the ability to hold and manipulate information in short-term memory, short-term memory, sequencing, facility with numbers, mental flexibility.

  • Digit Span
  • Arithmetic
  • Letter-Number Sequencing

(VCI) Verbal Comprehension - It measures the amount and degree of benefit a person has received from his or her educational background, verbal memory abilities, and verbal fluency.

  • Similarities
  • Vocabulary
  • Information
  • Comprehension
20
Q

Academic Testing - WIATT III

A

Mean: 100 STD: 15 Ages: 4 - 50
is a standardized academic achievement test used to measure previously learned knowledge in the areas of Reading, Written Language, Mathematics, and Oral Language.

Scores are based on age norms. Classifications similar to WAIS.

21
Q

(WRAT) Wide Range Achievement test

A

Mean: 100 STD: 15 Ages: 5 - 94

Measures the basic academic skills of word
reading, sentence comprehension, spelling, and math computation

22
Q

(WRIT) Wide Range Intelligence Test

A

Mean: 100 STD: 15 Ages: 4 - 85

Is an efficient measure of general intelligence

Assesses both verbal and non-verbal abilities by means of verbal and visual scales

Can be used to detect dyslexia.

The WRIT yields a Verbal (Crystallised) IQ and a Visual (Fluid) IQ which generates a General IQ when combined.

23
Q

Ruberic

A

Ethics
- Identifies any Federal, State Law and Administrative Rule issues

  • Identifies institutional or organization policy issues
  • Identifies any issues of the Ethical Code or pertinent concerns

Bio/Social
- Defines biopsychosocialspiritual framework

  • Applies biological factors salient to case.
  • Applies social, spiritual, or systems considerations

ADRESSING
-Defines ADDRESSING model

  • Applies ADDRESSING model to functioning

THEORY
- Articulates the principles of chosen theory and mechanism of change

  • Conceptualizes from chosen theory
  • Identify and apply evidence based approach
  • Identifies means for assessing outcome in therapy

ASSESSMENT
- Accurate interpretation of IQ Testing

  • Accurate interpretation of Academic Testing
  • Accurate interpretation of Personality testing
24
Q

To whom does HIPAA apply?

A

To anyone who provides health care and does electronic transmission of health care information

25
Q

HIPPA privacy

A

No identifying information

Stronger state laws and ethical superseded HIPPA

26
Q

HIPPA Consent

A

Allows for open exchange of information among treatment providers (TPO) and related parties

Must obtain authorization (ROI) to share information with anyone outside TPO.

27
Q

Consent / Record Keeping

A

Consent is good for 6 years unless revoked in writing

Records must be kept for a minimum of 6 years from last contact under HIPAA (Oregon 7 years)

Legally and ethically, psychologists can generally release private information about patients outside the TPO if:

1) Authorized
2) Legally compelled
3) To obtain essential emergency services

28
Q

Security

A

All records must be “double-locked” (i.e., password protected within a locked room)

Electronic records must be security protected

29
Q

Duty to Report

A

Any healthcare provider who has “reasonable cause to believe” that another healthcare provider has engaged in
◦ Prohibited conduct
◦ Unprofessional conduct

Provider is required to report that behavior to the offending provider’s licensing board within 10 working days

Privileged communications are exempt from mandated reporting

EX. As a licensed psychologist, you learn from a patient that s/he has engaged in a sexual relationship with a former psychologist. What do you do?

  • This is a reportable event under ORS 676.150 Duty to Report, but exempt when received as a privileged communication.
30
Q

Child Abuse Reporting

A

Any child with whom the official comes in contact has suffered abuse

Any person with whom the official comes into contact with has abused a child

Shall immediately report OR cause a report to be made

Reporting is mandatory for public officials, including psychologists and counselors

Report is to a law enforcement agency or SCF worker in the county where the reporter was at the time of contact

Psychologist shall not be required to report if the communication is privileged

31
Q

Elder Abuse Reporting

A

Having reasonable cause to believe that any person 65 years of age or older with whom the official comes in contact with has suffered abuse

OR

That any person with whom the official comes in contact while acting in an official capacity has abused a person 65 years of age or older

32
Q

Minors

A

Non-custodial parent has equal access to records as custodial, and may authorize treatment unless parental rights have been revoked

Those 14 or older may seek care w/o parental knowledge or consent, but must involve parents before termination unless contraindications are documented (e.g., sexual abuse by parent, or emancipation)

33
Q

PAI Scales and Meaning

Mean: STD: Ages: 18 +

A

Validity Scales:
Inconsistency (ICN) is the degree to which respondents answer similar questions in the same way.

Infrequency (INF) is the degree to which respondents rate extremely bizarre or unusual statements as true.

Positive Impression (PIM) is the degree to which respondents describe themselves in a positive light.

Negative Impression (NIM) is the degree to which respondents describe themselves in a negative light.

Nonsupport (NON) is the measure of a perceived lack of social support, tapping both the availability and quality of the client’s social support.

Tx Rejections (RXR) Indicates attitudes that could pose potential problems with motivation for treatment.

Personality Scales:
Somatic concerns (SOM) measures a respondent's physical concerns and complaints.

Anxiety (ANX) measures a respondent’s general feelings of tension, worry, and nervousness.

Anxiety Related Disorders (ARD) measures more specific anxiety symptoms that relate to different categories of anxiety disorders.

Depression (DEP) measures a respondent’s general feelings of worthlessness, sadness, and lethargy.

Mania (MAN) measures a respondent’s level of high energy and excitability.

Paranoia (PAR) measures a respondent’s suspiciousness and concern about others harming them.

Schizophrenia (SCZ) measures a respondent’s unusual sensory experiences, bizarre thoughts, and social detachment.

Borderline features (BOR) measures a respondent’s problems with identity, emotional instability, and problems with friendships.

Antisocial features (ANT) measures a respondent’s level of cruel/criminal behavior and selfishness.

Alcohol Problems (ALC) measures a respondent’s problems with excessive drinking.

Drug Problems (DRG) measures a respondent’s problems with excessive recreational drug use

34
Q

MMPI-RF (Clinical Scales)

A

(RCd) Demoralization - A general measure of distress that is linked with anxiety, depression, helplessness, hopelessness, low self-esteem, and a sense of inefficacy.

(RC1) Somatic Complaints - Measures an individual’s tendency to medically unexplainable physical symptoms.[27]

(RC2) Low Positive Emotions - Measures features of anhedonia - a common feature of depression.

(RC3) Cynicism - Measures a negative or overly-critical worldview that is associated with an increased likelihood of impaired interpersonal relationships, hostility, anger, low trust, and workplace misconduct.

(RC4) Antisocial Behavior - Measures the acting out and social deviance features of antisocial personality such as rule breaking, irresponsibility, failure to conform to social norms, deceit, and impulsivity that often manifests in aggression and substance abuse.

(RC6) Ideas of Persecution - Measures a tendency to develop paranoid delusions, persecutory beliefs, interpersonal suspiciousness and alienation, and mistrust.

(RC7) Dysfunctional Negative Emotions - Measures a tendency to worry/be fearful, be anxious, feel victimized and resentful, and appraise situations generally in ways that foster negative emotions.

(RC8) Aberrant Experiences - Measures risk for psychosis, unusual thinking and perception, and risk for non-persecutory symptoms of thought disorders.

(RC9) Hypomanic Activation - Measures features of mania such as aggression and excitability.[27]

35
Q

(APS) Addiction Potential Scale

A

T-score > 60 suggests possible substance abuse problems

36
Q

(AAS) Addiction Admission Scale

A

Scores T> 60Acknowledge substance abuse

37
Q

(MAC-R) Mac Andrew Alcoholism Revised

A

– Risk-taking, sensa9on-seeking
– Extroverted, exhibi9onis9c
– Increased risk for substance abuse

38
Q

(PK) Post-Traumatic Stress Disorder-Keane (PK)

A

Post-Traumatic Stress Disorder

39
Q

Marital Distress scale (MDS)

A

Marital Distress

40
Q

Hostility (Ho)

A

Angry, hostile