College 1.2: Intake Flashcards
What are the differences between classifying and descriptive diagnoses?
Classifying diagnoses are made from recognition questions (what?) and they recognize patterns in behavior and complaints.
Descriptive diagnoses are made from explanation questions (why?) and are more like an individual theory.
What are the components of an intake interview?
There’s a verbal part and a non-verbal (oberservational) part.
The verbal part is build up of looking at the problem, content (nature, severity, course) and context.
What are the categories of a mental state examination?
X
What are the most important goals of observation?
- Self-report is limited
- Adds info on complaints and personality
- Double check of the info given by the client
- Not observing deviations is informative as well
What are the 4 factors that play a role in the complaints and impaired functioning, and what do they mean?
- Predisposing factors: make a person vunerable for certain problems.
- Explanatory factors: these trigger problems, big life events.
- Perpetuating factors: these maintain the problems, certain type of behavior.
- Protective factors: protect you from problems
What should you observe?
- Appearance and behavior
- Speech and language
- Mood and affect
- Thought processes and content
- Cognition
- Prefrontal functioning
What’s the difference between mood and affect?
Mood is reported by the client.
Affect is observed by the assessor.
These two things can be incongruent, because of
- Stigma of mental illness
- Fear of being diagnosed
What is the availabilty heuristic?
The overuse of available info, that is recent or otherwise striking, but may not be the case in a certain situ.
What is the halo effect?
Observing one positive property and linking other properties to create a general positive image.
What is the horn effect?
Observing one negative property and linking other properties to create a general negative image.
What is stereotyping?
Attributing the characteristics of a group to the person belonging to this group.
What are 4 questions to ask during induction/diagnostic scenario?
- What are the impairments in functioning?
- What are possible causes?
- Can substance use, medication or medical conditions explain the impairments?
- Can the null hypothesis still be true?
What type of information belongs in ‘verbal part 1’?
Problem: Presenting problem - Cognitive status complaints - Emotional status complaints - Suicidal ideation - Homicidal/aggressive ideation.
What type of info belongs to ‘verbal part 2’?
'Understanding the actual content of the problem' Content: Symptomatic evaluation - Developmental history - Psychiatric history - Alcohol/substance history - Medical history - Family medical and psychiatric history
What type of info belongs to ‘verbal part 3’?
Context: Psychosocial evaluation - Family history - Educational/vocational history - Criminal/legal history - Social history - Psychosexual history - Multicultural evaluation