CP: Chapter 1 The Diagnostic Process Flashcards
clinical psychodiagnostics is based on 3 elements:
- theory development of the problem and behaviour = first hypothesis
- operationalization and measurement
- application of diagnostic methods = step by step diagnostic process
steps in the diagnostic process
- starting point: referral request
- first meeting: formulating questions/reflections
- diagnostic scenario with subdivision of basic questions and a theory
- testing the theory with 5 diagnostic measures
5 diagnostic measures
- covert theory into hypothesis
- select research tools
- testable predications (clear indication when hypothesis is rejected or accepted)
- administration and processing
- argumentation
5 basic questions in clinical psychology
recognition
explanation
prediction
indication
evaluation
recognition =
what are the problems, what works and what does not
explanation
why do problems exist and what sustains them
predication
how will the problems develop in the future
indication
how can the problem be resolved
evaluation
have the problems been resolved as a result of the intervention
recognitions=
inventory and description
organization and categorization in dysfunctional behaviour clusters/disorders
examination of seriousness
3 types of recognition
criterion oriented measurement
normative measurement
ipsative measurement (self)
criterion oriented measurement
recognition is a result of comparison with predefined standard
normative measurement
comparison to a representative comparison group
ipsative measurement
comparison to the patient self
verschil tussen classification and diagnostic formulation
classification = labelling, limited to comorbidity
diagnostic formulation = focuses on individuals unique clinical picture, which can mean the lack of empirical support
explanation includes
the main problem and its components
the conditions that explain the occurence
causal relationship
the causal relationship between the problem and their conditions can be classified via:
the locus
the nature of control
the synchronous explanatory conditions + diachronous explanatory conditions
induced conditions + persistent conditions
locus =
the person or situation that precedes the problem