exam 2-- chapters 7-10 Flashcards
psychopathology/abnormality
a significant disturbance in cognition, emotion regulation, or behavior that indicates a dysfunction in mental functioning
wakefield’s view on psychopathology/abnormality
mental disorders are conceived as harmful dysfunctions involving two separate components.
1) the failure of a mechanism in the person to perform a natural function
2) a value judgement that the dysfunction is undesirable
DSM revision progress
includes a task force and considers proposed criteria for disorders. task force designs each disorder by how it:
1)impacts clinicians
impacts clients
impacts research.
had work groups– composed of experts in a particular area of mental disorders, included a scientific review committee, field trials, and communication with WHO
three broad categories of disorders in DSM
1) psychoses– today’s schizophrenia
2) neuroses– today’s major depression, bipolar and anxiety disorders
3) character disorders– today’s personality disorders
changes considered for DSM5 but not made
emphasizing biological roots of disorders, a dimensional approach for some disorders, and additional disorders such as internet gaming disorder and other behavioral addictions, nonsuicidal self-injury disorder
how DSM was changed between 1 and 2 - 3
DSM3 was much more extensive and longer, no longer had allegiance to any particular theory (atheoretical), used specific diagnostic criteria used to define disorders, relied on empirical data to determine which disorders to include and how to define them. introduced a multiaxial system which was dropped in dsm5
changes from dsm4-5
elimination of multiaxial systems, introduced new disorders such as– premenstural dysphoric disorder, disruptive dysregulation disorder, binge eating disorder, and hoarding disorder. also revisions to existing disorders. (mental retardation - intellectual disability)
three characteristics all assessment techniques possess
validity
reliability
utility
information to gather about client’s history
clients background, birth and development, family of origin and fam history, education history, employment history, recreation/leisure, sexual history, relationship history, alcohol and drugs, physical health
general skills an interviewer should have
quieting yourself, being self-aware, ability to develop a positive working relationship, eye contact, body language, vocal qualities, verbal tracking
rapport
a positive, comfortable relationship between interviewer and client
directive interviewing
questions targeted toward specific information (mostly closed-ended questions)
non directive interviewing
allows client to guide course of interview. mostly open-ended questions
clarification
listening technique– make sure the interviewer has an accurate understanding of client’s comments, communicates that the interviewer is actively listening
confrontation
listening technique– used when an interviewer notices discrepancies or inconsistencies in a client’s comments
paraphrasing
listening technique– assures clients that they are being heard, not to clarify or resolve contradictions
reflection of feeling
listening technique– echoes client’s emotions, intended to make the client feel that their emotions are being recognized. interviewers make an inference
summarizing
involves tying together various topics that may have been discussed and identifying themes that have recurred
good interviewing room
clients prefer comfortable, neat rooms with soft lighting, comfortable furniture, art on wall, etc. !!steer clear of overtly personal items!!
intake interview
determines whether to “intake” the client– whether the client needs treatment and if so what type
diagnostic interview
diagnose the client. interviewer should be able to assign DSM diagnosis
mental status exam
assesses how the client is functioning at time of evaluation