Lesson 3: Clinical Assessment & Diagnosis Flashcards
Act of identifying and naming a disorder or disease using a system of categorization.
Diagnosis
The process clinicians use to gather the information they need to diagnose, determine causes, plan treatment, and predict future course of a disorder.
Clinical Assessment
The process of classification is based on an accurate assessment of past and present signs and symptoms.
Clinical Assessment
A characteristic feature of a disorder that may be recognized by the clinician, but not the patient.
Sign
The process of determining whether the particular problem afflicting the individual meets all criteria for a psychological disorder,
Diagnosis
A characteristic that only the patient recognizes.
Symptoms
Refers to the extent with which clinicians agree on which signs and symptoms signal a specific disorder.
Diagnostic Reliability
The capacity of a diagnostic system to identify and predict behavioral and psychiatric disorders.
Diagnostic Validity
Diagnostic system’s ability to categorize current disorders accurately.
Concurrent Validity
Diagnostic system’s capacity to predict future conditions.
Predictive Validity
The degree to which a measurement is consistent.
Reliability
Whether something measures what it is designed to measure—in this case, whether a technique assesses what it is supposed to.
Validity
The process by which a certain set of standards or norms is determined for a technique to make its use consistent across different measurements.
Standardization
Gathers information on current and past.
Clinical Interview
Involves the systematic observation of an individual’s
behavior. This type of observation occurs when any one person interacts with another.
Mental Status Examination
How many categories does mental status examination covers?
Five (5)
The clinician notes any overt physical behaviors as well as the individual’s dress, general appearance, posture, and facial expression
Appearance and Behavior
What is the rate or flow of speech? Does the person talk quickly or slowly? What about continuity of speech? In other words, does the patient make sense when talking, or are ideas presented with no apparent connection?
Thought Processes
In some patients with ________________, a disorganized speech pattern, referred to as loose association or derailment, is quite noticeable.
Schizophrenia
Is there any evidence of delusions?
Content Of The Speech
Someone thinks people are after him and out to get him all the time
Delusions Of Persecution
An individual thinks s/he is all-powerful in some way; thinks s/he is God.
Delusions Of Grandeur
This is when a person believes that they can pick up on other people’s thoughts or that another person’s actions are directed against them. They may also believe that they are receiving special messages from the TV or radio.
Reference Delusions
Things a person sees or hears when those things really aren’t there.
Hallucinations
Predominant feeling state of the individual (Does the person appear to be down in the dumps or continually elated? Does the individual talk in a depressed or hopeless fashion?)
Mood
The feeling state that accompanies what we say at a given point.
Affect
Clinicians make a rough estimate of others’ _______________ just by talking to them.
Intellectual Functioning
Our general awareness of our surroundings. (If the patient knows who he is and who the clinician is and has a good idea of the time and place, the clinician would say that the patient’s sensorium is “clear” and is “oriented times three” (to person, place, and time).
Sensorium
The process of evaluating objective anatomic findings through the use of observation, palpation, percussion, and auscultation. The information obtained must be thoughtfully integrated with the patient’s history and pathophysiology.
Physical Examination
Attempts to measure enduring traits of character, skills, ability, and competence that makes on person different from another.
Personality Assessment
Ask respondents to impose their own structure and meaning on unstructured, ambiguous test stimuli.
Projective Tests
The theory here is that people project their own personality and unconscious fears onto other people and things—in this case, the ambiguous stimuli—and, without realizing it, reveal their unconscious thoughts to the therapist.
Projective Tests
Consist of 10 inkblots, some black and white, some color, but all sufficiently ambiguous.
Rorschach Inkblot test
Developed by Hermann Rorschach who called it a “form interpretation test” because it uses inkblots as forms to be interpreted.
Rorschach Inkblot test
Consists of 10 bilaterally symmetrical inkblots printed on separate cards. No manuals though many researchers have put forward manuals for interpretation.
Rorschach Inkblot test
It assumes that behaviors and feelings respondents attribute to the main character in a story represent their own tendencies.
Thematic Apperception Test
Developed by Christina Morgan and Henry Murray
Thematic Apperception Test