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clinical psychology (finals) > The Clinical Interview > Flashcards

The Clinical Interview Flashcards

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1
Q

What is closely linked to the identity of clinical psychologists?

A

Assessment is closely linked to the identity of clinical psychologists.

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2
Q

Are there other mental health professions that incorporate assessment other than clinical psychologists?

A

No other mental health profession
incorporates assessment into their work as
clinical psychologists do.

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3
Q

What is the most frequent assessment tool?

A

Clinical interviews are the most
frequent assessment tool

  • More than any specific test
  • Vast majority of practicing clinical
    psychologists use interviews
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4
Q

What are the essential qualities of assessment techniques?

A

All assessment techniques (including interviews)
should have adequate:
 Validity—measures what it claims to measure
 Reliability—yields consistent, repeatable results
 Clinical utility—benefits the clinician and ultimately the client

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5
Q

What is validity?

A

Validity is when the test measures what it claims to measure.

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6
Q

What is content validity?

A

The test has content appropriate for what is being measured.

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7
Q

What is convergent validity?

A

The test correlates with other techniques that measure the same thing.

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8
Q

What is discriminant validity?

A

The test does not correlate with techniques that measure something else.

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9
Q

What is reliability?

A

The test yields consistent, repeatable results.

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10
Q

What is test-retest reliability?

A

The test yields similar results across multiple administrations at different times.

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11
Q

What is interrater reliability?

A

The test yields similar results across different administrators.

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12
Q

What is internal reliability?

A

The test consists of items that are consistent with one another.

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13
Q

What is clinical utility?

A

The test improves delivery of services or client outcome.

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14
Q

What is feedback?

A
  1. Common to all kinds of psychological assessment
  2. Provide results of tests or interviews
  3. May be face-to-face, a report, etc.
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15
Q

What are the general skills a clinical psychologist must have?

A
  1. Quieting yourself
  2. Being self-aware
  3. Develop positive working relationships
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16
Q

What is quieting yourself?

A

Minimize excessive internal, self-directed thoughts that detract from listening

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17
Q

What is being self-aware?

A

Know how you tend to affect others interpersonally, and how others tend to relate to you

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18
Q

What is develop positive working relationships?

A
  1. Can segue into psychotherapy

2. Respectful and caring attitude is key

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19
Q

What is the specific behavior a clinical interviewer must have?

A

Listening

20
Q

What is listening?

A

the primary task of the interviewer, consisting of numerous building blocks

21
Q

What are the building blocks of listening?

A
  1. Eye contact
  2. Body language
  3. Vocal qualities
  4. Verbal tracking
  5. Referring to client by proper name
22
Q

What are the components of the interview?

A
  1. Rapport

2. Technique

23
Q

What is rapport?

A
  1. Positive, comfortable relationship between
    interviewer and client
  2. How an interviewer is with clients
24
Q

What is technique?

A
  1. What an interviewer does with clients

2. Directive vs. nondirective styles

25
Q

What are the specific interviewer responses?

A
  1. Open-ended questions
  2. Close-ended questions
  3. Clarification
  4. Confrontation
  5. Paraphrasing
  6. Reflection of feeling
  7. Summarizing
26
Q

What are the open-ended questions?

A
  1. Allow individualized and spontaneous responses from clients
  2. Elicit long answers that may or may not provide necessary info
27
Q

What are the close-ended questions?

A
  1. Allow less elaboration and self-expression by the client

2. Yield quick and precise answers

28
Q

What is clarification?

A

Question to make sure the interviewer accurately understands the client’s comments

29
Q

What is the confrontation?

A

For discrepancies or inconsistencies in a client’s comments

30
Q

What is the paraphrasing?

A

Restatement of client’s comments to show they have been heard

31
Q

What is reflection of feeling?

A

Echo client’s emotions, even if not explicitly mentioned

32
Q

What is summarizing?

A

Tie together various topics, connect statements that may have been made at different points, and identify themes

33
Q

What are the pragmatics of the interview?

A
  1. Note-taking
  2. Audio and video recording
  3. The Interview Room
  4. Confidentiality
34
Q

What is note-taking?

A
  1. Little consensus about note-taking

2. Provide a reliable written record, but can be distracting to client and interviewer

35
Q

What is audio and video recording?

A
  1. Also provide a reliable record, but can be inhibiting to clients
  2. Must obtain permission
36
Q

What is the interview room?

A

Professional yet comfortable

37
Q

What is confidentiality?

A

Explain confidentiality and its limits to clients (e.g., child abuse, intention to harm)

38
Q

What are the types of interviews?

A
  1. Intake interviews
  2. Diagnostic interviews
  3. Mental status exam
  4. Crisis interviews
39
Q

What are the intake interviews?

A

To determine whether to “intake” the client

into the agency or refer elsewhere

40
Q

What are diagnostic interviews?

A
  1. To provide DSM diagnosis
    - Structured interviews often used
    - - Minimize subjectivity, enhance reliability
    - - SCID is an example
    - – Currently being revised for DSM-5
    - - Semi-structured interviews include some structure but also some flexibility or opportunities to improvise
41
Q

What is a mental status exam?

A
  1. Typically used in medical settings

2. To quickly assess how a client is functioning at that time

42
Q

What are crisis interviews?

A
  1. Assess problem and provide immediate intervention

2. Clients are often considering suicide or other harmful act

43
Q

What are the cultural contexts?

A
  1. Appreciating the cultural context

2. Acknowledging cultural differences

44
Q

What is appreciating the cultural context?

A
  1. Knowledge of the client’s culture, as well
    as the interviewer’s own culture
  2. For behavior described or exhibited during
    interview
45
Q

What is acknowledging cultural differences?

A
  1. Wise to discuss cultural differences rather
    than ignore
  2. Sensitive inquiry about a client’s cultural
    experiences can be helpful

clinical psychology (finals) (8 decks)

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