Topic 6: Clinical Psychology Flashcards
Define ‘symptoms’
things that characterise the disorder with regard to how they think/feel/behave
define ‘features’
statistics/aspects about a disorder eg how it develops or how other factors such as age link
What can affect the reliability of diagnosis?
Patient factors, clinician factors, and classification systems.
How can patient factors affect the reliability of diagnosis?
Different information given by patients to different clinicians.
How can clinician factors affect the reliability of diagnosis?
Clinician’s opinion on what disorder the patient may have is unreliable.
How can classification systems affect the reliability of diagnosis?
Classification systems may not be objective.
What increases the reliability of diagnosis?
DSM 5 has a clear set of criteria.
What can affect the validity of diagnosis?
Patient factors, clinician factors, and classification systems.
What are the 4 D’s of diagnosis?
Deviance, Distress, Dysfunction, Danger
What does ‘deviance’ refer to?
Behaviours or emotions that are unusual in society.
What does ‘distress’ mean?
The extent to which the individual finds their behaviour and/or emotions upsetting.
What is ‘dysfunction’?
The extent to which behaviour interferes with the person’s day-to-day life.
What does ‘danger’ refer to?
Behaviour which could harm others or the individual themselves.
Describe the ICD 10
- Used for diagnosing physical and mental conditions.
- Each disorder has a description of characteristics.
- Assessment involves several procedures such as clinical interviews, observations and medical records.
What does DSM 5 assess?
Individuals in terms of the type of disorder, general mental conditions, contextual factors, and disability.
How does DSM 5 assess patients?
Along a spectrum.
How can patient factors affect the validity of diagnosis?
Patients may not disclose all relevant information.
How can clinician factors affect the validity of diagnosis?
Clinicians may be biased. Implicit bias
How can classification systems affect the validity of diagnosis?
They may impact international validity.
What was the aim of Rosenhan’s study?
To determine if the sane can be distinguished from the insane.
What was the procedure used by Rosenhan’s pseudopatients?
All pseudopatients were admitted to the hospital using the same entry criteria but acted normally as soon as they entered.
What was the results in Rosenhan 1?
Patients were ignored 71% of the time.
What was the aim of Rosenhan 2?
To see if hospitals who knew they had pseudopatients could tell the sane from the insane.
What were the conclusions of Rosenhan 2?
They were unable to distinguish the sane from the insane.
What was the aim of Rosenhan 3?
To investigate patient/staff contact.
What was the procedure in Rosenhan 3?
Pseudopatients approached staff and asked for ground privileges.
What conclusion was drawn about patients in the mental ward in Rosenhan 3?
Patients are powerless while on the mental ward and the lack of eye contact depersonalises the patients.
What was the conclusion of Rosenhan 1?
The diagnostic label changed the perception of the person.
What are the symptoms of schizophrenia?
Delusions, hallucinations, disorganized thinking/speech.
What are delusions?
False beliefs.
What are hallucinations?
Perception of something not actually there.
What is disorganized thinking/speech?
Jumbled thoughts/speaking.
What is the onset of schizophrenia?
Episodes develop gradually over time.
What is the prognosis of schizophrenia?
25% recover completely and 25% experience continuous symptoms.