Week 10

Question 1

what are the pros and cons of DSM in research?

Answer 1

pros: good for research because it enables groups of participants with similar problems to be researched and treatment to be trialed

Cons: it does not reflect comorbidities and heterogeneity within groups is obscured

Question 2

what are the pros and cons of DSM for clinicians?

Answer 2

pros: enables easy communication, outlines domains of symptoms to be assessed. It suggest aetiology, treatment and prognosis. Lastly it allow evidence based guildines to be developed
cons: it can be to simplistic and comorbidities are overlooked, stigma begins to surround and the biomedial model may not be constitent with therapist frame of reference.

Question 3

what is the objective of clinical assessment

Answer 3

to diagnose (if mental disorder is present), to develop a case formulation, and to subsequently design and implement a treatment plan

Question 4

what are the pros and cons of DSM for clients?

Answer 4

pros: can help make sence of symptoms, enables clients to be informed, enables clients to find support. Can be useful to give a diagnosis because that person can begin accessing resources from the system
cons: it can be simplistic, may not fit with cultural perspectives and bring about stigma .

Question 5

define diagnosis

Answer 5

determining the nature of a disorder by identifying signs and symptoms

Question 6

why is the utility of a diagnositc approach less in clinical psychology than medicine

Answer 6

in medical settings where where diagnosis and causal mechanisms are strongly associated and valid relibale toold an option.

Not as effective in clinical psychology because behaviours are pyshcological phemomena which do not infer aetiology .

Question 7

what is formulation?

Answer 7

The summation and integration of the knowledge acquired via clinical assessment, drawing together important features to facilitate the development of a treatment plan

Question 8

what are the 4 P’s to consider during formulation

Answer 8

Prediposing (factors increasing vulnerability), precipitating (trigger for problem), perpetuationg (contribute to continuation) and protective factors

Question 9

define theraputuic contact

Answer 9

an agreement between client and therapist setting goals, expectations and mutual obligation regarding the course of therapy

Question 10

which are the only ways clincial interveiws should differ

Answer 10

content, structure tone.

Question 11

define social faciliations

Answer 11

in a clincial interveiw both parties influence eachother

Question 12

tips for a successfull clincial interveiw

Answer 12

space free of distractions
Ask open ended (tell me about yourself) then close questions to gather specific infomation
stay interested, warm and non judgmental. use silence, find balance between interveiw and convo.

Question 13

give an example of a transitional phrase

Answer 13

yes, i see, do go on

Question 14

give an example of verbatism playback

Answer 14

repeats clients exact words

Question 15

describe summarising, clarification

Answer 15

sum = pulls together meaning of several responses.

clarifies clients response

Question 16

what is a mental status examination?

what sort of things would be reported

Answer 16

Includes both objective and subjective data (e.g., what is observed of the client in the assessment, and what the client is describing as their symptoms.
Appearence, mood, insight ect.

Question 17

what does it mean to be culturally informed

Answer 17

: Defined as an approach to evaluation that is perceptive of and responsive to issues of acculturation, values, identity, worldview, language, and other cultural-related variables

Question 18

when being midnful of culture what behaviours should be watched for

Answer 18

personal space, eye contact, touch, use of translators. meaning of distress/disorder in the other country and reporting of physical symptoms.

Question 19

accoding to the rule of ADRESSING which things should be taken into consideration

Answer 19

age dissability religion ethnicity social status sexual orientation indigenous heritage national origin gender.

Question 20

can DSM structured clincial interveiw be ised on all poeple?

Answer 20

not those below 8 and must be modified for those under 18.

Question 21

describe assessment of addiction/substance use.

Answer 21

physical test of toxicology then other scales and test specific for addiction severity and personality traits thought to underly SUD.

Question 22

define Forensic clinical assessment

Answer 22

the theory and application of psychological evaluation and measurement in a legal context as well as assessing re-offending risk, readiness to re-enter community, need and readiness for therapeutic intervention.
may invloves may involve assessing for danger to self or others (risk); competency to stand trial; criminal responsibility; readiness for parole and reentering community; evaluation of emotional injury; profiling.

Question 23

describe assessment for abuse neglect/childhood trauma.

Answer 23

childhood trauma scale. breif trauma questionaire. look for physical sign abuse or neglect and emtional/behavioural signs such as nail biting, low self esteem, unsual reactions to others.

Question 24

what is the The Barnum Effect

Answer 24

people tend to accept vague and general personality descriptions as uniquely applicable to themselves without realizing the same description could be applied to just about anyone

Question 25

a could psychological report should include…

Answer 25

only include infromation if its serves to increase the undertsanding of the client. no vague statements.