Week 5 Flashcards
MSE
what is the MSE?
summary of the clinicians observations and impressions of the client at the time of the interview
the MSE can measure…….. over the course of the treatment
change
what are the first 4 components included in a MSE under appearance
- apparent age 2. height 3. weight 4. dress
what are 3 other components in the MSE under appearance?
- self-care 5. prominent characteristics 6. ethnicity
what are the 6 components of behaviour in the MSE?
eye contact, psychomotor, gestures, catatonic, abnormal behaviour, attitude toward clinician
what are the 2 speech components of the MSE
quality (volume, pitch, tone), quantity (rate)
what are the aspects of mood in MSE?
euthymic (normal), elevated/elated/euphoric, dysphoric (low), apprehensive, angry, apathetic
how is mood primarily judged?
through self-report and interpretation of consent
what is mood?
predominant emotion of client. pervasive and sustained
what is affect
external manifestation of a person’s mood
words used to describe affect are
type, intensity, range, appropriate, congruent
is a person’s affect variable over the course of a session
yes
what words are used to describe the intensity of affect?
flat, blunted, constricted, reactive, exaggerated
what words are used to describe range of affect?
restricted, normal, expansive, labile
what is measured under the perceptual part of a MSE?
do they have hallucinations of either 5 senses, illusions, déjà by or Jamais by, depersonalisation & derealisation, agnosia
what is agnosia?
inability to recognise & interpret the sig of sensory impressions
what is Formal Thought Disorder FTD?
umbrella term: thoughts don’t follow each other logically, hard to understand and follow
what are 3 components of Thought content in the MSE?
- delusions 2. obsessions 3. phobias
what are 3 parts of judgement in the MSE?
- ability to make rational plans of action 2. understand implications of beh 3. ability to compare & analyse implications rationally/logically
Abulia also relates to judgement and is
an absence of willpower or an inability to act decisively, lack of concern for consequences
what are the 3 aspects of insight?
- aware of illness 2. aware of illness impact 3. aware of benefit of treatment/assistance
what are the 6 levels of insight?
denial, impaired/limited/slight awareness, external locus, awareness, intellectual insight, true sight
what are the 5 aspects of cognition in MSE!?
- level of consciousness 2. orientation 3. attention & distractibility 4. concentration 5. memory
what does O in OCEAN stand for in the 5-factor model of personality?
Openness to experience
what does C in OCEAN stand for in the 5-factor model of personality?
Conscientious
what does E in OCEAN stand for in the 5-factor model of personality?
Extraversion
what does A in OCEAN stand for in the 5-factor model of personality?
Agreeableness
what does N in OCEAN stand for in the 5-factor model of personality?
Neuroticism (emotional stability)
5 factor model is a system of…….rather than a theory of personality
classification
5 factor model is used for descriptive & predictive purposes not to explain…
underlying personality dynamics
FFM applies across a
wide variety of cultures and languages and is stable over time
FFM was not designed to explain personality but to just
describe it
FFM is used as a predictor in these 4 areas
- training & ed 2. employment & workplace 3. mental & physical health 4. marriage, leadership
what is the gold standard tool for measuring normal personality?
NEO PI-R /3
NEO PI-R has how many items?
240
the NEO PI-R is for ages
17+
NEO PR based on what type of reporting
self and observer
how long does it take to administer the NEO PI-R?
30-45mins
what are the 5 domains of the NEO PI-R/3
Neuroticism, extroversion, openness to experience, agreeableness, conscientious
what age does your personality stable out
from 30+
which two domains of the NEO PI-R increase with age and which two decrease?
Neuroticism and extroversion decrease, agreeableness and conscientious increase
which domain is an important predictor of success?
conscientiousness
what domains are predictive of burnout?
agreeableness and Neuroticism
which are more stable? traits of personality or disorders?
traits
why is a trait based system for personality disorder diagnosis a beneficial option?
as it can assess any patients personality (not just those with PD)
what are the 6 PD disorders in DSM-5?
antisocial, avoidance, narcissistic, obsessive-complusive, schizotypal, borderline
what is the core criteria for PD IN DSM-5
Mod + disturbances in self (Identity & self-direction) functioning & interpersonal functioning (empathy & intimacy)
what 5 broad domains must a person meet criteria for relevant pathological traits?
neg affectivity, detachment, antagonism, disinhibition, psychototicism
what is the difference between mood and affect?
affect refers to immediate expression of emotion while mood refers to emotional experience over a more prolonged period of time
The PAI questionnaire is aimed at
understanding how your personality may be similar and different from that of other people
PAI is administered how?
self administered
PAI assesses ages
18+
The PAI is comprised of how many items?
344
what does the PAI assess and provide info on?
assesses and screens for pathological syndromes. info relevant for clinical diagnosis, treatment & planning
PAI has 11 clinical constructs which can be divided into 3 broad classes of disorders…
neurotic spectrum, psychotic spectrum, behaviour disorder or impulse control problems
why can the PAI profiles be compared with both normal and clinical populations?
it was normed on adults in a variety of clinical and community settings
what are the 4 scales assessed in the PAI?
clinical, treatment, interpersonal, pathology
what are critical items on the PAI and how many are there?
issues that need to be responded to quickly. 27
what does the MCMI-III measure?
24 personality disorders and clinical syndromes for adults undergoing psychological or psychiatric assessment or treatment
the MCMI-III was standardised on what populations?
clinical (ppl with existing mental health problems)
what type of format is the MCMI-III based on?
multiaxial
how long does it take to administer MCMI-III?
25mins
what are the 6 major scales in the MCMI-III?
clinical personality pattern, severe personality pathology, clinical syndrome, severe clinical syndrome, modifying indices, validity index
MCMI-III scores are interpreted reading what?
base rates (BR)
what is the BR for MCMI-III for non-psychiatric individuals?
35
what is the BR for MCMI-III for psychiatric individuals?
60
a base rate of 70-74 in the MCMI-III indicates what?
likelihood to possess traits for clinical personality scales. likely to possess some symptoms for clinical syndrome scales
a base rate of 75-84 in the MCMI-III indicates what
presence of sig traits for clinical personality scales. presence of a syndrome for clinical syndrome scales
a base rate of 85+ in the MCMI-III indicates what
presence of PD for clinical personality scales. prominence of syndrome for clinical syndrome scales
