Chapter 4

Chapter 4 - Chapter 4 Clinical Assessment Diagnosis and...

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Chapter 4: Clinical Assessment, Diagnosis and Treatment Idiographic: Individual information about clients Clinical Assessment Assessment: Simply the collecting of relevant information in an effort to reach a conclusion. Clinical Assessment: Used to determine how and why a person is behaving abnormally and how  that person may be helped. Personality Assessment: Methods that assess a client’s personality and probe for any  unconscious conflicts the person may be experiencing  Behavioral Assessment: Methods that reveal specific dysfunctional behaviors and cognitions - Goal is to produce a functional analysis of the person’s behaviors, how the behaviors are  learned and reinforced Characteristics of Assessment Tools Standardize: Clinicians must standardize the way they interpret the results of an  assessment tool so they can understand what a particular score means Reliability: Refers to the consistency of assessment measures o Tool has high test-retest reliability if it gives same results every time to the same  people o High interrater (interjudge) reliability if different judges agree on scoring and  interpretation Validity: Must accurately measure what it is supposed t measure o Face validity: Assessment tool may appear valid just because it makes sense  and seems reasonable, but it does not by itself mean that the tool is trustworthy o Tool should not be used unless it shows high predictive or concurrent validity
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o Predictive validity: tool’s ability to predict future characteristics or behavior o Concurrent validity: degree to which the measures gathered from one tool agree  with measures gathered from other assessment techniques Clinical Interviews Often the first encounter between client and clinician Clinicians collect information about client’s problems, feelings, lifestyle, relationships,  etc. Psychodynamic interviewers try to learn the person’s needs and memories of past  events Behaviorists try to pinpoint the precise nature of the abnormal responses and stimuli that  trigger the responses Cognitives try to discover assumptions and interpretations that influence the person Humanistics ask about the person’s self evaluation, self concept and values Biologists look for signs of biochemical or brain dysfunction Socioculturalists ask about the family, social and cultural environments Unstructured Interview: Clinician asks open ended questions Structured Interview: Clinicians ask prepared questions o Mental Status Exam: Set of questions and observations that systematically  evaluate the client’s awareness, orientation in terms of time, place, attention 
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This note was uploaded on 10/28/2008 for the course PSY 355 taught by Professor Hazard during the Spring '08 term at Bryant.

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Chapter 4 - Chapter 4 Clinical Assessment Diagnosis and...

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