chpt 4 - Psychology 3083 Chapter 4 Methods of Clinical...

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Psychology 3083 Chapter 4 Methods of Clinical Assessment Interview - interviewing as a method of assessment remains most popular - good psych interview does both obtains info helps ct - assessment interviews r goal oriented Goal is --- get info about px - interviewer - must establish good rapport - must ask question matter-of-factly – be direct & don’t be shy - must be nonjudgmental - Intake Interview At first contact, intake interview is done - determines nature of indiv’s px - usu takes 45 – 90 mins - can be structured (ques-&-ans format) OR can be unstructured (let person tell u why there) - focuses on what brought indiv in for srvs
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- includes ct’s descrip of symptom onset what person has tried 2 do about symps - ques MAY be asked about past psych hx med hx personal hx … relationship hx, work hx, etc - - - i.e., this is case hx interview mat’l (see below) - GOAL: determ as much info as poss 2 determ next step i.e., dx, prog, tx plan Mental Status Exam - assesses curr mental func - oft conducted when indiv seen in ER r admitted 2 psyc ward - Ex of items: spell WORLD bckwds, serial 7s, orientation items - Typ. covers the p areas: GSCMPOOMAGII – neat, disheveled, stuporous (ETOH abuse?), avoid eye contact (Dep?), etc – is speech coherent, pressured, etc.; is thinking logical, grandiose * Consciousness – is person conscious, clear, confused * Mood & affect – is prevailing mood sad, irritable, elated, 2
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approp * Perception – r hallucinations present * Obsessions & compulsions – repetitive behavior or intrusive thoughts * Orientation – time, day, yr * Memory – LTM, STM * Attn & Concentration – is person distracted, preoccupied, able 2 concentrate * Gen info – can person name pres, 6 large states * Intelligence – level of education person attained are questions in gen info sec answered well – does person seem to have insight into current situation Case History Interview - attempts 2 elicit: ct’s personal hx fly hx soc situation PURPOSE: - 2 provide background & context 4 current differences - id strengths & resources - id difficulties - Adults usually provides own social history - Parents, caretakers, fly members provide info for children, DD folks, or those who are incompetent - case history interview asks individuals about present situation fly history 3
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education sex develop marriage, divorce, children Clinical Uses of Interviews - diagnosis - interventions ( ALTHOUGH both should be based on sev kinds of info/NOT on basis of interviews alone ) There is controversy over concept of Intelligence (some say better name is CAT – Cog. Ability Tests) say best viewed as sys way of gathering samples of school- Standford-Binet - first so-called intelligence test pub in 1905 - Alfred Binet developed used 2 predict which child would do well & which
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chpt 4 - Psychology 3083 Chapter 4 Methods of Clinical...

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