Chapter 4

Chapter 4 - Chapter4 ClinicalAssessmentand Diagnosis...

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Chapter 4 Clinical Assessment and  Diagnosis Abnormal Psychology Dr. Coles Spring 2011
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2 The Basic Elements in  Assessment First, the presenting problem must be  identified  Situational or pervasive? Duration? Prior attempts to help or treat? Self-defeating or resourceful? How does problem impact social roles? Does problem match any DSM-IV disorder  criteria?  
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3 The Relationship Between Assessment  and Diagnosis Classifying the presenting problem is  important for numerous reasons Planning treatment Knowledge of range of diagnostic problems in  client population, which dictate needs for  facilities Insurance payment
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4 Taking a Social or  Behavioral History A good assessment should include a  social history noting: Personality factors The social context
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5 Ensuring Culturally Sensitive  Assessment Procedures U.S. population has grown increasingly  diverse in recent years It is critical for practitioners to conduct  culturally competent assessment  APA ethical code addresses need for  cultural competence Cultural variables can include ethnicity,  language, SES, gender, and others
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6 The Influence of  Professional Orientation How clinicians go about the  assessment process often depends on  their basic treatment orientations
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For psychological assessment to  proceed effectively, the client must feel  comfortable with the clinician 7 Trust and Rapport Between  the Clinician and the Client
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8 Assessment of  the Physical Organism Assessment of the physical organism  incorporates The general physical examination The neurological examination The neuropsychological examination
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Many psychological problems have  physical components either as Causal factors Symptom patterns Therefore, it is often important to include a  medical examination in the psychological  assessment  9 The General Physical  Examination
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The Neurological Examination If organic brain damage is suspected,  neurological tests can aid in determining  the site and extent of organic brain  disorder The neurological examination may include: An EEG  A CAT scan A PET scan A functional MRI 10
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This note was uploaded on 04/06/2011 for the course BSC 2085 taught by Professor Gomez during the Spring '11 term at FIU.

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Chapter 4 - Chapter4 ClinicalAssessmentand Diagnosis...

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