Lecture_9_2_19_08 -...

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Psych325/HD370 Introduction to Adult Psychopathology
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 Class Assessment Data ,  Case Study: Jim Psych 325 Lecture 10 2/22/07
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Today’s Lecture  1. The Illusion of Mental Health  (Shedler) 2. Class Assessment Data 3. Jim – slipping between the  categories 4. Hamlet meets his father 5. And onto the brain …
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A psychologist comes to do a testing  What’s in her bag? 1. IQ test – Wechsler Adult Intelligence Scale 2. Minnesota Multiphasic Personality Inventory  – yes/no questions, computer scored 3. Hamilton Depression Rating Scale –  structured interview 4. Thematic Apperception Test – projective,  pictures that prompt narratives 5. Rorschach Test – projective, series of  inkblots
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Why the “Objective” wing hates  Projectives … 1. Patients don’t answer them the same way … 2. Their data can’t be easily quantified. 3. The data only captures one moment in time. 4. The data can be misinterpreted, over- interpreted by the tester. 5. It is used by psychodynamic clinicians who  rely on the out-moded ideas of the  unconscious.
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Why the “Projective” wing hates Self- Report Measures … 1. Patients are forced to complex questions on a 4 or 7  point rating scale. 2. Patients can’t refine the questions or qualify their  answers. 3. The data doesn’t convey anything indiosyncratic or  personal about the patients. 4. The data relies on the patient to be truthful. 5. It is used by cognitive-behavioral clinicians who  measure success by lower numbers on self-report  depression scores.
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The Rise of the Objective Wing Has Led to: 1. Rejecting the use of projective tests (and not  teaching them to new clinical students) 2. Leaving Freud out of the curriculum 3. Emphasizing only objective tests 4. Teaching only “empirically validated” manualized  psychotherapy techniques 5. An emphasis on the here-and-now (as opposed to an  interest in the childhood of patients and their  unconscious
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Shedler’s Answer to the Objective Wing His aim: to show  empirically  the limits to self-report depression measures, specifically  the Beck Depression Inventory. Data
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Lecture_9_2_19_08 -...

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