* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Download Clinical Assessment Issues
Narcissistic personality disorder wikipedia , lookup
International Statistical Classification of Diseases and Related Health Problems wikipedia , lookup
History of psychiatry wikipedia , lookup
Moral treatment wikipedia , lookup
History of mental disorders wikipedia , lookup
Abnormal psychology wikipedia , lookup
Mental health professional wikipedia , lookup
Mental status examination wikipedia , lookup
Asperger syndrome wikipedia , lookup
Dissociative identity disorder wikipedia , lookup
Controversy surrounding psychiatry wikipedia , lookup
Classification of mental disorders wikipedia , lookup
Psychological evaluation wikipedia , lookup
Diagnostic and Statistical Manual of Mental Disorders wikipedia , lookup
Clinical Assessment Purposes – To – To – To – To understand the individual predict behavior plan treatment evaluate treatment outcome Clinical Assessment Issues Reliability Validity Standardization Clinical Utility or Clinical Significance Diagnostic Reliability Disorder Present Diagnosis Given Present Present Absent Absent Methods of Clinical Assessment Clinical Interview – Structured vs. Semistructured Behavioral Observation – Mental Status Exam Testing – Objective Tests – Projective Tests Additional Methods Physical Examination Neurological Examination – Neurological Imaging CT, PET, MRI, fMRI Neuropsychological Examination – Tasks that reveal brain function (or dysfunction) Diagnosis Idiographic vs. Nomothetic Classification – Categories – Dimensions – Threshold Model – Prototype Model Diagnostic and Statistical Manual Evolving Document – Currently DSM-IV-TR – DSM-V expected in 2013 Purpose? Utility? Real world reliability and validity? DSM-IV-TR Multiaxial System – Axis I – Clinical Syndromes – Axis II – Personality and Developmental Disorders – Axis III – Medical Conditions – Axis IV – Psychosocial Stressors – Axis V – Global Assessment of Functioning (GAF; scale 1 - 100) Unresolved Issues in the DSM-IV Thresholds for Diagnosis? – For example, level of distress, impairment, number of required symptoms Somewhat Arbitrary Time Periods Should Other Axes Be Included? – Such as premorbid history, treatment response, family functioning, GARF Optimal for Designing Treatments or Research? – The Problem of Comorbidity Issues of Diagnosing Reliability, Validity, and Comoribity Problems Cause Reification Treatment Cure Relief Labeling – Stigma – Self-fulfilling prophecy Social Constructions