DOC PREVIEW
MCCC PSY 210 - Chapter 3- Clinical Assessment and Diagnosis

This preview shows page 1-2-3 out of 10 pages.

Save
View full document
View full document
Premium Document
Do you want full access? Go Premium and unlock all 10 pages.
Access to all documents
Download any document
Ad free experience
View full document
Premium Document
Do you want full access? Go Premium and unlock all 10 pages.
Access to all documents
Download any document
Ad free experience
View full document
Premium Document
Do you want full access? Go Premium and unlock all 10 pages.
Access to all documents
Download any document
Ad free experience
Premium Document
Do you want full access? Go Premium and unlock all 10 pages.
Access to all documents
Download any document
Ad free experience

Unformatted text preview:

1/21/200911How do we diagnose psychological disorders?Chapter 3- Clinical Assessment and Diagnosis 2Class Objectives How are psychological disorders diagnosed?What is Clinical Assessment and why is it used?What assessment methods do professionals use?3What is Clinical Assessment?Clinical assessment is a _______________________ ______________and measurement that measures:‐ Psychological ‐ Biological ‐ Social factorsin a person who _______________ have a psychological disorder.1/21/200924Clinical AssessmentOnly after a person is assessed can a diagnosis be given.This is the process of determining whether a presenting problem _______________________ _______________________________________________5The diagnosis of a psychological disorder represents a way of classifying patterns of abnormal behavior6Why is it important to have a process for assessing and diagnosing people?1/21/200937Universal standardsHistory of “Insane Asylums”___________________________ is the core of scientific study, which allows researchers to communicate their findings more effectively.Universal standards __________________________________ ________________________________________________________To be diagnosed with a psychological disorder very specific criteria must be met.8What makes an assessment method valuable?Reliability:‐ Is the degree of measurement consistent?Validity‐ Does the assessment measure what it is designed to measure?Standardization‐ Does this device meet the standards to be used consistently across different measurements?9Different Forms of Assessment1/21/2009410Clinical InterviewInformation is gathered by the professional to make a ________________________________________ ________________________________________________:‐ Current and past __________________________‐ Attitudes and emotions‐ Social and interpersonal history ‐ Presenting problem‐ ________________________________________________Organized as the mental status exam11Mental Status ExamA ________________________________________________ ___________________________________________________Used by clinicians to determine whether or not a psychological disorder ______________ be present.Most people do this everyday…including you 12What are some things you observe when you meet someone for the first time?1/21/2009513Mental status exams cover five general areas:1. Appearance and behavior‐ Overt physical behaviors, appearance, body language, facial expressionPosture, motor activity, eye contact, attitude towards the examiner, grooming and hygiene142. Thought Processes‐ Are thoughts linear and organized?‐ Are thoughts flighty and disorganized?‐ Are there delusions/hallucinations present?‐ Do they demonstrate insight?‐ Reasoning/judgment?15Assessing Thought ProcessesLooseness of association (irrelevance)Flight of ideas (__________________________________________)Word salad (nonsensical responses) Clanging (rhyming words) ____________________________________ (limited content)1/21/2009616Mental Status3. Mood and affect:Mood is the ___________________________________________‐ Depressed," "anxious," "good," and "tired ‐ Does the person appear “down” or elated?Affect refers to the feelings or ________________________ _______________________________________________________‐ Is it “appropriate”? You feel sad…you look sad.‐ Euthymic (_____________), blunted (minimal variation), and ____________________(no variation). 17Mental Status4. Intellectual functioning:________________________________________________are used to help determine level of intellectual functioning‐ Repeat these 3 words: 'pen,' 'chair,' 'flag'‐ The "serial 7s”‐ Abstracts and metaphors‐ Proverbs18Mental Status 5. Sensorium refers to our ________________________ ________________________________________________Clinicians assess a person’s orientation to time, place and person.“Is the person oriented times 3?”‐ ____________________________________________‐ ____________________________________________‐ Who are you?1/21/2009719Diagnosing Psychological Disorders20How are disorders diagnosed?The DSM IV (APA, 2000) is the most widely used classification system currently used to make a diagnosis. ‐ _______________________________________________________This is a manual that contains a listing of psychiatric disorders and diagnostic codes 21DSM IVEach disorder is defined by a set of diagnostic criteria and text containing information about the disorder.‐ prevalence‐ familial patterns‐ age ‐ culture‐ differential diagnosis1/21/2009822The DSM is _____________________________________________________________________No information about treatment or etiology is included.23History of the DSMThe first edition of the DSM was published in 1952 and contained about 60 disorders. The DSM –I and II were very influenced by the Psychodynamic Approach There was no sharp distinction between “normal and abnormal”‐ All disorders were considered reactions to the environment.24DSMIn 1980, the Psychodynamic view was abandoned and a medical model became the primary approach.‐ Changes were made to the diagnostic system based ______________________________________________________________________________________________________________Research that was comprised of field trials examined the reliability and validity of definitions and criteria, as well as creating new diagnoses (Wildiger et al., 1998).1/21/2009925DSM IVNew disorders were introduced and other deleted in the DSM IV.Example- in the DSM-II, _______________________ was listed as a psychological disorder, but was removed by the APA in 1973.The DSM-V is in progress (2010-2012)26This is a “multi-axial” system of classification.Axis 1‐ Disorders of childhood, mood disorders, substance-related disorders, schizophrenia, Anxiety disorders etc… Axis 2- ______________________________________________Axis 3- _______________________________and disordersAxis 4- ______________________________________________Axis 5- (GAF)Global Assessment of Functioning27Is this system perfect?One criticism of the DSM IV is the notion of comorbidity, the _________________________________ in an individual at the same time.Some criticize this categorical system because it can lead to __________________________________1/21/20091028Next class…Anxiety


View Full Document

MCCC PSY 210 - Chapter 3- Clinical Assessment and Diagnosis

Documents in this Course
Load more
Download Chapter 3- Clinical Assessment and Diagnosis
Our administrator received your request to download this document. We will send you the file to your email shortly.
Loading Unlocking...
Login

Join to view Chapter 3- Clinical Assessment and Diagnosis and access 3M+ class-specific study document.

or
We will never post anything without your permission.
Don't have an account?
Sign Up

Join to view Chapter 3- Clinical Assessment and Diagnosis 2 2 and access 3M+ class-specific study document.

or

By creating an account you agree to our Privacy Policy and Terms Of Use

Already a member?