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WSU PSYCH 333 - Assessing Psychological Disorders
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PSYCH 333 1nd Edition Lecture 5 Outline of Previous Lecture I. Quiz 2 on Chapter 2Outline of Current LectureI. Assessing Psychological DisordersII. The Clinical InterviewIII. Mental Status ExamIV. Physical ExamV. Behavioral AssessmentCurrent LectureAssessing Psychological Disorders- A clinical assessment is the systematic evaluation and measurement of the psychological, biological, and social factors in an individual- Diagnosis- the process of determining if the symptoms of a person fit the diagnostic criteria for a psychological disorder- Purpose: to understand the individual, predict behavior, treatment, and evaluate outcomes- Reliability- the degree to which the assessment is consistent; if the same study is done by multiple people it should have the same result for both-raters: the physicians doing the assessing-inter-rater reliability: when raters design assessment in a which so that multiple raters can conduct assessment and get the same resultdetermines if assessment techniques are stable- Validity- whether something successfully measures what it is designed to measure-construct (descriptive) validity: compares results of an assessment measure withthe results of other assessments to better determine validity-Predictive (criterion) validity: how well your assessment predicts the future- Standardization- process by which certain set of norms is determined for a technique to make its use consistent across multiple measurementsThe Clinical InterviewThese notes represent a detailed interpretation of the professor’s lecture. GradeBuddy is best used as a supplement to your own notes, not as a substitute.- Clinical interview- gathers info on current and past behaviors, attitudes, and emotions from individuals life in general and about present problem- Involves:1. determining start day and cause of problem2. gathering info on patients current and past interpersonal and social history3. gather info on sexual development, religious attitudes, etc. - Most clinicians use a mental status exam to obtain the info, but they also use physical exams, behavioral assessments, and psychological testingMental Status Exam- Involves the systematic observation of individuals behavioroccurs when individual is interacting with any other person- exam analyzes five categories:1. appearance and behaviorposture, dress, expressions2. thought processrate and flow and content of speech3. mood (the predominant feeling state of the individual) and affect (the feeling state that accompanies what we say at a given time)4. intellectual functioningrange of vocabulary, quickness of memory5. Sensorium general awareness of surroundingsPhysical Exam- most clinicians require patients to get a physical done in order to diagnose or rule out any physical etiologies- toxicities: something that causes a behavior, cognition, or mood disorder i.e. bad food, side effects or incorrect medication, or onset of medical condition- if medical condition or substance abuse occurs, clinician must figure out if disorder is caused by it or is a coincidenceBehavioral Assessment- uses direct observation to assess an individuals thoughts, feelings, or behavior relating to a specific context- Clinicians will either enter home or workplace of patient in order to observe them in their normal life setting or they will simulate the situation within the clinical setting- used when trying to observe and identify cause or influence of a specific behavior- ABC’S of observation: Antecedent-Behavior-Consequence what happens before behavior occurs, while behavior is occurring, and after the behavior has occurred-although this relies on the observers interpretation of the events so its validity is often questioned- Informal observation: relies on observers interpretation of events- formal observation: involves identifying specific behaviors that are observable and measurable- Self Monitoring: clinicians tell their patient to self observe their behavior, make notes whenever it occurs on where they are, how they are feeling, and what instigated it-reactivity: a phenomenon in which people modify their behaviors when being observed without realizing they are doing it-studies show that when people are self monitoring, they act of the behavior under observation less if they are trying to fix it and more if they are trying to improve


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WSU PSYCH 333 - Assessing Psychological Disorders

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