1 / 20

CHAPTER 3

CHAPTER 3. CLASSIFICATION AND ASSESSMENT. CLASSIFICATION: CATEGORIES OF MALADAPTIVE BEHAVIOR. ADVANTAGES OF CLASSIFICATION Bridges gap between research and treatment. Allows communication between clinicians. Valuable for statistical purposes.

rimona
Download Presentation

CHAPTER 3

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. CHAPTER 3 CLASSIFICATION AND ASSESSMENT

  2. CLASSIFICATION: CATEGORIES OF MALADAPTIVE BEHAVIOR • ADVANTAGES OF CLASSIFICATION • Bridges gap between research and treatment. • Allows communication between clinicians. • Valuable for statistical purposes. • Categories contribute to planning of treatment programs and facilities. • DISADVANTAGES OF CLASSIFICATION • Labeling may result in stigma. • Diagnostic categories are imperfect.

  3. CHARACTERISTICS OF A GOOD CLASSIFICATION SYSTEM 1. Provides information about the cause or causes of a condition. 2. Provides a common language for communication among clinicians and researchers. 3. Enables clinicians to give patients and their families a short- and long-term outlook. 4. Indicates possible treatment. 5. Suggests paths to prevention.

  4. THE DSM-IV • Axis I • Most disorders except personality disorders and mental retardation. • Axis II • Personality disorders and mental retardation. • Axis III • Relevant general medical conditions. • Axis IV • Psychosocial and environmental problems. • Axis V • Global assessment of psychological, social, and occupational functioning.

  5. MAJOR AXIS I DIAGNOSTIC CATEGORIES

  6. CLINICAL OBSERVATIONSAND SYMPTOMS USEDIN DSM-IV CLASSIFICATION

  7. RESEARCH ON CLASSIFICATION • RELIABILITY • Is system reproducible? • Kappa statistic • VALIDITY • Is system appropriate? • CLINICAL JUDGMENT • Does system produce reliable diagnoses? • CULTURAL CONTEXT • Is system culture-bound?

  8. THE ASSESSMENT PROCESS • Interview • Mental Status Examination • Structured Interview • Diagnostic Interview Schedule (DIS) • Structured Clinical Interview for DSM (SCID)

  9. FOUR COMPONENTS OF THE CLINICAL INTERVIEW • Rapport • How interviewer and client relate to each other. • Technique • Select techniques to build rapport. • Mental Status • Evaluate client answers to questions. • Diagnosis • A continuing, fluid process of formulating client’s problems and personality.

  10. KEY FEATURES OF CLIENT BEHAVIOR OBSERVABLE IN MENTAL STATUS EXAMINATION • Appearance • Consciousness or alertness • Psychomotor behavior • Attention and concentration • Speech • Thought patterns • Orientation • Memory • Affect and mood • Energy • Perception • Judgment and insight

  11. INTELLIGENCE TESTS • Binet Tests • Alfred Binet • IQ= MA/CA x 100 • Wechsler Tests • Wechsler Adult Intelligence Scale (WAIS-III) • Wechsler Intelligence Scale for Children (WISC-III) • Wechsler Preschool and Primary Scale of Intelligence (WPPSI-R) • Full Scale IQ=Performance IQ+Verbal IQ • Kaufman Assessment Battery for Children (K-ABC)

  12. NEUROPSYCHOLOGICAL TESTS Measure cognitive, sensorimotor, and perceptual consequences of brain abnormality

  13. PERSONALITY ASSESSMENT • Personality Inventories • Minnesota Multiphasic Personality Inventory (MMPI-2) • Million Clinical Multiaxial Inventory (MCMI) • Rating Scales • Behavior Rating Scale for Children • Visual Analogue Scale (VAS) • Projective Techniques • Rorschach Inkblots • Thematic Apperception Test (TAT) • Word Association Test • Sentence Completion Test

  14. THE MMPI-2: CLINICAL AND VALIDITY SCALES

  15. ASSESSING AXIS II PERSONALITY DISORDERS

  16. THE THEMATIC APPERCEPTION TEST (TAT)

  17. VISUAL ANALOGUE SCALES

  18. OTHER FORMS OF ASSESSMENT • Behavioral Assessment • Information about behaviors • Cognitive Assessment • Information about thoughts and thought processes • Relational Assessment • Information about key relationships, especially family. • Bodily Assessment • Physiological functioning • Polygraph, galvanic skin response (GSR), brain imaging

  19. BODILY ASSESSMENT – BLOOD PRESSURE

  20. BODILY ASSESSMENTTHE POLYGRAPH

More Related