Psych 377 Clinical

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ceemlo
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267016
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Psych 377 Clinical
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2014-03-18 22:25:49
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  1. Clinical Psychology
    Prevention, diagnosis, and treatment of mental and behavioral disorders
  2. Counseling Psychology
    Similar responsibilities as Clinical, but focus on healthier/less psychopathological clients
  3. Clinical Traditional medical model
    3-step process:

    • Step 1: Assessment
    • Step 2: Diagnosis
    • Step 3: Treatment
  4. Clinical Step 1: Assessment
    Practitioner compiles idiographic information about the person

    Information specific to the indiv
  5. Goals of clinical assessment
    Determine how and why a person is behaving atypically

    How the person may be helped

    Assess a treatment’s efficacy or the need to change it
  6. Strategies of clinical assessment
    • Interviews
    • Tests
  7. Clinical: Interviews
    Face to face, telephone, computer webcam

    Face to face yields the most full source of info

    Be a detriment due to distraction (being attractive to the person)

    Information regarding problems and feelings, lifestyle and relationships, and personal history

    Specific questions vary by interviewer’s orientation

    Ask antecedent, Feudalistic, humanistic (sense of self), biological, sociocultural
  8. Types of clinical interviews
    • Structured
    • Unstructured
  9. Clinical structured interview ex
    Mental Status Exam
  10. Clinical: Tests
    Instruments for drawing inferences about the person
  11. Types of clinical tests
    • Projective
    • Objective
  12. Types of projective clinical tests
    • Rorschach
    • TAT
    • Word Association
    • Hand
    • Rosenzweig
    • Rotter
    • Draw a Person
    • House-Tree-Person
    • Kinetic Family
  13. Types of objective clinical tests
    • MMPI-2
    • Beck Depression inventory
    • Psychobiological tests
    • Neurological tests
    • Neuropsychological tests
    • Intelligence tests
    • Observation
  14. MMPI-2 10 clinical scales
    • Hypochondriasis (HS)
    • Depression (D)
    • Paranoia (Pa)
    • Psychasthenia (Pt)
    • Conversion Hysteria (Hy)
    • Hypomania (Ma)
    • Psychopathic Deviate (PD)
    • Schizophrenia (Sc)
    • Masculinity-Femininity (Mf)
    • Social Introversion (Si)
  15. Beck Depression inventory
    • 17-80 yrs
    • Based on clients’ verbal descriptions
    • Negative messages we send our selves
    • BDI (1961)
    • BDI-1A (1971)
    • BDI-II (1996)
  16. Neurological tests
    • EEG (electroencephalogram)
    • CAT scan (computerized axial tomography)
    • PET scan (positron emission tomography)
    • MRI (magnetic resonance imaging)/FMRI
  17. Neuropsychological tests
    • Motor skills
    • Exhibit high validity
    • But they can't distinguish one type of impairment from another
    • Bender Visual-Motor Gestalt Test
  18. Bender Visual-Motor Gestalt Test
    Reproducing cards from memory
  19. Intelligence tests
    • Stanford-Binet
    • Wechsler
  20. Clinical Step 2: Diagnosis
    • Clinical picture
    • Classification systems
  21. Clinical picture
    Compiling data derived from the interview, testing, and observation processes

    To form an integrated picture of possible causal and maintenance factors of atypical behavior/thought process
  22. Classification systems
    Diagnostic and Statistical Manual of Mental Disorders DSM-5 (May 2013)

    International Classification of Diseases ICD-10 (ver. 2010)

    Chapter V- Mental & Behavioural Disorders

    Goes into more detail into sub disorders/classifications
  23. Clinical Step 3: Treatment
    Treatment efficacy/lack thereof is assessed via a variety of statistical methods

    Statistical (results are due to chance) & Practical (IV responsible for change in DV) Significances vs Clinical (treatment or intervention has had a positive effect on the ind) Significance

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