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2011-06-15 18:38:53
Psychological Neuropsychological assessement chapter

Psychological & Neuropsychological Assessment
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  1. Define Psychological Assessment
    standardized procedures designed to collect, organize, and interpret information about a person and his or her situation
  2. What are the goals of psychological assessment?*
    description, prediction, diagnosis and planning

    description: accurate portrait of personality, cognitive functioning, mood and behavior

    prediction: use of descriptions for decision-making process -- should this personal be hospitalized, should they have surgery?

    diagnosis: classification of abnormal behavior

    planning: plan to effectively intervene
  3. The types of psychological assessment. (6, although title says "five general categories")
    • 1. clinical interview
    • 2. self-report questionaires
    • 3. projective tests
    • 4. developmental tests
    • 5. intelligence tests
  4. *know which tests are in which category, and what theyre for, and the relative length of time for each (short vs long)
  5. types of clinical interviews (2)?
    • structured: patient answers a prearranged sequence of questions
    • unstructured: clinician asks broad questions and follows up with addition ones
  6. Types of Self Report Questionaires (5)?
    • -can be either screening (1-4) or inventories (5).
    • -inventories are comprehensive, both have problems with a patient misrepresenting themselves

    • 1.Patient Health Questionaire (PHQ): for most common mental disorders. short
    • 2. Beck Depression Inventory (BDI-II): for depression, short, assesses suicide, scores 0-63
    • 3. Beck Anxiety Inventory (BAI): measures frequency of anxiety symptoms over the last week, socres 0-63, short
    • 4. Primary Care Post Traumatic Stress Disorder: screen for PTSD, short (4 items)
    • 5. Minnesota Multiphasic Personality Inventory: used to help simplify differential diagnosis by comparing to tests from patients with psychiatric disorders
  7. Projective Tests (2)
    • -use ambiguous stimuli to for patient to "read" that gives clues to unconscious processes.
    • -interpretation subjective*

    • 1. Rorschach Inkblot Test
    • 2. Thematic Apperception Test: shown pictures and asked to tell a story about characters, objects
  8. Developmental Tests (2)
    -used to assess development of infants and very young children >18mo

    • 1. Bayley Scales of Infant Development
    • 2. Vinland Adaptive Behavior Scales: help diagnose mental retardation by assessing personal and social competence

    adaptive behavior: ability and competency of individual to meet expected standards of personal independence /social responsibility in relation to her/her age and cultural group.
  9. Achievement Tests
    -tests what person has already learned to assess academic achievement, learning disabilities, and behavior disorders

    • some common ones:
    • 1. USMLE's 1-3, basic science, clinical, and application
    • 2. wide range achievement test: age 5-74, takes 30 min.
    • 3. woodcock johnson tests of achievement: age 3-adult, 2 hrs
  10. intelligence tests
    • "aptitude", mental ability, predict how well someone can perform intellectual activities
    • -only measures what the test makes considers intelligence, not street or social competence
  11. Definition of Neuropsychological Assessment
    • -attempting to understand how brain structure and function impact cognition and behavior.
    • -specialized type of psychological assessment
    • -neuropsychologists evaluate how biological and psychological factors impact brain functioning and result in clinical symptoms, cognitive dysfunction, and impairments in functional activities
  12. purpose of neuropsych assessment?*
    -long process, medical record review, interview, psychometric testing (measure cognitive ability)

    • 1. evaluate social, emotional, and psychiatric functioning
    • 2. perform differential diagnosis
    • 3. monitor symptoms and mental status
    • 4. determine medical adherence and readiness for treatment
    • 5. treatment and rehab planning
    • 6. planning of life activities and reinegration
    • 7. assess intellectual and academic functining
    • 8. forensic/legal questions
    • 9. risk for dangerous behavior
  13. neuropsych conditions
    • developmental - down's syndrome, maternal ill or prenatal toxin
    • acquired - TBI, vascular events, dementia