1 / 17

Assessment

Assessment. To collect and INTERPRET information about a client or subject Remember, the data do not speak for themselves The purpose of assessment: biopsychosocial formulation Dynamic formulation The results of an assessment process will be used idiographically

ashby
Télécharger la présentation

Assessment

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. Assessment • To collect and INTERPRET information about a client or subject • Remember, the data do not speak for themselves • The purpose of assessment: biopsychosocial formulation • Dynamic formulation • The results of an assessment process will be used idiographically • Although most assessment tools are nomothetic • i.e., standardized procedure and established norms

  2. Physical Assessment Tools • Medical examination: referral to rule out medical disorders with psychological or behavioral concomitants or sequelae • Neuropsychological examination • EEG: electrical activity • CAT scan: locate abnormalities in the brain • MRI: view anatomical features of the CNS, especially the brain • fMRI: anatomy and function • PET: monitors metabolic processes

  3. fMRI A:\

  4. Standardization • Two types: • Administration and scoring • Sampling • Reliability: • Is a test consistent? • Test-retest • Inter-rater • Validity • Is the test measuring what it purports to measure?

  5. Important note: We can have reliability without validity But We cannot have validity without reliability.

  6. The clinical interview • A GOOD interview is a clinician’s best assessment tool (according to Dr. S). • Structured: intake interview • Unstructured: suitability for therapy • Semi-structured: diagnostic • Clinical interview criticized: observer bias

  7. Mental Status Exam • A structured interview, sometimes embedded within a semi-structured interview. • Tests cognitive functioning • Eg.: Clarity of thought, orientation, ability to follow instructions

  8. Projective Tests • Presentation of ambiguous stimuli • The purpose is to tap unconscious mental processes

  9. Some of the most common Projective Tests • Rorschach Inkblot Test • Thematic Apperception Test • Drawing Tests • Draw A family • House-Tree-Person • Kinetic Family Drawing

  10. A Rorschach-type Stimulus • “What might this be” • Similar to seeing objects in clouds • Useful for assessing how the client views his/her world

  11. A TAT-card Stimulus • Tell me a story; a complete story with a beginning, a middle and an end. What is happening in the picture. What happened before, and how will it end. • Useful for learning about clients’ relationships

  12. Drawing Tests • Useful with children • Develops rapport • Aids in diagnosis • Also useful with non-verbal adults

  13. Personality Inventories • Usually personality inventories consist of a series of questions to which the respondents answer “true” or “false” (“yes”/”no”) • The scoring is objective • Most popular is MMPI2: designed to identify psychopathology • CPI also frequently used but is designed to identify positive psychological characteristics

  14. MMPI-Profile • Left side: validity scales ?, L, F, K. • An advantage of the MMPI • Right side: 10 clinical scales • Designed to identify pathology.

  15. Misuses of the MMPI • Hiring and promotion decisions in business: the test is designed to detect pathology, and normed on a psychiatric sample • Elevated scores in a non-psychiatric sample may not have the same meaning as in a psychiatric sample

  16. Response Inventories • Tests which are focused on a specific area of functioning • Example: Beck Depression Inventory (text p. 94)

  17. Other psychological assessment tools • Psychophysiological tests: measure autonomic nervous system functioning • Example: Polygraph (lie detector) • Neuropsychological tests: • Example: Bender - Gestalt

More Related