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assessment & diagnosis
clinical assessment
evaluation & measurement of factors
(psychological, biological, social, etc) for
someone w/ possible mental disorder
diagnosis
determine if criteria are met for disorder
diagnosis
assessment concepts
reliability
result consistent?
• inter-rater
• test-retest
validity
• concurrent
measuring what its supposed to • predictive
• construct
measure?
• content
standardization
procedure/process is consistent
clinical interview
mental status exam
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2.
3.
4.
5.
appearance & behavior
thought process
mood & affect
intellectual functioning
sensorium
semi-structured clinical interview
testing
Projective tests
• Rorschach
• Thematic apperception test
Personality Inventories
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MMPI
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Wechsler tests WAIS & WISC
verbal & performance subscales
IQ
Neuropsychological
behavior indexes brain function (lang, attn,
memory, learning, exec functions)
neuroimaging & psychphysiology
neuroimaging
• Structure (CT, MRI)
• Function (PET, fMRI)
psychophysiology
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EEG
GSR /skin conductance
Heart rate
classification
Classification – categories
Taxonomy – scientific categories
Nosology – psych or medical categories
Classical Categorical Approach
Used in medicine; every dx has clear
pathophysiological cause
Dimensional Approach
Characteristics range from low to high
Prototypical Approach
Essential features + meet # symptoms for dx
DSM
Reliability and validity of the DSM
DSM Multiaxial System
Axis I: Major Disorders
Axis II: Personality Disorders & Mental Retardation
Axis III: Medical
Axis IV: Psychosocial & Environmental Factors
Axis V: adaptive functioning