Multimethod & Multimodal Like a Funnel Start Broad Start Broad More Specific
Value Depends On Value Depends On Reliability Consistency of our AssessmentReliability Validity What are we measuring?Validity Standardization Application of Standards to Ensure ConsistencyStandardization
3 Clinical Interview –Structured vs. Semistructured –Mental Status Exam –Behavioral Observation 3 Clinical Interview –Structured vs. Semistructured –Mental Status Exam –Behavioral Observation
3 Clinical Interview 3 Physical Exam
3 Behavioral Assessment 3 Clinical Interview 3 Physical Exam
3 Behavioral Assessment AA BB CsCs
3 Psychological Testing –Projective vs. Objective 3 Psychological Testing –Projective vs. Objective 3 Behavioral Assessment 3 Clinical Interview 3 Physical Exam
3 Projective Tests Thematic Apperception Test (TAT) Thematic
3 Projective Tests Rorschach Inkblot Test
Class lectures would be more stimulating with more _______ and lots of ____. Class lectures would be more stimulating with more _______ and lots of ____. 3 Other Projective Tests Sentence Completion Methods: -- --
3 Other Projective Tests Draw a Picture
3 Other Projective Tests
3 Objective Tests Minnesota Multiphasic Personality Inventory (MMPI, MMPI-2)
3 Objective Tests Minnesota Multiphasic Personality Inventory (MMPI, MMPI-2) Intelligence Tests –Stanford-Binet IQ Test: Intelligence Quotient –Wechsler IQ Tests Intelligence Tests –Stanford-Binet IQ Test: Intelligence Quotient –Wechsler IQ Tests
3 Neuropsychological Testing 3 Psychological Testing 3 Behavioral Assessment 3 Clinical Interview 3 Physical Exam
3 Neuropsychological Testing Assess Broad Abilities Infer Brain Dysfunction Empirically Derived Problems –False Positives and False Negatives –Long Time to Administer Assess Broad Abilities Infer Brain Dysfunction Empirically Derived Problems –False Positives and False Negatives –Long Time to Administer
3 Neuroimaging 3 Psychological Testing 3 Behavioral Assessment 3 Clinical Interview 3 Physical Exam 3 Neuropsychological Testing
3 Neuroimaging Structural Abnormalities –Computerized Axial Tomography (CAT) –Magnetic Resonance Imaging (MRI) Structural Abnormalities –Computerized Axial Tomography (CAT) –Magnetic Resonance Imaging (MRI)
3 Neuroimaging Functional Abnormalities –Positron Emission Tomography (PET) –Single Photon Emission Computed Tomography (SPECT) –fMRI Functional Abnormalities –Positron Emission Tomography (PET) –Single Photon Emission Computed Tomography (SPECT) –fMRI
3 Psychophysiological Assessment 3 Psychological Testing 3 Behavioral Assessment 3 Clinical Interview 3 Physical Exam 3 Neuropsychological Testing 3 Neuroimaging
Measure Nervous System Activity Some Problems and Limitations Measure Nervous System Activity Some Problems and Limitations 3 Psychophysiological Assessment
Nosology Nosology__________________________ __________________________________ Nomenclature __________________________________ __________________________________ __________________________________ Two widely used classification systems: ICD-10 & DSM Nosology Nosology__________________________ __________________________________ Nomenclature __________________________________ __________________________________ __________________________________ Two widely used classification systems: ICD-10 & DSM
DSM-I (1952) DSM-II(1968) DSM-III (1980) DSM-III-R (1987) DSM-IV (1994) DSM-5 (2013) DSM-I (1952) DSM-II(1968) DSM-III (1980) DSM-III-R (1987) DSM-IV (1994) DSM-5 (2013)
Classical or Categorical DimensionalDimensional PrototypicalPrototypical
Thresholds for Diagnosis of Disorders Multiaxial Format –Axis I: –Axis I: Most Major Disorders –Axis II: –Axis II: Personality Disorders / MR –Axis III: –Axis III: Medical Diseases or Conditions –Axis IV: –Axis IV: Psychosocial / Environment Problems –Axis V: –Axis V: Global Assessment of Functioning Some Problems With the DSM-IV Thresholds for Diagnosis of Disorders Multiaxial Format –Axis I: –Axis I: Most Major Disorders –Axis II: –Axis II: Personality Disorders / MR –Axis III: –Axis III: Medical Diseases or Conditions –Axis IV: –Axis IV: Psychosocial / Environment Problems –Axis V: –Axis V: Global Assessment of Functioning Some Problems With the DSM-IV
l The general consensus is that DSM-5 is largely unchanged from DSM-IV although some new disorders are introduced and other disorders have been reclassified –Divided into three main sections l How to use the manual l Disorders l Description of disorders l Most notable change: ____________________________ l More emphasis on ______________________________
Continuing criticisms & controversies: _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________