Assessment & diagnosis diagnosis clinical assessment evaluation & measurement of factors (psychological, biological, social, etc) for someone w/ possible.

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Presentation transcript:

assessment & diagnosis diagnosis clinical assessment evaluation & measurement of factors (psychological, biological, social, etc) for someone w/ possible mental disorder determine if criteria are met for disorder diagnosis

assessment concepts reliability result consistent? validity measuring what its supposed to measure? standardization procedure/process is consistent inter-rater test-retest concurrent predictive construct content

clinical interview mental status exam 1.appearance & behavior 2.thought process 3.mood & affect 4.intellectual functioning 5.sensorium semi-structured clinical interview

testing Projective tests Rorschach Thematic apperception test Personality Inventories MMPI IQ Wechsler tests WAIS & WISC verbal & performance subscales Neuropsychological behavior indexes brain function (lang, attn, memory, learning, exec functions)

neuroimaging & psychphysiology neuroimaging Structure (CT, MRI) Function (PET, fMRI) psychophysiology 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

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