1. Clinical Assessment and Diagnosis
Chapter Three

2. Assessing Psychological Disorders
Case Study: Frank
Clinical Assessment
Diagnosis
Key Concepts in Assessment
Reliability
Validity
Standardization

3. Clinical Interview Mental Status Exam Appearance & Behavior
Thought Processes
Mood & Affect
Intellectual Functioning
Sensorium

4. Physical Exam Behavioral Exam Observation ABC’s Informal vs. Formal
Self-Monitoring

5. Psychological Testing
Projective Tests
Rorschach
TAT
Personality Inventories
MMPI
Meyer’s Briggs
Intelligence Testing
Stanford Binet
WAIS & WISC

8. MMPI Clinical Scales
1 Hs Hypochondriasis Concern with bodily symptoms 32
2 D Depression Depressive Symptoms 57
3 Hy Hysteria Awareness of problems and vulnerabilities 60
4 Pd Psychopathic Deviate Conflict, struggle, anger, respect for society's rules 50
5 MF Masculinity/Femininity Stereotypical masculine or feminine interests/behaviors 56
6 Pa Paranoia Level of trust, suspiciousness, sensitivity 40
7 Pt Psychasthenia Worry, Anxiety, tension, doubts, obsessiveness 48
8 Sc Schizophrenia Odd thinking and social alienation 78
9 Ma Hypomania Level of excitability 46
0 Si Social Introversion People orientation 69

9. MMPI Validity Scales CNS “Cannot Say” Questions not answered
L Lie Client “faking good”
F Infrequency Client “faking bad” (in first half of test)
K Defensiveness Denial/Evasiveness
Fb Back F Client “faking bad” (in last half of test)
VRIN Variable Response Inconsistency answering similar/opposite question pairs inconsistently
TRIN True Response Inconsistency answering questions all true/all false

11. Neuropsychological Testing Neuroimaging
False positives & False Negatives
Neuroimaging
CT Scan
PET Scan & MRI’s

14. Psychophysiological Assessment
EEG
GSR
Biofeedback

15. Diagnosing Psychological Disorders
Idiographic Strategy
Nomothetic Strategy
Classification Issues
Classical Categorical Approach- what the diagnosis is based on the agreed-upon criteria (checklist)
Dimensional Approach- severity (individual presentation and experience of the disorder and its aspects)
Prototypical Approach- combination of the above two
Reliability & Validity- will someone else diagnose the same disorder, and does the diagnosis predict any future behaviors or experiences

16. Diagnosing (cont.) DSM-V Creating a Diagnosis
ICD-10 (Chapter V)- International Statistical Classification of Diseases and Related Health Problems- mental and behavioral disorders- as classified by the WHO
Criticisms
Labeling
Creating a Diagnosis
Changes from the DSM-IV-TR