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Lec 6.docx

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Hywel Morgan

PSY 240 Lec 6 Assessment • Doctors take about 12minutes to make an assessment • Psychological assessment takes 3 hours minimum • Relationship between psychologist and client is required for most effective treatment. • PsychologicalAssessment o Conduct an interview o Observe patient o Psychological testing  Unique to psychology  Testing: Comparison to statistical data • Triage  Seen by nurse to determine severity of the disorder then appoint a specialist (aka referral) • Referral o Gives us clues on clients:  Understanding of problem  What are the problems  What individual is willing to do o Sources: Referral given by  Social worker  Psychologist  Physician  Court system – If participate, less punishment o Take basic symptoms and if they deviate from norm, provide referral to specialist. o Referral provides therapist with orientation of the major problems o Referral includes information on an orientation of the major problems. o This information includes the primary symptoms, the duration, the onset and medical status. o Medical status can mimic, complicate, or mask psychological disorders o Referral can cause observer bias, leading to error in validity. o Malinger  Do not have disorder, but do have symptoms • Observation is most common assessment for children • Interview most common in adults • Observation o Picking up a certain behaviour and a note of it. o Warnings  Observer bias • Observer picks up what is expected • Theoretical practice person is trained in causes bias  Only looking at behaviour at one point in time in an artificial environment. o General appearance  Can indicate how client things of themselves o Gestures and Expressions  Body language  Can be subtle  Experience required to use this  Pay heavy attention, particularly in first meeting o Motor Acts  Gross, large movements  Fine motor acts  Watch out for physiological disorders  Both hyperactive and underactive could be indicators o Verbalization  What and how things are being said  How: Does it comply with age, intelligence, socioeconomic status • Neologism  Making up words • Incoherent Speech  using words in sentences that do not go together. • Tangential speech  Rambling about subjects that are not important. • Interview o Questions asked are driven from theoretical perspectives. o Formal observation with purpose of collecting data and gathering rapport. o Generates hypothesis for diagnosis o 3 types of information:  Identify data Provides context • name, age, rapport, education level, background and origin, language, residence, work, etc.  The presenting problem • What does the client think the problem is?  Family History • Many disorders have a genetic component. o 2 Types of interviews  Standardized (Structured) • Interviews that have been used many times, structured over a long period of time • Structured • High degree of accuracy • Does not miss anything • Exhaustive  Does not miss anything however can become tedious to client. • However does not develop rapport (psychologist and client relationship)
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