Psychology 3301F/G Chapter Notes - Chapter 6: North American Society Of Adlerian Psychology, Inter-Rater Reliability, Comorbidity
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11 Apr 2018
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Chapter 6: Assessment: Interviewing and Observation
Intro
• Interviews and observations most commonly used
• Semi-structured interviews: allow psychologist some flexibility in questioning and order of questions
• In practice, must clinical assessments interviews are unstructured and follow format preferred by
individual psychologist
• Children can provide important info about their experiences, thoughts and feelings
o However not sufficient to simply scale down an adult interview for use with children
Ethical Issues: Limits of Confidentiality
• Psychologist is required to maintain secrecy with respect to the material that is revealed in the course of
providing psychological services
• Boud to espet the liet’s pia ad ust ot disuss details ith othe people ithout the liet’s
permission (some limits)
• In those circumstances client must give permission for results of assessment to be sent to third party
• Also legal obligations to break confidentiality when a peso’s safet is at isk
o All provinces have laws that you must break it if you have suspicion child may be need of
protection
• Are required to take steps to ensure that clients are protected from self-harm and that others are
protected if a client plans to harm someone else
• Must ensure client understands the limits of confidentiality before entering into agreement to receive
services
• Limits of confidentiality = situations in which the psychologist is legally obliged to break confidentiality by
disclosing info provided by the patient to another person or agency
Unstructured assessment interviews
• Assessment interview is conducted free from disruptions
• Psychologist adopts a calm and relaxed stance designed to put clients at ease
• Not like regular conversation; may be more comfortable in disclosing info
• Psychologist is responsible for structuring the session to ensure relevant topics are covered during
assessment interviews
• Taied to foulate uestios i a ae that failitates the liet’s egageet i the iteie
• Open questions = questions that allow elaborate responses and cant be answered with a simple yes or no
o Ca gie oe ople ase ad do’t suggest a particular response is required
• Closed questions = questions that can be answered with a single word
o Brief, less ambiguous answers, allowing rapid coverage of topics
• Many find it useful to begin with open ended and follow up with closed to clarify details of response
• Phrasing of question can influence type of answer, careful not to ask leading questions or put words into
clients mouth
• Use silee to allo the liet tie to eflet, ad theefoe do’t feel oliged to fill i the gaps i
conversation as they might in a social context
Structured diagnostic interviews
• Structured interviews = interviews with a specific format for asking questions and a specific sequences in
which questions are asked
o Developed to address issue of poor inter-rater reliability
• These interviews vary in their coverage of symptoms and life context
• Have a specific format for asking questions and a specific sequence in which questions are asked; majority
formed to provide diagnostic info
• Most widely used clinical interview in North America is the Structured Clinical Interview for Axis I Disorder
(SCID); permits diagnosis of a broad spectrum of disorders
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