Psychology 3301F/G Chapter Notes - Chapter 6: North American Society Of Adlerian Psychology, Inter-Rater Reliability, Comorbidity

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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
Boud to espet the liet’s pia ad ust ot disuss details ith othe people ithout the liet’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 peso’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
Taied to foulate uestios i a ae that failitates the liet’s egageet i the iteie
Open questions = questions that allow elaborate responses and cant be answered with a simple yes or no
o Ca gie oe ople ase ad 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 silee to allo the liet tie to eflet, ad theefoe do’t feel oliged 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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