Textbook Notes (368,316)
Canada (161,798)
York University (12,828)
Psychology (3,584)
PSYC 3490 (60)
Chapter 4

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PSYC 3490
Laurie Mc Nelles

Chapter Four: Clinical Assessment, Mental Health and Mental Disorders  Defining Mental Health and Psychopathology  Canadian Mental Health Association (CMHA) defines mental health as: - the ability to strike “a balance in all aspects of your life: social, physical, spiritual, economic and mental”  Characteristics of mentally healthy people o Positive attitude toward self o Accurate perception of reality o Mastery of the environment o Autonomy o Personality balance o Growth and self-actualization  Characteristics of mental pathology o Behaviours that are harmful to oneself or others o Lower one’s well-being o Perceived as distressing, disrupting, abnormal, or maladaptive  A Multidimensional Life-Span Approach to Psychopathology  Biological forces - Health problems increase with age o Evidence supports a genetic component to Alzheimer’s - Physical problems may present as psychological o Irritability  thyroid problem o Memory loss  vitamin deficiencies o Depression  changes in appetite  Psychological and Developmental Forces - Normative age changes can mimic certain mental disorders - Normative changes can mask true psychopathology - Look to nature of relationships as key to understanding psychopathology o Young  expanding relationships o Old  contracting relationships  Sociocultual Forces - We must behave as we see is appropriate for a person in a particular setting o Ethnic differences  Ethnicity, Aging and Mental Health  Cultural influences should always be considered in evaluation behaviour and designing ways to treat problems  Little is known about nature and extent of mental health difficulties faced by people in Canada’s ethnic and immigrant population  Developmental Issues in Assessment and Therapy  Principles of Multidimensional Assessment  Elements of Assessment – Measuring, understanding, and predicting behaviour – Gathering medical, psychological, and sociocultural information  6 principles of Lichtenberg to assessing older adults: 1. Age and functioning are not linearly related in clinical settings 2. Necessary to recognize the influence of comorbidity in clinical settings  3. Major task in assessment is to distinguish normal from pathological processes 4. Clinical gerontologists should emphasize brief assessments 5. Assessment results must emphasize patients’ strengths and weaknesses and treatment 6. Multiple methods of assessment are optimal  Steps in Multidimensional Assessment  Minimum Data Set Instrument used in many parts of Canada as a means of planning care and treatment for medical and psychological problems  Physical Health: thorough assessment is essential  Cognitive Functio
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