1. Chapter 3 Clinical Assessment Slides & Handouts by Karen Clay Rhines, Ph.D. Seton Hall University

2. Comer, Fundamentals of Abnormal Psychology, 3e 2 Clinical Assessment ______________: to determine how and why a person is behaving abnormally tools: –____________ –Tests –_________________

3. Comer, Fundamentals of Abnormal Psychology, 3e 3

4. 4 Clinical Interviews Face-to-face encounters personal history Conducting the Interview –Focus depends on _______________ –_________ interviews: open-ended questions –structured interviews: ______ questions –May include __________________

5. Comer, Fundamentals of Abnormal Psychology, 3e 5 Mental Status Examination: Appearance and Behavior  Hyperactivity  Psychomotor agitation  Psychomotor retardation  Catatonia  Compulsions

6. Comer, Fundamentals of Abnormal Psychology, 3e 6 Mental Status Examination Content of Thought _______________ Delusions _______________ ______ Thinking

7. Comer, Fundamentals of Abnormal Psychology, 3e 7 Mental Status Examination Affect and Mood Affect: _________________________ oInappropriate o Blunted or Flat o Exaggerated, Heightened, or Overdramatic o Decreased Mobility o Excessive Mobility o Restricted Range

8. Comer, Fundamentals of Abnormal Psychology, 3e 8 Mental Status Examination Affect and Mood Mood: ________________________ Euthymic = _____________________ ________ = Unpleasant feelings _______ = Cheerful, elated, possibly even ecstatic

9. Comer, Fundamentals of Abnormal Psychology, 3e 9 Mental Status Examination Perceptual Experiences Hallucination: _________________  Auditory  Command  Visual  Olfactory  Somatic  Gustatory

10. Comer, Fundamentals of Abnormal Psychology, 3e 10 Mental Status Examination Orientation Clip art copyright © 2005 www.clipart.com. Used with permission. Time Place Identity

11. Comer, Fundamentals of Abnormal Psychology, 3e 11 Mental Status Examination Thinking Style & Language incoherence: speech that is ____________________. loosening of associations: flow of thoughts that is ________________________ ___________. _______ thinking: thinking characterized by contradictions and erroneous conclusions. _______________: going completely off track and never returning to the point. _____________: speech that is indirect and delayed in reaching a point because of irrelevant and tedious details. ________: the experience in which a person seemingly “loses” a thought in the midst of speaking, leading to seconds or minutes of silence

12. Comer, Fundamentals of Abnormal Psychology, 3e 12 __________: sound, rather than word meaning, determines content of individual’s speech. ____________: fabricating facts or events to fill in voids in one’s memory; not conscious lies but attempts to respond with approximations of the truth. ___________: persistent repetition of someone else’s words or phrases, as if mocking or sarcastic. ____________: fact-paced speech marked by acceleration, abrupt changes of topic, and plays on words. _________ of speech: speech rapid and driven, as if individual is compelled to utter stream of nonstop monologue. perseveration: _________ of the same idea, word, or sound.

13. Comer, Fundamentals of Abnormal Psychology, 3e 13 Mental Status Examination o Motivation o impairment can make even ordinary life tasks seem insurmountable. Sense of Self (sense of who I am) –Depersonalization –Identity confusion Clip art copyright © 2005 www.clipart.com. Used with permission.

14. Comer, Fundamentals of Abnormal Psychology, 3e 14 Mental Status Examination Cognitive Functioning: Level of ___________ evidenced by details such as memory and abstract ability. Problems might include __________ impairment Insight and Judgment: ___________________ _________________.

15. Comer, Fundamentals of Abnormal Psychology, 3e 15 Characteristics of Assessment Tools _______________ : performance serves as a common standard (norm) Reliability – _______________ _________ – accuracy of results –measures what it is supposed to be measuring

16. Comer, Fundamentals of Abnormal Psychology, 3e 16 Clinical Tests Intelligence Tests  assess both verbal and non-verbal skills  Generates an intelligence quotient (IQ)  Most popular: Wechsler (WAIS, WISC) I.Q. = Mental Age Chronological Age Mental Age Chronological Age X 100

17. Comer, Fundamentals of Abnormal Psychology, 3e 17 Clinical Tests Personality Inventories –measure broad personality characteristics –Minnesota Multiphasic Personality Inventory (MMPI) Derives ten clinical scales: –Hypochondriasis (HS) –Depression (D) –Conversion hysteria (Hy) –Psychopathic deviate (PD) –Masculinity-femininity (Mf) Paranoia (Pa) –Psychasthenia (Pt) –Schizophrenia (Sc) –Hypomania (Ma) –Social introversion (Si)

18. Comer, Fundamentals of Abnormal Psychology, 3e 18 Clinical Tests Response Inventories –________________________________ Affective inventories (Ex. BDI) Social skill inventories Cognitive inventories

19. Comer, Fundamentals of Abnormal Psychology, 3e 19

20. Comer, Fundamentals of Abnormal Psychology, 3e 20 Clinical Tests Projective tests –___________________________________ _____________________________ Rorschach Inkblots Thematic Apperception Test Sentence Completion Drawings

21. Comer, Fundamentals of Abnormal Psychology, 3e 21 Rorschach Inkblot

22. Comer, Fundamentals of Abnormal Psychology, 3e 22 Behavioral Assessment Behavioral Self-Reports –Behavioral Interviewing – ________________ –Behavioral Checklists and Inventories Behavioral Observation –________ –_______

23. Comer, Fundamentals of Abnormal Psychology, 3e 23 Environmental Assessment Environmental Assessment: A form of measurement examining the ___________________ ___________________ ___________.

24. Comer, Fundamentals of Abnormal Psychology, 3e 24 Physiological Assessment Many psychological disorders occur in the presence of ______________________________ Disturbances may be: – localized in brain, perhaps as _________________ or – _______________ (e.g., diabetes, AIDS) that may alter psychological functioning.

25. Comer, Fundamentals of Abnormal Psychology, 3e 25 Physiological Assessment Psychophysiological techniques –Measure ______________ response HR, BP, temperature, etc. Most popular = ________________ _______________) Physiological Techniques (_______ assess brain function) –Brain Imaging: EEG, CT, MRI, PET

26. Comer, Fundamentals of Abnormal Psychology, 3e 26 Neuropsychological Assessment Neuropsychological assessment: ____________ assess brain function by assessing cognitive, perceptual, & motor functioning –Most widely used = Bender-Gestalt