Clinical Assessment - PowerPoint PPT Presentation

1 / 10
About This Presentation
Title:

Clinical Assessment

Description:

... Behavioral Observation Mental Status Exam Testing Objective Tests Projective Tests Additional Methods Physical Examination Neurological Examination ... – PowerPoint PPT presentation

Number of Views:128
Avg rating:3.0/5.0
Slides: 11
Provided by: Kurt142
Category:

less

Transcript and Presenter's Notes

Title: Clinical Assessment


1
Clinical Assessment
  • Purposes
  • To understand the individual
  • To predict behavior
  • To plan treatment
  • To evaluate treatment outcome

2
Clinical Assessment Issues
  • Reliability
  • Validity
  • Standardization
  • Clinical Utility or Clinical Significance

3
Diagnostic Reliability
Present Absent
Present
Absent
Disorder Present
Diagnosis Given
4
Methods of Clinical Assessment
  • Clinical Interview
  • Structured vs. Semistructured
  • Behavioral Observation
  • Mental Status Exam
  • Testing
  • Objective Tests
  • Projective Tests

5
Additional Methods
  • Physical Examination
  • Neurological Examination
  • Neurological Imaging
  • CT, PET, MRI, fMRI
  • Neuropsychological Examination
  • Tasks that reveal brain function (or dysfunction)

6
Diagnosis
  • Idiographic vs. Nomothetic
  • Classification
  • Categories
  • Dimensions
  • Threshold Model
  • Prototype Model

7
Diagnostic and Statistical Manual
  • Evolving Document
  • Currently DSM-IV-TR
  • DSM-V expected in 2013
  • Purpose?
  • Utility?
  • Real world reliability and validity?

8
DSM-IV-TR
  • Multiaxial System
  • Axis I Clinical Syndromes
  • Axis II Personality and Developmental Disorders
  • Axis III Medical Conditions
  • Axis IV Psychosocial Stressors
  • Axis V Global Assessment of Functioning (GAF
    scale 1 - 100)

9
Unresolved Issues in the DSM-IV
  • Thresholds for Diagnosis?
  • For example, level of distress, impairment,
    number of required symptoms
  • Somewhat Arbitrary Time Periods
  • Should Other Axes Be Included?
  • Such as premorbid history, treatment response,
    family functioning, GARF
  • Optimal for Designing Treatments or Research?
  • The Problem of Comorbidity

10
Issues of Diagnosing
  • Reliability, Validity, and Comoribity Problems
  • Cause
  • Reification
  • Treatment
  • Cure
  • Relief
  • Labeling
  • Stigma
  • Self-fulfilling prophecy
  • Social Constructions
Write a Comment
User Comments (0)
About PowerShow.com