assessing and diagnosing mental illness don’t worry, i’ve already diagnosed everyone in this...
TRANSCRIPT
Assessing and Diagnosing Mental IllnessDon’t worry, I’ve already diagnosed everyone in this class...
Does your neighbour have Major Depressive Disorder?You can pick a different disorder
if you want...Write down 10 questions you
would want to know before diagnosing them
We will see if your questions include everything that we are going to talk about today!
Frank Has ProblemsFrank is young, serious,
and anxiousLets clinically assess
him: a clinical assessment is the systematic evaluation and measurement of psychological, biological, and social factors in an individual presenting with a possible psychological disorder
We will start with a clinical interview
Mental Status ExamThis is a preliminary test of a
client’s judgement, orientation to time and place, and emotional and mental state. Often it is conducted in the initial interview.
Want to know their:◦1.Appearance and behavior◦2. Thought processes and speech◦3. Mood and affect◦4. Intellectual functioning◦5. Sensorium
Physical ExamMany problems presenting as
disorders of behavior, cognition, or mood, can have a relationship to a toxic state
This toxic state could be caused by bad food, the wrong medicine, drugs, or the onset of a serious medical condition (such as a brain tumor)
Behavioral AssessmentDirectly observe an individual’s
behavior and ask them about their thoughts and feelings
Target Behaviors are identified, and the goal is to determine what is causing or influencing them
Uses the ABC’s of Observation◦Antecedents◦Behavior◦Consequences
Psychological TestingMust be reliable and valid. What
does this mean?Includes:
◦Intelligence testing◦Neuropsychological testing◦Neurobiological procedures◦Personality inventories◦Projective Tests
Projective TestingUsing psychoanalysis, these test
give ambiguous stimuli to clients in belief that their responses will reveal their unconcsious conflicts
Examples include the Rorschach Ink Blot Test and the Thematic Apperception Test
Are these tests reliable?
Personality InventoriesThese are self-report questionnaires that
assess personal traitsExample: NEO-PI-R, which measures the Big 5
personality traits: ◦ Openness to experience – (inventive/curious vs.
consistent/cautious). ◦ Conscientiousness – (efficient/organized vs. easy-
going/careless). ◦ Extraversion – (outgoing/energetic vs.
solitary/reserved). ◦ Agreeableness – (friendly/compassionate vs.
cold/unkind). ◦ Neuroticism – (sensitive/nervous vs.
secure/confident).
Personality InventoriesExample: Minnesota Multiphasic
Personality Inventory II (MMPI-2)Measures your degree of anxiety, fears,
obsessiveness, depression, health concerns, hallucinations and delusions, anger, cynicism, antisocial practices, Type A vs. B, self-esteerm, social discomfort, family problems, work interference, and negative treatment indicators
The test is almost 600 questions, many of them repetitive
Intelligence TestingThey can predict your academic
successYour IQ is not your intelligence!Your IQ is your score, or intelligence
quotient on one test-the Stanford-Binet Test
There is also the Wechsler Intelligence Test◦Verbal scales◦Performance scales
Intelligence TestsWhat kinds of intelligence are
there?What kinds of things should
intelligence be measuring?Attention spanPerceptionMemoryReasoningVerbal comprehension
Neuropsychological TestsDone when there is expected brain
damageTake a long time to completeMeasure language, attention and
concentration, memory, motor skills, perceptual abilities, and abstraction
Ex. Tactile Performance Test-the test taker places wooden blocks in a certain form while blindfolded (this tests learning and memory skills)
Neuroimaging Pictures of the brain using CAT
scans or MRI-these show us structures
If you want to know about the function, you use a PET scan. This measures activity of the brain
HomeworkComplete a personality test similar to one
developed by Jung and Briggs. This test will measure you on 4 different things. You
will get a 4 letter score. Mine is ENFJYou can click on further links to learn about
yourself, and what kinds of careers will be best for you!
Personality Test LinkWrite your 4 letter score in your journal and answer
3 questions:◦ 1. What does your 4 letters mean?◦ 2. Read the description about yourself. What parts do you
agree with? What parts do you disagree with?◦ 3. Do you think this is a phony test or a reliable test?
Why?