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Evaluating Systems-Abnormal Psycology-Lecture Handout, Exercises of Abnormal Psychology

This course points out abnormal behavior reasons and its form. Mostly it talks about amnestic disorder, mood disorder, developmental disorder, genetics, personality disorder, problems in childhood, psychological model, stress, substance disorder. This lecture includes: Reliability, Validity, Clinical, Assessment, Behavior, Structured, Thought, Intellectual, Rating, Tool

Typology: Exercises

2011/2012

Uploaded on 08/08/2012

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Abnormal Psychology – PSY404 VU
©Copyright Virtual University of Pakistan
73
LESSON 17
EVALUATING SYSTEMS
Reliability
Reliability refers to the consistency of measurements, including diagnostic decisions.
One important form of reliability, known as inter-rater reliability, refers to agreement among
clinicians.
Validity
Validity refers to the meaning or importance of a measurement—in this case, a diagnostic decision.
Validity is, in a sense, an index of the success that has been achieved in understanding the nature of
a disorder.
Etiological validity is concerned with factors that contribute to the onset of the disorder.
Concurrent validity is concerned with the present time and with correlations between the disorder
and other symptoms, circumstances, and test procedures.
Predictive validity is concerned with the future and with the stability of the problem over time.
Each time the DSM-IV-TR is revised, new categories are added and old categories are dropped,
presumably because they are not sufficiently useful.
Problems and Limitations of the DSM-IV-TR System
DSM-IV-TR does not classify clinical problems into syndromes in the simplest and most beneficial way.
One of the important issues involves comorbidity, which is defined as the simultaneous
appearance of two or more disorders in the same person.
Co morbidity rates are very high for mental disorders as they are defined in the DSM system.
Basic Issues in Assessment
Purposes of Clinical Assessment
Psychological assessment is the process of collecting and interpreting information that will be
used to understand another person.
Three primary goals guide most assessment procedures: making predictions, planning treatments,
and evaluating treatments.
Different assessment procedures are likely to be employed for different purposes.
Assumptions about Consistency of Behavior
Psychologists must be concerned about the consistency of behavior across time and situations.
They want to know if they can generalize about the person’s behavior in the natural environment
on the basis of the samples of behavior that are obtained in their assessment.
Psychologists typically seek out more than one source of information when conducting a formal
assessment.( observation, interview, and psychological tests )
Because we are trying to compose a broad, integrated picture of the person’s adjustment, we must
collect information from several sources and then attempt to integrate these data.
One way of evaluating the possible meaning or importance of this information is to consider the
consistency across sources.
Evaluating the Usefulness of Assessment Procedures
In the case of assessment procedures, reliability can refer to various types of consistency.
For example, the consistency of measurements over time is known as test–retest reliability.
The internal consistency of items within a test is known as split-half reliability.
The validity of an assessment procedure refers to its meaning or importance.
Is the person’s score on this test or procedure actually a reflection of the trait or ability that the test
was designed to measure?
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LESSON 17

EVALUATING SYSTEMS

Reliability

  • Reliability refers to the consistency of measurements, including diagnostic decisions.
  • One important form of reliability, known as inter-rater reliability, refers to agreement among clinicians.

Validity

  • Validity refers to the meaning or importance of a measurement—in this case, a diagnostic decision.
  • Validity is, in a sense, an index of the success that has been achieved in understanding the nature of a disorder.
  • Etiological validity is concerned with factors that contribute to the onset of the disorder.
  • Concurrent validity is concerned with the present time and with correlations between the disorder and other symptoms, circumstances, and test procedures.
  • Predictive validi ty is concerned with the future and with the stability of the problem over time.
  • Each time the DSM-IV-TR is revised, new categories are added and old categories are dropped, presumably because they are not sufficiently useful.

Problems and Limitations of the DSM-IV-TR System DSM-IV-TR does not classify clinical problems into syndromes in the simplest and most beneficial way.

  • One of the important issues involves comorbidity, which is defined as the simultaneous appearance of two or more disorders in the same person.
  • Co morbidity rates are very high for mental disorders as they are defined in the DSM system.

Basic Issues in Assessment

Purposes of Clinical Assessment

  • Psychological assessment is the process of collecting and interpreting information that will be used to understand another person.
  • Three primary goals guide most assessment procedures: making predictions, planning treatments, and evaluating treatments.
  • Different assessment procedures are likely to be employed for different purposes.

Assumptions about Consistency of Behavior

  • Psychologists must be concerned about the consistency of behavior across time and situations.
  • They want to know if they can generalize about the person’s behavior in the natural environment on the basis of the samples of behavior that are obtained in their assessment.
  • Psychologists typically seek out more than one source of information when conducting a formal assessment.( observation, interview, and psychological tests )
  • Because we are trying to compose a broad, integrated picture of the person’s adjustment, we must collect information from several sources and then attempt to integrate these data.
  • One way of evaluating the possible meaning or importance of this information is to consider the consistency across sources.

Evaluating the Usefulness of Assessment Procedures

  • In the case of assessment procedures, reliability can refer to various types of consistency.
  • For example, the consistency of measurements over time is known as test–retest reliability.
  • The internal consistency of items within a test is known as split-half reliability.
  • The validity of an assessment procedure refers to its meaning or importance.
  • Is the person’s score on this test or procedure actually a reflection of the trait or ability that the test was designed to measure?

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  • And does the score tell us anything useful about the person’s behavior in other situations?
  • In general, the more consistent the information provided by different assessment procedures, the more valid each procedure is considered to be. Interviews, observational procedures, and personality tests must be carefully evaluated.
  • The most useful assessment procedures are likely to vary from one problem to the next.
  • Assessment procedures that are useful in evaluating the effectiveness of a drug treatment program for hospitalized depressed patients may be quite different from those used to predict the need for medication among hyperactive schoolchildren.

Interviews

  • The clinical interview is the most commonly used procedure in psychological assessment.
  • Most of the categories that are defined in DSM-IV-TR are based on information that can be collected in an interview.
  • Interviews provide an opportunity to ask people for their own descriptions of their problems.
  • Interviews also allow clinicians to observe important features of a person’s appearance and nonverbal behavior.

Structured Interviews

  • Assessment interviews vary with regard to the amount of structure that is imposed by the clinician.
  • Some are relatively open-ended, or nondirective.
  • Structured interviews , in which the clinician must ask each patient a specific list of detailed questions, are frequently employed for collecting information that will be used to make diagnostic decisions and to rate the extent to which a person is impaired by psychopathology.
  • Structured interviews list a series of specific questions that lead to a detailed description of the person’s behavior and experiences.
  • Structured interview schedules provide a systematic framework for the collection of important diagnostic information, but they don’t eliminate the need for an experienced clinician

The Mental Status Examination The mental status examination involves systematic observation of an individual’s behavior. This type of observation occurs when one individual interacts with another. Mental status examination can be structured and detailed. It covers five categories:

1. Appearance and behavior This includes individual’s dress, appearance, posture and facial expression e.g. an individual can be slow, lazy and lethargic. Another individual can be active and agile. 2. Thought Process Clinicians listen to patient’s talk and they get a good idea of the patient thought process. Is his talk reality oriented, each idea connected with one another or is it full of fantasy, delusions hallucinations or is it disjointed speech with no association of ideas e.g. schizophrenia. 3. Mood and affect A mental health clinician focuses on mood which is the feeling state of the individual and affect reflects the emotion. Is the client and his talk depressed or in a hopeless fashion or is it in optimistic fashion. Example: is the individual laughing or crying, happy or sad, full of expressions or flat without expression. 4. Intellectual Function This estimates the intelligence of the individual. Is the individual of average intelligence, above average intelligence or below average intelligence? 5. Perception of person, place and time. This refers to, does the individual know, who he is, where he is and what date and what time is

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Observational procedures can be time-consuming and therefore expensive. Observers can make errors. People may alter their behavior, either intentionally or unintentionally, when they know that they are being observed—a phenomenon known as reactivity.

  • Observational measures tell us only about the particular situation that was selected to be observed.
  • There are some aspects of psychopathology that cannot be observed by anyone other than the person who has the problem.

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