Professional Documents
Culture Documents
The Clinician’s approach may have a large impact on the type of data
they want to gather for their assessment.
E.g., a Clinician with a heavy biological orientation, will want to obtain biological data
(fMRI, Pet, toxicology, etc.) to see if the behavior is related to an organic cause (brain
infection, tumor, stroke, dementia, drug use, etc.).
E.g., A Clinician with a cognitive-behavioral approach will not only make assessments
regarding client’s thinking skills, thought patterns, & the maladaptive thoughts, but will tend
to make diagnoses based on this paradigm as well (changing the client’s maladaptive
thoughts to reduce the problem behaviors.)
Types of reliability:
*inter-rated reliability
*test-retest reliability
B. Validity
Types of validity:
*separation anxiety
*attention-deficit/hyperactivity disorder
*autism
2. Mood disorders-disturbances
in emotion and behavior.
*Major Depression (unipolar depression)
*Mania
*Bipolar disorder (Manic Depression)
*Cyclothymia (Chronic mood disorder)
Dysthymia
3. Schizophrenia-disturbances of
thought, emotions, and behavior.
Different types:
Paranoid Schizophrenia
Catatonic Schziophrenia
Undifferentiated Schizophrenia
4. Anxiety disorders
Advantages of interviews:
*Allows Clinician to obtain a sample of the client’s verbal & non-
verbal behavior in a social interaction.
The incident is the sample in this case. On this data alone the Clinician might
infer the following:
With the correlates method, the Clinician may look at the facts related to the
client’s individual behavior as well as the how this behavior is related to the
Clinician’s knowledge base of factors associated with suicide attempts.
Inferences are more accurate when more information is known about the
relationships between variables.
3. Signs- The suicide attempt may be viewed
as a sign of other lesser known client traits.
Inferences made from sign perspective (Neitzel et al., 2003)
*The client’s aggressive impulses have been turned against the self.
*The client’s behavior reflects intrapsychic conflicts.
*The pill taking may be an unconscious cry for help.
Caution– the sign approach may lead to inaccurate inferences regarding a client’s
motives, actions, traits, etc. This is one of the fundamental problems using
such a method. Nevertheless, sometimes Clinicians go with a “ hunch” in
explaining why a person behaved a given way.
4. Communicating Assessment Data
Once the Clinician as assessed the data they
write up a detailed report for other Clinicians
and professionals to view.
Examples include:
Is the person stand to fit trial?
Is the person psychotic?
Is the person mentally retarded or developmentally delayed?
Is the parent fit for custody? Is the parent in the best interest of
the child?
3. Orientation Interviews:
These interviews are conducted to provide the client
with information regarding the assessment, treatment,
or research procedures to be implemented.
Advantages:
1. Client learns more about assessment & treatment
outcomes in his/her situation.
2. Are important for research participants so that we
can learn more about assessment & treatment outcomes
(e.g., efficacy of therapeutic methods.)
4. Termination or Debriefing Interviews
These interviews are conducted once
assessment has been completed. Essentially,
they allow the Clinician to convey what they
“found” during the assessment.
Example B:
Client: Sometimes I get so mad at my boss, I could just kill him.
Clinician: Your boss really upsets you sometimes.
In Example A, the Clinician restates the client’s remark. This does show active
listening. In Example B, the Clinician reflects the emotion or feeling made
in the client’s remark.
Both versions usually will facilitate the client to continue discussing the
program.
Directive techniques:
Clinicians may also use more directive
tactics to determine what’s bothering their
clients. This is usually done after a good
rapport has been established so as to avoid
threatening the client.
Stage 3: Closing the Interview
The Clinician closes the interview by making sure
they have enough information for assessment as well
as continuing to establish a good rapport with the
client.