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Clinical Psychology
Assessment Interview
| Term | Definition |
|---|---|
| Ongoing process | Assessment is not something that is done once |
| Referral | Assessment process begins with this. A parent, teacher, psychiatrist, judge - poses a question about the patient |
| purpose of assessment | to describe client in a way that is useful to the referral source that will lead to solution of a problem |
| Assessment interview | most basic & most serviceable technique used by clinical psychologist. Major instrument for clinical decision making, understanding, and prediction. |
| Interaction | There should be at least 2 persons involved. As each participant contributes to the process. |
| Clinical Interview | initiated with goal in mind |
| Interview vs Tests | More purposeful & organized. Less formalized or standardized than psych tests |
| Rapport | relationship between patient & clinician |
| Beginning a Session | begin an assessment session w/ casual conversation to relax things before plunging to patient's reasons for coming |
| Language | Abandon psychological jargon to be understood by some patients. Clarify the intended meaning of a word used by client |
| The use of Questions | several forms of questions. including open-ended, facilitative, clarifying, confronting, & direct questions |
| Silence | can be uncomfortable but it often has meaning. May signal that client is thinking, unsure, or resisting. The goal is to support communication, not react out of discomfort |
| Listening | we come to appreciate the information & emotions that the patient is conveying. |
| Gratification of Self | Clinicians must resists temptation to shift focus to themselves. Focus must remain on patient. Clinicians should avoid discussing personal lives. |
| Impact of Clinician | the same behavior in different clinicians is unlikely to provoke same response from a patient |
| Clinician's values & background | clinicians must examine their own experiences & seek bases for their own assumptions before making clinical judgment of others. |
| "Be prepared" | clinician should have carefully gone over any existing records on the patient, checked the information provided by the person who arranged the appointment and so on |
| Unstructured interviews | clinicians are allowed to ask any questions that come to mind in any order |
| Structured interviews | Require the clinicians to ask, verbatim, a set of standardized questions in specified sequence. |
| Mental status examination interview | typically conducted to assess the presence of cognitive, emotional, or behavioral problems |
| Crisis Interview | meet problems as they occur and to provide an immediate resource. Purpose is to deflect potential for disaster & encourage callers to enter into a relationship w/ the clinic |