Lecture 8: Clinical Interviews, Behavioral Observations, and Self-Monitoring

What does case formulation focus on?

Causal and maintaining factors, such as maladaptive cognitions and behaviors

What is an unstructured clinical interview?

A clinical interview that involves no standard set of questions or structured method for integrating and summarizing obtained information

What is a structured clinical interview?

A clinical interview that involves a very specific format for asking questions, determining follow-up questions, integrating and summarizing obtained information

What is the SCID-5?

The Structured Clinical Interview for DSM-5 is a semi-structured interview guide for making major DSM-5 diagnoses

In a study evaluating diagnostic agreement between an interview and questionnaire, what is the typical gold standard?

The interview classification

How is behavioral observation typically used by clinicians?

To identify behavior patterns and generate hypotheses about causal/maintaining factors

What is the Mental Status Exam?

A system of behavioral observation that is commonly used in psychiatric contexts

What is naturalistic behavioral observation?

Observation within normal situational contexts and under naturally occurring reinforcements and consequences

What is structured behavioral observation?

Observation in role-played scenarios in which person engages in one or more simulated social interactions

What is functional behavioral assessment?

A form of observation that involves classifying observed behavior into antecedents, behaviors, and consequences

What are antecedents in functional behavioral assessment?

What happens before a person engages in a specific behavior

What are behaviors in functional behavioral assessment?

What the person is actually doing

What are consequences in functional behavioral assessment?

What happens after a person engages in a specific behavior

Is external validity higher in naturalistic or structured behavioral observation?

Naturalistic

Is internal validity higher in naturalistic or structured behavioral observation?

Structured

What is self-monitoring?

Observing and recording your own behaviors, thoughts, emotions, bodily sensations, events, etc.

What is reactivity with respect to self-monitoring?

Changes in behavior being assessed due to self-monitoring

True or False: From the perspective of functional behavioral assessment, problematic behavior may be reinforced by negative outcomes (consequences).

FALSE

True or False: From the perspective of functional behavioral assessment, problematic behavior may be more likely under some conditions (antecedents).

TRUE

True or False: From the perspective of functional behavioral assessment, it may be possible to modify problematic behavior by changing antecedents and/or consequences of the behavior

TRUE

True or False: One of the advantages of self-monitoring assessments is that it provides a great deal of information at low cost.

TRUE

True or False: One of the disadvantages of self-monitoring assessments is that they can be used to track treatment progress.

FALSE

True or False: Self-monitoring assessments cannot be used to characterize a problem and its presumed causal/maintaining factors.

FALSE

True or False: A clinician who observes a child for whom he is the therapist interacting naturally with other children on the playground is engaging in structured behavioral observation.

FALSE

True or False: Naturalistic behavioral observation typically costs more but has higher external validity than structured behavioral observation.

TRUE