Module 2 Notes: Assessment of Psychological Disorders
Module 2 Notes: Assessment of Psychological Disorders
Overview of Clinical Assessment
Clinical assessment is used to determine how and why a person is behaving abnormally and how that person may be helped.
It takes a holistic approach, evaluating psychological, biological, and social factors to arrive at a clinical impression or diagnosis.
Purposes of assessment:
Determine the nature of the problem (what is happening and why).
Help plan treatment and track progress over time.
Decide whether treatment should be changed or continued.
Example discussed: client diagnosed with PTSD undergoing four months of therapy to determine if therapy is beneficial.
Assessment relies on multiple information sources, not just symptoms: projective tests, case studies, interviews, etc.
Note: In real-life practice, clinicians corroborate information with multiple tools to improve accuracy.
Diagnosis and Assessment Tools
Diagnosis is the process of determining whether the problem meets all criteria for a psychological disorder as set forth in the DSM-5-TR.
The moment the client enters the clinic, assessment and initial diagnosis begin, including observation of how the client carries herself (dress, attention, gait, facial reactions).
The client is often asked to describe in an open-ended way the reasons for seeking therapy and may discuss job, school, relationships, and other life circumstances to form a fuller picture.
Nonverbal cues are crucial: eye contact, posture, body language, facial expressions help gauge current state.
Assessment Methods: Tools and Techniques
Projective tests (interpret vague stimuli):
Rorschach (inkblot) test
Thematic Apperception Test (TAT)
Sentence completion tests
Draw-a-Person test
Draw-a-Tree test
Personality inventories (self-report):
MMPI (Minnesota Multiphasic Personality Inventory) – indicates deviance from typical personality patterns.
Response inventories (focus on a specific domain):
Beck Depression Inventory (BDI) – focuses on mood, appetite, and other depression-related features.
Psychophysiological tests (examples):
CT scan, MRI, blood chemistry, etc.
Purpose of these tools: ensure that diagnoses are meaningful and accurate by triangulating data from different sources.
Reliability, Validity, and Standardization
These three concepts determine the value of assessment tools:
Standardization: a test is administered to a large, representative sample to establish norms. Administration, scoring, and interpretation must be uniform across all participants to generalize results.
Process (bird’s-eye view): representativeness of participant sample; identical test conditions (e.g., environment, instructions, time) for all participants.
Generalization: results can be applied to the bigger population.
Reliability: consistency of a measure.
Test–retest reliability: high when the same test yields similar results on different occasions for the same individuals.
Formal expression: r{tt} = \text{corr}(X1, X_2) where X1 and X2 are scores from two administrations.
Example: a client’s intelligence test score should be similar if repeated after a short interval, assuming stable ability.
Other forms of reliability exist (not elaborated here).
Validity: accuracy of the measure (does it measure what it is intended to measure?).
Example: a brief depression screen should yield results consistent with a well-established longer depression measure.
Criterion/concurrent validity example: r_{XY} = \text{corr}(X, Y) where X is the brief test and Y is the longer criterion test; a high r indicates good validity.
Quick visual analogy: reliability means the tool gives the same results under the same conditions; validity means the tool actually measures the intended construct.
Caveat examples:
Reliable but not valid: tool yields consistent but wrong results (measures something else).
Valid but not reliable: tool measures the intended construct but yields inconsistent results under the same conditions.
Unreliable and invalid: worst case for assessment.
Diagnostic Tools and Early Interview Components
Clinical interview and observation are foundational:
The interview is often the first contact and collects information about problems, feelings, lifestyle, relationships, religion, values, and beliefs.
The therapist asks about expectations of therapy and motives for seeking help.
Building rapport is essential for honest disclosure:
Explain the interview process honestly to reduce anxiety and establish trust.
Keep questions relevant to the client’s help seeking to avoid perceptions of irrelevance or hostility.
If a client is not comfortable answering, allow postponement and provide rationale for questions.
During the interview, assess factors such as onset, precipitating stressors, predisposing life events, and maintaining influences to develop a holistic explanation.
Example case: client with two weeks of low mood, hopelessness, appetite loss, poor concentration, and a recent breakup, with a history of a broken home; clinicians weigh biological, psychological, and social factors to determine possible depression and the role of loss as a normal response.
Nonverbal observations to record:
Appearance and behavior (e.g., leg shaking, posture, clothing, weariness)
Thought processes (coherence, logical flow, content such as suicidal ideation)
Mood and affect (current feeling state vs. observed emotional expression)
Sensorium (awareness of surroundings, memory, attention, recollection, ability to recall the breakup story, concentration)
Interpersonal and additional domains to assess:
Current and past relationships, family environment, social support
Sexual development and religious status
Educational status and social history (bullying, friendships, dependence on partner)
Mood, Affect, and Sensorium
Mood: the client's internal feeling state at the moment.
Affect: the outward emotional state expressed in behavior or speech; may be congruent or incongruent with mood.
Sensorium (sensorium): awareness of surroundings and events; ability to recall and retell important personal events; concentration and focus.
Other assessed areas:
Interpersonal relationships (family, peers, past partners)
Religious beliefs and sexual development
Social history and educational background
Ability to form and maintain relationships; risk factors for negative outcomes
Interview Types: Open-ended vs Closed-ended Questions
Open-ended questions:
Allow clients to respond in their own words and unfold experiences (e.g., "What made you feel that way?"; "How often do you feel sad?")
Closed-ended questions:
Answerable with yes or no or brief phrases (e.g., "Do you feel lonelier during the day than at night?")
Rationale for open-ended questions: elicit richer information and encourage reflection; closed-ended questions can supplement by clarifying specifics.
Physical Examination and Medical Considerations
Holistic assessment may include a physical exam when symptoms could reflect a medical condition (biological factors):
Depression can be a symptom of hypothyroidism; referral to psychiatry for medical evaluation and possible pharmacotherapy may be warranted.
Impaired decision-making or impulsivity may suggest neurological issues (e.g., brain tumor) rather than purely ADHD.
Behavioral observations in natural settings (children): play therapy or observation in school or during social events to understand feelings and behavior when verbal expression is limited.
Psychological Tests and Assessment Tools (Revisited)
In addition to interviews, clinicians use psychological tests to augment information and improve diagnostic accuracy.
Tools include:
Projective tests: Rorschach, TAT, sentence completion, draw-a-person, draw-a-tree.
Personality inventories (e.g., MMPI).
Depression inventories (e.g., Beck Depression Inventory).
These tools should be used with consideration of their reliability and validity to ensure a useful diagnosis.
DSM-5-TR: Structure, Scope, and Ethical Considerations
DSM-5-TR role:
Classifies disorders, not people; avoid labeling people with disorders (e.g., say “a person with schizophrenia” rather than “a schizophrenic”).
Descriptive but not explanatory; describes symptom patterns rather than origins or theoretical causes.
Evidence-based; anchored in research and clinical observation.
DSM-5-TR is both categorical and dimensional:
Categorical: determines whether a person meets the diagnostic criteria (present vs. not present).
Dimensional: assesses severity and the degree to which symptoms are present; captures gray areas between diagnoses.
Diagnostic criteria and elements:
Diagnostic criteria enumerate the symptoms and thresholds for a given disorder.
Subtypes: variations of a disorder to reflect different presentations (usually only one subtype applies at a time).
Specifiers: additional features such as onset, duration, severity, or particular symptom patterns (one diagnosis can have multiple specifiers).
Example interpretations:
Some clients may meet the minimum number of criteria for a disorder but vary in severity; specifiers help describe this variance.
Subtypes and specifiers enhance clinical description and treatment planning.
Practical and Ethical Implications in Assessment
Ethical language use:
Avoid stigmatizing terms; use person-first language (e.g., "a person with depression" rather than "a depressive").
Cultural considerations:
Assess behavior within cultural context to determine whether actions are culturally accepted or indicative of a disorder.
Clinical decision-making and progression:
Use a combination of interviews, tests, and observations to determine diagnosis.
Track progress over time to decide if treatment is beneficial or needs adjustment.
Communication with clients:
Explain findings and the rationale for questions to maintain rapport and trust.
Provide autonomy: clients may choose not to answer certain questions; respect such choices and explain why information is helpful.
Summary of Key Concepts
Clinical assessment is holistic and includes psychological, biological, and social factors.
Diagnosis is formed by DSM-5-TR criteria, observation, and multiple information sources.
Tools include interviews, case studies, projective tests, personality tests, and medical evaluations.
Core reliability and validity concepts (r{tt}, r{XY}, \, \alpha, C\text{ronbach}'s $\alpha) underpin the usefulness of assessment instruments.
The DSM-5-TR is descriptive, uses both categorical and dimensional approaches, and emphasizes person-first language and cultural sensitivity.
The clinical interview focuses on rapport, relevant questioning, and careful observation of mood, affect, sensorium, thought process, and content.
Open-ended questions encourage detailed responses; closed-ended questions provide specific information.
Ethical practice requires attention to stigma, culture, and informed consent; assessment should inform treatment planning and progress monitoring.
Quick Reference: Key Terminology and Formulas
Reliability:r{tt} = \text{corr}(X1, X_2)
Validity (criterion/concurrent):r_{XY} = \text{corr}(X, Y)
Standardization: uniform administration across participants to establish norms and enable generalization.
Dimensional vs. Categorical diagnosis: severity scores vs. yes/no diagnostic criteria; subtypes and specifiers refine descriptions.
Diagnostic rule (example):n \ge k where n is the number of criteria met and k is the minimum threshold for a diagnosis.
Cronbach's alpha (internal consistency) (example formula):\alpha = \frac{m}{m-1}\left(1 - \frac{\sum{i=1}^m \sigmai^2}{\sigmaT^2}\right) where m is the number of items, \sigmai^2 are item variances, and \sigma_T^2 is total test variance.
Note: If you have questions, please post them in the comment section, or bring them to our next session for discussion.