Introduction to Clinical and Counselling Psychology 05

7/24/2019 Introduction to Clinical and Counselling Psychology 05

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Clinical Assessment:

Interview and IntelligenceAssessments

Zoltan Kovary PhD

ELTE PPK

Department of Clinical Psychology and Addictology

!"#$"% A&t&mn 'emester


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The

Assessmentin ClinicalPsychology


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The definition ofpsychological assessment

(Psychological assessment

is a process of testing that&ses a com)ination of

techni*&es to help arriveat some hypotheses a)o&ta person and their)ehavior+ personality andcapa)ilities,-

.ane /ramingham+ PhD

Psychcentral,com


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0istorical o&tline After 11

The clinical psychologist+ ase2pert ofdiagnosis$assessment

"3%!4s 5 6!4s Decline in interest 7

therapies

"38!4s

9enewal and growth

ew areas forensic psychology ne&ropsychology

D'; III


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Definition 5 p&rpose

An ongoing process

Evaluation of an individ&al4sstrengths and wea

Assessthe s&ita)ility of thepatient for therapy


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The referral$clinical *&estion

The referral *&estion: startingpoint

;ost important iss&es

A)normalmental$psychological state

A)normal traits

Psychodynamics

The level of adaptation

Coping Intelligence

Depends on the clinician4stheoretical commitment?


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Tools of clinicalpsychological assessment

Interview =first+ never miss>

Intelligence assessment

I@ level

'tr&ct&re of intelligence At the last occasion, to avoid the

effects of performanceorientation!

ehavior assessment Personality assessment =tests>

B)ective tests Traits

Proective tests Psychodynamics


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The interview


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eneral characteristics ofinterview

Interaction ot ordinary conversation+ )&t a

planned and goal oriented interaction

To elicit data+ information+ )eliefs andattit&des

Personal conditions of the interviewer Professional


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Interviewing Essentials andTechni*&es

Physical settings

Privacy

Protection from interr&ptions Time frames

at&re of the patients

'


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9apport

The *&ality of relationship )etween patientand clinician

A comforta)le atmosphere and a m&t&al

&nderstanding of the p&rpose of theinterview

Characteristics Can )e achieved in many ways+ there are no

certain tric


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Comm&nication To ens&re ma2im&m

comm&nication

eginning a 'ession G acas&al *&estion

Fse a lang&age that thepatient can &nderstand Avoid argon

Avoid infantiliHation

Don4t identify with the patient?

@&estions Avoid interrogation?

ecome progressively morestr&ct&red as the interviewproceeds


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Interview @&estion Types


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Comm&nication 'ilence

Can mean many things?

Assess its meaning and f&nction inthe conte2t of the specificinterview

The response Listening

e an active listener?

ratification of the self

o& m&st resist the temptation toshift the foc&s to yo&rselves

Clinicians sho&ld avoid disc&ssingtheir personal lives or opinions

The impact+ )ac


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Things to avoid d&ring thesessions

E2pression of consternation

E2cessive worry

;oral &dgement

P&nishing )ehavior

Criticism /alse promises

Personal references+ )oasting

'caring the patient

Charging the patient with o&r

own pro)lems Intolerance

Arg&es =political+ spirit&al>

Persiflage

Dispraise

laming for fail&res

9eection

Pre&dices Dogmatic templates

Early+ deep interpretations

Dogmatic dream analyses

/orcing the e2ploration of

tra&matic contents /lattering

Fnnecessary enco&ragement


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/rames of references

The Patient4s eliefs

E2pectations

oals vs advantages ofillness

E2ternal press&re

An2iety

Psychological games

The Clinician4s Preparedness

P&rposes

B)ectivity vs coldness+aloofness

0as to give feed)ac


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The content and str&ct&re

of the interview


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The most important contentsof the interview

Act&al$ cross sectionalpart The history of the

patient4sillness$disorder$pro)lems

Longit&dinal section The history of the

patient4s life


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Cross sectional part

Identifying The main complaints The history of the illness$pro)lem

/ormation Its role in the patient4s life Personal coping Previo&s interventions

Act&al social and e2istentialstat&s Personal impressions


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Personal life history

Early childhood+ family roots

Childhood

Kindergarden 'chool

Adolescence

'e2&al mat&ration

Identity

Ad&lthood Profession

;arriage$family life


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'o&rces of the information: The three layersof the content according to Argelander

Objective informations

Jerifia)le data

Subjective informations

The personal meaning ofevents

Scenic informations

The e2perience of thesit&ation

ehavior

The interviewer is involved

The clinician has to integrate these kind of informations!!!


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The three logical levels of theinterview

.&dgement a)o&t the

present sit&ation 5emergency decision

Anamnesis andpersonality diagnostics

Psychodinamic&nderstanding


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", .&dgement a)o&t the present sit&ation 5emergency decision

Prior


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Decision a)o&t what

Crisis

'&icide ris

Psychological+ social ande2istential stat&s

Coping

Developmental aspects


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, Psychodynamic &nderstanding

Ego7strength

Defence mechanisms

9egression Primary and

secondary gains ofillness

The (meaning- ofillness

9e*&ires empathy


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Jarietes of interviews

The inta


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Assessment of Intelligence


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Intelligence

A, inet ="8#67"3""> Intelligentia *&otiens =I@>

;ental age$)iological age "!!

Ch, 'pearman ="8%7"3M#> 'pecial and general intelligences

L, Th&rstone ="3367"3##> 'even primary mental a)ilities

D, 1echsler ="8367"38"> Jer)al and performative

intelligences =J@ 5 P@ N I@>

9, Cattel ="3!#7"338> CrystalliHed 5 fl&id intelligences

0, ardner ="3M> ;&ltiple intelligences

ALL OF THESE ARE CONSTRUCTIONS, INTELLIGENCE IS WHATINTELLIGENCE TEST MEASURE!!!


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9aymond Cattel4s theory ofcrystalliHed and fl&id intelligence

d 4 th f lti l


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ardner4s theory of m&ltipleintelligences

I@ l l


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I@ G levels


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The str&ct&re of intelligenceaccording to 1echsler test


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Assessment

1hat is the clinical *&estion

Dementia

Choice: Mini Mental tate

I@ =Compos mentis>

Choice: avenProgressive Matrices

https"##$$$%raventest%net#

Intelligence str&ct&re

Intelligence deficit type Choice: &echsler=1AI'

III+ IJ>


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1AI' I@ Jer)al s&)test


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1AI' I@ Performance s&)tests


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Than< yo& for yo&r

attention?

Introduction to Clinical and Counselling Psychology 05

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