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Creating a Thorough, Integrated, Defensable Psychological As

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by

Rhandi Clow

on 9 October 2013

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Transcript of Creating a Thorough, Integrated, Defensable Psychological As

Creating a Thorough, Integrated, Defensible Psychological Assessment
More than just giving tests
Uses
Contribute to a realistic prognosis
make relevant decisions about Client care
Develop helpful treatment plans
Identify the problem
Central Domains
Historical Background
Cognitive Functioning
Emotional Functioning
Inter/intra-personal Function
Diagnostic Status
Prognosis & Treatment Response
Client Strengths and Resources


The problem is like a die, it has many sides (the referring counselor's, the Client's, the side hidden in details not yet captured or observed), all truth, all data.
1. Identify the problem
2. Select appropriate measurement instruments
3. Integrate sources of information
4. Form and report conclusions, opinions and observations
Four Steps to Make This Happen
Select the Measurement Instruments
2013 Clow Adaptation (Harwood, Beutler, and Groth-Marnat 2011)
It's
Clinical Consultation

More like painting a picture...
Considerations:
-state v trait in operational terms
-demand characteristics
-response characteristics
-analogue environments
Relevant Similarities
structured vs. ambiguous environments
Evoke Behaviors
Recreate the environment and context of the Client's problem
1. relevant similarities b/t real-world and analogue
2. manipulate the environment to evoke behaviors relevant to the question and generalizable to the Client's world
Highly Structured = MMPI-2 = ambiguity
The examinee is under no pressure to create and impose structure on the task . These measures are:
Self-Report
Ambiguous tasks = projectives require the examinee to create and impose structure = stress/anxiety/possible decompensation. These measures are:
Performance-based
Pragmatic application

Ask about the Client's impressions of the use of the assessment, i.e. What do they hope to learn?
What is their understanding of the therapist's reasons for wanting the assessment?
Offer them your understanding of the use.
Full transcript