Tiêu đề 09 PsyAs - Clinical and Counseling Assessment.pdf ✅

● A self-report measure consisting of 21 items, each tapping a specific symptom or attitude associated with depression ● On average, patients with mood disorders obtain higher scores on the BDI-II than patients with anxiety, adjustment, or other disorders ● Has no validity scales ● Used only with patients who have no known motivation to fake good or fake bad Center for Epidemiological Studies Depression scale (CES-D) ● Another widely used self-report measure of depressive symptoms ● Consists of 20 items, although shorter versions of the scale have been developed as screening tools for depression CULTURALLY INFORMED PSYCHOLOGICAL ASSESSMENT CULTURAL ASPECTS OF THE INTERVIEW Culturally Informed Psychological Assessment – approach to evaluation that is perceptive of and responsive to issues of acculturation, values, identity, worldview, language, and other culture-related variables ● Age, Disability, Religion, Ethnicity, Social status, Sexual orientation, Indigenous heritage, National origin, and Gender (ADDRESSING) ● They may impact the evaluation process or the interpretation of resulting data ● Steps in planning an assessment in which there is some question regarding the projected impact of culture: ○ Carefully read any existing case history data ■ May provide answers to key questions regarding the assessee’s level of acculturation and other factors useful to know about in advance of any formal assessment ○ Enlist the aid of a local cultural advisor as preparation for the assessment ○ If any such informants are to be used, it will be necessary to have signed permission forms authorizing the exchange of information related to the assessee ● Compared to the MMPI, the MMPI-2 “lessens the chances of over-pathologization of Chicanos” ● Shifting Cultural Lenses: tied to critical thinking and hypothesis testing, which permits the clinician to test another hypothesis that the observed behavior is culture-specific and arises from long-held family beliefs SPECIAL APPLICATIONS OF CLINICAL MEASURES ASSESSMENT OF ADDICTION AND SUBSTANCE ABUSE MacAndrew Alcoholism Scale (MAC) and MacAndrew Alcoholism Scale-Revised (MAC-R) ● 49 Items ● Personality and attitude variables thought to underlie alcoholism Addiction Potential Scale (APS) ● 39 items ● Personality traits thought to underlie drug or alcohol abuse Addiction Acknowledgment Scale (AAS) ● 13 items ● Direct acknowledgement of substance abuse Addiction Severity Index (ASI) ● 200 items ● Raters assess severity of addiction in 7 problem areas: ○ Medical Condition ○ Employment Functioning ○ Drug Use ○ Alcohol Use ○ Illegal Activity ○ Family/Social Relations ○ Psychiatric Functioning Michigan Alcohol Screening Test (MAST) ● 24 items ● Lifetime alcohol-related problems FORENSIC PSYCHOLOGICAL ASSESSMENT Forensic Psychological Assessment – the theory and application of psychological evaluation and measurement in a legal context ● Involve referral from courts, corrections and parole personnel, attorneys, and others involved in the criminal justice system ● Expert forensic opinion may be sought in both criminal proceedings as well as civil litigation ● Clinician may be the client of the third party (court) and not of the assessee ● Patient is compelled to undergo assessment ● It is imperative that the assessor rely not only in the client’s representations but also on all available documentation ● Determination of dangerousness is ideally made on the basis of multiple data sources, including interview data, case history data, and formal testing ○ When dealing with potentially homicidal or suicidal assessees, the professional assessor must have knowledge of the risk factors associated with such violent acts 3 | @studywithky