PSY 270 Clinical Assessment
PSY 270 Clinical Assessment
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This 0 page Study Guide was uploaded by tophomework Notetaker on Thursday November 12, 2015. The Study Guide belongs to a course at a university taught by a professor in Fall. Since its upload, it has received 19 views.
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Date Created: 11/12/15
PSY 270 Clinical Assessment What other information would you like to learn during the interview with the family What questions would you ask Clara was adopted by the Lawson s which means that her genetic makeup differs from that of Mr and Mrs Lawson Since Clara s condition could be due to a genetic predisposition I would need to find out information about Clara s biological mother and father and whether or not they suffered from any psychological abnormalities or disorders It would also be beneficial to ask at What age Clara was adopted by the Lawson s I would also need to know whether or not the Lawson s had any existing issues within their relationship are they arguing in front of Clara because such behavior can also impact Clara s behavior If Clara was not adopted at birth it would be helpful to know about her experiences prior to being adopted by the Lawson s because her current behavior could be a result of her past experiences prior to adoption Since Clara has only recently developed severe temper tantrums it would also be relevant to find out if there have been any traumatic events or changes in Clara s life that could possibly be responsible for the changes in her behavior In addition to the clinical interview what other clinical assessment tools should you consider Why Since Clara is so young clinical assessments are somewhat limited One type of clinical assessment tool that I would consider in Clara s case would be projective tests particularly the Rorschach test and drawings Comer 2005 p 72 Clara might find it difficult to explain exactly who she is and how she feels about things so doing projective tests would help give me a better idea of these aspects While projective tests are not completely reliable in all cases I do believe that in Clara s case it would help give me some insight into Clara s world I think that clinical observation would also be beneficial in this case If at all possible I would prefer naturalistic observation but if that wasn t possible I would also consider analog observation Comer 2005 p 79 Ideally I would be able to perform the naturalistic observation assessment in various settings like home or preschool This type of assessment would help give me an idea of what triggers Clara s abnormal behavior It would also help me understand the relationship between Clara and the Lawson s Although you need more information to begin treatment what factors might you take into consideration in designing an effective intervention for this family I would definitely need to take into consideration any genetic predispositions Social and cultural factors would need to be considered especially since Clara was adopted Clara s age will also be a factor in designing an effective intervention for the family I would also have to consider the possibility of existing issues between Mr and Mrs Lawson which may be in uencing Clara s behavior If you were preparing to diagnose Clara you would refer to the DSMIV classification system to evaluate her condition on five separate axes What type of information would go into each axis You are not asked to enter a diagnosis only describe the kind of information that would be entered in each axis Axis I would consist of clinical symptoms that cause significant impairment such as mood disorders or anxiety disorders Comer 2005 p 83 Since her sleeping and eating patterns have changed I would also include sleep disorders and eating disorders on Axis I Axis II would comprise of disorders that may have been overlooked out in Axis I like personality disorders and mental retardation Comer 2005 p 84 Axis III would consist of any medical conditions that may be resulting from the disorders found on Axis I or II Axis IV would be made up of any psychosocial or environmental problems which would include Clara s familial issues as well as her social environment preschool Lastly Axis V would consist of the Global Assessment of Functioning in which I would assess Clara s overall level of functionality and how the previous four axes may interact with her daily functioning Comer 2005 p 84 Do you think that diagnosing Clara would be beneficial or harmful Explain why I believe that it is imperative to diagnose Clara but it is also extremely important not to make her feel any guilt or fault I believe that in diagnosing Clara I would suggest family therapy which would help take some of the stress off of Clara and it would also help Clara and the Lawson s develop a deeper connection which could ultimately improve Clara s behavior At no point in diagnosis or treatment should Clara feel that she is being targeted or that anything is wrong with her as an individual which is why it s important to implement family therapy instead of individual based therapy Reference Comer R J 2005 Fundamentals of abnormal psychology 4th ed New York Worth
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