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CLP 6169, Week 4 Notes

by: Jadenole

CLP 6169, Week 4 Notes CLP 6169

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Lecture notes for week 4.
Adult Development and Psychopathology
Dr. E
Class Notes
Psychopathology; Adult Development; psychology
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This 2 page Class Notes was uploaded by Jadenole on Sunday January 31, 2016. The Class Notes belongs to CLP 6169 at Florida State University taught by Dr. E in Spring 2016. Since its upload, it has received 19 views. For similar materials see Adult Development and Psychopathology in Language at Florida State University.


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Date Created: 01/31/16
Lecture 4: Interviewing ** Use in conjunction with the lecture 4 PowerPoint on Blackboard Presenting Problem:  Starts off the clinical interviewing process  Important Q: Have other people noticed a change in the client’s mood or behavior? o Examples: colleagues at work, significant others, or family members o If a client is completely concealing the problem, the practitioner may need to handle the interview (and treatment) in a different manner  It’s important to discuss what the client has already tried in regards to their presenting issues o Don’t suggest ways to fix the problem in the interview  There are people who do not want to get rid of their problem o Good Q: What would your life look like if the problem was solved? Psychiatric History:  Primacy Effect – avoid relying on information that is initially presented o Don’t use the initial symptoms to jump to a diagnosis, there is only a 58% chance that this information (i.e., from first 5 minutes) is incorporated into the final diagnosis  Family history – important due to the heavy genetic influence of disorders o Follow up on what client reports that sounds like a disorder (especially psychosis)  Hospitalization – know the details, when it occurred, & the duration of treatment  Delusions may start off as sounding semi-normal, but then the practitioner begins to see the abnormal thoughts or behaviors  Substance use – over the counter and prescription medications can be difficult to determine as substance abuse, but it is absolutely possible. Example: sleeping medication or cough syrup Medical History:  Be wary of medications that can result in symptoms that are part of the presenting problem  There could be a lack of communication, or miscommunication between doctors o Double dosage, interference caused by another medication, etc. Social History:  Families can provide a wealth of information about the client and their behaviors Racial, Ethnic, & Cultural Identity:  Ask questions to determine what culture the client identifies with, and how this impacts their conceptualization of the problem and treatment (including therapy)  Break down the barrier by being open to exploring differences in race, cultural background, and other differences between the therapist and the client  Ask how the client’s sociopolitical environment and upbringing impacts their views  Be aware of common diagnostic errors for certain racial/ethnic groups Significant Life Events & Role Transitions:  Changes in life events do not always bring negative stress, there are times when certain events can relieve stress o Example: Divorce in a very stressful marriage, or being fired from a bad job  Differential vulnerability: coping resources and coping styles determine how people are impacted by transitions o More coping resources and certain coping styles are better  Trait approach: differences in the characteristics of the actual event o Example: Funeral vs Wedding o People interpret events in all different ways. There are times when a funeral can be a relief due to the complete deterioration of a person Romantic Relationships:  Relationship problems tend to be repetitive  Relationship patterns  Past relationships are just as important to explore as present ones (if related to presenting problem)  Level of satisfaction in relationships  Client can bring up sexual functioning if they want to talk about this area of life Trauma:  You do not have to be a victim to be traumatized by an experience  Trauma is subjective – depends on the person, how they interpret the event, and how they cope  Experiencing a loss of a job or going through a divorce can be traumatic  Childhood abuse, neglect, or poor family functioning (including parents with mental illness) can result in chronic trauma o These factors are strong predictors of adult psychopathology Confidentiality & Informed Consent:  Duty to warn – necessary if the client discloses homicidal ideation  Consider legal and ethical ramifications


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