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Defining Abnormal Behavior and Mental Disorder Classifying Abnormal Behavior and Mental Disorder Assessing Abnormal Behavior and Mental Disorder Culture and Clinical Assessment Studying Abnormal Behavior and Mental Disorder

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Chapter 4 Abnormal Psych

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Page 1: Chapt4diagnosis

Defining Abnormal Behavior and Mental Disorder

Classifying Abnormal Behavior and Mental Disorder

Assessing Abnormal Behavior and Mental Disorder

Culture and Clinical Assessment

Studying Abnormal Behavior and Mental Disorder

Page 2: Chapt4diagnosis

Defining Abnormal Behavior andMental Disorder

Classifying Abnormal Behavior and Mental Disorder

Assessing Abnormal Behavior and Mental Disorder

Culture and Clinical Assessment

Studying Abnormal Behavior and Mental Disorder

Dimensional Approach

Normal Mild ModerateLess Severe

More Severe

Emotions

Cognitions

Behaviors

Page 3: Chapt4diagnosis

Defining Abnormal Behavior andMental Disorder

Classifying Abnormal Behavior and Mental Disorder

Assessing Abnormal Behavior and Mental Disorder

Culture and Clinical Assessment

Studying Abnormal Behavior and Mental Disorder

Page 4: Chapt4diagnosis

Defining Abnormal Behavior andMental Disorder

Classifying Abnormal Behavior and Mental Disorder

Assessing Abnormal Behavior and Mental Disorder

Culture and Clinical Assessment

Studying Abnormal Behavior and Mental Disorder

Advantages of diagnosis:

• Enhanced communication

• Improved definition and understanding

• Coordinated research

• Determining treatment

Page 5: Chapt4diagnosis

Defining Abnormal Behavior andMental Disorder

Classifying Abnormal Behavior and Mental Disorder

Assessing Abnormal Behavior and Mental Disorder

Culture and Clinical Assessment

Studying Abnormal Behavior and Mental Disorder

Diagnostic Information Provided on the Five Axes of DSM-IV-TR

The mental health professional lists the clinical disorders that are present.

Clinical disorders include all DSM-IV-TR conditions except personality disorders

and mental retardationThe mental health professional indicates whether personality disorders are present

and whether mental retardation is present

The mental health professional documents general medical conditions that

are potentially relevant to the understanding or management of the client’s mental

disorder (for example, hypothyroidism or arrhythmia of the heart)The mental health professional lists psychosocial and environmental problems

that are present. These problems may influence the diagnosis, treatment, and future

outcome of the client’s condition

Axis I

Axis II

Axis III

Axis IV

Axis V A global assessment of functioning (GAF) rating is provided. This score indicates

how well or how poorly the client is currently functioning. This information can be

used to plan treatment, monitor treatment progress, or predict future functioning

Page 6: Chapt4diagnosis

Defining Abnormal Behavior andMental Disorder

Classifying Abnormal Behavior and Mental Disorder

Assessing Abnormal Behavior and Mental Disorder

Culture and Clinical Assessment

Studying Abnormal Behavior and Mental Disorder

1. Disorders usually first evident in infancy, childhood, or

adolescence2. Delirium, dementia, and amnestic and other cognitive

disorders3. Mental disorders due to a general medical condition

not elsewhere classified4. Substance-related disorders

5. Schizophrenia and other psychotic disorders

6. Mood disorders or elation

7. Anxiety disorders

8. Somatoform disorders

9. Factitious disorders

10. Dissociative disorders

11. Sexual and gender identity disorders

12. Eating disorders

13. Sleep disorders

14. Impulse control disorders not

elsewhere classified15. Adjustment disorders

16. Personality disorders

Page 7: Chapt4diagnosis

Defining Abnormal Behavior andMental Disorder

Classifying Abnormal Behavior and Mental Disorder

Assessing Abnormal Behavior and Mental Disorder

Culture and Clinical Assessment

Studying Abnormal Behavior and Mental Disorder

Types of Reliability for Psychological Tests and Structured Interviews

Type of Reliability Definition

Relationship among test items that measure the same variable

Consistency of test scores or diagnoses across some period of time

Agreement between two or more raters or judges about level of a trait

or presence/absence of a feature or diagnosis

Internal consistency

reliability

Test-retest reliability

Interrater reliability

Page 8: Chapt4diagnosis

Defining Abnormal Behavior andMental Disorder

Classifying Abnormal Behavior and Mental Disorder

Assessing Abnormal Behavior and Mental Disorder

Culture and Clinical Assessment

Studying Abnormal Behavior and Mental Disorder

Common Types of Validity

Type of Validity Definition

Concurrent validity

Construct validity

How well test scores or diagnoses correlate with a related but independent

set of test scores or behaviors

How well test or interview items adequately measure various aspects of

a variable, construct, or diagnosis

How well test scores or diagnoses predict and correlate with behavior

or test scores that are observed or obtained at some future point

Content validity

Predictive validity

How well test scores or diagnoses correlate with other measures or

behaviors in a logical and theoretically consistent way

Page 9: Chapt4diagnosis

Defining Abnormal Behavior andMental Disorder

Classifying Abnormal Behavior and Mental Disorder

Assessing Abnormal Behavior and Mental Disorder

Culture and Clinical Assessment

Studying Abnormal Behavior and Mental Disorder

Page 10: Chapt4diagnosis

Defining Abnormal Behavior andMental Disorder

Classifying Abnormal Behavior and Mental Disorder

Assessing Abnormal Behavior and Mental Disorder

Culture and Clinical Assessment

Studying Abnormal Behavior and Mental Disorder

Can you find what’s missing in this picture?

Page 11: Chapt4diagnosis

Defining Abnormal Behavior andMental Disorder

Classifying Abnormal Behavior and Mental Disorder

Assessing Abnormal Behavior and Mental Disorder

Culture and Clinical Assessment

Studying Abnormal Behavior and Mental Disorder

The MMPI-2

Objective Personality Tests

Page 12: Chapt4diagnosis

Defining Abnormal Behavior andMental Disorder

Classifying Abnormal Behavior and Mental Disorder

Assessing Abnormal Behavior and Mental Disorder

Culture and Clinical Assessment

Studying Abnormal Behavior and Mental Disorder

Rorschach Test Thematic Apperception Test

Page 13: Chapt4diagnosis

Defining Abnormal Behavior andMental Disorder

Classifying Abnormal Behavior and Mental Disorder

Assessing Abnormal Behavior and Mental Disorder

Culture and Clinical Assessment

Studying Abnormal Behavior and Mental Disorder

Page 14: Chapt4diagnosis

Defining Abnormal Behavior andMental Disorder

Classifying Abnormal Behavior and Mental Disorder

Assessing Abnormal Behavior and Mental Disorder

Culture and Clinical Assessment

Studying Abnormal Behavior and Mental Disorder

Page 15: Chapt4diagnosis

Defining Abnormal Behavior andMental Disorder

Classifying Abnormal Behavior and Mental Disorder

Assessing Abnormal Behavior and Mental Disorder

Culture and Clinical Assessment

Studying Abnormal Behavior and Mental Disorder

Page 16: Chapt4diagnosis

Defining Abnormal Behavior andMental Disorder

Classifying Abnormal Behavior and Mental Disorder

Assessing Abnormal Behavior and Mental Disorder

Culture and Clinical Assessment

Studying Abnormal Behavior and Mental Disorder

HypothesisResearchPlan Analysis

Report Findings