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Abnormal Psych-Evaluation

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Abnormal Psych-Evaluation
Factors to consider in evaluation:
1.cultural bias in the instrument or clinician
2. Theoretical orientation
3.Underemphasis on the external situation
4.insufficient validation
5.inaccurate data
Classification system:
• -delinates meaningful subvarieties of maladaptive behavior
• -first step in the nature, causes, and treatment process of a disorder
• -provides a means of universal communication regarding abnormal behavior
• -the product of human invention-disorders can be “constructs”
• -reliability is the ability of a measuring device to produce the same result each time.
• -validity is when a measurement actually measures what it is supposed to measure.
5 Axes of DSM-IV-TR o Axis I: the clinical syndromes or conditions o Axis II: personality disorders and MR o Axis III: general medical conditions o Axis IV: psychosocial and environmental problems o Axis V: Global assessment of functioning
Acute: disorder lasting less than 6 months and chronic refers to a long-standing disorder.
-symptoms refer to the patient’s subjective description.
-signs are objective observations by clinician
Psychotherapy is the belief that people with psychological problems can change and learn adaptive ways of perceiving, evaluating, and behaving.
Worldview and self-concept are distorted due to pathology.
-importance of environmental factors in treatment

Behavior therapy: recognizes the importance of behavior and the role of learning.
-exposure therapy-systematic desensitization, flooding, in vivo exposure, imaginal exposure
-aversion therapy, modeling, systematic use of reinforcement-response shaping, token economies, evaluating behavior therapy
Cognitive/cognitive-behavioral therapy: emphasis on how one “acts” and “thinks” and the influence on behavior
-rational emotive behavior therapy-attempts to change a client’s maladaptive thought processes
-Becks cognitive therapy: problems result from biased processing of external events

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