CHAPTER 13: CLINICAL AND COUNSELING ASSESSMENT Flashcards

(77 cards)

1
Q

It is the branch of psychology primarily focused on the assessment, diagnosis, and treatment of serious mental disorders and abnormal behavior. It deals with complex psychological conditions such as schizophrenia, major depression, and personality disorders, often using evidence-based interventions in clinical settings like hospitals or mental health centers.

A

Clinical Psychology

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2
Q

It is a branch of psychology that emphasizes helping individuals cope with everyday life challenges, developmental issues, and mild to moderate mental health concerns. It focuses on personal growth, adjustment, and well-being, often working with individuals who are generally functioning well but facing stress, transitions, or interpersonal difficulties. Counseling psychologists commonly work in schools, universities, or private practice.

A

Counseling Psychology

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3
Q

It pertains to the level of psychological and physical performance prior to the development of a disorder, an illness, or a disability.

A

Premorbid Functioning

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4
Q

It is defined as the rate (annual, monthly, weekly, daily, or other) of new occurrences of a particular disorder or condition in a particular population.

A

Incidence

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5
Q

It refers to the approximate proportion of individuals in a given population at a given point (or range) in time who have been diagnosed or otherwise labeled with a particular disorder or condition.

A

Prevalence

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6
Q

According to Wakefield (1992), it defines a disorder as a harmful dysfunction in which an internal mental mechanism fails to perform its naturally selected (evolutionary) function, and this failure is harmful to the individual. It combines both a scientific judgment (dysfunction) and a value judgment (harm).

A

Evolutionary View of Mental Disorder

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7
Q

It is a multidisciplinary approach to assessment that includes exploration of relevant biological, psychological, social, cultural, and environmental variables for the purpose of evaluating how such variables may have contributed to the development and maintenance of a presenting problem.

A

Biopsychosocial Assessment

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8
Q

The belief that what happens in life is largely beyond a person’s control.

A

Fatalism

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9
Q

It pertains to the confidence in one’s own ability to accomplish a task

A

Self-efficacy

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10
Q

It refers to the expressions of understanding, acceptance, empathy, love, advice, guidance, care, concern, or trust from friends, family, community caregivers, or others in one’s social environment.

A

Social Support

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11
Q

It is an agreement between client and therapist setting forth goals, expectations, and mutual obligations with regard to a course of therapy.

A

Therapeutic Contract

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12
Q

It is a semistructured interview designed to assist clinicians and researchers in diagnostic decision-making.

A

Structured Clinical Interview for DSM-5 (SCID)

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13
Q

It is a standardized interview designed to detect schizophrenia and disorders of affect (such as major depression, bipolar disorder, and anxiety disorders).

A

Schedule for Affective Disorders and Schizophrenia (SADS)

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14
Q

It is used primarily in efforts to detect malingering.

A

Structured Interview of Reported Symptoms-2 (SIRS-2)

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15
Q

It is the general name applied to any interview where one objective is to place the interviewee in a pressured state for some particular reason.

A

Stress interview

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16
Q

It is conducted while the interviewee is under hypnosis. It may be conducted as part of a therapeutic assessment or intervention when the interviewee has been an eyewitness to a crime or related situations.

A

Hypnotic Interview

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17
Q

In this type of interview, rapport is established, and the interviewee is encouraged to use imagery and focused retrieval to recall information. If the interviewee is an eyewitness to a crime, he or she may be asked to shift perspective and describe events from the viewpoint of the perpetrator.

A

Cognitive Interview

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18
Q

It allows the interviewee wide latitude to interact with the interviewer. It is almost as if the boundary between professional assessor and lay assessee has been diminished and both are participants working closely together—collaborating—on a common mission of discovery, clarification, and enlightenment.

A

Collaborative Interview

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19
Q

It is a structured clinical assessment used to evaluate a person’s intellectual, emotional, and neurological functioning. This involves observing and questioning the individual across several domains such as appearance, behavior, mood, thought processes, memory, orientation, and judgment, to identify any abnormalities or deficits.

A

Mental Status Examination

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20
Q

It refers to the measurement qualities of interviews, particularly in terms of reliability and validity, just like psychological tests.

A

Psychometric Aspects of the Interview

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21
Q

It refers to biographical and background information about a person (the assessee), gathered from various sources such as interviews, medical records, school records, and other relevant documents. This data helps professionals understand the individual’s history and context, and is especially useful for interpreting behavior and results from psychological tests or interviews.

A

Case History Data

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22
Q

It is a 175-item true–false test that yields scores related to enduring personality features as well as acute symptoms. As implied in the name of this multiaxial test, it can yield information that can assist clinicians in making diagnoses based on the multiaxial DSM.

A

Millon Clinical Multiaxial Inventory–III (MCMI-III)

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23
Q

It is the most widely used test to measure the severity of depression, and is a self-report measure consisting of 21 items, each tapping a specific symptom or attitude associated with depression.

A

Beck Depression Inventory–II (BDI-II)

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24
Q

It is another widely used self-report measure of depressive symptoms. This consists of 20 items, although shorter versions of the scale have been developed as screening tools for depression.

A

Center for Epidemiological Studies Depression Scale (CES-D)

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25
It refers to a group of tests administered together to gather information about an individual from a variety of instruments.
Test Battery
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It refers to a group of personality tests.
Personality Test Battery
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It refers to a group of personality tests, though this term is more specific because it additionally tells us that the battery is confined to projective techniques.
Projective Test Battery
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It refers to a typical or commonly used set of psychological tests administered together during clinical assessment. This combination provides a comprehensive overview of an individual’s cognitive, emotional, and neurological functioning.
Standard Battery
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It is an approach to evaluation that is keenly perceptive of and responsive to issues of acculturation, values, identity, worldview, language, and other culture-related variables as they may impact the evaluation process or the interpretation of resulting data.
Culturally Informed Psychological Assessment
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It refers to the intentional process of viewing a behavior, belief, or symptom from multiple cultural perspectives—especially your own and that of the client. It involves recognizing that the same behavior can have different meanings in different cultural contexts, and using critical thinking and hypothesis testing to interpret it appropriately. It's like mentally switching between different cultural viewpoints to better understand a person's behavior or experience, rather than immediately interpreting it through your own cultural norms.
Shifting Cultural Lenses
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It is an easy-to-remember mispelled acronym that may help the assessor recall various sources of cultural influence when assessing clients. As proposed by Pamela Hays, the letters in this acronym stand for age, disability, religion, ethnicity, social status (including variables such as income, occupation, and education), sexual orientation, indigenous heritage, national origin, and gender.
ADRESSING
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A substance abuse screening scale derived from the MMPI, designed to identify individuals, especially psychiatric patients, who are prone to alcoholism or substance abuse. The____ is the revised version included in MMPI-2 and MMPI-2-RF.
MacAndrew Alcoholism Scale (MAC) and MacAndrew Alcoholism Scale-Revised (MAC-R)
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A self-report screening tool used to assess an individual's potential or predisposition toward developing substance abuse problems, even if they have not yet begun abusing substances.
Addiction Potential Scale (APS)
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A self-report MMPI-2 scale that measures the degree to which an individual admits or denies substance abuse problems. High scores indicate openness to acknowledging addiction issues.
Addiction Acknowledgment Scale (AAS)
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A structured clinical interview that evaluates the severity of substance use across multiple life areas (e.g., medical, legal, employment, family). It helps determine treatment needs and outcomes.
Addiction Severity Index (ASI)
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One of the oldest and most widely used screening instruments for alcoholism, consisting of yes/no questions to detect the presence and extent of alcohol-related problems.
Michigan Alcohol Screening Test (MAST)
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Assesses decision-making skills in high-risk substance use scenarios.
Situational Competency Test
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Measures responses to social drinking situations through role play.
Alcohol Specific Role Play Test
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Evaluates behavioral reactions in cocaine-related risk scenarios using audiotaped situations.
Cocaine Risk Response Test
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It is the process of re-learning and re-integrating into mainstream or new cultural and social norms, after having been immersed in a subculture, such as drug culture, that deviated from those norms. It's a socially mediated transformation where an individual who was once part of a deviant or marginalized lifestyle (e.g., drug use subculture) gradually adopts new behaviors, values, roles, and a renewed identity aligned with healthier, more adaptive social norms.
Reacculturation
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Pertaining to or employed in legal proceedings.
Forensic
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It is the theory and application of psychological evaluation and measurement in a legal context.
Forensic Psychological Assessment
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A duty that overrides the privileged communication between psychologist and client.
Duty to Warn
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It is a landmark legal case that established the mental health professional’s “duty to warn” and later “duty to protect” when a client poses a serious risk of harm to an identifiable person. In this case, a therapist failed to directly warn Tatiana Tarasoff or her family after a client expressed intent to kill her—an act he later carried out. The court ruled that protecting potential victims overrides therapist-client confidentiality in such situations. This case is highly relevant in psychological assessment and clinical practice, as it underscores the legal and ethical responsibility of clinicians to assess threats and take appropriate steps (e.g., warning, notifying authorities, hospitalization) to prevent harm, especially when conducting risk assessments or handling disclosures of violent intent.
Tarasoff v. Regents of the University of California (1976)
45
This has to do largely with a defendant’s ability to understand the charges against him and assist in his own defense. As stated in the Supreme Court’s ruling in Dusky v. United States, a defendant must have “sufficient present ability to consult with his lawyer with a reasonable degree of rational and factual understanding of the proceedings against him.”
Competence to Stand Trial
46
It refers to proceedings conducted without the presence of the defendant, typically when the defendant is not physically present during the trial or other court process.
In Absentia
47
It is a 22-item sentence completion test designed to screen a defendant’s mental competency to stand trial. It evaluates how well the individual understands legal processes and roles, such as those of a lawyer or jury. Responses are rated from 0 (inappropriate) to 2 (appropriate), with higher scores indicating better legal understanding. For instance, saying “defend me” when completing “When I go to court, the lawyer will…” shows appropriate comprehension. The CST has high inter-rater reliability and is used as a quick, standardized method to identify individuals who may need further, in-depth competency evaluation.
Competency Screening Test (CST)
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A structured clinical interview designed to assess a defendant's competency to stand trial. It evaluates three main areas: understanding of the legal process, ability to communicate with counsel, and courtroom behavior. It helps determine whether a person can participate meaningfully in their defense.
Fitness Interview Test
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A standardized, semi-structured interview that assesses competency to stand trial based on three domains: understanding (of legal terms and procedures), reasoning (about legal options), and appreciation (of their own legal situation). It uses hypothetical scenarios and allows for comparison with normative data.
MacArthur Competence Assessment Tool–Criminal Adjudication (MacCAT-CA)
50
A structured interview tool that evaluates a defendant’s factual and rational understanding of court proceedings and ability to consult with an attorney. It is based on legal standards for competency and includes both clinical symptom screening and legal competency assessment. Like the MacCAT-CA, it also supports norm-based comparisons.
Evaluation of Competency to Stand Trial–Revised (ECST-R)
51
It is also known as the M'Naghten Rule, "right or wrong" test, is a legal criterion used to determine whether a defendant can be held criminally responsible based on their mental state at the time of the offense. According to this standard, a person is considered legally insane if, due to a severe mental disorder, they either did not understand the nature and quality of their actions or did not know that what they were doing was wrong. Originating from the 1843 English case of Daniel M'Naghten, this rule focuses on the individual's cognitive ability to distinguish right from wrong and remains a fundamental principle in insanity defense assessments in forensic psychology.
M'Naghten Standard
52
It is also known as the "product test," is a legal standard for determining criminal insanity. It states that a defendant is not criminally responsible if their unlawful act was the product of a mental disease or mental defect. Established in the 1954 case Durham v. United States, this standard shifted the focus from the defendant's ability to distinguish right from wrong (as in the M'Naghten Rule) to whether the crime resulted from a mental disorder. However, it was later criticized for being too broad and giving too much power to expert witnesses, leading to its limited use today.
Durham Standard
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It was developed by the American Law Institute in 1962, is a legal test for insanity used to assess criminal responsibility. According to this standard, a person is not responsible for criminal conduct if, at the time of such conduct, they lacked substantial capacity either to appreciate the criminality (wrongfulness) of their actions or to conform their behavior to the requirements of the law due to a mental disease or defect. The ALI Standard combines elements of the M'Naghten Rule and the irresistible impulse test, making it more flexible and comprehensive. It has been widely influential in U.S. courts but has been modified or replaced in some jurisdictions following legal reforms.
ALI Standard
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It is a structured tool used by forensic psychologists to assess a defendant's mental state at the time of the offense, specifically in relation to legal insanity. Developed by Richard Rogers, it helps evaluate criminal responsibility by organizing clinical data into legally relevant categories such as the presence of mental disorder, cognitive and behavioral control, and malingering. This enhances the objectivity and consistency of forensic evaluations by providing quantifiable ratings for expert testimony in court.
Rogers Criminal Responsibility Assessment Scale (RCRAS)
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It is a personality disorder characterized by persistent antisocial behavior, lack of empathy or remorse, shallow emotions, manipulativeness, and egocentricity.
Psychopathy
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It was developed by Robert Hare, is a diagnostic tool used to assess the presence of psychopathic traits in individuals, especially within forensic settings.
Psychopathy Checklist (PCL)
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It is the updated and more widely used version, consisting of 20 items rated by trained professionals based on interviews and file reviews. It measures two main factors: interpersonal/affective traits (e.g., superficial charm, lack of empathy) and social deviance (e.g., impulsivity, criminal behavior), helping assess risk for violence, recidivism, and treatment needs.
Revised Psychopathy Checklist (PCL-R)
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It is also known as psychological harm or damage, is a term sometimes used synonymously with mental suffering, pain and suffering, and emotional harm.
Emotional Injury
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It is a crime-solving process that draws upon psychological and criminological expertise applied to the study of crime scene evidence.
Profiling
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A psychological assessment of parents or guardians and their parental capacity and/or of children and their parental needs and preferences, usually undertaken for the purpose of assisting a court in making a decision about awarding custody.
Custody Evaluation
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It refers to actions by an adult caregiver that cause or risk causing harm to a child (someone under the legal age of majority). This harm can be physical injury or emotional damage that is deliberate or allowed to happen, or sexual offenses committed against the child.
Abuse
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It refers to the failure of an adult caregiver to provide a child with basic necessities such as food, clothing, shelter, education, medical care, or supervision, falling below an acceptable minimum standard of care.
Neglect
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These are specially designed dolls with accurately represented genitalia and body parts, used in psychological assessments to help evaluate potential sexual abuse in children. The idea is that children may reveal abuse through how they play with these dolls. However, their use is controversial, as sexually explicit play can occur in both abused and non-abused children, making them not a definitive or diagnostic tool.
ADDs (Anatomically Detailed Dolls)
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A psychological screening tool designed to assess the potential risk that an individual, particularly a parent or caregiver, may physically abuse a child. It measures attitudes and behaviors associated with known child abusers. It has demonstrated good validity in identifying individuals at risk.
Child Abuse Potential Inventory (CAP)
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A tool used to evaluate the level of stress a parent experiences in their role. It assesses the relationship between parent and child, and how this stress may affect parenting behavior. High stress levels identified by the PSI can be associated with a greater risk of child abuse or neglect.
Parenting Stress Index (PSI)
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It is the intentional infliction of physical, emotional, financial, or other harm on an older individual who meets the statutory age requirement for an elder.
Elder Abuse
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It refers to a failure on the part of a caregiver or service provider to provide for the elder (as defined by statute) what was reasonably needed to prevent physical, emotional, financial, or other harm. Our brief discussion here will focus on elder abuse.
Elder Neglect
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A structured assessment tool used by Adult Protective Services (APS) to evaluate risk factors, identify interventions, and track outcomes in cases of suspected elder abuse or neglect. It was developed to improve the consistency and effectiveness of APS investigations and case planning. This tool has been researched for its reliability, validity, and practical utility in real-world settings.
TRIO (Tool for Risk, Interventions, and Outcomes)
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A culture-specific instrument developed to assess elder abuse and quality of life specifically among Native American elders. It is tailored to the cultural values, experiences, and social structures of Native American populations to ensure more accurate identification of mistreatment and culturally appropriate care or intervention.
NELS (Native Elder Life Scale)
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It is the process of evaluating a person's risk of attempting or completing suicide. It involves identifying warning signs, risk factors, and protective factors, and determining the level of danger the individual may pose to themselves.
Suicide Assessment
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It is a written summary of the findings from a psychological assessment. It communicates the results, interpretations, and recommendations based on tests and observations conducted by a psychologist. The content and style of the report vary depending on its purpose and intended audience, ranging from highly clinical and analytical (e.g., for psychoanalytic societies) to practical and straightforward (e.g., for teachers or employers). Despite these variations, most psychological reports share core components such as background information, test results, interpretation, and recommendations. Writing a clear, organized, and tailored report is essential, as even highly valid assessments can lose their value if the findings are poorly communicated.
Psychological Report
72
It refers to the tendency of people to believe that vague, general personality descriptions are highly accurate and specific to them, even when the descriptions could apply to almost anyone.
Barnum Effect
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The application of empirically demonstrated statistical rules and probabilities to clinical decision-making. Rather than relying on personal clinical judgment, this method uses known data patterns, base rates, and statistical formulas to draw conclusions and make predictions, much like how actuaries calculate risk.
Actuarial Assessment
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A software system that provides interpretations of psychological test results. It is considered actuarial only if its interpretive output is wholly based on empirically supported statistical rules. However, ____ is not necessarily actuarial—it may reflect the opinions and expertise of its author, which means it can sometimes simply be a computerized extension of clinical judgment rather than an objective statistical analysis.
Computer-based Test Interpretation (CBTI) System
75
The use of computer systems to administer, score, or interpret psychological tests. Like CBTI, it is not automatically actuarial. It can either apply Statistical models (actuarial) or Subjective, clinician-authored rules (clinical).
Computerized Assessment
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It refers to the application of a clinician’s own training and clinical experience as a determining factor in clinical judgment and actions.
Clinical Prediction
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It refers to the use of empirical statistical rules and algorithms, often through computer systems, to generate psychological findings and recommendations. This is a broader term that includes actuarial prediction, especially when done by computers.
Mechanical Prediction