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Dimensional Approach, HiTOP and Assessment Flashcards

(14 cards)

1
Q

DSM-5 Changes

A

Re: PDs
* Removal of Axis system
* Includes two distinct systems for diagnosis PDs

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2
Q

HiTOP- One dimensional approach to classification

A
  • Hierarchical Taxonomy of Psychopathology (HiTOP)
    • Dimensional model of psychopathology
    • Taxonomy is the way you categorize something
    • Hierarchical is starting from the bottom to the top
    • Fully empirical nosology/classification system
      • Based on independent, research studies
      • Groups related symptoms together, reducing heterogeneity
      • Combines co-occurring systems, reducing comorbidity
      • Everything is measured on dimension/continuum, removing cut-offs
    • Aims to systematize and facilitate research and clinical practice
    • Self reports and clinical interviews developed/being revised
      • Assessments results given as a summary of facets, etc.
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3
Q

Assessment: Interviews

Assessment

A

The set of procedures for gathering information about an individual (may or may not lead to diagnosis)

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4
Q

Assessment: Clinical Interviews

Structured

A

When someone is being asked questions in the same order

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5
Q

Assessment: Clinical Interviews

Semi-Structured Interview

A

When clinician has a list of questions, and depending on how you respond, you get additional questions. Flexible.

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6
Q

Assessment: Clinical Interviews

Symptoms

A

(What the person reports) Report is as part of the session

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7
Q

Assessment: Clinical Interviews

Signs

A

What the clinican observes

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8
Q

Assessment: Clinical Interviews

Diagnostic based measures

A
  • Focus on categorical diagnoses
    • Diagnostic interview personality disorders - IV (DIPD)
    • Schedule for Nonadaptive and adaptive personality (SNAP)
    • Internation personality disorder examination
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9
Q

Assessment: Self-Report measures/questionaries/surveys

Self-report measures/questionnaires/surveys

A
  • Data is used to collect information of client
  • Focus is personality traits
    • Personality inventory for DSM-5
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10
Q

Assessment

Pros of interviews

A
  • Clinicians observations count
  • Can rephrase/explain anything that is confusing to the clients
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11
Q

Cons of interviews

A
  • time consuming and expensive
  • client might be less willing to share with the clinician because of stigma
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12
Q

Pros of self-reports

A
  • fast and inexpensive to administer and score
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13
Q

Cons of self-reports

A
  • Clinician observations not taken into account so client-based
  • Client could misunderstand them
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14
Q

Dimensional approach is more accurate

A
  • Lots of evidence supports this approach
    • Does not forces people into categories that they may or may not fit
    • Retains info about additional personality traits that are important for understandng the patient’s level of adjustment and functioning
  • A dimensional trait model would allow for individualized profiles of traits for each person
    • More precise and accurate than a diagnostic category
    • Better inform treatment and research
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