Kap 2: Diagnosis

Question 1

What is the goal of a clinical Interview?

Answer 1

To figure out the psychological functioning of the person

Question 2

With which questionnaire do you measure general Symptoms?

Answer 2

SCL-90-R

Symptom Check List 90 Revised

-> Symptoms on 10 scales

Question 3

With which questionnaire do you assess interpersonal problems?

Answer 3

IIP-64

Inventory of Interpersonal Problems (Circumplex) 64

Submissiveness<->Dominance
Hostile<->Friendlyness

Question 4

Which questionnaire assesses Self Esteem

Answer 4

SASB

Structural Analysis of Social Behaviour

Other/Self focus
Affiliation/Hostility
Interdependence/Independence

Question 5

Which questionnaire measures Attachment?

Answer 5

PBI

Parental Bonding Inventory
Parenting style until the age of 16. Can measure neglect
It measures on two scales:
Care and Overprotection

MOPS (Measure of Parenting Style) is a newer version (1997) and includes an abuse scale.

Question 6

Questionnairs to measure General functioning

Answer 6

GAF + WHODAS

Global Assessment of Functioning (1-100 score)

WHO Disability Assessment Schedule

Question 7

Things that should be taken up in a first interview?

Answer 7

ISOMERASE C

Interests/Resources
Social functioning
Occupation
Motivation to change
Earlier treatments
Reason for taking contact
Anamnetic information
Symptoms/problems
Education/training
Cohabitation

Question 8

What are other things the therapist should pay attention to in the clinical interview?

Answer 8

Especially when different from how the client sees it:

Concentration
Communication
Changes in Mood
Clothing
Mood
Memory
Thought processes
Hygene

Question 9

Which questionnaires that are usually used in Diagnostic interviews?

Answer 9

MINI

ADIS-5

SCID

Question 10

What is ALWAYS assessed in a diagnostic interview?

Answer 10

A Suicide risk (assessment)

Question 11

What is the MINI?

Answer 11

Mini International Neuropsychiatric Interview

Screens for ICD-10 diagnoses.

Is short (15min)

Question 12

What is the ADIS-5?

Answer 12

Anxiety and related Disorders Interview Schedule for DSM-5

Is rather long

Question 13

What is the SCID?

Answer 13

Structured Clinical Interview for DSM

Is used for Axis-I disorders (major ones)

SCID-II Is used for Personality Disorders

Question 14

Which questionnaire is used for testing executive functioning?

Answer 14

D-KEFS

(Delis-Kaplan Executive Functioning System)

Question 15

Which questionnaire is used for testing dementia?

Answer 15

MMSE

Mini Mental State Examination.

BUT: No diagnosis!!

Question 16

What are the three main scores the MMSE can give?

Answer 16

Mild: 20-26 points: Person can live at home with some help (maybe driving?)

Moderate: 10-19 Points: Needs help at home, Problems occur in communication and reasoning. 3A: Aphasia, Agnosia, Apraxia

Serious: <10 Points: Person needs help 24/7, conversation impaired, cognitive issues can lead to extreme behaviour.
Later: Motor issues

Question 17

How can you assess general intelligence?

Answer 17

RPM (Ravens Progressive Matrices)

WAIS-IV (Wechsler Adult Intelligence Scale -IV edition)

Question 18

What are some problems with (psychological) tests?

Answer 18

If they are made in one part of the world, people in another might score differently (bias)

Difficulties in communication might influence the results -> The test should be adapted by the person administering it

Question 19

When should one consider consulting the (social) environment for making a diagnosis?

Answer 19

When the person is missing insight into their struggles (forgotten/part of the diagnosis)

Question 20

What should always be focus and explored in a clinical Interview?

Answer 20

Resilience and Resistance in the client.

Question 21

What can be challenges when doing diagnosis?

Answer 21

Resistance when giving information:

1. when sendt there against their will
2. When paranoid
3. When uncomfortable sharing

When unaware:

1. Serious personality disorder
2. Psychosis

Secondary intentions:

Wanting/avoiding a diagnosis
Getting benefits from getting the diagnosis