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Week 5 Flashcards

MSE

1
Q

what is the MSE?

A

summary of the clinicians observations and impressions of the client at the time of the interview

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2
Q

the MSE can measure…….. over the course of the treatment

A

change

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3
Q

what are the first 4 components included in a MSE under appearance

A
  1. apparent age 2. height 3. weight 4. dress
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4
Q

what are 3 other components in the MSE under appearance?

A
  1. self-care 5. prominent characteristics 6. ethnicity
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5
Q

what are the 6 components of behaviour in the MSE?

A

eye contact, psychomotor, gestures, catatonic, abnormal behaviour, attitude toward clinician

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6
Q

what are the 2 speech components of the MSE

A

quality (volume, pitch, tone), quantity (rate)

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7
Q

what are the aspects of mood in MSE?

A

euthymic (normal), elevated/elated/euphoric, dysphoric (low), apprehensive, angry, apathetic

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8
Q

how is mood primarily judged?

A

through self-report and interpretation of consent

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9
Q

what is mood?

A

predominant emotion of client. pervasive and sustained

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10
Q

what is affect

A

external manifestation of a person’s mood

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11
Q

words used to describe affect are

A

type, intensity, range, appropriate, congruent

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12
Q

is a person’s affect variable over the course of a session

A

yes

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13
Q

what words are used to describe the intensity of affect?

A

flat, blunted, constricted, reactive, exaggerated

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14
Q

what words are used to describe range of affect?

A

restricted, normal, expansive, labile

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15
Q

what is measured under the perceptual part of a MSE?

A

do they have hallucinations of either 5 senses, illusions, déjà by or Jamais by, depersonalisation & derealisation, agnosia

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16
Q

what is agnosia?

A

inability to recognise & interpret the sig of sensory impressions

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17
Q

what is Formal Thought Disorder FTD?

A

umbrella term: thoughts don’t follow each other logically, hard to understand and follow

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18
Q

what are 3 components of Thought content in the MSE?

A
  1. delusions 2. obsessions 3. phobias
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19
Q

what are 3 parts of judgement in the MSE?

A
  1. ability to make rational plans of action 2. understand implications of beh 3. ability to compare & analyse implications rationally/logically
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20
Q

Abulia also relates to judgement and is

A

an absence of willpower or an inability to act decisively, lack of concern for consequences

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21
Q

what are the 3 aspects of insight?

A
  1. aware of illness 2. aware of illness impact 3. aware of benefit of treatment/assistance
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22
Q

what are the 6 levels of insight?

A

denial, impaired/limited/slight awareness, external locus, awareness, intellectual insight, true sight

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23
Q

what are the 5 aspects of cognition in MSE!?

A
  1. level of consciousness 2. orientation 3. attention & distractibility 4. concentration 5. memory
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24
Q

what does O in OCEAN stand for in the 5-factor model of personality?

A

Openness to experience

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25
what does C in OCEAN stand for in the 5-factor model of personality?
Conscientious
26
what does E in OCEAN stand for in the 5-factor model of personality?
Extraversion
27
what does A in OCEAN stand for in the 5-factor model of personality?
Agreeableness
28
what does N in OCEAN stand for in the 5-factor model of personality?
Neuroticism (emotional stability)
29
5 factor model is a system of.......rather than a theory of personality
classification
30
5 factor model is used for descriptive & predictive purposes not to explain...
underlying personality dynamics
31
FFM applies across a
wide variety of cultures and languages and is stable over time
32
FFM was not designed to explain personality but to just
describe it
33
FFM is used as a predictor in these 4 areas
1. training & ed 2. employment & workplace 3. mental & physical health 4. marriage, leadership
34
what is the gold standard tool for measuring normal personality?
NEO PI-R /3
35
NEO PI-R has how many items?
240
36
the NEO PI-R is for ages
17+
37
NEO PR based on what type of reporting
self and observer
38
how long does it take to administer the NEO PI-R?
30-45mins
39
what are the 5 domains of the NEO PI-R/3
Neuroticism, extroversion, openness to experience, agreeableness, conscientious
40
what age does your personality stable out
from 30+
41
which two domains of the NEO PI-R increase with age and which two decrease?
Neuroticism and extroversion decrease, agreeableness and conscientious increase
42
which domain is an important predictor of success?
conscientiousness
43
what domains are predictive of burnout?
agreeableness and Neuroticism
44
which are more stable? traits of personality or disorders?
traits
45
why is a trait based system for personality disorder diagnosis a beneficial option?
as it can assess any patients personality (not just those with PD)
46
what are the 6 PD disorders in DSM-5?
antisocial, avoidance, narcissistic, obsessive-complusive, schizotypal, borderline
47
what is the core criteria for PD IN DSM-5
Mod + disturbances in self (Identity & self-direction) functioning & interpersonal functioning (empathy & intimacy)
48
what 5 broad domains must a person meet criteria for relevant pathological traits?
neg affectivity, detachment, antagonism, disinhibition, psychototicism
49
what is the difference between mood and affect?
affect refers to immediate expression of emotion while mood refers to emotional experience over a more prolonged period of time
50
The PAI questionnaire is aimed at
understanding how your personality may be similar and different from that of other people
51
PAI is administered how?
self administered
52
PAI assesses ages
18+
53
The PAI is comprised of how many items?
344
54
what does the PAI assess and provide info on?
assesses and screens for pathological syndromes. info relevant for clinical diagnosis, treatment & planning
55
PAI has 11 clinical constructs which can be divided into 3 broad classes of disorders...
neurotic spectrum, psychotic spectrum, behaviour disorder or impulse control problems
56
why can the PAI profiles be compared with both normal and clinical populations?
it was normed on adults in a variety of clinical and community settings
57
what are the 4 scales assessed in the PAI?
clinical, treatment, interpersonal, pathology
58
what are critical items on the PAI and how many are there?
issues that need to be responded to quickly. 27
59
what does the MCMI-III measure?
24 personality disorders and clinical syndromes for adults undergoing psychological or psychiatric assessment or treatment
60
the MCMI-III was standardised on what populations?
clinical (ppl with existing mental health problems)
61
what type of format is the MCMI-III based on?
multiaxial
62
how long does it take to administer MCMI-III?
25mins
63
what are the 6 major scales in the MCMI-III?
clinical personality pattern, severe personality pathology, clinical syndrome, severe clinical syndrome, modifying indices, validity index
64
MCMI-III scores are interpreted reading what?
base rates (BR)
65
what is the BR for MCMI-III for non-psychiatric individuals?
35
66
what is the BR for MCMI-III for psychiatric individuals?
60
67
a base rate of 70-74 in the MCMI-III indicates what?
likelihood to possess traits for clinical personality scales. likely to possess some symptoms for clinical syndrome scales
68
a base rate of 75-84 in the MCMI-III indicates what
presence of sig traits for clinical personality scales. presence of a syndrome for clinical syndrome scales
69
a base rate of 85+ in the MCMI-III indicates what
presence of PD for clinical personality scales. prominence of syndrome for clinical syndrome scales

Psy402 (12 decks)

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