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CLINICAL PSYCH EXAM #2
CH 6-11
61
Psychology
Undergraduate 3
04/08/2015

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Cards

Term
Efficacy
Definition
• The success of a particular therapy in a controlled study conducted with clients who meet specific criteria

• How well therapy works "in the lab"
Term
Effectiveness
Definition
• The success of a therapy in actual clinical settings in which client problems are not limited to predetermined criteria
How well therapy works "in the real world"
Term
Internal Validity
Definition
• The extent to which change in the DV is due to change in the IV
Generally high in effectiveness studies
Term
External Validity
Definition
• Generalizability
Generally high in effectiveness studies
Term
Experimental Method
Definition
-observation of events

-hypothesis (define IV & DV)

-empirically test hypothesis
Term
Quasi-experiments
Definition
-used in place of true experiments when practical, ethical, or other issues limit manipulations

-less scientifically sound than true experiments
Term
Between-group designs
Definition
-participants in different conditions receive entirely different treatments

-often: experimental vs. control group
Term
Within-group designs
Definition
Compare participants in a single condition to selves at different points in time
Term
Mixed-group designs
Definition
Combination of between- and within- group
Term
Analogue designs
Definition
-used when actual clinical populations or situations can't be accessed

-an approximation or simulation of the "real thing"
Term
Correlational designs
Definition
-examine relationship between 2 variables

-causality cannot be determined

-often used when experimental or quasi experimental designs are not feasible
Term
Case studies
Definition
-detailed examination of a single person or situation

-often qualitative

-demonstrates the idiopathic approach to research

-can inspire more systematic research

-ABAB design is an example
Term
Meta-analysis
Definition
-statistical method of combining results of separate studies into a single summary finding

-findings are translated into effect sizes

-can quantitatively capture the trends of many individual studies

Ex) meta-analysis of psychotherapy outcomes
Term
Cross-sectional designs
Definition
-compare participants at different points in time

-more efficient than longitudinal
Term
Longitudinal designs
Definition
-compare participants at different points in time

-less efficient than cross-sectional

-can be more valid in assessing change over time
Term
APA Ethical Standards for Research
Definition
-obtain informed consent

-don't coerce participation

-use deception only when justified and necessary

-minimize harm to participants

-don't falsify data

-share data w/ other researchers for verification
Term
DSM-I
Definition
-published in 1952
Term
DSM-II
Definition
-published in 1968

-similar to DSM-I

-not scientifically or empirically based

-psychoanalytic influence

3 categories = psychoses, neuroses, character of disorders

-no specific criteria
Term
DSM-III
Definition
-published in 1980

-more reliant on empirical data

-specific criteria defined disorders

-no psychoanalytic influences

-multi-axial assessment (5)

-much longer; includes more disorders
Term
DSM-III-R
Definition
-published in 1987

-minor changes
Term
DSM-IV
Definition
-published in 1994

-culture-bound syndromes listed
Term
DSM-IV-TR
Definition
-published in 2000

-TR = text revision

-only context, not diagnostic criteria
Term
DSM-5
Definition
-released in 2013

-task force led work groups, each focusing on a particular area of mental disorders

-more consistent w/ International Classification of Diseases (ICD)
Term
Changes DSM did NOT make
Definition
-shift to emphasize biological roots of disorders

-dimensional definition of all mental disorders

-dimensional approach for personality disorders

-remove 5 of the 10 personality disorders

-proposed disorders
Term
New DSM-5 disorders
Definition
-premenstrual dysphoric disorder

-disruptive mood dysregulation disorder

-binge eating disorder

-mild neurocognitive disorder

-somatic symptom disorder

-hoarding disorder
Term
Revised DSM-5 disorders
Definition
-Major depressive episode: "bereavement exclusion" dropped

-Autism spectrum disorder (new scope)

-ADHD: Age raised from 7 to 12

-Bulimia Nervosa: decreased from 2x to 1x per week

-Anorexia Nervosa: low body weight changed & menstrual period req.
Term
Allen Frances' Criticisms
Definition
-changes seem clearly unsafe & scientifically unsound

-will mislabel normal people, promote diagnostic inflation, & encourage inappropriate medication use
Term
Categorical Approach
Definition
-DSM approach

-yes or no category for having disorder

-no gray area

-facilitates comm.
Term
Dimensional Approach
Definition
-place symptoms on a continuum rather than categories

-5 factor model of personality could provide dimensions

-may be better suited for personality disorders
Term
Validity
Definition
measures what it claims to measure
Term
Reliability
Definition
yields consistent, repeatable results
Term
Clinical utility
Definition
improves delivery of services or client outcome
Term
Components of the interview:
Definition
-Rapport: +, comfortable relationship

-Technique: what interviewer does w/client
Term
Intelligence
Definition
Measure intellectual ability
Term
Achievement
Definition
Measure accomplishments in academic areas
Term
Neuropsychological
Definition
Focus on cognitive dysfunction, often from brain injury or illness
Term
Charles Spearman
Definition
"g" for general intelligence
Term
Louis Thurstone
Definition
Intelligence is plural abilities that may not relate to each other
Term
James Cattell
Definition
-2 separate intelligences

-fluid = ability to reason

-crystallized = knowledge throughout life
Term
Wechsler Adult Intelligence Scale (4th ed)
Definition
WAIS-IV

-Ages 16-89
Term
Wechsler Intelligence Scale for Children (4th ed)
Definition
WISC-IV

-Ages 6-16
Term
Wechsler Preschool & Primary Scale of Intelligence (3rd ed)
Definition
WPPSI-III

Ages 2-7
Term
Wechsler Tests
Definition
-yield a full scale intelligence score

-4 index scores

-12 specific subtest scores

one-on-one ; face-to-face
Term
Universal Non verbal Intelligence Tests (UNIT)
Definition
-1996

-no speaking

-hand gestures & manual

-only for kids 5-17

-limited data & range
Term
Halstead-Reitan Neuropsychological Battery (HRB)
Definition
-8 tests

-ID brain injuries
Term
Bender Visual-Motor Gestalt Test (2nd ed)
Definition
-most commonly used neuropsych screening

-simple copying using 9 geometric designs

-quick "check"

-can suggest general brain damage
Term
Rey-Osterrieth Complex Figure Test
Definition
-brief pencil/paper drawing task, but a single more complex figure

-memory component
Term
Repeatable Battery for the Assessment of Neuropsychological Status (RBANS)
Definition
-Neuropsych screen focusing on broader range of abilities

-12 subtests in <30 mins

-tests visuomotor, verbal skills, attention, visual memory
Term
Wechsler Memory Scale (4th ed) (WMS-IV)
Definition
-assesses memory problems due to brain injury, dementia, substance abuse

-ages 16-90

-assesses visual & auditory memory, immediate & delayed recall
Term
Multimethod Assessment
Definition
-no measure of personality/behavior is perfect

-used multiple assessments (tests, interviews, observations)

-more confident convergent conclusions
Term
Evidence-Based Assessment
Definition
-Assessment based on what works empirically

-typically tied to specific disorders

-Ex) SCID & BDI-II
Term
Culturally Competent Assessment
Definition
-every culture has its own normal/abnormal

-important not to overpathologize
Term
MMPI-2
Definition
-1989

-most popular & psychometrically sound

-pencil/paper

-567 self-descriptive sentences

-T/F
Term
NEO Personality Inventory--Revised (NEO-PI-R)
Definition
-obj. personality test

-measures norms, not pathologies

-based on 5 factor model

-lacks vaidity
Term
Projective Tests
Definition
-Roscharch Inkblot Method

-Thematic Apperception Test (TAT)

-Tell-Me-A-Story (TEMAS)

-Sentence Completion Tests
Term
Efficacy
Definition
-extent to which psychotherapy works in the lab

-clients are selected for diagnostic criteria

-better internal validity
Term
Effectiveness
Definition
-the extent to which psychotherapy works in the real world

-greater variability in therapists/clients

-better external validity
Term
Common Factors Psychotherapy
Definition
-shared, fundamental elements of therapy

-therapeutic alliance, hope, attention
Term
Three-stage sequential model
Definition
-support

-learning

-action factors
Term
Dodo Bird Verdict
Definition
-researchers argue that some therapies are better for certain disorders

-manualized treatment for specific disorders can lead to a rx approach to psychotherapy
Term
What types of psychology do clinical psychologists practice?
Definition
-Eclectic/integrative popular til 2010

-Psychodynamic declines since 1960s

-Cognitive is now #1
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