Phases in clinical assessment :
- Groth – marmat ( 2003 ) :
- Evaluating the referral questions
- Acquiring knowledge relating to the content of the problem
- Data collection
- Interpreting the data
- Conceptual validity ( Maloney , and Ward, 1976 )
The clinical assessment process
- Nietzel, Bernstein, and Millich ( 2003 ) :
- A Schematic view of the clinical assessment process
- I => Planning, data, collection, procedure.
- II => Collecting, assessment, data
- III => Data, processing and hypothesis formation
- IV => Communicating assessment data
Planning for assessment :
- What do want to know?
- Assessment levels :
- Somatic
- Physical
- Demographic
- Overt behavior
- Cognitive / intellectual
- Emotional / Affective
- Environmental
Factors guiding assessment choices
- theoretical Model
- Reliability and Validity
- Clinician’s assessment specific factors ( personal preferences, training experiences )
- Clinician’s assessment strategy ( bandwidth – fidelity issues )
The goals of clinical assessment
- Diagnostic classification
- Psychodiagnosis ; Differential diagnosis
- DSM – IV, ICD – 10
- Description
- Person – environment interactions
- Prediction
- For selection
Collecting assessment data :
- How should we go about learning it?
- Sources of assessment data. Interviews, observations, test, life record
- the value of multiple assessment sources
Processing assessment data
- Data processing or clinical judgement
- Determine what their mean
- Transformed from data raw data into interpretations and conclusions
- Level and types : ( clinical inference )
- Goal
- underlying theoretical approach
- Level of abstraction : Lowest vs highest inference level
- Three views of assessment data : Samples, Correlates, Signs
- Approaches, views, and levels
- The process of clinical inference
- Clinical intuition
- The clinician as inference expert
- Formal vs informal inference
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