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Chapter 6 intake- An interview conducted for the purposes

admission of (a) determining why the patient has


assessment One of the most basic techniques
interview come to an agency (e.g., clinic, hospital),
interview employed by the clinical psychologist for
(b) determining whether the agency can
the purpose of answering a referral
meet the patient’s needs and expectations,
question. If administered skillfully, the
and (c) informing the patient about the
assessment interview can provide insight
agency’s policies and procedures.
into the problem and inform clinical
decision making. interrater The level of agreement between at least
reliability two raters who have evaluated the same
case-history An interview conducted for the purpose of
patient independently. Agreement can
interview gaining a thorough understanding of the
refer to consensus on symptoms assigned,
patient’s background and the
diagnoses assigned, and so on.
historical/developmental context in which
a problem emerged. kappa A statistical index of interrater reliability
coefficient computed to determine how reliably raters
clinical An approach to assessment that involves
judge the presence or absence of a feature
assessment an evaluation of an individual’s strengths
or diagnosis.
and weaknesses, a conceptualization of
the problem at hand, and the generation of mental An interview conducted to evaluate the
recommendations for alleviating the status patient for the presence of cognitive,
problem. examination emotional, or behavioral problems. In the
interview MSE interview, the clinician assesses the
computer The use of computers for administering
patient in a number of areas, including (but
interviewing clinical interviews.
not limited to) general presentation,
concurrent A form of criterion-related validity. The quality of speech, thought content,
validity extent to which interview scores correlate memory, and judgment.
with scores on other relevant measures
predictive A form of criterion-related validity. The
administered at the same time.
validity extent to which interview scores correlate
construct The extent to which interview scores with scores on other relevant measures
validity correlate with other measures or administered at some point in the future.
behaviors in a logical and theoretically
rapport A word often used to characterize the
consistent way. To be construct valid, an
relationship between patient and clinician.
interview must demonstrate all of the
In the context of the clinical interview,
aspects of validity.
building good rapport involves establishing
content The degree to which interview items a comfortable atmosphere and sharing an
validity adequately measure all aspects of the understanding of the purpose of the
construct being measured. interview.
crisis An interview conducted for the purposes referral The question posed about the patient by
interview of (a) defusing or problem solving through question the referral source (e.g., Why is a particular
the crisis at hand and (b) encouraging the child earning poor grades?).
individual to enter into a therapeutic
structured A diagnostic interview that consists of a
relationship at the agency or elsewhere so
diagnostic standard set of questions asked in a
that a longer-term solution can be worked
interview specified sequence. The questions may be
out.
keyed to the diagnostic criteria for a
criterion- The extent to which interview scores number of disorders.
related predict (correlate with) scores on other
test–retest The consistency of interview scores over
validity relevant measures.
reliability time. Generally, we expect individuals to
diagnostic An interview conducted for the purpose of receive similar diagnoses from one
interview arriving at a DSM-IV diagnostic administration to the next if the interval
formulation. between administrations is short.
discriminant The extent to which interview scores do unstructured An interview in which the clinician asks any
validity not correlate with measures that are not interview questions that come to mind in any order.
theoretically related to the construct being
measured.
Chapter 7 intelligence There is no universally accepted definition of
intelligence. However, many definitions of
behavioral A research specialty that evaluates both
intelligence emphasize the ability to think
genetics genetic and environmental influences on the
abstractly, the ability to learn, and the ability
development of behavior.
to adapt to the environment.
chronological What we commonly refer to as age; years of
intelligence A term developed by Stern in 1938 to address
age life.
quotient problems with using the difference between
concordance An index of similarity between individuals. chronological age and mental age to
rate (or The simplest form of concordance rate is the represent deviance. Typically, a deviation IQ
similarity percentage of instances in which two score is used.
index) individuals exhibit similar behaviors or
internal The extent to which the items of a test “hang
characteristics.
consistency together” (most often assessed by computing
concurrent The extent to which test scores correlate with reliability Cronbach’s alpha).
validity scores on other relevant measures
interrater (or The level of agreement between two or more
administered at the same time.
interjudge) raters who have evaluated the same
construct The extent to which test scores correlate with reliability individual independently. Agreement can
validity other measures or behaviors in a logical and refer to consensus on behaviors, attributes,
theoretically consistent way. Construct and so on.
validity requires a demonstration of all
mental age A term introduced by Binet as an index of
aspects of validity.
mental performance. This idea was based on
content The degree to which test items adequately the notion that individuals of a certain age
validity measure all aspects of the construct of should have mastered certain abilities.
interest.
monozygotic Identical twins, or twins that share 100% of
crystallized One of two higher-order factors of (MZ) twins their genetic material.
ability intelligence conceived by Cattell. Crystallized
phenotype The observable characteristics of an
ability refers to the intellectual capacities
individual. The phenotype is a product of both
obtained through culture-based learning.
the genotype and the environment.
deviation IQ A concept introduced by Wechsler to address
predictive The extent to which test scores correlate with
problems observed when applying the ratio
validity scores on other relevant measures
IQ to older individuals. An individual’s
administered at some point in the future.
performance on an IQ test is compared to
that of her or his age peers. Primary Seven factors of intelligence derived by
Mental Thurstone on the basis of his factor analytic
dizygotic (DZ) Fraternal twins, or twins that share about
Abilities work: Number, Word Fluency, Verbal
twins 50% of their genetic material.
Meaning, Perceptual Speed, Space,
equivalent- The extent to which an individual obtains Reasoning, and Memory.
forms similar scores on equivalent, or parallel, forms
reversal A feature on several subtests of the WAIS-III
reliability of the same test.
items that allows the examiner to determine the
fluid ability One of two higher-order factors of examinee’s ability level without having to
intelligence conceived by Cattell. Fluid ability administer items markedly below that ability
refers to a person’s genetically based level.
intellectual capacity.
split-half The extent to which an individual’s scores on
Flynn effect This refers to the empirical finding that reliability one half of a test (e.g., the even-numbered
Americans’ IQ scores have on average items) are similar to his or her scores on the
increased 3 points each decade since 1972. other half (e.g., the odd-numbered items).
g The term introduced by Charles Spearman to stability of IQ The similarity of IQ scores measured at
describe his concept of a general intelligence. scores different points in time. Based on test–retest
correlations, IQ scores tend to be less stable
genotype The genetic makeup of an individual.
for young children than for adults.
Index scores Scores that correspond to the major ability
Stanford- An intelligence test based on a hierarchical
factors that underlie the WAIS-IV subtest
Binet Fifth model of intelligence. The SB-5 measures five
scores (i.e., Verbal Comprehension,
Edition (SB-5) general cognitive factors (fluid reasoning,
Perceptual Organization, Working Memory,
quantitative reasoning, visual-spatial
and Processing Speed).
processing, working memory, and Wechsler
knowledge), each of which includes both Preschool An intelligence test designed for children
verbal and non-verbal subtest activities. and Primary between the ages of 2 years, 6 months and 7
Scale of years, 3 months. The WPPSI-III scores include
Structure of A model proposed and tested by Guilford
Intelligence the Verbal IQ, Performance IQ, Processing
the Intellect which asserts that the components of
Third Edition Speed, and Full Scale IQ.
model intelligence may be organized into three
(WPPSI-III).
dimensions: operations (e.g., memory),
contents (e.g., symbolic), and products (e.g.,
relations). In Guilford’s model, a particular
mental operation is applied to a specific type Chapter 8
of content, resulting in a product. base rates Prevalence rates.
test–retest The extent to which an individual makes computer- The use of computers to administer (and
reliability similar responses to the same test stimuli on based possibly interpret) responses to clinical
repeated occasions. assessment interviews, IQ tests, self-report inventories,
theory of A theory forwarded by Gardner that posits and so on.
multiple the existence of six intelligences: linguistic, computer- The interpretive profiles generated by
intelligences musical, logical-mathematical, spatial, bodily- based test computer scoring programs for various
kinesthetic, and personal. interpretations psychological tests. The use of such profiles
triarchic A theory proposed by Sternberg which (CBTIs) has been the subject of intense debate.
theory of maintains that people function on the basis of construct An approach to test construction in which
intelligence three aspects of intelligence: componential validity scales are developed based on a specific
(analytical thinking), experiential (creative approach theory, refined using factor analysis and
thinking), and contextual (“street smarts,” or other procedures, and validated by showing
the ability to successfully manipulate one’s (through empirical study) that individuals
environment). who achieve certain scores behave in ways
twins reared MZ or DZ twins separated from each other that could be predicted by their scores.
apart shortly after birth; such twins share genetic content The process by which one ensures that a
material but not specific environmental validation test will adequately measure all aspects of
influences. the construct of interest. Methods of
twins reared MZ or DZ twins reared in the same family content validation include carefully defining
together environment; such twins share both genetic all relevant aspects of the construct,
material and specific environmental consulting experts, having judges assess the
influences. Comparing the concordance rates relevance of each potential item, and
of twins reared apart and twins reared evaluating the psychometric properties of
together can help tease apart the genetic and each potential item.
environmental influences on a particular empirical An approach to test development that
behavior or characteristic. criterion emphasizes the selection of items that
validity The extent to which an assessment technique keying discriminate between normal individuals
measures what it is supposed to measure. and members of different diagnostic
There are several forms of validity. groups, regardless of whether the items
appear theoretically relevant to the
Wechsler An adult intelligence test comprised of diagnoses of interest.
Adult subtests that tap four areas of cognitive
Intelligence functioning: verbal comprehension, factor analytic A statistical method often used in test
Scale Fourth perceptual reasoning, working memory, and approach construction to determine whether
Edition processing speed. The WAIS-IV yields a Full potential items are or are not highly related
(WAIS-IV) Scale IQ, in addition to Index scores for these to each other.
four areas. Five-Factor A comprehensive model of personality that
Wechsler Model (FFM) comprises the dimensions of Neuroticism,
An intelligence test designed for children Extraversion, Openness, Agreeableness,
Intelligence
between the ages of 6 and 16. The WISC-IV and Conscientiousness as well as six facets
Scale for
scores include the Verbal Comprehension belonging to each dimension.
Children
Index, Perceptual Reasoning Index, Working
Fourth illusory In the context of projective testing, the
Memory Index, Processing Speed Index, and
Edition correlation phenomenon by which certain test
Full Scale IQ.
(WISC-IV)
responses become associated with specific test bias The situation in which different decisions or
personality characteristics. These responses predictions are made for members of two
come to be viewed as signs of the trait in groups, even when they obtain the same
question and may be given undue weight score on an instrument.
when interpreting the test.
Thematic A projective technique that purports to
Incomplete The best known and most widely used of Apperception reveal patients’ personality characteristics
Sentences the sentence completion techniques, Test by interpreting the stories they produce in
Blank (ISB) consisting of 40 sentence stems. response to a series of pictures.
incremental The extent to which a scale score provides validity of The extent to which a particular cutoff score
validity information about a person’s behavior, cutoff scores accurately classifies people as either
personality features, or psychopathology (thresholds) possessing or not possessing the disorder or
features that is not provided by other trait in question.
measures.
validity scales Test scales that attempt to shed light on the
MMPI-2 A measure of psychopathology that was respondent’s test-taking attitudes and
developed using the empirical criterion motivations (e.g., to present themselves in
keying approach. The MMPI-2 consists of an overly favorable light, to exaggerate
567 true–false items and provides scores on their problems or symptoms, to engage in
ten clinical scales, seven validity scales, and random responding).
several content and supplementary scales.
Interpretation of the MMPI-2 is usually
based on an analysis of the entire profile Chapter 9
rather than on selected scores. Like the
MMPI before it, the MMPI-2 has been used antecedent Stimulus conditions, or
for many different purposes across multiple conditions conditions that lead up to the
settings, and it remains one of the primary behavior of interest.
self-report inventories of personality and behavioral An assessment approach that
psychopathology. assessment focuses on the interactions
objective Personality assessment tools in which the between situations and
personality examinee responds to a standard set of behaviors for the purpose of
measures questions or statements using a fixed set of effecting behavioral change.
options (e.g., true or false, dimensional behavioral Interviews conducted for the
ratings). interviews purpose of identifying a problem
projective Psychological testing techniques that use behavior, the situational factors
techniques people’s responses to ambiguous test that maintain the behavior, and
stimuli to make judgments about their the consequences that result
adjustment–maladjustment. Proponents from the behavior.
believe that examinees “project” behavioral Role-playing. The term
themselves onto the stimuli, thus revealing rehearsal behavioral rehearsal is usually
unconscious aspects of themselves. used in cases where the patient
Revised NEO- A self-report measure of the FFM that is trying to develop a new
Personality consists of 240 statements, each of which is response pattern.
Inventory rated on a 5-point scale. This test yields cognitive- An assessment approach
(NEOPI-R) scores on all five domains of the FFM behavioral recognizing that the person’s
(Neuroticism, Extraversion, Openness, assessment thoughts or cognitions play an
Agreeableness, and Conscientiousness) as important role in behavior.
well as the six facets corresponding to each
domain. cognitive- An assessment approach that
functional approach calls for the functional analysis of
Rorschach A projective technique that interprets the client’s thinking processes. In
people’s responses to a series of ten this approach, the clinician
inkblots. completes a careful analysis of
sentence A simple projective technique in which the person’s cognitions, how
completion people are asked to complete, in writing, a they are aiding or interfering
method number of sentence stems (e.g., “I often with performance, and under
believe . . .”). what situations this is occurring.
consequent events Outcomes, or events that follow functional analysis A central feature of behavioral
from the behavior of interest. assessment. In a functional
analysis, careful analyses are
controlled An observational method in
made of the stimuli preceding a
observation which the clinician exerts a
behavior and the consequences
certain amount of purposeful
following from it to gain a
control over the events being
precise understanding of the
observed; also known as
causes of the behavior.
analogue behavioral
observation. Controlled home observation Observation that is carried out in
observation may be preferred in the patient’s home by trained
situations where a behavior does observers using an appropriate
not occur very often on its own observational rating system.
or where normal events are
hospital Observation that is carried out in
likely to draw the patient outside
observation psychiatric hospitals or
the observer’s range.
institutions using an
controlled An assessment procedure in observational device designed
performance which the clinician places for that purpose.
technique individuals in carefully
observation A primary technique of
controlled performance
behavioral assessment.
situations and collects data on
Observation is often used to gain
their performance/behaviors,
a better understanding of the
their emotional reactions
frequency, strength, and
(subjectively rated), and/or
pervasiveness of the problem
various psychophysiological
behavior as well as the factors
indices.
that are maintaining it.
dysfunctional Completed by the client, it
observer drift A phenomenon in which
thought record provides the client and therapist
observers who work closely
with a record of the client’s
together subtly, and without
automatic thoughts that are
awareness, begin to drift away in
related to dysphoria or
their ratings from those of other
depression.
observers.
ecological A new method of behavioral
organismic Physical, physiological, or
momentary assessment in which participants
variables cognitive characteristics of the
assessment record their thoughts, feelings,
client that are important for
or behaviors as they occur in the
both the conceptualization of
natural environment. This is
the client’s problem and the
typically accomplished through
formulation of effective
the use of electronic diaries.
treatments.
ecological validity In the context of behavioral
psychophysiological Used to assess central nervous
assessment, the extent to which
measures system, autonomic nervous
the behaviors analyzed or
system, or skeletomotor activity.
observed are representative of a
The advantage of
person’s typical behavior.
psychophysiological measures is
electronic diaries A technique used in behavior that they may assess processes
assessment in which individuals (e.g., emotional responsivity)
carry handheld computers that that are not directly assessed by
are programmed to prompt the self-report or behavioral
individuals to complete measures, and they tend to be
assessments at that moment in more sensitive measures of
time, in participants’ natural these processes than alternative
environment. measures. Examples include
event-related potentials (ERPs),
electromyographic (EMG)
activity,
electroencephalographic (EEG)
activity, and electrodermal real life and then observes their
activity (EDA). reactions directly.
SORC model A model for conceptualizing
clinical problems from a
behavioral perspective. In this
model, S the stimulus or
antecedent conditions that bring
on the problematic behavior, O
the organismic variables related
to the behavior, R the response
or the behavior itself, and C the
consequences of the behavior.
unit of analysis In the context of observation,
the length of time observations
reactivity In the context of observation,
will be made and the type and n-
the phenomenon in which
umber of responses that will be
individuals respond to the fact
rated.
that they are being observed by
changing their behavior.
role-playing A technique in which patients
Chapter 10
are directed to respond the way
they would typically respond if Barnum effect A term applied in cases where
they were in a given situation. statements that appear to be valid
The situation may be described self-descriptions in actuality
to them, or an assistant may characterize almost everybody.
actually act the part of another
clinical A complex, inferential process in
person.
interpretation which the clinician considers the
sample Behavioral assessment uses a information at hand (e.g., interview
“sample” orientation to data, test results) to conceptualize
testing—that is, the goal is to the problem and determine a course
gather examples that are of action.
representative of the situations
correlates Related variables. Clinicians
and behaviors of interest.
employing a correlational orientation
school observation Behavioral observation that is to patient data focus on the
conducted in the school setting. presumed behavioral, attitudinal, or
As with home observation, emotional correlates of specific
trained observers rate the results.
patient using an appropriate
quantitative An approach to clinical judgment and
observational system.
or statistical interpretation that uses formulas and
self-monitoring An observational technique in approach statistical models (already derived) to
which individuals observe and make predictions about clinical
record their own behaviors, outcomes. Once the formulas have
thoughts, or emotions (including been established, this approach
information on timing, involves no clinical decision making
frequency, intensity, and at all.
duration).
referral The question about the patient that
sign Traditional assessment uses a question prompted the assessment.
“sign” approach to testing—that
samples Specimens of behavior. One
is, the goal is to identify marks of
orientation to patient data views
underlying characteristics.
these data as samples of a larger pool
situational test A controlled observation of information about the patient.
technique in which the clinician
signs Markers of underlying
places individuals in situations
characteristics. One orientation to
more or less similar to those of
patient data regards these data as
signs of some underlying state or
trait.
stereotyped Fixed beliefs (e.g., about certain
beliefs diagnostic signs, about certain
demographically defined groups)
that may influence clinical judgment.
subjective or An approach to clinical judgment and
clinical interpretation that is largely intuitive
approach and experiential. Subjective or
clinical interpretation requires that
the clinician be sensitive to
information from a wide range of
sources and make a series of
inductive or deductive
generalizations to link the
observations and predict the
outcome.

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