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.