Psychological Assessment: Cultural Issues

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Questions and Answers

Which task best evaluates an individual's ability to switch between different types of information?

  • Trail Making Test A
  • Continuous Performance Task (CPT)
  • Controlled Oral Word Association Task (COWAT)
  • Trail Making Test B (correct)

In neuropsychological assessment, what is the primary purpose of establishing a baseline level of functioning?

  • To identify an individual’s unique strengths.
  • To assess changes over time due to injury or treatment. (correct)
  • To facilitate collaboration with medical doctors.
  • To diagnose psychological disorders only.

A clinical neuropsychologist, beyond their doctoral training, would typically demonstrate expertise in which area?

  • Specialized optometric techniques.
  • Administering psychotropic medications.
  • Neuroanatomy and brain-behavior relationships. (correct)
  • Advanced surgical procedures.

What is a key focus in pediatric neuropsychology not typically as emphasised in adult neuropsychology?

<p>Understanding typical and atypical patterns of brain development. (B)</p> Signup and view all the answers

What is the primary focus of the Stroop Task?

<p>Measuring cognitive flexibility and interference control (B)</p> Signup and view all the answers

Which of the following tasks primarily assesses verbal fluency?

<p>Controlled Oral Word Association Task (COWAT) (A)</p> Signup and view all the answers

Within the field of neuropsychology, understanding how brain structures relate to cognitive outcomes is best described by which concept?

<p>Brain-Behavior Framework (C)</p> Signup and view all the answers

Which of the following statistical events is closest to the frequency of X and Y chromosome variations occurring at birth?

<p>Approximately 1 in 400 births. (A)</p> Signup and view all the answers

A male with Klinefelter syndrome is most likely to show which cognitive pattern?

<p>Average IQ, with strengths in nonverbal and visual skills but weaknesses in language and verbal reasoning. (D)</p> Signup and view all the answers

Which of the following is typically observed in females with Triple X syndrome?

<p>Mean IQ 15-20 points lower than controls, with stronger nonverbal than verbal skills. (B)</p> Signup and view all the answers

The interpretation of norm-referenced scores in neuropsychological testing involves:

<p>Comparing an individual’s performance to a representative sample of the population. (C)</p> Signup and view all the answers

What does a T-score of 45 typically indicate in neuropsychological assessment?

<p>Cognitive functioning within the 'Average' range. (B)</p> Signup and view all the answers

Which of the following is NOT an accepted intervention approach for students with learning disabilities?

<p>Providing the same standard instruction for all students. (D)</p> Signup and view all the answers

Which of the following is a common approach in educational settings for students with attention disorders (ADHD)?

<p>Seating changes, providing breaks, and creating routine variations. (C)</p> Signup and view all the answers

What distinguishes a screening neuropsychological assessment from a comprehensive assessment?

<p>Screenings are brief, taking 1-2 hours to identify impairments, while a comprehensive assessment take 6-8 hours to develop a full cognitive profile. (D)</p> Signup and view all the answers

The Glasgow Outcome Scale (GOS) is primarily used for:

<p>Assessing functional outcomes after brain injury. (A)</p> Signup and view all the answers

Which of the following is a functional consequence of severe mental disorders?

<p>Impaired social interactions (C)</p> Signup and view all the answers

What do personality traits represent?

<p>Stable, recurring patterns of behavior (C)</p> Signup and view all the answers

What is the purpose of validity scales in the MMPI?

<p>To detect response biases (B)</p> Signup and view all the answers

Which test is primarily used to measure cognitive flexibility and interference control?

<p>Stroop Task (C)</p> Signup and view all the answers

According to the DSM-5, what is a key feature of mental disorders?

<p>Disturbances in cognition, emotion regulation, or behavior (C)</p> Signup and view all the answers

What is the primary distinction between a personality style and a personality disorder?

<p>Personality styles are a lifelong way of thinking, feeling, and behaving becoming more rigid under stress, while personality disorders are defined by clinical syndromes. (D)</p> Signup and view all the answers

Which of these is NOT a typical functional consequence of common mental disorders?

<p>Complete lack of social interactions. (B)</p> Signup and view all the answers

Which assessment aligns its scales with the DSM-5-TR and ICD-10 criteria?

<p>Millon Clinical Multiaxial Inventory (MCMI-IV) (C)</p> Signup and view all the answers

What is the primary purpose of neuropsychological assessment?

<p>To measure cognitive functioning and identify neuroanatomical structures (C)</p> Signup and view all the answers

When is it appropriate to refer a patient for neuropsychological assessment?

<p>When a broader understanding of cognitive and emotional strengths and weaknesses is needed (B)</p> Signup and view all the answers

Which of the following best differentiates between a symptom and a syndrome?

<p>A syndrome is a group of symptoms suggesting a disorder (A)</p> Signup and view all the answers

Which of the following statements is true about the distinction between disease and disorder?

<p>A disease often has a known cause, while a disorder may have complex origins (D)</p> Signup and view all the answers

What component is emphasized in the DSM-5 definition of mental disorders?

<p>A disturbance in cognition, emotion regulation, or behavior (C)</p> Signup and view all the answers

Which checklist focuses specifically on suicidal ideation and hopelessness?

<p>Beck Hopelessness Scale (A)</p> Signup and view all the answers

Which of the following is NOT a characteristic of a mental disorder as defined by the DSM-5?

<p>A single symptom showing the presence of a disease (A)</p> Signup and view all the answers

What component of an assessment report includes the patient's main concern in their own words?

<p>Chief Complaint (B)</p> Signup and view all the answers

What is the purpose of the Problem List in a treatment plan?

<p>To outline the significant issues identified during the assessment (C)</p> Signup and view all the answers

Which of the following assessments specifically measure memory?

<p>Wechsler Memory Scale (WMS-IV) (C)</p> Signup and view all the answers

What type of psychological assessments is the Stroop Task an example of?

<p>Cognitive Flexibility Test (D)</p> Signup and view all the answers

Which of the following best describes 'circumstantiality' in mental status observations?

<p>Excessive detail with difficulty reaching the point (D)</p> Signup and view all the answers

In case formulation, which term refers to smaller events that exacerbate symptoms?

<p>Triggers (D)</p> Signup and view all the answers

What is included in the DSM-5 Diagnoses component of an assessment report?

<p>Formal diagnosis based on assessment findings (D)</p> Signup and view all the answers

What therapy type is commonly used to address severe anxiety within a treatment plan?

<p>Cognitive-behavioral therapy (B)</p> Signup and view all the answers

Which of the following statements about the Child Behavior Checklist (CBCL) is true?

<p>It evaluates both internalizing and externalizing problems in children and adolescents. (C)</p> Signup and view all the answers

Which of the following is NOT a key feature of Narcissistic Personality Disorder (NPD)?

<p>Excessive emotionality (C)</p> Signup and view all the answers

What is the primary focus of the Alternative Model for Personality Disorders (AMPD)?

<p>Dimensional assessment of personality traits (C)</p> Signup and view all the answers

Which of the following personality disorders is classified as a Cluster B personality disorder?

<p>Histrionic personality disorder (C)</p> Signup and view all the answers

Which diagnostic tool is used to assess the five broad domains and 25 facets of personality traits outlined in the AMPD?

<p>PID-5 (D)</p> Signup and view all the answers

Which of the following is a potential differential diagnosis for Narcissistic Personality Disorder (NPD)?

<p>Bipolar disorder (B)</p> Signup and view all the answers

What diagnostic criterion for NPD involves a need for excessive admiration from others?

<p>Exaggerated sense of self-importance (C)</p> Signup and view all the answers

Which of the following is NOT a personality disorder in Cluster A (Odd/Eccentric)?

<p>Histrionic (D)</p> Signup and view all the answers

The Pathological Narcissism Inventory (PNI) measures which two dimensions of narcissism?

<p>Vulnerable and grandiose (D)</p> Signup and view all the answers

Flashcards

Trail Making Test

A neuropsychological assessment tool that measures visual attention and task-switching abilities. The test involves connecting numbered circles in sequence and then alternating between numbered and lettered circles.

Wechsler Memory Scale (WMS-IV)

A neuropsychological evaluation that assesses various memory functions, including working memory, long-term memory, and visual memory.

Controlled Oral Word Association Task (COWAT)

A neuropsychological assessment that examines verbal fluency and language processing by asking the individual to generate as many words as possible within a specific time limit, starting with a particular letter.

Stroop Task

A neuropsychological assessment that examines cognitive flexibility and interference control by asking the individual to name colors of words while ignoring the words themselves.

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Wisconsin Card Sorting Test (WCST)

A neuropsychological assessment that evaluates abstract reasoning and problem-solving abilities by asking the individual to sort cards based on various criteria.

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Brain-Behavior Framework

A framework that connects brain structures and functions to cognitive and behavioral outcomes.

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Identify cognitive strengths and weaknesses

A specific goal of neuropsychological assessment that involves identifying the strengths and limitations of an individual's cognitive abilities.

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Assess changes over time

A specific goal of neuropsychological assessment that involves comparing an individual's current cognitive performance to their previous level of functioning.

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Ecological Validity

The ability of test results to predict how a person will function in everyday life.

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Norm-Referenced Scores

A standardized score that compares an individual's performance to a representative sample of the population.

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Cut-off Scores

Scores used to determine if someone has a cognitive impairment, such as mild cognitive impairment or dementia.

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Comprehensive Assessment

A type of neuropsychological assessment that provides a detailed cognitive profile.

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Screening Assessment

A brief neuropsychological assessment used to identify potential cognitive strengths and weaknesses.

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Klinefelter Syndrome

A neurodevelopmental disorder characterized by an extra X chromosome in males (47, XXY).

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Triple X Syndrome

A neurodevelopmental disorder characterized by an extra X chromosome in females (47, XXX).

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Glasgow Outcome Scale (GOS)

A standardized tool used to assess functional outcomes after brain injury, such as coma or stroke.

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Syndrome

A group of symptoms that occur together, suggesting a specific disorder (e.g., depression, anxiety).

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Symptom

A single sign or indication of a disease or disorder (e.g., sadness, difficulty concentrating).

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Disorder

A disturbance in mental processes, behavior, or emotion, often with complex origins (e.g., bipolar disorder).

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Disease

A condition with a known cause, often biological (e.g., Alzheimer's disease).

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Mental Disorder (DSM-5 Definition)

A syndrome characterized by a clinically significant disturbance in an individual's cognition, emotion regulation, or behavior. It reflects a dysfunction in psychological, biological, or developmental processes and is associated with significant distress or impairment in social, occupational, or other important areas of functioning.

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Purpose of Neuropsychological Assessment

To measure cognitive functioning, identify affected neuroanatomical structures, and provide recommendations for intervention.

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When to Refer for Neuropsychological Assessment

When a broader understanding of cognitive, behavioral, and emotional strengths and weaknesses is needed, or to clarify the impact of neurological conditions.

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Neuropsychological Assessment

A type of psychological assessment that focuses on brain function and how it impacts thinking, behavior, and emotion.

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Mental disorder definition (DSM-5)

Significant disturbances in cognition, emotion regulation, or behavior, reflecting dysfunctional biological, psychological, or developmental processes, causing distress and impairment in important life areas.

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Personality Style

A lifelong pattern of thinking, feeling, and behaving that's partially determined by biology and can become more rigid under stress.

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Personality Trait

A stable, recurring pattern of behavior that makes up a person's personality.

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Personality Types

Groups of personality traits that form recognizable categories, like 'introvert' or 'extrovert.'

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Personality Styles

A dimensional approach that assesses individuals on a continuum of various traits, like the Big Five personality traits.

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Minnesota Multiphasic Personality Inventory (MMPI)

A psychological test used to assess personality traits and psychopathology, including validity scales to detect response biases.

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Narcissistic Personality Disorder (NPD)

A personality disorder marked by a pervasive pattern of grandiosity, need for admiration, and lack of empathy.

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Histrionic Personality Disorder (HPD)

A personality disorder characterized by excessive emotionality, attention-seeking behavior, and dramatic or theatrical expressions.

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Structured Clinical Interview for DSM-5 (SCID-5)

A semi-structured interview used to diagnose DSM-5 mental disorders, including personality disorders.

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Alternative Model for Personality Disorders (AMPD)

A dimensional approach to diagnosing personality disorders that focuses on impairments in self and interpersonal functioning, as well as pathological personality traits.

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Pathological Narcissism Inventory (PNI)

An assessment tool that measures grandiose and vulnerable narcissism across seven dimensions.

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Paranoid Personality Disorder

A personality disorder characterized by a pervasive pattern of distrust and suspiciousness of others.

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Schizoid Personality Disorder

A personality disorder characterized by detachment from social relationships and restricted emotional expression.

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Schizotypal Personality Disorder

A personality disorder characterized by odd thinking and behavior, as well as social anxiety and discomfort.

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History of Present Illness (HPI)

A detailed account of the patient's current symptoms and difficulties, including the onset, frequency, severity, and context of their problems.

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Broad-Based Checklists

Measures designed to assess a broad range of psychological symptoms or traits.

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DSM-5 Diagnoses

These provide a formal diagnosis based on the assessment findings, utilizing the criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).

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Treatment Plan

A plan that outlines the patient's problems, treatment goals, and specific interventions to address those issues.

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Triggers

Events or situations that trigger or exacerbate a person's symptoms. These are often smaller, more immediate, and can be situational.

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Delusion

A fixed, false belief that is not based on reality and is resistant to logical reasoning or evidence.

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Chief Complaint

The patient's main concern, expressed in their own words. This is often the reason they seek professional help.

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Circumstantiality

Excessive detail in responses, often causing a delay in getting to the point. This can make it difficult to follow the flow of conversation.

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Study Notes

Psychological Assessment: Cultural Issues

  • Culture encompasses shared beliefs, values, practices, and traditions within a group. Individuals internalize cultural aspects, influencing their thoughts and behaviors.
  • Cultural differences stem from variations in physical environments, socioeconomic contexts, historical events, religious beliefs, and philosophies; this influences attitudes, beliefs, expectations, norms, gender roles, stereotypes, and values.
  • Diagnosing psychopathology depends on the perspective of the patient's cultural group. Ethnocentrism (viewing one's own culture as superior) can lead to biased diagnoses.
  • Cultural Formulation Interview (CFI) in DSM-5 aids in understanding cultural identity to better diagnose individuals.
  • Cultural syndromes are symptom clusters specific to certain groups. Idioms of distress are culturally specific ways of expressing distress (e.g., ataque de nervios). These can differ significantly from Western understandings of mental health.

Cultural Formulation in DSM-5

  • The DSM-5 includes guidelines for assessing a person's cultural identity, which is crucial for diagnosis and treatment.
  • Cultural information is essential for clinicians to avoid misinterpreting symptoms or behaviors related to culturally expected expressions of distress.

Cultural Syndromes and Idioms of Distress

  • Cultural syndromes are clusters of symptoms recognized in certain cultural groups but not always perceived as a disorder in other cultures (e.g., ataque de nervios, taijin kyofusho).
  • Idioms of distress are culturally specific ways of expressing distress, representing how different cultures express anxiety, depression, or other mental health concerns.

Cultural Bias in Testing

  • The cultural test bias hypothesis suggests that differences in test performance between racial or ethnic groups could be due to biases in the test itself rather than inherent differences in ability. Types of bias include content bias (test items favor certain cultural knowledge) and interpretation bias (test results interpreted differently based on cultural stereotypes).

Neuropsychological Assessment

  • Neuropsychology studies the relationship between brain functioning and behavior.
  • Assessments may include areas like intellectual functioning, visual processing, sensory/motor skills, memory, attention, executive functioning, academic achievement, and adaptive functioning.
  • Common tests include Trail Making Tests, Continuous Performance Task, Wechsler Memory Scale, Wisconsin Card Sorting Test, and Stroop task. Assessment techniques consider the impact of cultural background and factors.

Ethical Principles in Psychology

  • Competence, integrity, respect, confidentiality, and social responsibility are fundamental in psychological practice.
  • Professional conduct should uphold these principles and promote client well-being and positive contributions to society.
  • Dual relationships, where a psychologist has a professional and personal relationship with a client, should be avoided to minimize conflicts of interest and maintain ethical standards.
  • Psychologists must respect cultural diversity and individual differences in assessment and treatment.
  • Psychologists should consider the cultural context of symptoms and behaviors and avoid imposing their own cultural norms.

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