Clinical Assessment and Diagnosis
Clinical Assessment and Diagnosis
CHAPTER 3
Assessing Psychological Disorders
Diagnosing Psychological Disorders
Assessing Psychological Disorders
Clinical assessment is the systematic evaluation and measurement of psychological,
biological, and social factors in an individual with a possible psychological disorder;
diagnosis is the process of determining that those factors meet all criteria for a specific
psychological disorder.
Reliability, validity, and standardization are important components in determining the
value of a psychological assessment.
To assess various aspects of psychological disorders, clinicians may first interview and
take an informal mental status exam of the patient. More systematic observations of
behavior are called behavioral assessment.
A variety of psychological tests can be used during assessment, including projective tests,
in which the patient responds to ambiguous stimuli by projecting unconscious thoughts;
personality inventories, in which the patient takes a self-report questionnaire designed to
assess personal traits; and intelligence testing, which provides a score known as an
intelligence quotient (IQ).
Biological aspects of psychological disorders may be assessed through
neuropsychological testing designed to identify possible areas of brain dysfunction.
Neuroimaging can be used more directly to identify brain structure and function.
Finally, psychophysiological assessment refers to measurable changes in the nervous
system, reflecting emotional or psychological events that might be relevant to a
psychological disorder.