Clinical Psych Midterms

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- Intelligence is not just a single, unified

INTRO TO CLINICAL ability but as numerous distinct


PSYCHOLOGY abilities.
Midterms Contemporary Theories of Intelligence

INTELLECTUAL & NEUROPSYCHOLOGICAL James Cattell


ASSESSMENT
- Proposed two separate intelligences
Intelligence Tests o Fluid - The ability to reason
when faced with novel
- Measure intellectual abilities problems
Achievement Tests  Examples: Learning
directions in a new city,
- In contrast to intelligence, this solving mystery crimes
measures what a person has without previous
accomplished, especially in academic experience
subjects o Crystallized - body of
- E.g., math, spelling, vocabulary knowledge accumulated
Neuropsychological Tests through life experiences
 Examples: Vocabulary,
- Focus on issues of cognitive or brain cooking recipes, solving
dysfunction math problems
- From brain injuries and illnesses
Howard Gardner
Classic Theories of Intelligence
- Multiple intelligences
Charles Spearman
John Carroll
2 Factor Theory of Intelligence (Hierarchical
Model) - Proposed the three-stratum theory of
intelligence
- Intelligence is one thing o A contemporary theory that
- “g” for general intelligence intelligence operates at three
o Represented a person’s global levels:
and overall intellectual ability  a single “g” at the top
- “s” for special intelligence  8 broad factors
o These are specific mental  more than 60 highly
abilities specific abilities
o But only play minor role in beneath these broad
intelligence factors
Louis Thurstone Wechsler Intelligence Tests
By David Wechsler in early 1900s
- Intelligence is many things
- Pioneered the Multiple Factor Analysis 3 Current Editions of Wechsler IQ Tests

1. Wechsler Adult Intelligence Scale—


Fourth Edition (WAIS-IV)
2. Wechsler Intelligence Scale for Children  Also yield about a dozen
—Fifth Edition (WISC-V) specific subtests scores
3. Wechsler Preschool and Primary Scale 2. One-to-one and face-to-face
of Intelligence—Fourth Edition (WPPSI- administration (not a group
IV) administered test)
3. Each subtest is brief (2-10 minutes);
items increase in difficulty as the
subtest progress
4. Share a core of subtests
5. Original Wechsler test has 2 subtest
categories: verbal and performance.
6. Has a large set of normative data (2000
people)
7. Full-scale and index scores generated
by the Wechsler test are “IQ scores”
 Examinees raw scores are
compared with age-based
expectations
 Mean = 100; SD= 15
8. General approach to interpretation:
Wechsler Adult Intelligence Scale—Fourth
full-scale IQ score, then to the subscales
Edition (WAIS-IV)
9. Strong reliability & validity
- The current edition of a prominent 10. Used in a wide range of clinical
intelligence test for adults applications
- 16 to 90 yrs old 11. Available on a digital platform

Wechsler Intelligence Scale for Children—Fifth Stanford-Binet Intelligence Tests – Fifth Edition
Edition (WISC-V) (SB5)

- The current edition of a prominent - Early 1900s


intelligence test for children - Difference from the Wechsler…
- 6 to 16 yrs old o Tests One test covers whole
lifespan (ages 2-85+)
Wechsler Preschool and Primary Scale of
o Subtests include extensions at
Intelligence—Fourth Edition (WPPSI-IV)
high and low end (useful for
- 2 to 7 yrs old assessing giftedness or mental
retardation)
Characteristics of the Wechsler Intelligence
o Different subtests and specific
Tests
factors
1. Yield a single full-scale intelligence o Has become less commonly
score used than Wechsler tests, but
 Also yield 4 index scores: Verbal still highly regarded and used
Comprehension, Perceptual o Five Factors:
Reasoning, Working Memory,
Processing Speed
 Fluid Reasoning - The 2. Kaufman Test of Educational
ability to solve novel Achievement (KTEA)
problems 3. Wechsler Individual Achievement Test
 Knowledge - General (WIAT)
information o a comprehensive achievement
accumulated over time test for clients aged 4 to 50
via personal
experiences, including NEUROPSYCHOLOGICAL TESTING
education, home, and - to measure cognitive functioning or
environment impairment of the brain and its specific
 Quantitative Reasoning components or structures
- The ability to solve
numerical problems Full Neuropsychological Batteries
 Visual-Spatial Halstead-Reitan Neuropsychological Battery
Reasoning - The ability (HRB)
to analyze visually
presented information - A relatively popular, comprehensive
and detecting visual battery of eight standardized
patterns neuropsychological tests
 Working Memory - The - For 15 yrs +
ability to hold and - Primary purpose: To identify people
transform information with brain damage and provide detailed
in short-term memory info about any damage identified

Culture Fairness Luria-Nebraska Neuropsychological Battery


- The extent to which an intelligence test is (LNNB)
based on universal rather than culture-specific
- 12 standardized neuropsychological
concepts or methods
scales
Universal Nonverbal Intelligence Test (UNIT) - emphasis on qualitative data
- slightly briefer
- 1996
- No speaking or shared understanding of NEPSY-II
language is needed
- A battery of neuropsychological tests
- All instructions are hand gestures
designed specifically for children
- All responses are manual, not verbal
- Some drawbacks Brief Neuropsychological Measures
o only for kids aged 5-17
Bender Visual-Motor Gestalt Test – Second
o limited psychometric data
Edition
o Not well-established
- Straightforward copying task
Achievement Tests
- Measures visuoconstructive abilities
1. Woodcock-Johnson Test of
Rey-Osterrieth Complex Figure Test
Achievement (WJ- ACH)
- Brief pencil-and-paper drawing task but - True/false format
unlike Bender Gestalt, involves just a
Personality Assessment Inventory (PAI)
single, complex geometric figure
- Leslie Morey, 1991
PERSONALITY ASSESSMENT & BEHAVIORAL
- Four responses: totally false, slightly
ASSESSMENT true, mainly true, very true
Multimethod Assessment - For clients 18-89 years old

It is best to use multiple methods Millon Clinical Multiaxial Inventory


(MCMI-IV)
o Tests
o Interviews - Theodore Millon
o Observations - True/False
o Other sources - Emphasizes personality disorders

Evidence-Based Assessment NEO Personality Inventory – 3 (NEO-PI-3)

- “what works” empirically - Paul Costa & Robert McCrae


- Have strong psychometrics: - Measures “normal” personality, not
o Reliability pathologies
- Based on 5 factor model of personality
o Validity
o Utility Beck Depression Inventory II (BDI-II)
Overpathologizing - Aaron Beck
- Focus only on depression, anxiety, and
- Viewing as abnormal that which is
eating disorders
culturally normal
- For example: Indian wives tend to be Projective Personality Tests
submissive to their husbands because it
is part of their culture that women stay - resented with unstructured, ambiguous
at home, even have to wait for men to stimuli
finish eating before them. To some, it - Comes from the assumption: People
may look like overdependency. will project their personalities to the
presented ambiguous stimuli
Objective Personality Tests
Rorschach Inkblot Method
- unambiguous test items, offer clients a
limited range of responses, and are - Herman Rorschach
objectively scored - Scoring emphasizes how the client
- true/false perceives the blot as well as what the
- multiple-choice client sees
- paper-and-pen Thematic Apperception Test (TAT)
Minnesota Multiphasic Personality Inventory 2 - Henry Murray & Christiana Morgan
(MMPI-2) - Client tells a story from the scenario
- By Starke Hathaway & J.C. McKinley shown in the cards
- To measure psychopathology Sentence Completion Tests
- Most widely used: Rotter Incomplete - Client's “resist” certain topics in therapy
Sentence Blank (RSIB) because they touch on certain
- unconscious feelings or thought

Behavioral Assessment Defense Mechanisms

- Assumption: client behaviors are not - an attempt to handle conflict between


signs of underlying issues or problems; id and superego
instead, those behaviors are the o Repression
problems. o Projection
o Reaction Formation
COURSES OF CLINICAL INTERVENTION
o Displacement
1. Initial Contact o Sublimation
2. Assessment
Transference
3. Goals of Treatment
4. Implementing Treatment - Client forms a relationship with
5. Termination, Evaluation, & Follow-Up therapist in which client unconsciously
and unrealistically expects therapist to
Stages of Change (Prochaska et al., 2002)
behave like important people from the
 Precontemplation client’s past
 Contemplation - Example: The client starts treating
 Preparation his/her therapist as his/her mother,
 Action expressing hostility and anger towards
 Maintenance her
 Termination
Psychosexual Stages: Clinical Implications
PSYCHOTHERAPY: THE PSYCHODYNAMIC Stage Age Key If too If too little..
PERSPECTIVE Range Issue much..
Oral 0-1.5 Depen Naïve, Distrustful,
Main Goal: Stage yrs old dency/ overly pessimistic,
- Make the unconscious conscious Trust trusting overly
suspicious
Techniques in Psychotherapy
Anal 1.5-3 Control “Control Disorganized,
Free Association Stage yrs old freaks”, “slobs”
obsessive
- Clients simply say whatever comes into Phallic 3-6 Self- Arrogant, Insecure,
mind without any self-censorship or Stage yrs old worth/ egotistical self-doubting
self-editing View of
Self
Freudian Slips

- Verbal or behavioral “mistakes” reveal


unconscious wishes, underlying Contemporary Forms of Psychodynamic
intentions Psychotherapy
Resistance Ego psychology
- Emphasizes social relationships over
psychosexual stages
- Erik Erikson

Object Relations

- Emphasizes relationships between


internalized “objects” (impt. people in
client’s life)
- Melanie Klein,Otto Kernberg, Ronald
Fairbarn

Self-Psychology

- Emphasizes parental roles in the


development of the self, with special
attention to narcissism
- Hanz Kohut

Most Recent Forms of Psychodynamic Therapy

- Brief Psychodynamic Psychotherapies


- Interpersonal Therapy (IPT)
- Time-Limited Dynamic Psychotherapy
(TLDP)

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