lifetime prevalence 108
linkage analysis 111
longitudinal design 107
match subjects design 99
meta-analysis 112
monozygotic (MZ) twins 110
naturalistic observation 88
negative correlation 90
null hypothesis 100
operational definition 93
placebo effect 97
population 98
positive correlation 90
prevalence 107
private personality 116
probability 101
randomization 99
randomized control trial (RCT) 99
replication 111
research hypothesis 100
right to privacy 115
risk 109
sample 101
science 84
scientific knowledge 85
single-subject designs 105
statistically significant 111
twin studies 110
validity 93
voluntary participation 115
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4 Assessment and Classification of Psychological Disorders
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Chapter Outline
Initial Assessment and the Mental Status Exam
The Clinical Interview
The Mental Status Exam
Structured Interviews and Assessment Considerations
Structured Clinical Interview for DSM Disorders
Assessing Cultural Dimensions
CULTURAL LENS: Empirically Supported Research Approaches and Cultural Competence
Reliability and Validity in Relation to Psychopathology
Reliability
Assessment Validity
Models of Assessment
Symptom Questionnaires
Personality Tests
Minnesota Multiphasic Personality Inventory (MMPI)
Projective Tests
Rorschach Inkblots
Thematic Apperception Test (TAT)
Neuropsychological Testing
Neuropsychological Tests and Mental Illness
Using Neuroscience Techniques to Identify Mental Illness
Diagnostic Considerations in Psychopathology
Categorical Versus Dimensional Approaches
Comorbidity, Internalizing Disorders, and Externalizing Disorders
Utilizing Neuroscience Methods in Diagnosis and Treatment
Classification Systems for Mental Disorders
International Statistical Classification of Diseases and Related Health Problems
Diagnostic and Statistical Manual of Mental Disorders
Origins of the DSM
Early Versions of the DSM and the Eventual Focus on Diagnostic Criteria
DSM–5: The Current Version
LENS: Assessment, Classification, and Clinical Practice: The RDoC Alternative to the DSM
Summary
Study Resources
Review Questions
For Further Reading
Key Terms and Concepts
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Learning Objectives
4.1 Explain what the mental status exam is and how it is used.
4.2 Identify cultural and other considerations used in the assessment of psychological disorders.
4.3 Identify the tests and techniques used in assessing mental illness.
4.4 Discuss diagnostic considerations in approaching psychopathology.
4.5 Explain the significance of the DSM–5 and RDoC in the classification of mental disorders.
Elyn Saks told of her time as a graduate student at Oxford after graduating from Vanderbilt University. As a student at Oxford, she began to have a hard time concentrating on academic work and lectures. She turned in papers that her tutor did not understand. A friend of hers who was a nurse asked her fiancé, who was a physician who specialized in neurology, to talk with Elyn. Elyn Saks remembers the conversation as follows:
“Jean and I are very concerned about you,” he said quietly. “We think you may be quite sick. Would you mind if I asked you some questions?”
“I’m not sick,” I responded. “I’m just not smart enough. But questions, yes. Ask me questions.”
“Are you feeling down?”
“Yes.”
“Loss of pleasure in daily activities?”
“Yes.”
“Difficulty sleeping?”
“Yes.”
“Loss of appetite?”
“Yes.”
“How