Testing and Therapy Exam 2 (Testing (The Evolution of MMPI (MMIP- The…
Testing and Therapy Exam 2
"Although it may be difficult (perhaps impossible), the currentfindings, along with Witte et al. (2017), suggest that the primarygoal should be the development of a measure that identifies thetaxon group, instead of a measure that focuses only on assessingthe full range of suicidality "
There is debate in how we should structure diagnosis, especially when it comes to suicide and PTSD. Some psychologists thinks things should be organized into categories, such as high risk and low risks, in order to treat the severity based the degree the negative symptoms are presented.
"In summary, given the heterogeneity of individuals with trauma histories and complex presentations, it seems unlikely that there will ever be a single protocol-driven therapy that is found to be effective for the majority of individuals."(Wagner)
One major problem with not separating illnesses in categories is the treatment is often generalized to a wide range of disorders under the same umbrella.
The Evolution of MMPI
MMIP- The Minnesota Multiphasic Personality Inventory (MMPI) was designed to measure personal, social, and behavioral issues in clinical clients.
The MMPI was first used as a method to see if individuals were competent enough to face war.
Measured scales of Hypochondriasis , Depression, Hysteria, Psychopathic Deviate, Masculinity-Femininity, Paranoia ,Psychasthenia (OCD), Schizophrenia, Hypomania, Social Introversion
Ethical issues in determining personality for jobs and defining gender roles.
In order to ensure a client is comfortable with their treatment, their culture is put into context. A cultural assessment may be conducted by the psychologist to determine if there are any cultural factors that affect the mentality of their client. Culture can be specific to the various parts of one's identity, including race, sexuality, gender, etc. (Grieger)
Psychology vs Psychiatry
Focused on treatment with medicine, and more individual focused
Focused on the reasoning behind the behavior, and includes all aspects from environment.
"In summary, psychologists are in an age when health care policymakers and the public at large have accepted that psychological interventions can have beneficial effects and should be included in the healthcare system" (Barlow)
Children in Therapy
Joey's case (Haydel)
"Linked with this, Joey’s testing revealed that when he was with his mother he regressed, was inhibited, and performed poorly on psychological tests. Joey wanted to develop as a normal 6-year-old. He performed at a higher level when he was tested on his own and was more communicative in his responses. In addition, he was both expressive and responsive to limits when his mother was helped to respond to him in more age-appropriate ways".
Adults have a huge influence on the children in the household, so you analyze all psychological aspects that affect the child. This includes evaluating the parent as well.).
"The crisis created by Lanice’s disruptive behaviors offered an opportunity for us to reflect on the assessment process and its implications in Lanice’s life. We were struck by some of the cultural and socioeconomic implications of the TA process.Altman (1995) suggested that issues of class, race, and culture permeated our interactions in clinical work." (Guerrero)
There needs to be cultural context when evaluating children, including knowing their family dynamic. Lanice being a foster child and not having a nuclear family was important for her therapeutic assessment.
In Mrs-March case her past had to analyzed in order discover her dysfunctional relationship with her baby, Her boyfriend was also part of the evaluations. (Fraiberg)
"A Yes, But" presented the importance of collaborating in solving the family dynamics's issues. Instead of just evaluating Mr.Smith , the therapist evaluated his role in the family as well, and how that affected his mental well-being.