Siti Aishah binti Johari PEC110030 Rozieana binti Ab Latiff PEC110029 Assessment: Interviewing Ethical Issue: Limits and Confidentiality Outcome At the end of this article, the readers could figure out how to assess an interview with right and proper way. Age and health must be counted as an important aspect while doing any interviews. An awareness of ethics must be Issues in interview can be identified while doing any interview, therefore the interview is more thorough and accurate. Know and understand the ethical codes in an interview. Ethical codes dictate that psychologists must provide confidential sevices. To respect clients privacy and must not discuss details with other people without clients permission. There are also legal obligations to break confidentiality when a persons safety is at risk. Psychologists must ensure that clients understand the limit to confidentiality before they enter into agreement to receive psychological services. Unstructured Assessment Interview In conducting clinical interviews, psychologists strive to create safe environment designed to make the client more at ease to talk about the issue. Assessment interview is conducted free from disruptions. Ideally, offices are soundproofed to limit distracting background noises. Empathic listening may be sufficient to provide temporary relief to a distressed friend, but it is not sufficient to enable the psychologist to formulate a diagnosis or to begin treatment planning. Table 6.2 lists some of the ways that clinical interviews differ from regular conversations. Because the phrasing of the question can influence the type of answer, psychologists are careful not to ask leading questions or to put words in the clients mouth. Contrary the conversation of regular conversation, the psychologist gently persist with a line of questioning until the question has been answered. Sometimes clients are at loss how to answer and must reflect before answering. Psychologists use silence to allow the client time to reflect and, therefore, do not feel obliged to fill in the gaps in conversation as they might in a social context. Structured Diagnostic Interviews Although structured interview can be designed to address almost any clinical issue, the majority are designed to provide diagnostic information. The Structured Clinical Interview for Axis I Disorder (SCID) permits diagnosis of a broad spectrum disorders. This SCID have two types which are SCID-I is an interview designed for research that includes the entire spectrum of DSM Axis I disorder, whereas the shorter SCID-CV covers only the most common disorder. The SCID begins with an open ended interview on demographic information, work history, chief complaint, history of present and past psychology, treatment history and assessment of current functioning. This less structured format is designed to build a rapport with the client before beginning the structured symptom-focused questions that are designed to yield diagnostic information. It is clear therefore that the SCID is not a completely standardized instrument. In contrast to the broad coverage of the SCID, the Anxiety Disorder Interview Schedule for DSM-IV (ADIS) is a semi structured diagnostic interview that focuses on anxiety disorders and disorders that are commonly comorbid with anxiety disorders (mood disorders, somatoform disorders, and substance-related disorders). Like SCID, the ADSI includes general background information as well as questions that relate directly to DSM IV criteria. There is considerable evidence of the reliability and validity of the ADIS. Its main advantage over more general diagnostic interviews lies in the depth of coverage of the disorders that are assessed (Summerfeldit & Antony, 2002). Table 6.4 presents information on the diagnostic interviews we have discussed.the comprehensive interviews take at least an hour to administer, whereas the screening measures are completed more quickly. Some of the structured diagnostic interviews that were originally developed for adults have been modified for use with children. Some features of diagnostic interviews are particularly problematic with children. These include the length which often exceeds childrens attention capacity, as well as requiring a more precise response. Therefore some creative formats have been developed. Ablow and colleagues have uses puppets in the assessment of children ages 4-8.(Ablow et al., 1999) A group of researches have developed a diagnostic interview for children ages 6-11 years which uses cartoon drawings as cues (Valla, Bergeron & Smolla, 2000). Children are shown a series of drawings and asked to respond to a question on whether they would or would not behave like the target child. General Issue in Interviewing Attending Skills Clinical assessment requires not only in asking questions but also listening. Table 6.5 lists a number of listening skills that are crucial for a psychologist to develop.
Psychologist have to attend carefully to what is being said and also observes nonverbal behaviour such as nods, eye contact and vocalizations such as Mmmm and Uh huh to communicate that he or she is tracking the conversation without interrupting the flow of what being said. Unlike regular conversations, clinical assessment interviews focus exclusively on the client. It is essential that the psychologist ask questions and listen to the clients answer in a manner that is respectful and nonjudgemental. In situations in which the client describes a behaviour that the psychologist cannot condone or finds abnorrent, the psychologist must still maintain non-blaming stabce and seek to understand the clients perspective. Contextual Information This may include demographic information about the clients current context such as age, living arrangement, family composition, school or employment. The type of background information considered essential to an assessment depends on the theoretical orientation of the psychologist as well as on the type of services offered. Table 6.7 shows question that might be asked to help the client move from a vague description to one that clearly describes the problems, its frequency, intensity and duration. Culturally Sensitive Interviewing It is essential that psychologists pay attention towards ethnic, racial and linguistic group think, act and behave. In interviewing clients the psychologists must sensitive to ethnic socioeconomic, regional and spiritual variables that affect the clients experience and the behaviour with the psychologists (Sue & Sue, 2008; Takushi & Uomoto, 2001). No psycholigist can expect to be familiar with all of the cultural diversity he or she will encounter in his or her professional life, so iti is necessary to be aware of any cultural blind spots. Defining Problems and Goals Clients always not clear with their issues. They just make general statement such as I cant get along with people or decribe their loved ones in unclear ways such as hes irrensponsible In assessment interviews, the psychologist helps the client eloborate on the problem. In particular, ask clients many questions designed to translate the complaint into a behavioural description of the problem. Assessing Suicide Risk Given the special risk for suicide among those suffering from depressive disorder, in assessing a depressed client it is customary to ask questions be based on what is known about the factors that increase the risk of suicidal behaviour. Psychologists ask direct questions about suicidal thoughts, plans and their lethality and access to the means to attempt suicide. Questions must also focus in history of suicide attempts. Because some suicidal clients may make only a general statement about their level of unhappiness or hopelessness. Table 6.9 gives examples of the kinds of questions psychologists ask in assessing suicide risk. Interviewing Couple Couple interviewed may be conducted to focus on the partners impression of the clients problems, on couples problem or on the problems that the couples child is experiencing. It requires the couple to engage with two people. It allows the psychologist ask about and observe the way the couple interacts, their warmth toward one another, the way they handle differences, and the way they communicate in general (Synyder, Heyman & Haynes, 2008).
Interviewing Families The psychologist has the daunting task of establishing rapport with several people who have different agendas for the assessment. At the beginning the psychologist tells family members explicitly that he or she would like to hear from each person. However, to put that into practice, the psychologist often must diplomatically cut off one family member to ensure that each has a turn. Family members are invited to comment from their own perspective. Interviewing Children and Adoloscents Interviews with children are designed to explore the childs perspective. It is conducted in a way that makes it seem like a conversation to the child but that ensures the relevant topics are covered. The purpose of the interview must be explained. To engage the child in conversation, the psychologist maintains a varied voice tone and relaxed posture. The vocabulary used in interviews also must be considered as it is not easy for child to comprehend if the words not understood by them. Careful attention must be paid to ensure that the interviewer does not inadvertently influence the child to give a particular response (Bruck & Ceci, 2004). Psychologist must also alter their style when interviewing adolescent. If they treat them as an adult, there may be concepts and terms that the client doesnt understand. On the other hand, adolescent may also be sensitive to what they perceive as simplistic baby talk such as Do you know what I mean when I say bulimia? Summary & Conclusion Interviews are used by all clinical psychologists in their assessment activities. Psychologist must be sensitive to diversity issues including cultural, regional and generational norms. Summary This article explaining about the right and proper way to do an interview with clients. It is also talking about types of interview divided into two which are structured diagnostic interviews and unstructured diagnostic interviews. General issues in interviewing emerges while interviewing as well explained in this article such as attending skills, contextual information, culturally sensitive interviewing, defining problems and goals, assessing suicide risk, interviewing couple, interviewing families, and last but not least interviewing child and adoloscent.
References Hersen, M., & Turner, S. M. (2003). Diagnostic interviewing. New York: Plenum Press.
First, M. B. (1998). Structured clinical interview for DSM-IV axis I disorders: patient edition (February 1996 final), SCID-I/P (Version 2.0, rev. 8/98. ed.). New York, N.Y.: Biometrics Research Dept., New York State Psychiatric.
Sue, D. W., & Sue, D. (2008). Counselling the culturally different: theory and practice (5th ed.). New York: J. Wiley.
Sattler, J. M. (1998). Clinical and forensic interviewing of children and families: guidelines for the mental health, education, pediatric, and child maltreatment fields. San Diego, CA: Jerome M. Sattler, Publisher. HISTORY OF THE STANFORD-BINET INTELLIGENCE SCALES: CONTENT AND PSYCHOMETRICS
STANFORD-BINET INTELLIGENCE SCALES, FIFTH EDITION ASSESSMENT SERVICE BULLETIN NUMBER 1 OUTCOME
TABLE 4 SHOWS CORRELATIONS OF VERBAL IQ (VIQ) AND NON VERBAL IQ (NVIQ) WITH FULL SCALE IQ (FSIQ)
Kirk A. Bicker. History Of The Stanford-Binet Intelligence Scales Content And Psychometrics (pp6). TABLE 7 SHOWS CORRELATIONS OF FSIQ FOR THE SB FROM L-M, SB IV, AND SB5 TABLE 8 SHOWS SB IV AND SB5 FACTOR CORRELATIONS Kirk A. Bicker. History Of The Stanford-Binet Intelligence Scales Content And Psychometrics (pp9). TABLE 9 SHOWS ESTIMATED EQUATING TABLE : EXPECTED SB5 FULL SCALE IQ RANGES FOR SELECTED SB IV COMPOSITE SAS SCORES TABLE 10 SHOW ESTIMATED EQUATING TABLE : EXPECTED SB5 FULL SCALE IQ RANGE FOR SELECTED SB FORM L-M IQ SCORES Kirk A. Bicker. History Of The Stanford-Binet Intelligence Scales Content And Psychometrics (pp10). TABLE 11 SHOWS PERCENT OF SB IV AND SB5 ITEMS APPEARING IN OTHER VERSIONS OF THE STANFOD-BINET Kirk A. Bicker. History Of The Stanford-Binet Intelligence Scales Content And Psychometrics (pp11). SUMMARY The Stanford-Binet Intelligence Scales, Fifth Edition represents the latest in a series of enhancements derived from the tradition of intelligence testing originated in 1905 by Alfred Binet and Theodore Simon The SB5 incorporates many insights implicitly designed into the early editions of the measure as implemented by Binet, Simon, Terman, and Merrill, but presents them in a way that provides vast practical improvements in the areas of content coverage and psychometric characteristics. The Wechsler Intelligence Scales Developed by Dr. David Wechsler Learning outcomes 1. Overview of Wechsler Scale 2. Types of Wechsler Scale 3. Administration and scoring of Wechsler Scale 4. Wechsler adult Intelligence Test
The Wechsler-Bellevue Intelligence Scale was published in 1939 was designed to measure intellectual performance by adults. Since 1939, three scales have been developed and subsequently revised, to measure intellectual functioning of children and adults
The Wechsler Intelligence Scales. Retrieved from http://www.iupui.edu/~flip/wechsler.html
1. The Wechsler Adult Intelligence Scale- III (WAIS-III) is intended for use with adults. 2. The Wechsler Intelligence Scale for Children- III (WISC-III) is designed for children ages 6 16 3. While the Wechsler Preschool and Primary Scale of Intelligence-R (WPPSI-R) is designed for children age 4 - 6 1/2 years.
The Wechsler Intelligence Scales. Retrieved from http://www.iupui.edu/~flip/wechsler.html
Administration and Scoring
The procedures for administering and scoring the three Wechsler scales are similar. Each test has two batteries of subtests grouped into two general areas: 1) Verbal scales and 2) Performance scales The Verbal scales measure general knowledge, language, reasoning, and memory skills while the Performance scales measure spatial, sequencing, and problem-solving skills
The Wechsler Intelligence Scales. Retrieved from http://www.iupui.edu/~flip/wechsler.html
LETS TRY IT! To do the test, click here http://wechsleradultintelligencescale.com/ SUMMARY The Wechsler Adult Intelligence Scale (WAIS) is an intelligence test that was first published in 1955 and designed to measure intelligence in adults and older adolescents. The test was designed by psychologist David Wechsler who believed that intelligence was made up a number of different mental abilities rather than a single general intelligence factor.