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Abnormal
Psychology PSY404
VU
LESSON
15
CLASSIFICATION
AND ASSESSMENT
Assessment
is the
process of gathering information from a
new patient. It is the systematic
collection and
analysis
of information about a person's
characteristics and
behaviors.
A
classification
system consists
of a list of various types of
problems and their
associated symptoms.
In
Diagnosis we identify or recognize a
disorder on the basis of its characteristic
symptoms.
A
classification
system is
used to subdivide or organize a set of
objects. Classification system
can be based
on
various principles, and its
value will depend primarily
on the purpose for which they
were developed.
Different
classification systems are
not necessarily right or wrong; they
are simply more or less
useful.
Clinical
assessment and diagnosis are
centered to the study of the psychopathology. Clinical
assessment
refers
to systematic evaluation and measurement
and psychological, biological
and social factors in
an
individual
presenting with a possible
psychological disorder. Diagnosis is the
process of determining
whether
the particular problem that the
individual has needs all the
criteria as given in DSM-IV-R in the
classification
of disorders.
Example
A
Suppose
your class fellow
experiences sensations that
make her believe she is
having a heart attack.
Difficulty
in breathing, rapid heart beat
and burden on her chest. She
is taken to the emergency of a
hospital
and
she is told that the problem
is psychological and physically
she is al right.
Example
B
Your
aunt is depressed, she has lost
her husband. She does
not eat, does not
sleep, and does not go to
her
work.
You are worried. You want
her to return to normal.
Example
C
A
teacher observes that one of
her students is disruptive, unpopular
with the class. What should be
done
and
how the problem should be
treated.
When
we frequently come across
medical problems, psychological
problems, social problems or
a
combination
of either of the two, we frequently ask
how
can we decide?
How
can we be sure,
what
treatment
is needed? How
can we differentiate between
different
types of
psychological
disorders?
In
the mental health field, we describe,
classify, explain, select, predict, plan
and evaluate to do all
these
tasks;
we need procedures and
methods to measure and define
psychological disorders.
Tools
for Assessment
Assessment
is the systematic collection and
analysis of information about a person's
characteristics and
behaviors.
There are several assessment
procedures, such as:
1.
Interviews
2.
Questionnaires
3.
Psychological tests
4.
Rating Scales
5.
Observation
6.
Behavior samples
Each
assessment procedure is to judge
according to the following criteria which
includes
1.
Reliability
2.
Validity
3.
Standardization
4.
Utility
71
Abnormal
Psychology PSY404
VU
1.
Reliability
Reliability
refers to consistency or repeatability of the
results. Reliability is computed by
several statistical
procedures.
Reliability is expressed as a matter of
degree. Usually, on a continuum of 0 to 1
where one
means
perfect reliability, this is a rare
thing. There are three types
of reliability.
a.
Test Retest
b.
Internal consistency
c.
Inter rater
reliability
Test
retest: is the
consistency of a test results
over time. The same
test questionnaire or an
interview
should
yield the same results, when
used on the same person
twice (tested on two
different occasions).
This
type
of reliability is important when
compulsive behavior is being measured or
anxiety is being measured.
Split
Half (Internal consistency) A
type of
reliability is internal consistency or
correspondence
(correlation)
between test items. A
questionnaire intended to measure
potential for child abuse so
we focus
on
the concept of child abuse,
now every item of the questionnaire
should relate and measure the
concept
of
child abuse. If all the
items on the questionnaire contribute to
identify this concept then
individual item-
item
correlation will be high and
individual item to total item score
will be high.
Inter
rater reliability A
type, of reliability is Inter
rater reliability or consistency
among scorers or
observers.
Independent judges, who are
observing a person's behavior, come to
the same conclusion. This
kind
of reliability evaluates the agreement
between two raters administering the
same interview, rating the
same
video of a person's behavior or observing
a person's behavior in a particular
setting. High inter
rater
reliability
increases the confidence that the
procedure is measuring, what it is
suppose to measure. It is
clear
that
an instrument measuring a behavior should be
high in reliability if we want to draw
conclusions from it.
For
example: an intelligence test
demonstrates low test retest
reliability. It clearly shows
that it is not
measuring
intelligence.
While
two observers, observe the
same child in the classroom
and agree in their ratings
that his
intelligence
should be high.
2.
Validity
Validity
is a method, which means does the
test measure, what it has
been designed to measure
i.e. an
intelligence
should measure intelligence, a personality test should
measure personality then it is a
valid
measure
and it will give valid and
accurate results. Suppose
that a bag of sugar when
put on the scale should
read
its weight, every time the same
bag of sugar is put on the
scale should give the same reading.
Then the
weighing
scale is valid.
Kinds
of Validity:
a.
Face validity
b.
Criterion (Predictive validity and
Concurrent validity)
c.
Content validity
d.
Construct validity
Face
validity does
not by itself establish the test's trust
worthiness. It simply conveys
that the test and
its
items
should appear making sense to the test
taker. This is not validity in the
real sense. It's simply
means
that
a test on depression should include
questions about how often a
depressed individual cry or
weeps. So
face
validity is the apparent sense the
test makes to the person who
is taking it.
Predictive
validity is a
test ability to predict a person's
future characteristics or behavior. We
could
establish
predictive validity by administering a test to a
group of school students and
predict their
performance
for the future senior school
i.e. predictive validity makes
prediction about the individual's
future
behavior based on his
present behavior. When we
ask questions like, Is an
individual likely to
become
anxious
or depress in future? We are dealing
with the concept of predictive
validity.
Concurrent
Validity: A test
designed to measure student's
present or current anxiety state e.g.
should
produce
anxiety scores that agree
with school counseling
records and parent's
reports.
72
Abnormal
Psychology PSY404
VU
Content
validity: A test
that displays high content
validity reflects that it
measures all important
aspects of
the
behavior, skill or quality
that it is measuring. All
achievements test and intelligence
test and all
teacher
made
classroom test should have
high content validity. All
entrance exams and admission
tests should have
high
content validity (THEY
SHOULD BE CONTENT
BASED).
Construct
validity: Construct
validity measures what they are
intended to measure and not
something else.
Do
achievement tests measure
ability in a given subject area or do
they measure something else?
Some
students
do very well on an achievement test
and others do very poorly on
multiple choice tests. Before
any
test
can be useful, it must meet
the requirements of standardization and
utility criteria as well.
3.
Standardization
Standardization
is process by which a certain
set of standards or norms is determined
for a technique in
order
to make its use consistent
across different measurements,
e.g. the assessment might be given to a
large
number
of people who differ on important
factors, such as age, race,
gender, socio economic
status and
diagnosis,
where scores would then be
used as a standard or norm
for comparison purposes,
e.g. if you are a
Pakistani,
19 years old male from a
middle class background on your
score on a psychological test should
be
compared
to the scores others like
you.
4.
Utility
A
final criterion for deciding
that an assessment procedure is
worth employing is its utility or
usefulness.
To
be useful, the assessment procedure
should be valid, reliable, standardized
and useful.
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