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Old Friday, November 15, 2013
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Quote:
Originally Posted by Irum Siddiqui View Post
Does after conditioning Neutral Stimulus become Conditioned Stimulus?
Yes or No?

Reason please!
yes , after multiple contagion , neutral stimuli brings the same affects.

Quote:
Originally Posted by sadafnoorelahi View Post
comments, criticism and suggestion are strongly encouraged and needed. can anyone help me with the importance of clinical diagnosis. i could not find much material on it.
@ wikki, dear my preparation is not based on syallabus, i am just focusing on past papers and i find the book very useful with reference to that. i have zareen bukhari book and feldman as well. they are lenghty and good only with reference to knowledge gaining. i don't care much about knowledge, my focus is just the paper. i find J cram series to be productive. perceptions vary dear. no point asking again and again, go to a book stall ask them for the book. pass a glance over it for 5 minutes, and try to assess, does it fulfil your need, if it does buy it and if it doesn't ( i have a psychology background), buy the lenghty books.@ others, i have heard sheherbano's material to be of low quality and that examiners get tired reading years and years of same sheherbano material. so i don't use it. but please consider your needs and your ease and decide accordingly. last of all,please bother to comment on my efforts too.

Q4: list the different types of assessment procedcures\tools used for clinical diasgnosis and explain the significance of clinical judgment in the process of assessment.

Briefly describe the goals of clinical diagnosis and write about either personality or behavioral assessment.

Introduction: when an individual’s mental, physical, psychological health is disrupted due to any cause, it becomes important to diagnose the issue clinically. The earlier the intervention, the better the results.

Goals of clinical diagnosis:

a) Diagnosis: the foremost goal of clinical diagnosis is to assign the individual to some diagnostic entity. When a number of procedures such as interview and behavioural assessment fail to help in diagnosis, then data is assembled through other assessment methods. Particularly, diagnosis of borderline cases is done using specific assessment methods.

b) Classification: the traditional goal of clinical diagnosis is classification. Data is collected by the clinician and the classification of the individual is done. In this regard, diagnosis statistical manual (DSM) as introduced for the first time in 2002 by american psychiatric association. in classification, often treatment, research methods are covered.


c) Description: although classification is the traditional and most important goal of clinical diagnosis, description is also another important objective. Psychologists recognized the importance of description of the individual factors and environmental factors of the patient in 1950s and 1960s.

d) Future predictions: another most important goal of clinical diagnosis is with reference to the future predictions about the patient i.e after the completion of the treatment, the possibility of recurrence or relapse of the individual to the disease or disorder.in this regard, different terms are important such as false negative, false positive, true negative, true positive testing.

i) False negative testing: if the clinician says that the individual will again face the problem after the treatment, but the individual does not feels the problem.
ii) True negative testing: the clinician says the individual will face the problem and the patient does.
iii) False positive testing: the clinician assures the patient will not face simlair problem again, and the patient shows problem symptoms.



Tools for clinical diagnosis

a) Behavioural assessment: clinician may try to determine the cause of the problem by observing overt behaviour. This may be done by observing the patient himself or assigning the task to a nearby relative of the patient. This includes

DOT: direct observation therapy. In this technique, the clinician observes the behaviour of the patient himself. He notices the relation of the patient with his relatives, peers and other social groups. He also tries to determine the factors that lead to negative response from the patient.

Self monitoring: sometimes, when the patient is not critically ill, self monitoring is done. In this case, the patient is given some questionnaires and he is asked to fill them and hand them over in the next session.

Advantages:
• This method is useful for children, mentally or physically impaired individuals.
• This enables the clinician to determine the problem from the overt behaviour rather than from verbally only.
• This method enables the clinician to not only identify the problem in the patient but also in his immediate surroundings relating to environment or family.

Disadvantage
• It is time consuming method
• Sometimes, the individual may feel conscious and may alter his behaviour by haw thorne effect.
• Overt behaviour is not always useful in helping out psychologically ill patients.

Examination of mental health: this is also a type of an interview method. this testing usually takes place during an interview method. In this technique, clinician determines the mental health of individual through his physical appearance, hygiene, facial expressions gestures, talking style, content of his talk, repetitions, incantations. Sometimes the clinician also asks questions to know how informed and aware a patient is of his surroundings, immediate and distant.
Psychological assessment: different tests are conducted to evaluate an individual psychologically. In this regard, intelligence tests, personality tests, cogniotive tests are the most common. Intelligence tests such as WAIS are conducted. Personality tests conducted may be
a) Projective tests
b) Non-projective tests

Sometimes due to injury or trauma, an individual’s cognitive abilities are damaged. Cognitive tests particularly linguistic tests and mental abilities are conducted in this regard.

Interview method: perhaps the most common method used is interview method. This is a communication between the clinician and the patient. In this conversation, the clinician asks the patient about his problems and tries to evaluate the intensity of the issue. The basic purpose of it is to remove the emotional and physical distress experienced by the patient. Different types of interviews are conducted such as selection interview, termination interview, military interviews etc.

Case study method: this is a type of an interview method. However, this is used for individuals with reference to their specific conditions. In this method, the clinician tries to evaluate the problem of the individual by determining his developmental methods, his family setup, his schooling, education, family status, his social surroundings etc.

Importance of clinical diagnosis
• It helps the clinician to diagnose the patient properly.
• This helps the clinician to devise treatment plan.
• The patient’s problem is solved.
• The earlier the diagnosis, the more the chances of recovery
Overall concise and comprehend description . it is the great pleasure if you help me to supplement some points pertinent to topic.
Clinical assessment is the procedure in which clinician evaluates an individual in terms of its physical , psychological and social factors that have most influence on the individual functioning

goals of clinical assessment

diagnosis

what is the problem
what is the degree of problem

mental competence to stand trial
classification of individual on the basis of diagnostic and statistical tests.
determination of intellectual capacity
detailed description of an individual
future prediction of human
true negative prediction
true positive prediction
sources of clinical assessment

structured interview

in which series of questions are asked in sequence
usually format is in written

unstructured interview
in this interview series of open ended questions
basic information is project
clinicians observe verbal and non verbal behavior

semi-structured interview

it produces precision and accuracy with the augment of structured questions and followed by questions to bolster and reinforce the existing and prior questions .

2 Mental status examination

appearance and behavior
hyperactivity
1 psycho motor agitation fast movement

2 psycho motor retardation slow movement

catatonia body language with veered type

orientation is the person awareness of time place identity

content of thought
delusion disbelief
obsession recurrence of unwanted thought

overvalued ideas
affect and mood

sense of self

motivation
cognitive aspect

identity disorder

your answer is absolutely elaborative , if mention points make place , kindly supplement them thanks .

Quote:
Originally Posted by sadafnoorelahi View Post
comments, criticism and suggestions are strongly encouraged.

Q.4. Describe cognitive skills that develop during each of Piaget's stages
q.4 Describe Jean Piaget's four stages of development ; and discuss the process of organization, adaptation ,assimilation and accommodation.
Object permanence


Jean piaget, a swiss developmental psychologist developed a theory which deals with observable stages of cognitive development. According to piaget, each species is born with two abilities i.e organization and adaptation .piaget stated that cognitive skills develop as a result of psychological setups commonly known as schemes. Organization is to combine and structure and recombine and restructure information.

Organization: piaget stated that all individuals have the ability to organize information using psychological structures. These structures are known as the schemas. schemes are the building block of thinking process.

Adaptation: adaptation takes place through assimilaition and accommodation. In the process of assimilation, existing schemes are used to adjust to new situations. In other words, new situations are understood using existing information. Accommodation, however is the process whereby existing schemes are altered to adjust to new situation.

Piaget’s cognitive skill theory
Piaget spent decades experimenting with children and observed that their cognitive skills are different from those of adults. Infact, infants mind is not a miniature of adult mind, rather it functions differently

a) Sensorimotor stage: the stage lasts from birth till two years. In this stage, individuals use sensory and motor skills to help understand world i.e they make use of vision, grasping, touching skills etc. according to piaget, the most important cognivitive aspect of the stage is object permanence. This is the ability to understand that objects exist even if they are beyond view.. It is not until 9 months that children begin to look for objects that have been hidden before them. they perceive the existence of objects relative to themselves. Therefore, object permanence is the most important achievement of the stage.

b) Pre-operational stage: the stage lasts from 2 years to 7 years. This stage is characterized by the absence of operational thinking. In this stage, individuals think symbolically. At this stage, children seem to think in a manner different from that of other children and infants. They exhibit a thinking which is egoist and artificial.

c) Concrete operational thinking: the stage lasts from 7 years to 11 years. intuitutive thinking is replaced by logical thinking. Children in this stage can think and use operations. Individuals in this stage are capable of understanding that equal quantities of substance remains same even if it changes shape. Mental abilities needed to comprehend mathematical transformation and conservation is present. Logical thinking is present but only with reference to concrete examples.

d) Formal operational stage: from 11 years onwards is the stage of formal operational stage. This stage is the culmination of piaget’s cognitive developmental stage. Logical, idealist and abstract thinking develops. Unlike childhood, in adolescence thinking develops which does not anchor on concrete examples. Individuals are capable of abstract presuppositions, make-belief situations etc.

Critical analysis
Piaget’s theory has been under criticism for its stage like development. This theory cannot be generalized on all individuals. It is not necessary for all the children to develop different cognitive skills at the time period specified by jean piaget.
usually , this is the twenty mark question in the exams.

no more scientist has performed and work in the cognitive development of children , how child think , reason and solve problems than piaget
his theory is based upon day to day observation and the data collection from the self analysis

from appearance to the rule

child starts the journey , what usually sees and believes, and trust easily that appears ,, this is novel realistic
the main perception based upon the seeing and perceiving , this is the face difficulty
the impediment in the learning comes from attraction with the complex world
they discover , apply and verify rules in order to learn with confidence

structure and process

the piaget cognition consists of four stages

these are abrupt and discontinuous

the believes knowledge is as structure as behavior

each structure meets changes perceived there is discrepancy


the overall process of cognition consists of two changes
intellectual changes that are novel and challenging

internal strife changes that are reorganizing the intellect

cognitive structure consists of schemes and schemata

schemes repeated in action and generalization

schemata it is figurative aspect of thoughts



i now discuss criticism

mostly opposition believes piaget used data from personal observations and no lab experiment

no testing of his observations

he does not heavily relies upon the statistical data

according to the previous trend and glance , examiner includes one question from therapy and its keen role in modification of behavior , it is pleasure , if you take in to ponder the question at large . if you need book of psychology of myer 9th edition , it is available for download , thanks.
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