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Chapter 3. The Role of Psychiatric Measures in Assessment and Treatment

John F. Clarkin, Ph.D.; Diane B. Howieson, Ph.D.; Joel McClough, Ph.D.
DOI: 10.1176/appi.books.9781585623402.290392

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The current methodology and content of psychiatric diagnosis, the growing specificity of treatment planning in regard to both medication and psychosocial interventions, and the nature of the health care delivery system all influence the context that determines the use of psychological tests and rating scales to inform assessment and treatment planning. Two major forces have influenced treatment planning in the recent past: 1) the use of a diagnostic system, since 1980, that has been strong on reliability and relatively uneven on validity and 2) the impact of changes in the priorities and structure of the health care delivery system that place emphasis on cost saving and delivery of services deemed "medically necessary." Psychological assessment has evolved under these influences, resulting in a diversification of assessment approaches and foci.

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Sample questions:
1.
Demonstration of adequate test validity requires proof that the test measures what it is intended to measure. One major type of validity is criterion-related validity. Which of the following is the correct definition for this type of validity?
2.
A number of instruments have been developed for the assessment of a wide variety of psychiatric symptoms. These measures depend on either self-report or interview methods for data collection. Which of the following measures is administered by a physician?
3.
The Minnesota Multiphasic Personality Inventory (MMPI) and its successor, the MMPI-2, are probably the most widely used assessment instruments in existence. These instruments employ nine clinical scales. Which of the following is not one of the scales?
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