Critical Thinking in Clinical Assessment and Diagnosis by Barbara Probst

By Barbara Probst

"This much-needed quantity brings to the clinician or pupil the superior critical-minded research by way of essentially the most insightful thinkers approximately psychiatric analysis this present day. The thought-provoking questions those essays increase, and the multifaceted and provocative solutions they supply, domesticate sensitivity to the nuances of diagnostic evaluation that frequently makes the variation among scientific good fortune and failure." - Jerome C. Wakefield, PhD, DSW, ny collage Silver institution of Social paintings, New York

This transformative source demanding situations social employees and psychological future health execs to reconsider their methods to evaluate and prognosis from the floor up. one of the book’s specified gains are its use of various lenses to envision a standard case and its representation of the way a number of views could be built-in for a richly textured portrait of the person in context. both the most important is the book’s dedication to expert improvement, from workouts to enhance case conceptualization to ­strategies for instructing and learning.

Topics include:

  • The DSM-5 definition of psychological disease: critique and alternatives.
  • Making review judgements: macro, mezzo, and micro perspectives.
  • Neuroscience, resilience, and the embodiment of “mental” disorder.
  • Narrative, psychodynamic, and cultural conceptualizations of disease.
  • Person-centered and contextualized prognosis in psychological health.
  • Meeting the problem of training built-in assessment.

Critical pondering in medical review and Diagnosis has a lot to supply pros, researchers, and educators within the fields of social paintings and psychological well-being.

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Example text

Subjective complaints are reported changes in a person’s internal state, typically undesirable changes. To describe the experience, the person must turn to available categories or images, determined by sociocultural constructs, personal experience, education, and imagination. Complaints are shaped by “personal participation in their construction” (p. 344): whether one calls something sadness, fatigue, pain, hollowness, or a sense of dread depends on personal inclination and the available pool of words and meanings.

For example, a psychological difficulty like an unstable sense of self might be due to identity conflict from forces such as acculturation following immigration, rapid social mobility, or intergenerational expectations. Assuming that it represents internal pathology such as borderline personality disorder—and should be addressed as such —can lead to ineffective and potentially harmful treatment decisions. Over-simplification can also proceed in the opposite direction. Discounting a person’s claim that dysfunctional behavior is due to external factors—as if that were a mere defensive projection, a way to deflect responsibility—may be equally wrong.

Because brains are plastic, any observed difference might be the result of the chronic experience of 18 B. Probst being criticized for not sitting still, not listening, never feeling accepted or good enough or in control of one’s actions—a neurological portrait of shame and anger, real but secondary phenomena, distinct from the primary features of the disorder. It is appealing to think we can use a scientific tool such as an MRI to identify brain differences and conclude that these differences are the source of a disorder such as ADHD.

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