History (1)_4ae8ee8c56298d3afc41604b1a914d6e.ppt

History case study

2. Psychodiagnostics
•Psychodiagnosticsisthedisciplinethatdealswithpsychological
assessmentanddiagnosis,personologyandpsychopathology,through
theuseofanintegratedcollectionsofquestionnaires,personality
inventories,batteriesandtesttechniques(psychometricand
projective),clinicalinterviews,neuropsychologicalexaminationsand
observationalevaluations;thetypeoftechniquesandtoolsusedvary
fromtimetotime,basedonthecontextandpurposeoftheassessment,
ageandtypeofpossibledifficultiesoftheassessedsubjects.

3. Thisprocessbasicallyusestwomethodologicaltools:
•Thepsychologicalinterview
•Psychologicaltesting
•Throughthepsychologicalinterview,theexperiences,historyand
problemsofthepersonarewelcomedandexplored,withtheaimof
identifying,withinhispersonalhistory,theintrapsychic,relational,
familyandbiologicalfactorsthatmayhavecontributedtotheonset
ofdisturbanceorcomplaintsofsuffering.

4. •Theuseofthepsychologicaltestscompletesandintegratestheinformation
collectedduringtheinterviews,allowstheevaluationofspecificfunctionsor
characteristicsofpersonalityandallowstohave,inarelativelyshorttime,a
confirmationordisconfirmationoftheclinicalobservations.
•Thediagnosticprocessisalsostructuredaccordingtoitspurpose.
Thediagnosisisnota"label"thatisaffixedtothepatient,buta
dynamicdescriptionofamodeofoperation,alwayssubjecttochangeover
time.
Thepsychodiagnosticsevaluationallowsaglobalassessmentofthe
functioningofaperson

5. Psychiatric
History &
Mental
Status Exam

6. •Normal
•Abnormal

7. Psychiatric assessment comprises into two sessions:
•History (psychiatric, medical, family)
•MSE (Mental Status Examination)

11. •Sourceofinformation:
patient/relatives/colleagues/
documents
(Reliability(5c)contact,
closeness, continuity,
consistency,collaboration)

15. •Precipitating Factors(if any)

16. •Mode of onset:
Abrupt: 24-48 hrs
Acute: within 2 days to 2 week
Insidious: 2 weeks to 2 months
Gradually: 1 month
Course: continuous/ episodic/ other
Progress: Static/ fluctuating/ Deteriorating/ improving

19. •Past Psychiatric History
•Past Medical History
•Current Medications
•Substance Abuse History