By James L. Jacobson, Alan M. Jacobson
A concise, but entire scientific reference on psychiatry in eighty five chapters within the hugely sensible question-and-answer structure of The secrets and techniques Series®.
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Additional info for Psychiatric Secrets
Sample text
Although a complete description of each of these is 16 beyond the scope of this chapter, some familiarity with each can greatly enhance a clinician’s skill in reaching an accurate and thorough formulation. The biologic/syndromal approach underlies the classification system contained in the Diagnostic and Statistical Manual (DSM-IV) of the American Psychiatric Association, which is the prevailing diagnostic system within American psychiatry. 15. What if the formulation is wrong? Revise it. The value of a formulation is that it provides a starting point for an informed understanding and discussion of the case.
Since its initial development, the Rorschach has been a controversial psychological testing instrument. Criticisms of the Rorschach, as is true of most projective tests, focus on the validity and reliability of the test instrument and the conclusions based on test results. Although both reliability and validity have reached acceptable levels on the Rorschach, more objective psychological tests reach superior levels of validity. The most contemporary, data-based system of scoring and interpreting the Rorschach is the Exner Comprehensive System, [5] which provides many scores and formulas of varying reliability and validity.
15] Because scoring systems generally are not applied, the reliability and validity of the measure are difficult to ascertain. The effectiveness of the technique often depends more on the clinician’s skill than on the quality of the test. On the positive side, the TAT provides material related to various aspects of psychological functioning, including mood, interpersonal themes, problem-solving style, and motivational variables. Patients generally find the test interesting and nonthreatening, and it is easy to administer.