The Process of Assessment and Diagnosis in Therapy
Basic Elements
The ability to conduct an efficient and effective clinical and diagnostic interview is arguably one of the most valued therapeutic skills. It is during the interview that the therapist learns about the difficulties and challenges experienced by the couple and begins to form the foundations for a healing professional relationship. There are three basic assessment elements that should guide every interviewing session.
The first is establishing rapport. Establishing rapport refers to creating an open, trusting, and safe relationship with the couple or family. The course of establishing an effective couple–clinician relationship will vary, but an overarching goal of the
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Biblical Anthropology and Assessment A proper assessment from a biblical-anthropological perspective needs to take into account the image of God as part of human nature. The three dimensions of the image of God (relational, structural and functional) form the core of human nature. Humans are relational beings with the structural capacity to relate to others and fulfill their purpose in this life. These three dimensions were damaged or affected after the Fall. As discussed previously, normality and pathology are connected with the sinful human condition.
In order to develop an effective treatment plan, McMinn and Campbell (2007) recommend assessing issues associated with each of the three elements of human nature. They suggested starting with the assessment of thoughts and behaviors, and moving on to assessing schemas and interpersonal functioning. While both the functional and the structural assessment dimensions will be considered in the following section, this chapter will emphasize the influence of the relational dimension of the image of God as the primary reason for abnormality in the functional and the structural domains. Sin is a relational issue, and this separation from God and other selves is responsible for the abnormality in human beings.
Assessing Maladaptive Thoughts and Behaviors (Functional Domain). When God created
The question as to what it means to be human is often thought of as being the foundational question for almost all religions. Indeed, it can be argued that the religious impulse itself is first and foremost an impulse to understand the nature the meaning of life, and therefore of what it means to be human. Despite the importance of this question, the Bible provides relatively few answers, other than the idea that to be human is to be in some way close to God and to have been created by Him. This closeness and the nature of having been created has a variety of consequences which this paper will explore. These consequences that can be seen to be intensely positive but which also come with a heavy price and with a strict legality. Finally, they may also be shown to be entirely arbitrary and to position their unfathomable nature on the fact of having the 'created ' nature of a person.
A person’s worldview consists of their beliefs and perspective of the world. I am a Christian so therefore I believe that bible is the lord’s word. In this paper I will express my personal thoughts on how my learnings from Genesis 1-11 about the natural world, human identity, human relationships, and civilization affects my worldview. I will also discuss the way in which those four topics are presented.
Often people forget that the community in which they live in plays a vital role on their lifestyle. Your community may influence you on how you experience others culture, it may predispose you to certain illnesses and crimes due to location. It may influence you to think big and want better for your future and your children’s future base on the people you are surrounded by. Communities sometimes influence its member’s careers paths base on merely the need of that community. The purpose of this paper is to assess the community of Stapleton, its demographic, needs and issues both
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Pardin, Plante, Sherman, and Stump (2000) that until recently the spiritual piece of treatment was rarely considered in the treatment process. However, within the aforementioned research study, findings indicated that individuals
How can a person who is helping another build rapport with a person in need of assistance? Why is this important? The person giving assistance should listen to the other person’s problems and allow them an opportunity to come to grips with their situation. Common ground needs to be established between the two parties. Building rapport can be facilitated by showing empathy and understanding of the individuals plight. It is important because without rapport you may never discover what is really bothering the other person. Without having established rapport, the other person will be less likely to take any
I did assessment on my daughter. I walk into the room and my first assessment was her safety and the environment she is surrounded by. I washed my hand and introduce myself and what I will be doing to the patient, and ask the patient for her name and date of birth. I gave a privacy and started to check for vital signs.
The nurse who assesses the patient initially usually is the one who detects signs of more serious underlying pathology (Reynolds, 2004). The health assessment histories, SOAP notes, and findings of two patients with HEENT problems will be discussed in detail. This paper will also cover tympanic membranes findings and examination of the thyroid glands. With competent and diligent nursing assessment knowledge and application, both acute and chronic HEENT problems can lead to the discovery of underlying conditions crucial to planning and treatment. Some HEENT problems can also be life-threatening requiring prompt nursing and medical interventions (Reynolds, 2004).
Pertussis, also known as the “whooping cough”, is a highly contagious respiratory illness that is passed from person to person through coughing and sneezing (Gregory, 2013). Early symptoms are similar to those from common colds, but when Pertussis progresses, it can turn to deep cough and potentially vomiting with little or no fever. It is caused by the bacterium Bordetella pertussis. The disease can be very serious in children less than 1 year of age where it can cause lung infections and, less often, seizures or inflammation of the brain. In rare cases, pertussis can result in death, especially in infants (VDH, 2012). The purpose of this investigation is to help people
Through this diagnostic assessment process I have been afforded the opportunity to practice critical steps in discovering what my focus child knows or understands about addition and subtraction. Prior to this I did not understand the value in employing diagnostic techniques to uncover student thinking before teaching a concept. I would simply go in to the classroom teaching as though students had no experience with a concept. I now understand the importance of determining an appropriate starting point. The diagnostic assessment task, delivered through the Mathematics Online Test has helped me quantify and uncover how much of the addition and subtraction concept, my focus child had mastered and any misconceptions she holds. Understanding this has been vital for effective
The three views that the author says modern theology takes on divine-human relation are: (1) those who deny that we can have a personal relationship with God at all, (2) those who say we can have a relationship with God, but it cannot be reciprocal and (3) others who say that God is necessarily dependent on his creatures for what He wants to achieve. After discussing the rationales in support of these views, he moves on to discuss the next
According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), a provisional diagnosis for Katrina would be F11.20 - Opioid Use Disorder, Severe. Katrina meets the diagnostic criteria of having six or more presenting symptoms. These symptoms include the practice of taking larger amounts to obtain a high, the persistant desire to use, continuous cravings, the unending exacerbation of use, being consumed by consequences relating to her opiate addiction throughout the entire day, inability to focus or channel energy in any other areas of her life and Katrina’s need to continuing taking opiates in order to subcome the symptoms of withdrawal (American Psychiatric Association, 2013).
It is important that the nurse conduct a thorough assessments when a patient presents with suspected MI. Assessments include focused physical examination to detect complications and any changes from the patient’s baseline, patient history that includes the presenting symptoms, any medical history, and the family history of heart disease. Mr. X is a 51 years old black man presented to the emergency department with severe substernal chest pain radiating to the back and neck and down the left arm. Mr. X’s risk factors for MI includes family history of CAD (mother dying of a stroke at 62 and father dying of heart attack at 58), increasing age, male gender, and race (African American native). These risk factors are non-modifiable or circumstances
Assessment is a process for defining the nature of that problem, determining a diagnosis, and developing specific treatment recommendations for addressing the problem or diagnosis. The purpose of assessment is to gather the detailed information needed for a treatment plan that meets the individual needs. The assessment examines a client’s life in far more detail so that accurate diagnosis, appropriate treatment placement, problem lists, and treatment goals can be made. Usually, a clinical assessment delves into a client’s current experiences and her physical, psychological, and sociocultural history to determine specific treatment needs. Using qualified and trained clinicians, a comprehensive assessment enables the treatment provider to determine
Sullivan (1954) supported that clinical interviews are generally the first interaction between the patient and clinician anda re use to find out who the patient is, why they are here and what they come through to be in their present or existing situation. The basic advantage of the clinical interview is that interviewer can transcribe the questions as needful, illuminate doubt and supply that the answers are appropriately understood, by repeating and rephrasing the questions. The interviewer can also collect non-verbal cues from the client or respondent. Any disturbance, stress, worry and troubles that the client experiences can be defined through, frowns (not the tolerant), body language and nervous taping, unawares displayed by any person. This would be unlikely to specify in a telephone meeting or interview. So face to face aids the interviewee to get the wanted outcomes and aid them the phrase of the person to whom they are interviewing. By understanding the facial expression of the client the interviewer can certainly and easily grasp what the client wish to say them about any thing. The basic disadvantage of the clinical interview is that face to face communication between clinician and client is the geographically limitations they may lay on the surveys and the numerous resources necessary if such surveys required to be made internationally and nationally. The expense of training interviews to minituarize