PSYC 365 MIDTERM 2 QUESTIONS & VERIFIED
ANSWERS
Limits of Confidentiality - Answers - when a psychologist must break client
confidentiality for some reason
must be disclosed to the client (they must be aware of the limits)
2 limits of confidentiality (when can it be broken) (explain each/examples) - Answers - 1.
protection from harm - to self or others, psychologist called as witness, child in need of
protection, workers comp
2. when required by law - legal obligation to disclose to judge when requested
what is client privilege and how does it relate to clinical psychologists? - Answers - client
privilege is the relationship between a lawyer and a client - the legal precedent by which
the lawyer does not have to disclose info about the client (if they admit to being guilty,
lawyer doesn't have to tell anyone)
CPs do NOT have client privilege
unstructered interview vs semi structured interview (describe) - Answers - unstructured:
no guidelines, letting the client talk, clinician chooses where to take the conversation
semi-structured: specific format and sequence, but clinician decides to continue certain
sections (if client answers 'yes', clinician can choose to explore that area)
3 things needed in unstructured interview: - Answers - safe environment
positive/strong relationship (trust)
must gather important info (can't leave things out)
what are unstructured interviews often criticized for? (3) - Answers - 1.for easily missing
important pieces of info/not covering areas required
2. subject to bias
3. low inter-rater reliability (different clinicians can come to different conclusions)
the CP sets the ______ in an unstructured conversation - Answers - context
open vs closed questions - Answers - apart of unstructured interviews
open: can elaborate/expand upon ("what is your experience with depressive
symptoms?")
,closed: answers are yes or no (do you have depression?)
pros and cons of open and closed lines of questioning - Answers - open:
pros - go into detail
cons - can get off track from question and lengthen interview
closed:
pros - keep interview under time
cons - less detail
usual format (in terms of open and closed questions) - Answers - closed - open - closed
introduce new topic - ask for expansion - clarify answers
CP also do 3 things while in unstructured interview - Answers - clarifying, reflecting,
paraphrasing
*to confirm and get full understanding
main differences between assessment interviews and normal conversations (6) -
Answers - assessment:
one-sided from client
CP shows sympathy
purpose is to gather information (not give advice)
does not shy away from tough questions (prompt traumatic experiences)
time limited
documenting everything
3 tasks of CP - Answers - set context
asked closed and open questions
clarify, reflect, and paraphrase (so what you're saying is...)
semi-structured interviews yield more... - Answers - inter-rater reliability than
unstructured
2 types of semi-structured interviews for DSM-5 - Answers - 1. SCID - 5: research and
clinical purposes
2. SCID - PD: for personality disorders
both stand for structured clinical interview DSM
, Anxiety Disorders Interview Schedule for DSM (ADIS) (what is it + versions) - Answers -
a semi-structured interview focusing on anxiety + related disorders
2 adult versions and child/parent version
also current diagnosis version + life history version
feelings thermometer - Answers - a measure used in assessment of anxiety with
children
*indicate on the thermometer where your feelings lie
to gage anxiety levels
barriers when it comes to interviewing children (5) - Answers - -shy
-may not open up around parents
-language of interview questions must align with their developmental level (without
patronizing)
-short attention span
-limited emotional regulation skills (must help them)
when assessing kids through interviews, CPs often... - Answers - give parents similar
measures for collateral info
general skills for interviewing (5) - Answers - questioning skills
listening skills
observing skills (body lanuage)
asking about sensitive issues
adapting to all types of clients (child, family, couple, etc)
CPs must have acute awareness for discrepancies between (2) - Answers - words and
body language of client
how can culture impact the info a CP receives during assessment? - Answers - -values
are impacted by culture
-definitions of abnormal are different
-some things should not be patholigized
-concept of time
pursuing a line of questioning helps _______ the issue
examples of questions - Answers - pinpoint - some people come in with very vague
issues, and the interview helps narrow down what actually is going on
*ask how it shows up, how much they are struggling, what they want to be like after
intervention, describe an episode, etc
ANSWERS
Limits of Confidentiality - Answers - when a psychologist must break client
confidentiality for some reason
must be disclosed to the client (they must be aware of the limits)
2 limits of confidentiality (when can it be broken) (explain each/examples) - Answers - 1.
protection from harm - to self or others, psychologist called as witness, child in need of
protection, workers comp
2. when required by law - legal obligation to disclose to judge when requested
what is client privilege and how does it relate to clinical psychologists? - Answers - client
privilege is the relationship between a lawyer and a client - the legal precedent by which
the lawyer does not have to disclose info about the client (if they admit to being guilty,
lawyer doesn't have to tell anyone)
CPs do NOT have client privilege
unstructered interview vs semi structured interview (describe) - Answers - unstructured:
no guidelines, letting the client talk, clinician chooses where to take the conversation
semi-structured: specific format and sequence, but clinician decides to continue certain
sections (if client answers 'yes', clinician can choose to explore that area)
3 things needed in unstructured interview: - Answers - safe environment
positive/strong relationship (trust)
must gather important info (can't leave things out)
what are unstructured interviews often criticized for? (3) - Answers - 1.for easily missing
important pieces of info/not covering areas required
2. subject to bias
3. low inter-rater reliability (different clinicians can come to different conclusions)
the CP sets the ______ in an unstructured conversation - Answers - context
open vs closed questions - Answers - apart of unstructured interviews
open: can elaborate/expand upon ("what is your experience with depressive
symptoms?")
,closed: answers are yes or no (do you have depression?)
pros and cons of open and closed lines of questioning - Answers - open:
pros - go into detail
cons - can get off track from question and lengthen interview
closed:
pros - keep interview under time
cons - less detail
usual format (in terms of open and closed questions) - Answers - closed - open - closed
introduce new topic - ask for expansion - clarify answers
CP also do 3 things while in unstructured interview - Answers - clarifying, reflecting,
paraphrasing
*to confirm and get full understanding
main differences between assessment interviews and normal conversations (6) -
Answers - assessment:
one-sided from client
CP shows sympathy
purpose is to gather information (not give advice)
does not shy away from tough questions (prompt traumatic experiences)
time limited
documenting everything
3 tasks of CP - Answers - set context
asked closed and open questions
clarify, reflect, and paraphrase (so what you're saying is...)
semi-structured interviews yield more... - Answers - inter-rater reliability than
unstructured
2 types of semi-structured interviews for DSM-5 - Answers - 1. SCID - 5: research and
clinical purposes
2. SCID - PD: for personality disorders
both stand for structured clinical interview DSM
, Anxiety Disorders Interview Schedule for DSM (ADIS) (what is it + versions) - Answers -
a semi-structured interview focusing on anxiety + related disorders
2 adult versions and child/parent version
also current diagnosis version + life history version
feelings thermometer - Answers - a measure used in assessment of anxiety with
children
*indicate on the thermometer where your feelings lie
to gage anxiety levels
barriers when it comes to interviewing children (5) - Answers - -shy
-may not open up around parents
-language of interview questions must align with their developmental level (without
patronizing)
-short attention span
-limited emotional regulation skills (must help them)
when assessing kids through interviews, CPs often... - Answers - give parents similar
measures for collateral info
general skills for interviewing (5) - Answers - questioning skills
listening skills
observing skills (body lanuage)
asking about sensitive issues
adapting to all types of clients (child, family, couple, etc)
CPs must have acute awareness for discrepancies between (2) - Answers - words and
body language of client
how can culture impact the info a CP receives during assessment? - Answers - -values
are impacted by culture
-definitions of abnormal are different
-some things should not be patholigized
-concept of time
pursuing a line of questioning helps _______ the issue
examples of questions - Answers - pinpoint - some people come in with very vague
issues, and the interview helps narrow down what actually is going on
*ask how it shows up, how much they are struggling, what they want to be like after
intervention, describe an episode, etc
