clinical scale

Chapter 22: Assessment in routine clinical and counselling settings

AUTHORS:  C. Young, D. Edwards

ABSTRACT: This chapter examines the principles of assessment applied to clinical and counselling settings in which clients seek help for such problems as depression, anxiety, eating disorders, or other problems related to trauma, relationship conflict, or difficulties with self control or substance use. The aim of assessment is to obtain an understanding of the client’s difficulties and the context in which they arise sufficient to form the basis of a management or treatment plan. In adults, the main method of assessment is an interview structured to elicit information about the presenting problem, its time course and context, factors that might have precipitated it, case history relevant to understanding the client’s vulnerabilities.  In addition, information is gathered on which to base a diagnosis and an evaluation of risk that the client may harm self or others. Other methods of assessment, particularly with children, include interviews with family members or other significant individuals (for example school teachers, employers) as well as observation (for example of classroom behaviour) or self-monitoring. For children observation of play or interaction between caretaker and child in a playroom may be valuable.  This chapter examines the application of clinical assessment in South African conditions based on case examples and published case studies and discusses the problems and challenges that practitioners face due to time constraints, shortage of resources or cultural and contextual factors.

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Chapter 21: The Millon Inventories in South Africa

AUTHORS: R. Patel, S. Laher

ABSTRACT: The Millon family of instruments consists of the MCMI-III, MIPS, MAHI,MBHI. This chapter will provide a brief history into their development touching on Millon’s theory of abnormal and normal personality development. Following this a brief description of each instrument will be provided. Since the MCMI-III is the most commonly used instrument both internationally and locally, this will receive more coverage in the chapter. Research on the MCMI-III in SA will be presented. Finally the MIPS was studied in the SA context and SA norms were developed for the instrument. These will also be included in the chapter.

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