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Abnormal Psychology

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In a clinical setting, whether medical or psychological, diagnosing patients is a major part of the job. This sounds like a daunting task. The clinician is taking full responsibility for the welfare of the patient. Labeling a patient can change how they are treated. Although diagnosing needs to be done, I think that a clinician should still treat the patient and not the disease. There are multiple models of diagnosing. Some of which I think I would like more than others.
In my own medical experience, diagnosing usually follows a SOAP model. SOAP stands for subjective, objective, assessment, plan. Although this was not mentioned in lecture or the book, all of the assessments fall into this model. Subjective diagnosing would be clinical interviews and projective tests. I think this type of testing would be the hardest to diagnose. You must use your own discretion and it is not as valid or reliable. The patient could also be making up symptoms or have ulterior motives. In a clinical setting, I don’t think I would use much subjective diagnostics. The way that I diagnosed someone could differ from how another clinician would diagnose the same patient. My general impression of the patient would be important but in order to diagnose. However, I would want to use more objective tests because they are more standardized and . The more objective methods for testing that we learned about were objective assessments, psychophysiological test, neurological test, and neuropsycological tests. The problem with tests such as the MMPI is that everything is self reported. It is completely objective but a patient could still self-report things that are not true. I think that patients would tend to report their ideal self rather than their actual self. If I were a clinician, I would like to use neurological and physiological tests such as lie detectors and fMRI. This seems to be the most objective and standardized way to diagnose someone. Other clinicians would be able to see the same information that I see and could make their own conclusions based on the tests. Overall, diagnostics is something that I don’t think I would enjoy. It is to big of a responsibility to label someone with a disease. The world we live in today is also full of malpractice suits and doctors are always getting sued. This is something that would constantly be in the back of my mind while diagnosing.

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