Julie Psychological Assessment Essay

Download this Essay in word format (.doc)

Note: Sample below may appear distorted but all corresponding word document files contain proper formatting

Excerpt from Essay:

Practitioner who has referred a patient for help with problems in her life. The patient is a young lady who is experiencing psychological issues that causes stress in her life and affects her lifestyle. The young lady's name is Julie Coldwell, a twenty-five-year-old female who has not been feeling herself lately at work and at home. She reports that she has trouble sleeping and that she is very tired at work, which affects her job performance. Additionally, she is concerned that her co-workers have noticed how tired she is and that they are talking behind her back about her condition. Oftentimes, she does not wish to go to work and this affects her performance as well.

There is a lot of information missing from Julie's profile and completing a psychological assessment on her, and her behavior, could likely lead to a discernment of what is causing her to feel the way she feels. There are likely underlying reasons as to why she finds herself feeling the way she does. Additional information is surely needed in this case, information such as; have there been any depressing or negative events in Julie's life lately? Oftentimes, such events can include breaking up with a spouse or boyfriend, a death in the family, a job loss, or other life-changing events. Discovering this information can often times be discovered with a thorough psychological assessment.

Assessing an individual from a psychological point-of-view is an exercise in patience and persistence. A psychological assessment can take place in any number of settings; one recent study determined that "the psychological adaptive mechanism (PAM) model for systematic clinical assessment can be applied in any human setting in which individuals adapt to the conditions of their lives" (Beresford, 2014, p. 466).

PAM, which can also be described as 'ego defenses' allows the individual a response or a method for taking adaptive measures to events or happenings in their lives. Understanding what causes the PAM or ego defenses to kick in, allows the clinician to determine what type of stress the patient is experiencing and oftentimes can lead to an understanding as well as a diagnosis and treatment that will be beneficial to the patient.

This case study looks at the patient, Julie Coldwell, who has been referred as a client. The patient has been experiencing a number of symptoms that need to be analyzed, diagnosed and treated in order for her to live a "normal" and productive life. Julie's ego defenses seem to be kicking in with her statement that other employees have noticed that her work is suffering. She believes that some employees are talking behind her back, this could be due to her ego defense informing her that there is a problem which she has to address. Methods to assist Julie in addressing her issues can include a number of assessments such as interviewing her, observing her and even using formal assessments. An informal interview could assist in discovering items about Ms. Coldwell that would lead the researcher into additional avenues of both assessment and analysis. Discovering whether Ms. Coldwell is suffering from anxiety, depression, somatizing or negative affect would be important items to discover. Additional items of concern could include whether Julie drinks alcohol (and how often if she does), her level of education, her income (or family income), and her belief system could all be probed during informal sessions. The Derogatis et al. study determined that the sociodemographic variables in logistic regression analysis, manifest anxiety and somatizing were still significantly related to alcohol habits" (p. 173).

As one recent study espoused "assessment in psychology takes many forms, and it intersects with everyday life and culture in a number of ways" (Macfarlane, Blampied, Macfarlane, 2011, p. 5). Psychologists use informal processes such as interviews and observations, or they can use more formal assessment methodologies such as the PAM, or the Psychometric Assessment Model. The psychologist must be careful in his/her approach as oftentimes the patient is quite leery of the process. A more formal assessment in this case may be necessary in the long-run as Macfarlane et al. states "the practice of formal psychological assessment is critical because it allows psychologists and other professionals to make relevant decisions in the context of formulating diagnosis, giving advice, and devising intervention programs that aim to achieve better outcomes for individuals experiencing difficulties in their lives and those who live and interact with them" (2011, p. 5 -- 6). According to Macfarlane then, this case would be a perfect example for using a formal assessment procedure.

The difference between an informal and a formal assessment is that a formal assessment gathers data that can be statistically analyzed and results reported quantitatively, while an informal assessment is conveyed with content and performances. Because relatively little is known about Julie; her lifestyle, her race, the culture she was raised in or embraces, her living arrangements, this information has to be gathered to help her. This can be done by using the relatively pain-free manner of gathering data; the interview process. This can be done quite informally and should be the first step in the process. A more formal application can be used in later sessions if needed as Macfarlane et al. suggests.

In today's modern world there are a number of quite effective digital formal assessments that can be used to assist the busy psychologist or medical professional. One thing that is worrisome about this specific patient is that she seems to be tired and worn down which often leads to depression and other debilitating effects. In considering Julie's situation, she may be a Type D personality, or she could be experiencing negative affectivity (NA). As described in a recent article "negative affectivity denotes the tendency to experience negative emotions such as anger, hostility, depression, anxiety, and internal conflict" (Vilchinsky, Yaakov, Sigawi, Leibowitz, Reges, Levit, Khaskia, Mosseri, 2012, p. 235). Negative affectivity is one of the symptoms that can be analyzed with a formal assessment. One such formal assessment that can be used is the Hopkins Systems Check List (HSCL). A recent study describing the HSCL determined that "is comprised of 58 items which are representative of the symptom configurations commonly observed among outpatients" (Derogatis, Lipman, Rickels, Uhlenhuth, Covi, 1974, p. 2). Those 58 items are scored and tabulated in order to determine what, if any, the diagnosis should be. The items tabulated include 5 categories; 1) somatization, 2) obsessive-compulsive, 3) interpersonal sensitivity, 4) anxiety, and 5) depression. In Julie's case, she is definitely showing signs of both anxiety and depression. Therefore, the administration of a HSCL might help in determining what direction treatment(s) should take.

Even though Julie may not recognize the fact that she is suffering from the effects of depression, she very well could be. Oftentimes, a patient will suffer from the effects of depression and not even realize that they are suffering from that specific malady.

One recent study determined that "depression has a substantive negative impact on quality of life" (Stanners, Barton, Shakib, Winefield, 2014, p. 3) and certainly Julie has noticed a substantial decrease in her quality of life. Whenever a patient is losing sleep, feels tired all the time, and feels that those symptoms are affecting her capacity to work, then certainly her quality of life is being strongly affected. According to Stanners et al., many patients don't even understand that they are experiencing depression especially since "research over the last twenty years suggests that depression is under-diagnosed and under-treated" (Stanners, p. 3).

Obviously, if Julie is suffering from depression she is going to need specific diagnosis and treatment. There is a wide variety of depression symptoms, and there are different levels of depression as well. Additionally, there are treatment options that depend on the type of depression being experienced. Frequently, the patient can be experiencing treatment-resistant depression (TRD) which makes it doubly difficult to assist the patient in overcoming the effects and the symptoms. A recent study found that "TRD represents a chronic and complex illness that requires long-term management from health care professionals" (Rizvi, Grima, Tan, Rotzinger, Lin, McIntyre, Kennedy, 2014, p. 350).

Of course, some patients are diagnosed with TRD while in reality they are suffering from Major Depressive Disorder (MDD). A determination between the two diseases is important because, as one study reports, "occurrence of MDD has been reported to be higher or more aggravated in patients suffering from cardiovascular diseases, AIDS, cancer, alcohol dependence and several neurological conditions" (Kubitz, Mehra, Potluri, Garg, Cossrow, 2013, p. 2).

If that is true, then Julie might just have more going on inside her head and body than just feeling sleepy. An additional consideration in this particular case is that "MDD is more common among women than men and often begins in young adulthood (Hirschfeld, Weissman, 2002), both of which applies to Julie and her circumstances.

Methods for treating those patients that are suffering from anxiety, TRD or MDD are often accomplished through different types of medicines and intense counseling. One study determined…[continue]

Cite This Essay:

"Julie Psychological Assessment" (2014, September 29) Retrieved November 30, 2016, from http://www.paperdue.com/essay/julie-psychological-assessment-192206

"Julie Psychological Assessment" 29 September 2014. Web.30 November. 2016. <http://www.paperdue.com/essay/julie-psychological-assessment-192206>

"Julie Psychological Assessment", 29 September 2014, Accessed.30 November. 2016, http://www.paperdue.com/essay/julie-psychological-assessment-192206

Other Documents Pertaining To This Topic

  • Psychological Research on Animals Is

    The purpose is to determine whether the "face-processing system of humans" and in this case, the tamarin, share characteristics. By finding out if humans' face-processing systems and the face-processing systems of the tamarin are similar, the researchers will be more readily be able to allow "early and quick processing of socially salient stimuli" (Neiworth, et al., 2003). Do humans and primate share sensitivity toward "conspecific faces" (i.e., faces of the

  • Aggression Comparison Between Two Races

    Race on Aggression Race and Aggression The roots of violence are of interest because of the toll it takes on the lives and minds of all citizens. Each year, an estimated 50,000 citizens die from violence in the United States and another 2.2 million will need medical treatment for injuries (reviewed by Corso, Mercy, Simon, Finkelstein, and Miller, 2007). Although the costs on a personal level are incalculable, the costs to

  • Humanistic Theory in Case Study

    A good example of this can be seen with the fact that she has limited intimate relationships with men. This can be linked directly to her relationship with her father. As she would be close with him and then when she was arguing with her mother, he would become withdrawn. This is important, because the disconnection with her father, when she was having these issues would cause her to

  • Horror Mid Term My Definition of

    Question 5. There have been several memorable moments in the films we have watched in class. For instance, in the Leopard Man, the scene in which the killer believes to hear castanets being played and a woman walking towards him provides psychological insight into the killer's mental state; he was not only paranoid, but appeared to be haunted by his crimes. In "Cruising," the gay club scenes add to the confusion

  • Vietnamese Americans Neither American nor

    Stresses associated with migration itself, discrimination against racial minorities in this country, poverty, unemployment, and crowded living conditions heighten the chance that a husband will become abusive" (p. 1402). From the Vietnamese-American perspective, these issues are even more pronounced and they are discussed further below. a. Male dominance. One of the most powerful forces affecting Vietnamese families at home and abroad today is Confucian ideology, an ideology that is predicated

  • Learning Theories Abstract Learned Phenomena

    Apa.org). Critical thinking input: Good teachers that truly understand how distracted today's young people are (with technology, etc.) learn how to get the most out of students by combining proven strategies of engagement with scholarship challenges that are both entertaining and compelling to their active minds. B.F. Skinner Historical views of transfer. When something is said to you and it reminds you (without you having to conjure up memories) instantly of something from

  • Atomic Testing Though Modern People

    The First Nuclear Test Of course, the first nuclear test occurred before the 1950s and was part of the United States' effort to develop an atomic weapon during World War II. This test occurred at 5:30 A.M. On July 16, 1945, at a missile range outside of Alamogordo, New Mexico. Even that test was enough to convince a large group of scientists that the atomic weapon was a dangerous and powerful

Read Full Essay
Copyright 2016 . All Rights Reserved