Psychological Assessment and Clinical Judgment [from Psychopathology. Foundations for a Contemporary Understanding 2018].pdf文档.pdfVIP

C H A P T E R 5 Psychological Assessment and Clinical Judgment Howard N . Garb University of Pittsburgh Scott O. Lilienfeld and Katherine A. Fowler Emory University What major advances have occurred in the assessment of psychopathology over the past 25 years? Many psychologists would argue that the most important breakthroughs include the development of explicit diagnostic criteria, the growing popularity of structured inter- views, and the proliferation of brief measures tailored for use by mental health professionals conducting empirically supported treatments (e.g., Antony Barlow, 2002). Others would dis- agree. Even an advance that most mental health professionals have embraced, the use of explicit criteria for making psychiatric diagnoses, has been challenged (Beutler Malik, 2002). For example, Weiner (2000) referred to the current Diagnostic and Statistical Manual of Mental Disorders (DSM-IV, American Psychiatric Association, 1994) as a psychometrically shaky, inferential nosological scheme involving criteria and definitions that change from one revision to the next (p. 436). (See also Widiger, this book.) Controversies abound in the domain of assessment, and most beginning readers of this literature are left with little guidance regarding how to navigate the murky scientific waters. In this chapter, we intend to provide such guidance. Specifically, we discuss fundamental conceptual and methodological issues in the assessment of psychopathology, with a partic- ular focus on recent developments and advances. We