The reliability and validity of a system for family assessment

The Darlington Family Assessment System (DFAS) is based upon the principles of multisystem-multimethod (MSMM) assessment. In practice it consists of a structured family interview with an integrated rating scale, a number of self-report questionnaries, and a task with an integrated behaviour coding system. This article summarizes the results of a series of empirical evaluations of the DFAS, which concern evaluations of the system as an aid to clinical work with families and as a method for training (at a basic level) in family assessment. The results are presented in terms of their implications for the reliability and validity of the assessment system and discussed from the perspective of their generalizability.     

Gender and family therapy: Adding a bi-level belief systems component to assessment

This article proposes that most couples requesting therapy describe gender socialized patterns as part of their relationship issues. Adding a component to assessment derived from principles of strategic and systemic family therapies and post-modernist feminist psychology which examines the couple's gendered belief system context is described. The belief system context is identified as the family's epistemology about gendering at the family belief system and sociocultural belief system level contexts. Three dimensions of the gendered belief system and a method for assessing the functionality of the belief system are discussed.     

Family assessment: a review

This article is a review of developments in the assessment of the family in recent years. The review is selective, in order to draw out certain themes and principles from the literature.     

A family assessment based on the Social Relations Model

One purpose of family assessment is to formulate hypotheses that can guide clinical interventions. Family assessment is based on models about family functioning. In this paper the Social Relations Model ( Kenny and La Voie, 1984 ; SRM) is presented as such a model about family dynamics. Moreover, SRM provides statistical tools to underpin empirical hypotheses about family functioning. An SRM family assessment of a family with a child in child psychiatric care exemplifies the possibilities and limitations of this SRM approach to family assessment. The subject of the family assessment is family members' sense of influence in their family relationships.     

Principles of forensic mental health assessment: implications for neuropsychological assessment in forensic contexts

Forensic mental health assessment (FMHA) is a form of evaluation performed by a mental health professional to provide relevant clinical and scientific data to a legal decision maker or the litigants involved in civil or criminal proceedings. Such FMHA evaluations can be further specialized when the clinical and scientific data are primarily neuropsychological. This paper provides an adaptation of 29 recently derived principles of FMHA (Heilbrun, 2001) that have been described in two forms: general guidelines for application in FMHA, and guidelines for application to neuropsychological assessment in forensic contexts. Each principle is described, and the general guideline is compared with the highly specialized neuropsychological guideline. In this way, the applicability of such FMHA principles to forensic neuropsychological assessment is described.     

A clarification of Multisystem-Multimethod assessment: reductionism versus wholism

A clarification and response to a critique of the Multisystem-Multimethod (MS-MM) family assessment is provided in this paper. This approach consists of a logic for integrating family assessment, systems thinking, and clinical interventions. In contrast to the wholistic, or systemic, focus of MS-MM family assessment, the critique of these procedures recommends a more reductionistic approach that contradicts basic elements of systems theory. The critique advocates the isolation and measurement of a few family phenomena, whereas MS-MM assessment recognizes the interdependence among the levels of organization and components of family systems.     

Pitfalls in the psychoeducational assessment of adolescents with learning and school adjustment problems

Over the past decade there has been a growing interest on the part of educators, medical specialists, mental health personnel, and the lay public in the diagnosis, evaluation, and remediation of specific learning disabilities in the school-age child. This paper attempts to show through case illustrations of five high school-age adolescents how parents can seek from clinical evaluators a diagnostic impression of primary learning disability for their nonlearning disabled children; how this otherwise legitimate diagnostic category can be inappropriately used in the service of denying the salient individual, emotional, and family system factors at work in the school-related difficulties; and how the label of learning disability can work as a formidable resistance on the part of the family when, following comprehensive, in-depth assessment, professional recommendations focus less on specific educational remediation and more on the need for individual or family psychotherapy. Suggestions are made for dealing with this clinical issue.     

Some relationships between behavioral and traditional assessment

Psychometric principles and procedures were developed within the context of traditional approaches to assessment. In order to illustrate the frequent, if not uniform, applicability of these principles to behavior assessment, we first discuss the differences and similarities between traditional and behavioral assessment. We then point out ways in which, given the nature of behavior assessment, attention to certain psychometric principles and procedures would expedite the development of more adequate behavior assessment devices and procedures.     

Child-focused behavioral assessment and modification

Argues that behavioral principles have been translated into practice with children too literally and that a more integrative framework is required to guide assessment and treatment. The framework advocated is Staats's (1996) psychological behaviorism. This is a consistently behavioristic, positivist paradigm, using multilevel theory to emphasize the integration of social learning, developmental, and personality principles. Psychological behaviorism thus allows for a much more expansive approach than has typically been the case within child behavior therapy. Given the complexity of this perspective, I selected four broad tenets of the theory and suggested their implications for clinical contexts. The further translation from clinical models to specific clinical practices is quite difficult but may yield more flexible and substitutable practices than do unidimensional treatment outcome studies. Of special importance, the principles demonstrate how children themselves can retain the central focus of child behavioral assessment and modification. Specific practices still need to be constructed according to an understanding of the multiple sources of influence on children as well as the culture of childhood itself.     

Personality assessment and Native Americans

Personality assessment services for Native Americans have been culturally inappropriate and historically underutilized as a consequence. A framework for personality assessment is presented including components of relevant cultural knowledge, assessment techniques, assessor characteristics, and relationship style. Emic and etic approaches are described as serving different assessment functions. Acculturation measures and awareness of acculturation effects on different instruments provide temporary palliatives. A biopsychosocial model for service-delivery with linkages to family, tribal, county, state, and federal resources would be desirable and potentially effective. Ameliorations in techniques and service-delivery cannot substitute for genuine professional commitment to recruitment and training of indigenous assessment service-providers.     

Using a microcomputer for on-line psychiatric assessment

The on-line computer-assisted psychiatric system has been shown to be effective in bringing about an improvement in mental health service delivery. However, it was initially developed on a computer system that was too costly for most potential users. The present paper describes the approach used to implement the on-line assessment system on an inexpensive microcomputer, the PDP-11 V03.     

Developing an outcome-based assessment for family therapy training: the Rochester Objective Structured Clinical Evaluation (ROSCE)

This paper addresses a growing need for cost-effective, outcome-based assessment in family therapy training. We describe the ROSCE, a structured, evidence-informed, learner-centered approach to the assessment of clinical skills developed at the University of Rochester Medical Center. The ROSCE emphasizes direct observation of trainees demonstrating clinical competencies. The format integrates both formative and summative assessment methods. It can readily be adapted to a wide variety of educational and training settings.     

The detection of malingering in neuropsychological assessment

Although malingering, or the manipulation of data by the patient, is a problem commonly faced by neuropsychologists, there has been little systematic investigation of this problem. This paper reviews the literature on the detection of malingering in assessment instruments commonly used by clinical neuropsychologists. Criticism of previous research is discussed, and suggestions are made both for future research and for clinical practice.     

Family assessment: Centripetal and centrifugal family systems

Abstract

A consideration of interactional style is useful to both researchers and clinicians interested in family assessment. This paper offers data and process evaluation scales designed to determine family interactional style, conceptualized as a continuum ranging from centripetal (CP) to centrifugal (CF), and containing at the midpoint a mixed area in which facets of both the CP and the CF styles are found.     

家庭研究新观点述评

文章概述了家庭研究观点的变化;概括并评论了家庭研究中三个新观点或新原则：双向互动原则,系统化原则和中介原则;提出了进一步开展家庭研究的一些设想。     

Threat assessment: defining an approach for evaluating risk of targeted violence.

Although the field of risk assessment has made tremendous advances in the past 20 years, assessments of targeted violence continue to pose a significant challenge to law enforcement, mental health, and other professionals. These specific and critical assessments require an innovative approach. The threat assessment model, developed and refined by the U.S. Secret Service, provides a useful framework for thinking about assessments of potential for targeted violence. In this paper, we attempt to define this approach as it has been developed by the Secret Service, and apply it within the existing professional/scientific literature on risk assessment. We begin with a brief review of existing models and approaches in risk assessment, and identification of some gaps in our existing knowledge as it relates to assessments of targeted violence. We then proceed with an outline of the threat assessment approach, including a review of principles and guiding operational questions, and discussion of its use in assessment of targeted violence.     

Conceptual,methodological, and clinical issues in cognitive-behavioral assessment

This article reviews cognitive-behavioral assessment principles and procedures. The functions of such assessments are noted, and issues and advances in cognitive assessment are discussed. The need for integrated cognitive, behavioral, and affective assessments is then explored. Finally, conceptual methodological, and clinical issues in the integration of assessments and study of reciprocal determinants are presented.Preparation of this paper was supported in part by a General Research Board Faculty Research Award from the University of Maryland. The author would like to thank Steve Graham, Donald Meichenbaum, Barbara Keogh, and Bernice Wong for their feedback during the preparation of this paper.     

Ethical issues in psychological assessment in different settings.

In this article, we provide an introduction to the special series on ethical issues in assessment. We establish as its purpose the provision of some general principles and guidelines to help practitioners grapple with the ethical issues that may be characteristic of their particular settings. We provide a very brief synopsis of the articles that follow. The relationship between ethical practice and risk management is briefly discussed.     

Beyond IQ: a new perspective on the psychological assessment of intellectual abilities

The article presents a new approach to the psychological assessment of intellectual abilities, which is based on the new theory of human intelligence. The main shortcomings of conventional intelligence tests are briefly discussed. The nine methodological and procedural principles, which form this approach, are considered along with the examples of new intelligence tests. According to these principles, new intelligence tests should examine psychological mental context generated by an individual himself or herself. They should also have an “open character”, evaluate the basis of intelligence, and allow both retrospective and prospective assessment. New tests of intellectual abilities should not evaluate psychological functions (e.g., memory or attention) and mental speed, and they should not be very long and time-consuming. Cognitive styles and metacognitive abilities should also be assessed by new intelligence tests.     

Multisystem-Multimethod Family Assessment in Clinical Contexts

A framework for assessing multiple levels of the family system by using multiple methodologies is proposed in this paper. This approach for measuring family phenomena is referred to as Multisystem-Multimethod (MS-MM) family assessment. Ideas from systems theory, measurement theory, and clinical application are used to describe the measurement strategy. A clinical case example is offered illustrating one way in which a MS-MM procedure can be implemented with families. Several currently available assessment tools are utilized to assess the individual, marital, and family levels of the family system. This diversity of measurement techniques provides convergent and divergent information within and across system levels. An MS-MM procedure has the capacity to assess the wholistic qualities of systems as well as specific issues within the boundaries of particular family subsystems.