Phenomenology, Bruno Klopfer, and individualized/collaborative assessment

This presentation celebrates commonalities of Bruno Klopfer's philosophical phenomenological approach to the Rorschach and my similarly grounded approach to individualized/collaborative psychological assessment. The article begins with an excerpt from such an assessment to ground what follows. It then addresses what phenomenology is and is not in relation to psychological assessment, and reviews Klopfer's phenomenological approach to the Rorschach. It presents the findings from an empirical phenomenological research study relevant to collaborative assessment. Finally, the article reviews some common inquiries and observations about individualized/colloaborative assessment and closes with some shifts in American psychology that are consonant with this approach to psychological assessment.     

Individualized assessment and phenomenological psychology

Although there is growing openness to tailoring of assessment procedures and reports to the particular client, these efforts typically have been sporadic and incomplete. This article reviews a systematic approach to individualized assessment, one whose practices are referred to as collaborative, contextual, and interventional. Clinical examples of these practices are presented in terms of their grounding in phenomenological psychology. Prior to that, themes such as intentionality, situatedness, dialectics, structuralism, and hermeneutics are introduced briefly. Phenomenological psychology as such is not seen here as necessary for all individualized practices, but it is seen as a critical touchpoint for development of theory and further practices.     

Psychodiagnostic test usage: a survey of the society for personality assessment

The present survey investigated psychodiagnostic test usage and practices of the Society for Personality Assessment. A brief questionnaire was forwarded to 400 SPA members and 206 responded for a 51.5% rate of return. Projective techniques found popular in previous surveys of Division 12 were the major assessment instruments utilized by SPA members. Exner's comprehensive system was the preferred mode of Rorschach analysis, followed by the Klopfer and Beck systems. The Wechsler Scales and the MMPI were frequently included in conducting a psychological battery. Personality assessment was mainly utilized for diagnostic purposes and as an indicator for type of therapy.     

Pour une approche qualitative de l’évaluation du fonctionnement cognitif

The purpose of this article is to highlight the interest and the necessary conditions to carry out a qualitative assessment of cognitive activity. This one distinguishes itself from a quantitative assessment in which individual differences do not concern the products of cognitive activity, but the activity itself. This level of analysis is particularly useful from a diagnostic point of view. We present and illustrate a methodological and conceptual approach as well as the conditions for its implementation, which will enable us to identify the underlying processes and the participants resort to come up with an answer. The approach supported here participates in the development of cognitive psychology centred on individual cases that is essential to explain the observed differences and to propose adapted and appropriate individualized remediations.     

Decision analysis: An approach for multidisciplinary teams in planning special service programs

A decision analytic approach for use by multidisciplinary teams (MDTs) in planning special service programs is described, and formative evaluation information on its application by MDTs in planning individualized education programs (IEPs) is presented. Decision analysis is applied following initial determination of program goals and objectives. In using the approach, an MDT engages in a six-step process: (a) delineation of program alternatives, (b) determination of program outcomes, (c) assessment of probabilities, (d) assessment of utilities, (e) determination of overall program values, and (f) selection of the program to be developed. Utilization of the approach allows a complex program planning situation to be disaggregated into its essential elements, with discussion of program alternatives occurring relative to specific decision criteria. Strengths and limitations of the approach also are discussed, and future directions for research are briefly noted.     

Relationship Between Anger Expression and Stress in Predicting Depression

In this study the authors examine the relationship between anger expression and stressful life events as predictors of depression among college students. Measures of anger expression, stressful life events, and depression were completed by 247 undergraduates. Results of hierarchical multiple regression analyses indicated that anger directed inward and stressful life events were significant orthogonal predictors of depression. Because anger directed inward and stressful life events seem to be independent and additive predictors of depression, both play an important role in the assessment of depression. Counseling strategies based on such assessments may need to be multimodal and individualized     

Individualized assessment moderates the impact of HIPAA privacy rules

In this comment, I express appreciation of Erard's (this issue) review, and urge psychologists to continue to protect test security. I disagree with Erard's belief that the Health Insurance Portability and Accountability Act of 1996 (HIPAA) is salient for nonhealth forensic issues. I then review some ways in which individualized assessment practices can moderate the negative impact of the HIPPA privacy rules. Assessors can use tests as a ground forjoint exploration of the client's experience, behavior, and their contexts. Clients may later ask for a review of test data and collaborative life findings, but they rarely are interested in acquiring test records. Attorneys, after discovering that assessment conclusions are based largely on events/contexts provided by the client and others, are less interested in acquiring test records that the psychologist used as tools rather than as evidence for conclusions.     

Occupational Therapy in the Rehabilitation of the Patient with Anorexia Nervosa

The first part of this paper develops an ecological and rehabilitative stance for the occupational therapist in relation to the anorexic patient. Maximizing the individual's level of psychosocial functioning is regarded as the primary aim of treatment. A model for approaching the anorexic patient is described which examines environmental factors, and the importance of assessment and follow up. The cognitive behavioral approach is discussed and suggestions are made for adapting it to the occupational therapist's orientation towards practical activity. In the second part of the paper concrete suggestions for therapy are made.     

Sidney Blatt's Contributions to Personality Assessment

Over a long, distinguished career, Sidney Blatt contributed to theory and research in personality development, personality assessment, and psychotherapy. Best known for his 2-configurations model of personality and author or co-author of more than 250 articles and 18 books and monographs, Blatt was also a master clinician, a psychoanalyst who was awarded the 1989 Bruno J. Klopfer Award by the Society for Personality Assessment (SPA) for his contributions to both self-report and performance-based assessment. He was also the president of SPA from 1984 to 1986. This special series contains papers by writers who participated in all aspects of Blatt's contributions to personality assessment, both self-report and performance-based. Topics covered include Blatt's 2-configurations model of personality, development, and psychopathology; boundary disturbance and psychosis in performance-based assessment; the interaction of gender and personality on narrative assessments; and the Object Relations Inventory and differentiation relatedness, especially as these relate to therapeutic outcome.     

个体化降压的临床意义

高血压是由多种病因和发病机制引起的一种慢性疾病,可以导致多种靶器官功能损害,并最终导致严重的心、脑血管并发症,危及人类的健康和生命。如何做到有效的预防和治疗是目前面,临的问题。本文分析了高血压控制的现状,以矛盾的特殊性原理为指导,从高血压的病因和发病机制、临床特点以及药物对个体的敏感性等诸多方面出发,阐述了高血压患者个体差异性。高血压患者个体差异性决定每一个个体综合控制策略的不同,运用“具体问题具体分析”的方法,为每一个个体制定个体化的血压控制方案,以期达到理想的高血压整体控制水平。     

Binary programming and test design

An algorithmic approach to test design, using information functions, is presented. The approach uses a special branch of linear programming, i.e. binary programming. In addition, results of some benchmark problems are presented. Within the same framework, it is also possible to formulate the problem of individualized testing.I would like to thank my colleagues N. Veldhuijzen, H. Verstralen and M. Zwarts for their suggestions and comments. Furthermore, I would like to thank Professor W. van der Linden, Department of Educational Measurement and Data Analysis, Technological University Twente, for offering facilities at his department; Ellen Timminga of the same department and S. Baas, department of Operational Research at the same University for their efforts in linear programming.     

The Prospect of Genome-guided Preventive Medicine: A Need and Opportunity for Genetic Counselors

One of the major anticipated benefits of genomic medicine is the area of preventive medicine. Commercially available genomic profiling is now able to generate risk information for a number of common conditions several of which have recognized preventive guidelines. Similarly, family history assessment affords powerful health risk prediction based on the shared genetic, physical and lifestyle environments within families. Thus, with the ability to help predict disease risk and enable preemptive health plans, genome-guided preventive medicine has the potential to improve population health on an individualized level. To realize this potential, steps to broaden access to accurate genomic health information must be considered. With expertise in genetic science, risk assessment and communication, and a patient-centered practice approach, genetic counselors are poised to play a critical role in facilitating the incorporation of genomic health risks into the burgeoning field of genome-guided preventive medicine.     

Person-Centered Assessment

The use of tests and assessment in person-centered counseling is discussed. In person-centered counseling, the most fundamental value is honoring the client as the authority on his or her own life. The extreme focus of person-centered theory on the “self-authority” tends to militate against the use of tests and assessment. Person-centered counseling includes unsystematic counselor responses, such as reactions, questions, and suggestions. This increasing involvement of the counselor as a person has implications for the use of tests in person-centered counseling.     

Comparability of self-report checklist and interview data in the assessment of stressful life events in young adults

The purpose of this study was to evaluate the incremental value of conducting an interview to assess stressful life events over the self-report questionnaire approach, first by examining the degree to which life events reported on a questionnaire met inclusion criteria in a detailed stress interview, and second, by comparing the magnitude of prospective associations with depression symptoms for the two different assessment procedures. Data from the Oregon Adolescent Depression Project were examined, in which 191 community-residing young adults (55% female; M age=23.6, SD=0.6) completed a mailed questionnaire assessing the frequency with which 33 life events had occurred to them or to other important people in their lives prior to the diagnostic and stress interviews. An average of 67.5% of events occurring to self met criteria for classification as a life event on the stress interview, as did 19.7% of the events occurring to others. Events having a large effect on the participant had a greater likelihood of meeting inclusion criteria on the stress interview. Contrary to expectation, stress scores from the interview assessment did not result in stronger associations with depression. Recommendations for assessment of stressful life events are offered.     

A rational approach to rational suicide.

Suicide is a reaction to internal and external sources of stress and the impact of life events. In the elderly these situations are prevalent in many who are not suicidal and instead choose life. They represent what may be called rational nonsuicide. They are far more frequent than rational suicide. Nevertheless, considerably more is written about rational suicide than its alternative. The reasons for this phenomenon are reviewed, and suggestions are made for a rational approach to the affirmation of life rather than its rejection, even to the very end.     

Applying Evidence-Centered Design for the Development of Game-Based Assessments in Physics Playground

Game-based assessment (GBA) is a specific use of educational games that employs game activities to elicit evidence for educationally valuable skills and knowledge. While this approach can provide individualized and diagnostic information about students, the design and development of assessment mechanics for a GBA is a nontrivial task. In this article, we describe the 10-step procedure that the design team of Physics Playground (formerly known as Newton's Playground) has established by adapting evidence-centered design to address unique challenges of GBA. The scaling method used for Physics Playground was Bayesian networks; thus this article describes specific actions taken for the iterative process of constructing and revising Bayesian networks in the context of the game Physics Playground.     

The relationship between change in self-perceptions of aging and physical functioning in older adults

Negative self-perceptions of aging (SPA) have been linked to poor physical health and functioning outcomes in late life, yet the direction of this relationship remain unclear. Using data from the Australian Longitudinal Study of Aging, we investigated the directionality of the dynamic relationship between self-perceptions of aging and physical functioning in 1,212 adults 65 years and above (mean age = 76.89, SD = 6.12) over 5 waves (up to 16 years). Bivariate Dual Change Score Models (BDCSM) revealed that the best fitting model for the data was that which allowed SPA to predict change in physical functioning over time lags of 1 year. The direction of the relationship remained after controlling for age, gender, partner status, residential care, number of medical conditions, self-rated health, and psychological well-being. Findings suggest that more positive SPA may be protective of decline in physical functioning in late life. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Profile of the Membership of the Society for Personality Assessment: Comparisons Between 1987 and 1990

In this study, we report the findings of a 1990 survey of the membership of the Society for Personality Assessment (SPA) and compare these results with a similar survey conducted in 1987. A four-page questionnaire was sent to approximately 1,800 SPA members; 900 surveys were returned, for a 50% response rate. Information was obtained on professional activities, occupational setting, theoretical orientation, and various demographic characteristics. Clinical practice was reported as the primary professional activity of the vast majority of SPA members; more than 40% of the 1990 sample indicated private practice as their primary job setting, compared to 35% in I987. A larger proportion of SPA members are also now working in private/clinical practice, medical centers, and outpatient community clinics than in 1987. Although a psychodynamic-psychoanalytic orientation continues to be the dominant theoretical perspective of SPA members, the proportion of members with a cognitive-behavioral orientation has increased substantially since 1987. We concluded that SPA members are now more involved in clinical practice, and that the SPA has become more ecumenical in theoretical perspective as the membership has more than doubled over the past 3 years.