Journal of Psychiatry

Formulating diagnostic impressions and pitfalls of selfreport

28^th International Conference on Psychiatry & Psychology Health

May 06-07, 2019 | Amsterdam, Netherlands

Catherine Carlson

Private Practitioner, USA

Scientific Tracks Abstracts: J Psychiatry

Abstract:

Critical analysis is the sine qua non of assessment. The role of a psychiatric diagnostician is akin to a sleuth because similar skills are required. Both must gather, recognize, identify, and determine the reliability of available data to arrive at a hypothesis. Reliability in this case refers to whether data can be believed, trusted, and relied upon in forming valid diagnostic conclusions. The self-report of people with mental illness, who may be guarded, misguided or have poor insight, is often unreliable and accepting self-report and/or self-diagnosis at face value can lead to erroneous diagnoses and thus, inappropriate treatment. Available data can be broken down into two types, objective and subjective. Objective and behavioral data is inherently more reliable than subjective data which can be colored by conscious or unconscious distortions or erroneous conclusions. Subjective data is contained in personal and professional accounts, endorsements, and opinions. Self-report regarding symptoms, or symptom expression (SE), and the diagnosis of another clinician are examples of subjective data. Observable behavior, recognized manifestations of genuine mental illness, and voluntary versus involuntary presentations are examples of objective data. An examinees who endorses (SE) debilitating symptoms of depression, should show overt signs of debilitating depression because people who are severely depressed show overt signs of depression. Important and often unrecognized data, is imbedded in behavioral functioning, and can expose unreliable SE. The SE of an examinee who endorses debilitating symptoms of depression and presents with bubby affect, perfectly coiffed hair, and bright red lipstick is probably unreliable. Learning what major mental illness looks like outside the diagnostic manual, and how to categorize, recognize, and look at data, will assist in the formulation of valid diagnostic impressions. Conclusion shows that several clinical vignettes will illustrate the analytic and didactic material. The user friendly content is captivating, supported by research citations, and geared toward mental health professionals who conduct psychiatric evaluations.

Biography :

Catherine Carlson has completed her PsyD from the Argosy University in 1994 and has been a Forensic Psychologist for over 20 years. She has provided Forensic Psychological Services for Adult, Criminal, and Family Courts for the State of Minnesota since 1995. She has expertise in the identification of mental illness, character pathology, substance use/disorders, organicity, intellectual disabilities, and malingering. She spent over four years at the Minnesota Security Hospital, where she also provided clinical services. She has evaluated over 5000 defendants/ respondents and testified to her opinions on many occasions. She is acourt-appointed Examiner and has had access to records not readily available to other examiners.

E-mail: carlsonc32@gmail.com