Category: Clinical Decision Making

7 essays

Research on classification and case formulation

It has been postulated (for example see Persons & Miakami) that psycho diagnostic evaluation is an important phase in the treatment of psychopathology. However there is a fierce battle going on between those that argue for a stepped-care model in mental health care and those that argue that we should rather look at the specific […]

How do biases affect decision making in mental health?

Bias in treatment recommendations is a problem health care in general. The focus on my research looks specifically at the biases in mental health care. In this field we find literature that suggests certain disorders are viewed as more “psychological” in nature and others are viewed as more “biological” in nature, and to some degree, […]

Why a Computerized Decision System does not always lead to the Correct DSM-Classification

According to Lars Bergman there are several reasons that keep computerized systems from producing the correct DSM-classification. The most important point might be that diagnosis in psychiatry is just to complex for a fully structured system to reach a good level of validity. Dynamic systems and appropriate statistics might be necessary. According to Dreyfus the […]

The implicit Contract by Therapist and Patient in Psychotherapy

Idea for an experiment: I proposed to prime therapists with the case of a patient that could easily be identified as one disorder (for example depression or dementia) and then present another case in which the information is ambiguous and thus allowing the possibility for both disorders to be present. Having read the articles by […]

More on the Topic of Experience in Psychotherapy

In one of the last posts I summarized three articles that all came to the conclusion that there was no big difference between novice and expert therapists. I came to the conclusion that the tasks used were presenting ready-to-judge material, which was in no way ecological valid. I hypothesised that the true merit of expertise […]

Differences between Clinicians with Different Levels of Experience

The study of Hillerbrand and Claiborn is a 2 (level of expertise)x3 (levels of problem structure) design. 17 expert and 15 novice psychologists with good diagnostic abilities read well structured, ill structured or random structured cases. Consistency of the relevance of the information supplied varied between the cases. Relevance was the extend to which information […]