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Parameters of Psychological Evaluation

Psychological Evaluation is an important factor in assessing human behavior in clinical and research situations. This report addresses issues in the process, meaning, and usefulness of established instruments and methods.

Psychological Evaluation versus Psychometric Testing

There is difference between a psychological / psychosocial evaluation and psychometric testing. The major contrasts are as follows:

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Psychological Evaluation is

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Problem Oriented

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Focused on the Individual in the Problem Situation

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Based upon an understanding of

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Human Behavior

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Test Construction

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Familiarity with Available Instruments

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Psychometric Testing is

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Measurement Oriented

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Focused on Groups of People

Nature of Psychological Assessment and Evaluation

Psychological assessment consists of

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Interviews

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Observation

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Problem Solving Judgments

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Structured Interviews

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Psychometric Testing

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Classification

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Diagnosis

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Treatment Selection

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Treatment Evaluation

 

The focus is on

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Present Functioning or Characteristics

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Possible Causation Factors or Etiology

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Prognosis

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Recommended Treatment Approach

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Model

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Focus

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Methods, and

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Medication

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Using Methods that are

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Reliable

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Valid

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Descriptive

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Predictive, and

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Content

 

Psychological evaluation is based on

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Objective and Standardized Measures of a Sample of Behaviors

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Uniformity of Conditions and Procedures

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Measurement of Difficulty

 

Psychological Evaluation addresses such issues as

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Culture

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Moral Development

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Personality Development

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Psychosocial Development

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Social Skills

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Temperament

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Family Functioning

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Marital Adjustment

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Parenting Assessments

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Ability

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Aptitudes

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Career Development

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Leadership Potential

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Rehabilitation Needs

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Vocational Options

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Achievement

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Intelligence

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Learning Problems

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Thinking Processes

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Deception

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Diagnosis - Axis I and Axis II

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Malingering

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Medication Selection

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Neuropsychological Problems

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Treatment Progress

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Treatment Selection

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Medical

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Psychophysiological

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Diagnosis - Axis III

 

Requests for Psychological Evaluation

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Distributes Liability Issues

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Is Consistent with Usual and Customary Standards of Practice

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Includes Reflections On

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What Specific Questions Would You Like To Have Answered

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How Is It That These Questions Can Not Be
Answered Through a Clinical Interview Alone

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How Will The Answers Have A Significant Effect On
The Treatment Plan

 

Psychological Evaluation issues include

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CONTROL

Psychological tests are tightly controlled for a variety of reasons. These reasons include the following:

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Prevents General Familiarity with Test Contents that Would Invalidate the Test

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Insures that the Test is used by Qualified Examiners who can control for

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Selection

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Administration

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Scoring

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Interpretation

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Inter-Test Comparisons

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Misconceptions of Evaluation and Assessment Methods

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COMPUTERIZED ASSESSMENTS

While there are a number of advantages to computerized administration, the process must be controlled by a qualified professional. Some reported problems associated with computerized measurement includes:

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Some use Incorrect Item Numbers for Some Scales

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Inappropriate Procedures for Converting Raw Scores to T Scores

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Problems with Interpretive Statements

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Use of Automated Reports Instead of a Comprehensive Assessment

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Fixated at a Rather Naive Level

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Over-interpret Critical Items

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Users Unskilled in Use of Test can commit acts of Malpractice

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Moderate Validity

 

The Nature of Psychological Assessment

Depending on the clinical or research question, a valid psychological assessment consists of a fairly standard process. The The Human Studies Center and London Consult research process includes:


Psychological History and Evaluation

The history may be obtained from a variety of sources. The process may include:

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Conjoint interviews

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Family interviews

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Individual assessment

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Review of Records

The comprehensive assessment includes a:

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Mental Status Examination

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Psychosocial History

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Psychometric Evaluation

 

Psychometric Instruments

The Human Studies Center and London Consult uses a variety of instruments, depending on the nature of the question. No competent psychologist will ever use just one instrument. The findings must be cross-validated. The following is a list of commonly used [but not necessarily recommended] instruments, divided by type.

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Personality Assessment

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Comprehensive Objective

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16 Personality Factor Questionnaire

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California Psychological Inventory

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Children's Personality Questionnaire

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Early School Personality Questionnaire

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Edwards Personality Profile

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High School Personality Questionnaire

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Millon Adolescent Personality Inventory

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Millon Behavioral Health Inventory

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Millon Clinical Multiaxial Inventory

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Millon Clinical Multiaxial Inventory - Adolescent

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Millon Clinical Multiaxial Inventory II

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Minnesota Multiphasic Personality Inventory

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Specialized Objective Personality Assessment

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Beck Depression Scales

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Jessness Inventory

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Personal Problems Checklist

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Reynolds Adolescent Depression Scale

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Projective Personality Assessment

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Adjective Checklist

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Children's Apperception Test

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Children's Apperception Test [Human]

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Draw a Person

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House Tree Person

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Rorschach Inkblot

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Rotter Incomplete Sentence Blank

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School Apperception Test

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Sentence Completion Test.

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Somatic Apperception Test

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Thematic Apperception Test

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Intelligence / Cognitive Assessment

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Specialized - Screening

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Bender Visual Motor Gestalt

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Peabody Individual Achievement Test

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Peabody Picture Vocabulary Test

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Quick Test

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Test of Non-verbal Intelligence II

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Trail Making Test

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Comprehensive Intelligence / Cognitive Assessment

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Kaufman Assessment Battery for Children

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Raven's Progressive Matrices

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Raven's Colored Progressive Matrices

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Stanford Binet Intelligence Scale

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Wechsler Adult Intelligence Scales-Revised

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Wechsler Intelligence Scales for Children - III Revised

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Wechsler Preschool and Primary Scale of Intelligence

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Neuropsychological Assessment

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Specialized - Screening

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Bender Developmental Test of Visual Motor Integration

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Bender Visual Motor Gestalt Test

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Benton Items.

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Category Test

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Denman Neuropsychological Memory Scale

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Developmental Test for Visual Motor Integration

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Graham Kendal Memory for Design

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Illinois Test of Psycholinguistic Abilities

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Luria - Nebraska Neuropsychological Screening Test

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Neuropsychological Status Examination

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Peabody Individual Achievement Test

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Peabody Picture Vocabulary Test

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Quick Test

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Trail Making Test

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Visual Motor Integration Test

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Wisconsin Card Sort

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Comprehensive Neuropsychological Assessment

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Halstead - Reitan Battery

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Luria - Nebraska Neuropsychological Test

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Developmental Assessment

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Standardized Developmental Tools

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Burke Behavior Rating Scales

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Child Behavior Checklist - Achenbach

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Denver Developmental Profile II

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Developmental Test for Visual Motor Integration.

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Gesell Developmental and Neuropsychological
Examination

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Vineland Adaptive Behavior Scales

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Yale Child Study Center Revised Developmental Scales

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Psychosexual Developmental Methods

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Achievement

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Screening

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Wide Range Achievement Test-Revised

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Comprehensive

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Wechsler Individual Achievement Scale

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Woodcock - Johnson Psycho-educational
Battery II

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Parent - Child Inventories

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Theoretical

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Skills Survey

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Parent Perception of Child Profile

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Uniform Child Custody Evaluation System

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Custody Quotient

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Custody Aspect

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Scientific

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Aspect

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Bricklin Perceptual Scales

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Parent Awareness Skills Survey

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Parent Perception of Child Profile

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Parent Quotient

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Parental Stress Index

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Uniform Child Custody Evaluation System

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Structured Interviews

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Structured Clinical Interviews [SCID]

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Structured Clinical Interview II [SCID-II]

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Diagnostic Interview for Children & Adolescents [DICA-IV]

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Hypnotic Susceptibility Scales

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Children's Hypnotic Susceptibility Scales

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Harvard Group Hypnotic Susceptibility Scales

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Stanford Hypnotic Susceptibility Scales

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Stanford Hypnotic Susceptibility Scales for Children

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Behavioral Medicine Issues

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Arthritis Self Efficacy Scale

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Beck Depression Inventory

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Brief Symptom Inventory

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Chronic Pain Assessment Tool

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Cognitive Error Questionnaire

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Comprehensive Assessment & Referral Evaluation

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Comprehensive Pain Questionnaire

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Coping Strategies Questionnaire

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Descriptor Differential Sale of Pain Inventory

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Disability Index Questionnaire

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EORTC QLQ-C30

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Expectations of Medications

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Fact-G Scale

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Fear Avoidance Belief Questionnaire

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Functional Limitations Battery & Scales

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Functional Status Questionnaire

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General Health Rating Index

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Hamilton Anxiety Rating Scale Interview Guide

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Hamilton Depression Rating Scale Interview Guide

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Health & Perceived Quality

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Illness Behavior Questionnaire

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London Behavioral Medicine Assessment Forms

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London Behavioral Medicine Structured Interviews

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Lung Cancer Symptom Scale (LCSS)

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Mc Garth Log

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Mc Gill Pain Questionnaire

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McMaster Health Profile

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Measuring Health Status in Arthritis

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Medical Outcomes Survey Pain Index

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Medical Profile Questionnaire

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Mental Health Battery, Well Being

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Mental Health Questionnaire

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Modified Somatic Perception Questionnaire

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Multidimensional Pain Inventory

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Neuropathy Pain Scale

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Pain Belief & Perception Questionnaire

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Pain Coping Inventory

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Pain Information & Belief Questionnaire

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Quality of Life Checklist

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Quality of Life Questionnaire

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Questionnaire About Physical Limitations

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Questions for Graded Classification of Chronic Pain

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Revised Functional Limitations Battery

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Revised Physical Abilities Battery