Methodological Considerations on Psychological Diagnosis and Consulting in Clinical Settings

Authors

  • Mento Carmela Department of Biomedical and Dental Sciences, and Morphofunctional Imaging, University of Messina, Italy https://orcid.org/0000-0003-4611-3740
  • Perrone Flavia University of Messina, Psychiatric Unit Policlinico Hospital, Messina, Italy https://orcid.org/0000-0002-4230-5473
  • Lenzo Vittorio Department of Social and Educational Sciences of the Mediterranean Area, University for Foreigners “Dante Alighieri” of Reggio Calabria (Italy), Reggio Calabria, Italy https://orcid.org/0000-0001-8391-5123
  • Silvestri Maria Catena University of Messina, Psychiatric Unit Policlinico Hospital, Messina, Italy

DOI:

https://doi.org/10.6000/2292-2598.2022.10.04.2

Keywords:

Psychological diagnosis, Psychological assessment, Psychic functions, Consulting Psychology, Clinical settings

Abstract

Background: The interest of diagnosis in clinical psychology is growing, but psychological diagnosis is a complex construct to describe because it is not a static process. It can be subject to change due to continuous evolutions/involutions present in a person’s psychic life. This review aims to describe the concept of psychological-clinical diagnosis.

Method: We have carried out, following PRISMA guidelines, a systematic review of literature on Pubmed. Data for this systematic review have been collected in compliance with the reporting elements used for systematic reviews and metanalysis. Search terms were "Psychological diagnosis” AND “Psychological formulation”.

Results: Psychological diagnosis can be defined as a process through which clinicians aim to know people's psychic functioning to investigate conscious and unconscious, healthy or pathological psychic dimensions. Psychological diagnosis has great importance in the clinical setting.

Conclusion: Psychological diagnosis can be carried out at different levels, according to the context in which it is applied, using a multi-instrumental and multidimensional to investigate the state of an individual's functioning. The literature about this topic is poor and often connected to psychiatric diagnosis, which reduces its particular features. In light of this, it is important to give an overview of the concept of psychological-clinical diagnosis.

References

Gans S. A list of Psychological disorders; Riviste web2 2020.

Dazzi N, Lingiardi V, Colli A. La ricerca in psicoterapia. Modelli e strumenti. Johnstone L. Psychological formulation as an alternative to psychiatric diagnosis. Journal of Humanistic Psychology 2018; 58(1): 30-46. https://doi.org/10.1177/0022167817722230

Lingiardi V, Shedler J, Gazzillo F. Assessing personality change in psychotherapy with the SWAP–200: a case study. Journal of Personality Assessment 2006; 86(1): 23-32. McWilliams N. Il caso clinico. Dal colloquio alla diagnosi; Raffaello Cortina Editore 1999. https://doi.org/10.1207/s15327752jpa8601_04

Lingiardi V, Muzi L. Il Manuale Diagnostico Psicodinamico (PDM-2): un'occasione di dialogo interdisciplinare. Giornale Italiano di Psicologia 2018; 45(4): 781-804. Gazzillo ND. La diagnosi in Psicologia clinica. Raffaello Cortina Editore 2009.

Lingiardi V, Gazzillo F. La personalità ei suoi disturbi: Valutazione clinica e diagnosi al servizio del trattamento. Raffaello Cortina; 2014. Pruneti C. Diagnosi Funzionale in Psicologia Clinica e Psicopatologia; Esculapio 2019.

Redhead S, Johnstone L, Nightingale J. Clients’ experiences of formulation in cognitive behaviour therapy. Psychology and Psychotherapy: Theory, Research, and Practice 2015; 88(4): 453-67. https://doi.org/10.1111/papt.12054

McWilliams N. La Diagnosi Psicoanalitica; Atrolabio Ubaldini 2012.

Flores A, López FJ, Vervliet B, Cobos PL. Intolerance of uncertainty as a vulnerability factor for excessive and inflexible avoidance behavior. Behaviour Research and Therapy 2018; 104: 34-43. https://doi.org/10.1016/j.brat.2018.02.008

Alam R, Cheraghi-Sohi S, Panagioti M, Esmail A, Campbell S, Panagopoulou E. Managing diagnostic uncertainty in primary care: a systematic critical review. BMC Family Practice 2017; 18(1): 1-3. https://doi.org/10.1186/s12875-017-0650-0

Kostopoulou O, Russo JE, Keenan G, Delaney BC, Douiri A. Information distortion in physicians’ diagnostic judgments. Medical Decision Making 2012; 32(6): 831-9. https://doi.org/10.1177/0272989X12447241

Cwik JC, Margraf J. Information order effects in clinical psychological diagnoses. Clinical Psychology & Psychotherapy 2017; 24(5): 1142-54. https://doi.org/10.1002/cpp.2080

Finn SE, Tonsager ME. How therapeutic assessment became humanistic. The Humanistic Psychologist 2002; 30(1-2): 10-22. https://doi.org/10.1080/08873267.2002.9977019

Felaco R, Zullo C. Esperienze in psicologia ospedaliera. Esperienze in psicologia ospedaliera 2005; 1-77.

Carli R, Paniccia RM, Caputo A. The representation of the relationship between users and healthcare system: The demand of a group of citizens. Rivista di Psicologia Clinica 2016; (1): 45-66.

Sarubbo M. La funzione psicoterapeutica nel rapporto tra servizi e territori: Tradurre la domanda dei territori per progettare interventi. Quaderni di Psicologia Clinica 2015; 27(1): 5-14.

Del Corno F, Lang M, editors. Psicologia clinica. FrancoAngeli; 2003.

Lorettu L, Nivoli GC, Milia P, Depalmas C, Clerici M, Nivoli AM. Il colloquio in situazioni psichiatriche di crisi. Rivista di Psichiatria 2017; 52(4): 150-7.

De Isabella G, Majani G. Psicologia in medicina: vantaggi e prospettive. Franco Angeli; 2015.

McWilliams N. Psychoanalysis and research: Some reflections and opinions. Psychoanalytic Review 2013; 100(6): 919. https://doi.org/10.1521/prev.2013.100.6.919

Cozzaglio P. Psichiatria intersoggettiva: dalla cura del sog-getto al soggetto della cura. Psichiatria intersoggettiva 2014.

Luciano M, Sampogna G, Del Vecchio V, De Rosa C, Albert U, Carrà G, Dell’Osso B, Di Lorenzo G, Ferrari S, Martinotti G, Nanni MG. Critiche e prospettive degli attuali sistemi di classificazione in psichiatria: il caso del DSM-5. Rivista di Psichiatria 2016; 51(3): 116-21.

Kotan VO, Kotan Z, Bilgili GÖ. Diagnostic Classification Systems Based on Psychoanalytical Principles. Archives of Neuropsychiatry 2018; 55(1): 91. https://doi.org/10.5152/npa.2017.19505

Both LM, Bastos AG, Freitas LH. Operationalized psychodynamic diagnosis: a systematic review of the literature. Trends in Psychiatry and Psychotherapy 2019; 41: 201-10. https://doi.org/10.1590/2237-6089-2018-0020

Kazdin AE. Metodologia della ricerca in psicologia clinica; Pearson 2018.

Mondini S. Esame neuropsicologico breve 2: Una batteria di test per lo screening neuropsicologico. Cortina; 2011.

Passi Tognazzo D. Il Metodo Rorschach, Manuale di psicodiagnostica su modelli di matrice europea. Giunti, Firenze 1994.

Carmela M, Irene PD, Clara L, Catena SM. Cognitive deficits and Rorschach task. Cogent Psychology 2020; 7(1): 1848111. https://doi.org/10.1080/23311908.2020.1848111

Pancheri P, Sirigatti S. MMPI-2-Minnesota multiphasic personality inventory-2. Manuale. Firenze: Giunti OS. 1995.

Fossati A, Borroni S, Somma A, Somma A. PID-5 ADULTI: Manuale d’uso della versione Italiana. Raffello Cortina Editore; 2016.

Castiello d'Antonio A. Jonathan Shedler, Drew Westen & Vittorio Lingiardi, La valutazione della personalità con la SWAP-200. Nuova edizione. A cura di. Psicoterapia e Scienze Umane 2014; 48(1): 187-8.

Moher D, Liberati A, Tetzlaff J, Altman DG, TP Group. Linee guida per il reporting di revisioni sistematiche e meta-analisi: il PRISMA Statement. PLoS Med 2009; 6(7): e1000097. https://doi.org/10.1371/journal.pmed.1000097

Buhr K, Dugas MJ. The intolerance of uncertainty scale: Psychometric properties of the English version. Behaviour Research and Therapy 2002; 40(8): 931-45. https://doi.org/10.1016/S0005-7967(01)00092-4

Di Nuovo S. Hanno ancora valore le «parole» nelle diagnosi della mente? Giornale italiano di Psicologia 2018; 45(4): 843-8.

Carmela M, Desiree M, Diletta LT, Catena SM, Amelia R. Family drawing and psychological vulnerability in Children’s representations of parental divorce. Cogent Psychology 2019; 6(1): 1654723. https://doi.org/10.1080/23311908.2019.1654723

Hartley S, Jovanoska J, Roberts S, Burden N, Berry K. Case formulation in clinical practice: Associations with psychological mindedness, attachment, and burnout in staff working with people experiencing psychosis. Psychology and Psychotherapy: Theory, Research and Practice 2015; 89: 133-147. https://doi.org/10.1111/papt.12074

Sørbye Ø, Dahl HS, Eells TD, Amlo S, Hersoug AG, Haukvik UK, Hartberg CB, Høglend PA, Ulberg R. Psychodynamic case formulations without technical language: a reliability study. BMC Psychology 2019; 7(1): 1-8. https://doi.org/10.1186/s40359-019-0337-5

Berríos-Riquelme J, Pascual-Soler M, Frías-Navarro D, Maluenda-Albornoz J. Psychometric properties and factorial invariance of the satisfaction with life scale in Latino immigrants in Chile, Spain, and United States. Terapia Psicológica 2021; 39(2): 199-218.

Carli R, Paniccia RM, Caputo A. The representation of the relationship between users and healthcare system: The demand of a group of citizens. Rivista di Psicologia Clinica 2016; (1): 45-66.

Day J, Freiberg K, Hayes A, Homel R. Towards scalable, integrative assessment of children’s self-regulatory capabilities: New applications of digital technology. Clinical Child and Family Psychology Review 2019; 22(1): 90-103.

Sleep CE, Weiss B, Lynam DR, Miller JD. The DSM-5 section III personality disorder criterion a in relation to both pathological and general personality traits. Personality Disorders: Theory, Research, and Treatment 2020; 11(3): 202.

Foa EB, McLean CP, Zang Y, Zhong J, Rauch S, Porter K, Kauffman BY. Psychometric properties of the Posttraumatic Stress Disorder Symptom Scale Interview for DSM–5 (PSSI–5). Psychological Assessment 2016; 28(10): 1159.

Magson NR, Rapee RM, Fardouly J, Forbes MK, Richardson CE, Johnco CJ, Oar EL. Measuring repetitive negative thinking: development and validation of the Persistent and Intrusive Negative Thoughts Scale (PINTS). Psychological Assessment 2019; 31(11): 1329.

Hartley S, Jovanoska J, Roberts S, Burden N, Berry K. Case formulation in clinical practice: Associations with psychological mindedness, attachment and burnout in staff working with people experiencing psychosis. Psychology and Psychotherapy: Theory, Research and Practice 2016; 89(2): 133-147.

Redhead S, Johnstone L, Nightingale J. Clients’ experiences of formulation in cognitive behaviour therapy. Psychology and Psychotherapy: Theory, Research and Practice 2015; 88(4): 453-467.

Wright AG, Gates KM, Arizmendi C, Lane ST, Woods WC, Edershile EA. Focusing personality assessment on the person: Modeling general, shared, and person specific processes in personality and psychopathology. Psychological Assessment 2019; 31(4): 502.

Merten EC, Cwik JC, Margraf J, Schneider S. Overdiagnosis of mental disorders in children and adolescents (in developed countries). Child and Adolescent Psychiatry and Mental Health 2017; 11(1): 1-11.

Published

2022-08-31

How to Cite

Carmela, M., Flavia, P., Vittorio, L., & Catena, S. M. (2022). Methodological Considerations on Psychological Diagnosis and Consulting in Clinical Settings. Journal of Intellectual Disability - Diagnosis and Treatment, 10(4), 167–177. https://doi.org/10.6000/2292-2598.2022.10.04.2

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Section

General Articles