March 9, 2014
Professor Darren Iwamoto
What other information would you like to learn during the interview with the family? What questions would you ask?
First I would like to know if there are any other children living in the household and if so what are their ages. Next, I would ask if there have been any major changes recently, such as a death in the family, a move or change in schools. Additionally, I would ask about the days and moments leading up to her tantrums in order to try and isolate what may be causing her to act in such a manner.
In addition to the clinical interview, what other clinical assessment tool should you consider? Why?
It’s best to consider what type of environment Clara was in prior to being adopted. Learning more about her past could allow us to understand if there may be any underlying or unresolved issues that need to be addressed.
Although you need more information to begin treatment, what factors might you take into consideration in designing an effective intervention for this family?
There are a number of factors to consider in a situation like this, such as household members, how she interacts with others, both adults and children, her past prior to living with the Lawson’s, and what type of environment is being provided.
If you were preparing to diagnose Clara, you would refer to the DSM-IV classification system to evaluate her condition on five separate axes. What type of information would go into each axis?
Axis I: Clinical Syndromes
She did not smile or make eye contact upon greeting someone
Axis II: Developmental Disorders and Personality Disorders
Being quiet , but recently began throwing tantrums
Axis III: Physical Conditions
Sleeping and eating patterns have changed, withdrawn from school
Axis IV: Severity of Psychosocial Stressors
Being adopted by the Lawsons is a major life change
Axis V: Highest Level of Functioning...