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The description of concerns.

¹Avon and Wiltshire Partnership NHS Trust, Bath, UK.

Psychology and Psychotherapy

|June 15, 2004

Summary

This study advocates for descriptive assessment in clinical practice, prioritizing patient concerns over standardized measures. It proposes using personalized problem lists and systematic methods to improve patient outcome assessment and clinical formulation.

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Area of Science:

Clinical Psychology
Psychological Assessment

Background:

Distinguishes assessment priorities in research versus clinical settings.
Highlights the need for broad coverage and specificity of patient-reported difficulties in clinical work.

Purpose of the Study:

Provide a rationale and strategy for descriptive assessment in routine clinical practice.
Emphasize sampling patient concerns over measuring constructs for initial assessments.

Main Methods:

Reviews Shapiro's Personal Questionnaires (PQs) as a strategy for content sampling.
Literature search indicating a decline in the use of PQs for systematic description.

Main Results:

Personalized problem lists offer a strategy for content sampling in clinical practice.
A decline in the use of Personal Questionnaires (PQs) for systematic description was observed.

Conclusions:

Proposes reviving systematic description through a focus on 'concerns,' alternative interview coverage, and viewing assessment as a process.
Discusses implications for ordinary language, descriptive hypotheses, idiographic variables, and inductive strategies in clinical assessment.

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