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Related Concept Videos

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Assessment of the Cardiovascular System I: Subjective Data

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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

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Published on: February 16, 2011

Assessing clinician's subjective experience during interaction with patients.

Mauro Pallagrosi1, Laura Fonzi, Angelo Picardi

  • 1Department of Neurology and Psychiatry, Sapienza University of Rome, Rome, Italy.

Psychopathology
|August 15, 2013
PubMed
Summary

This study developed the Assessment of Clinician's Subjective Experience (ACSE) instrument to measure psychiatrists' inner experiences during patient encounters. The ACSE is a valid and reliable tool for research and training in clinical psychology.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Psychopathology

Background:

  • Limited research exists on clinicians' subjective experiences, despite its importance in phenomenological and psychodynamic traditions.
  • This study addresses the need for a validated instrument to capture these experiences.

Purpose of the Study:

  • To develop and validate the Assessment of Clinician's Subjective Experience (ACSE) instrument.
  • To provide a reliable tool for measuring clinicians' subjective experiences in psychiatric practice.

Main Methods:

  • Developed 104 items, refined to 46 based on pilot testing.
  • Validated the ACSE with 13 psychiatrists and 527 patients, using principal component analysis.
  • Assessed internal consistency, test-retest stability, and convergent validity.

Main Results:

  • Identified five factors: tension, difficulty of attunement, engagement, disconfirmation, and impotence, explaining 57% of variance.
  • ACSE scales demonstrated high internal consistency and stability.
  • Correlations supported convergent validity with conceptually related measures.

Conclusions:

  • The ACSE captures a pattern of subjective experience consistent with existing psychopathological descriptions.
  • The ACSE is a valid and reliable instrument, potentially useful for training, research, and diagnostics.
  • Limitations include a small psychiatrist sample and self-report nature.