Clinical Assessment of Child and Adolescent Personality and Behavior Clinical Assessment of Child and Adolescent Personality and Behavior Third Edition Paul J. Frick University of New Orleans, New Orleans, LA, USA Christopher T. Barry University of Southern Mississippi, Hattiesburg, MS, USA Randy W. Kamphaus Georgia State University, Atlanta, GA, USA Paul J. Frick Christopher T. Barry University of New Orleans University of Southern Mississippi New Orleans, LA Hattiesburg, MS USA USA To my inspiration, Vicki, Josh, Jordan, and Jacob (PJF) To my “home team,” Tammy and Andersen (CTB) To the memory of my parents, Richard and Nancy Kamphaus (RWK) C o n t e n t s Preface xi Chapter 3 Classification and Developmental Part I Psychopathology 47 Basic Issues Chapter Questions 47 Science and Assessment 47 Chapter 1 Classification 48 Developmental Psychopathology 58 Historical Trends 3 Conclusions 64 Chapter Questions 3 Chapter Summary 65 Definitions of Terms in Personality Assessment 4 Early History of Personality Chapter 4 Assessment 6 Standards and Fairness 67 Projective Techniques 7 Chapter Questions 67 The Diagnostic and Statistical Manual APA Ethical Principles of Psychologists 68 of Mental Disorders Test Standards 69 Diagnostic Systems 16 Conclusions 79 IDEA and Special Education 17 Chapter Summary 79 Future Trends 19 Chapter Summary 19 Chapter 5 Chapter 2 Planning the Evaluation Measurement Issues 21 and Rapport Building 81 Chapter Questions 21 Chapter Questions 81 Defining Personality Tests 22 Non-specifics in Clinical Assessment 81 Scores, Norms, and Distributions 25 Clarifying the Referral Question 82 Reliability 34 Designing the Evaluation 85 Construct Validity 37 To Test or Not to Test 88 Utility 44 Rapport Building 89 Conclusions 45 Conclusions 96 Chapter Summary 45 Chapter Summary 97 vii v iii CONTENTS Conclusions 207 Part II Chapter Summary 208 Assessment Methods Chapter 6 Chapter 9 Self-Report Inventories 101 Peer-Referenced Chapter Questions 101 Assessment 211 Omnibus Personality Inventories 101 Chapter Questions 211 Single Construct Personality Ethics of Peer-Referenced Inventories 138 Strategies 212 Conclusions 138 Types of Peer-Referenced Techniques 214 Chapter Summary 139 Other Peer-Referenced Techniques 223 Conclusions 223 Chapter Summary 223 Chapter 7 Parent and Teacher Rating Scales 141 Chapter 10 Chapter Questions 141 Projective Techniques 225 Evaluating Children via Parent Ratings 141 Chapter Questions 225 Evaluating Children via Teacher The Controversy Surrounding Projective Ratings 143 Techniques 225 Overview of Omnibus Parent and Teacher Inkblot Techniques 231 Rating Scales 144 Thematic (Storytelling) Techniques 236 Behavior Assessment System for Children, Sentence Completion Techniques 243 2nd Edition (BASC-2) 145 Drawing Techniques 245 Achenbach System of Empirically Based Conclusions 250 Assessment (Achenbach & Resorla, Chapter Summary 250 2000, 2001) 156 Child Symptom Inventory-4 (CSI-4) 166 Conners, 3rd Edition (Conners-3) 170 Chapter 11 Personality Inventory for Children-2 Structured Diagnostic (PIC-2); Student Behavior Survey Interviews 253 (SBS) 174 Chapter Questions 253 Sample Impairment-Oriented Scales 183 History 253 Conclusions 185 Overview 254 Chapter Summary 187 Evaluation of Diagnostic Interviews 259 Recommendations for Use of Structured Interviews 261 Chapter 8 Focus on the NIMH Diagnostic Behavioral Observations 189 Interview Schedule for Children Chapter Questions 189 (DISC-iv) 265 Basics of Observational Systems 192 Conclusions 269 Examples of Observational S ystems 200 Chapter Summary 269 CONTENTS ix Chapter 12 Part III Assessing Family Advanced Topics Context 271 Chapter Questions 271 Chapter 15 Introduction 271 Integrating and Interpreting Assessing Family Functioning: Assessment Information 339 General Issues 276 General Considerations in Assessing Chapter Questions 339 Family Functioning 277 Introduction 339 Parenting Styles and Practices 280 Integrating Information across Parenting Stress 288 Informants 342 Marital Conflict 291 A Multistep Strategy for Integrating Parental Adjustment 293 Information 347 Conclusions 296 Step1: Document all Clinically Significant Chapter Summary 296 Findings Regarding the Child’s Adjustment 349 Step2: Look for Convergent Findings Across Sources and Methods 349 Chapter 13 Step3: Try to Explain Discrepancies 353 History Taking 299 Step4: Develop a Profile and Hierarchy of Strengths and Weaknesses 353 Chapter Questions 299 Step5: Determine Critical Information Content 307 to Place in the Report 354 Formats 307 Conclusions 355 Conclusions 313 Chapter Summary 355 Chapter Summary 314 Chapter 16 Report Writing 357 Chapter 14 Adaptive Behavior Chapter Questions 357 Scales 315 Reporting Problems and Challenges 357 Report Writing as Part of Evidence-Based Chapter Questions 315 Assessment 359 History of the Construct 315 Pitfalls of Report Writing 360 Characteristics of Adaptive Behavior Suggested Practices 365 Scales 318 Adapting Reports to Audience Omnibus Adaptive Behavior Scales 322 and Setting 368 General Recommendations 327 The Sections of the Psychological Measuring Social Skills 332 Report 369 Conclusions 334 Communicating Results Orally 373 Chapter Summary 334 Conclusions 375 Chapter Summary 376 x CONTENTS Chapter 17 Chapter 19 Assessment of Attention Assessment of Autism Spectrum Deficit Hyperactivity Disorders 437 and Disruptive Chapter Questions 437 Behavior Disorders 377 Definitional Issues 437 Specialized Measures of Autism 439 Chapter Questions 377 An Assessment Strategy for Autism 445 Introduction 377 A Sample Case of Autism in a Child Attention-Deficit Hyperactivity with Neurological Impairment 447 Disorder 378 Conclusions 452 Conduct Problems 398 Chapter Summary 452 Conclusions 410 Chapter Summary 412 References 453 Chapter 18 Author Index 491 Assessment of Depression Subject Index 503 and Anxiety 413 Chapter Questions 413 Internalizing Disorders 413 Childhood Depression 414 An Assessment Strategy for Depression 422 Anxiety Disorders of Childhood 425 An Assessment Strategy for Anxiety 431 Conclusions 434 Chapter Summary 434 P r e f a C e Psychologists offer an increasing variety Hence, this volume reflects our desire to of servi ces to the public. Among these provide a more helpful tool for instruc- services, psychological assessment of per- tion - one that provides a scien tific context sonality and behavior continues to be a within which to understand psychological central activity. One main reas on is that testing with children and adolescents and other mental health professionals often that translates this scientific context into do not possess a high level of competence practic al guidelines for using individual in this area. When one views psycholo- tests in clinical practice. gists who serve children and adolescents, Among our specific objectives for this psychological, assessment seems to take on volume are the following: an even greater role. It follows, then, that comprehensive and enlightened graduate- • To focus on measures specifically level instruction in assessm ent should be a designed to assess the emotional, behav- high priority for educators of psychologists ioral, and social functioning of children who are destined to work with youth. and adolescents This book is an outgrowth of our efforts • To provide current research findings to improve our own instruction of child that enable students to draw heavily and adolesc ent assessment skills. We found on science as the basis for their clinical that existing textbooks were not serving practice us well. Most of them were encyclopedic, • To help in the translation of research edited volumes that were (1) uneven in into practice by providing specific and the quality across chapters and/or (2) not practical guidelines for clinical practice geared either in format or level of presen- • To include a broad coverage of assess- tation for beginning graduate instruction. ment methods from a variety of The few single- or co-authored volumes theor etical, practical, and empirical tra- available tended to lack the breadth of cov- ditions erage we deemed necessary. Some focused largely on theo retical issues related to psy- • To systematically compare tests and chological testing, with minimal discussion assessm ent methods using research of practical applications and use of specific findings, reviews, and our own synthe- tests. Others focused solely on summa- sis of positions ries of individual tests, without review- • To provide a readable volume that would ing the theoretical or empirical context enh ance the interest and retention of within which to use the tests appropriately. students through the use of numerous xi