Vignette Sample Clauses

Vignette. 5. Share an effected photo
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Vignette. The case study or vignette represents an American with a “typical” symptom profile, yet one sufficiently ambiguous so that there was not only one obvious “correct” diagnosis and treatment plan. In developing the case I analyzed data from the National Comorbidity Survey Replication (NCS-R), a representative national survey that provides the most up-to-date data available on the incidence and prevalence of psychiatric symptoms among Americans (Xxxxxxx and Merikangas 2004). In order to develop the case I selected a subset of individuals from the NCS-R database who qualified for both a non-psychotic mood disorder and an anxiety disorder, disorders that often co-occur in the same individual (Xxxxxxx 2001) and are the two most common types of mental disorders that Americans qualify for based on their symptom profiles (Wang et al. 2005). I generated descriptive statistics for this subset (i.e., symptom frequencies; mean age; modal race/ethnicity; modal gender; modal professional status) in order to develop a picture of the average American suffering from both an anxiety and a mood disorder. The result is “Xxxxxxx,” a 39-year-old white paraprofessional with a history of panic attacks, overwhelming sadness, worry, and difficulty sleeping and concentrating. In order to make the case more realistic I added personal details (e.g., Xxxxxxx is a married mother of two children working as a paralegal who enjoys reading mystery novels) and context (she presents for treatment due to recent panic attacks that occurred while she was driving; Jessica’s marriage is strained) to the case study. Two texts published by the American Psychiatric Association (Xxxxxxx and Xxxx 2001; Xxxxxxx et al. 1994) compile case studies of real patients who have presented to mental health clinicians. The texts are used to train mental health clinicians how to differentially diagnose based on DSM-IV’s (1994) criteria sets. I modeled the format of the case study on cases presented in these two publications, as well as on case studies that appeared in clinical judgment studies such as Xxxxxx and Xxxxxx (1988) and Xxxx and Xxxxx (2004). The one-page case study that I asked trainees to evaluate appears in this chapter as Appendix 3-G.
Sample 1

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