fisa evaluare psihologica faze 1,2,3
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evaluareTRANSCRIPT
FISA DE EVALUARE SI CONSILIERE PSIHOLOGICA
Numele si prenumele clientului…………........................................................................... Varsta.................
Data nasterii................................ Sex.......................................... Nationalitate............................................
Domiciliu........................................................................................................................................................
Status marital.................................................................................................................................................
Copii..............................................................................................................................................................
Cu cine locuieste..........................................................................................................................................
Nivel de educatie...........................................................................................................................................
Motive neabsolvire ciclu educational la care era inscrisa persoana ........................................................................................................................................................................
Profesie.....................................................Loc de munca...............................................................................
De cat timp..............................................Schimbarea domeniului muncii......................................................
Perioade in care nu a putut merge la scoala sau serviciu.......................................................................................................................................................................
Tratament curent...........................................................................................................................................
Motivul prezentarii ........................................................................................................................................
Descrierea acurata a tabloului clinic, debutul si evolutia acestuia .............................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Prezenta unor boli somatice sau psihice, internari anterioare ...................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
Conditiile social-economice, informatii despre familie, situatii stresante...........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................
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Componenta psihică
Investigată
Interviu Teste psihologice pasibile a fi efectuate
Se noteaza cu X daca e efectuat
Factorul perceptiv Bender-Santucci
Benton etc.
Comportament
Memorie.
Rey- figură complexă,
Rey - verbal , Wechsler - Scala de Memoria Cifrelor etc.
Dispoziţie afectivăScale clinice/Chestionarele de distres, anxietate, depresie, emoţii pozitive etc.
PersonalitateMMPI, Optimism/pesimism, raţionalitate/iraţionalitate, probe proiective etc.
Depersonalizare
Derealizare
Obsesii Scale clinice
Compulsii Scale clinice
Atenţie Toulouse-Pieron, Praga etc.
Gândire şi inteligenţă
Matrici Progresive Raven, Scalele de inteligenţă Wechsler, Probele piagetiene, Probe de diagnostic formativ, Stilul cognitiv raţional/iraţional etc.
Orientarea
Conştiinţa bolii
Componentele psihologice investigate în cursul interviului clinic
Surprinderea dinamicii si consecintelor psiho-sociale. Evaluarea psihologica
detaliata a:
stării prezente a pacientului şi a modului în care acesta se adaptează la situaţiile
concrete......................................................................................................................
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problematicii comportamentelor simptomatice
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situaţiei somatice a pacientului
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dinamicii şi structurii personalităţii
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comportamentului interpersonal
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principiilor morale şi atitudinilor sociale
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mecanismelor defensive şi de coping precum şi a conflictelor şi dinamicii lor
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identităţii şi imaginii de sine
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determinanţilor sociali şi situaţiilor curente de viaţă
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problemelor de ecologie socială şi familială
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controlului şi autocontrolului comportamentului şi emoţiilor
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Stabilirea listei de probleme
Recomandari:
Concluzii:
Stadiul discutiei Finalizat
Nefinalizat
Data programarii pentru urmatoarea sedinta …………………………........................................…….si urmatoarea tema de discutie…………………………………….......................…………………………………………………………………………………………………............................………………….…………………………………………………………………………............................………………….…………………………………………………………………………………………….............................
Data Semnatura psiholog ............ Zagrean Camelia-Elena