Abstract
For most psychologists, assessment is an important and commonly practiced clinical activity. Addressing our professional curiosity and understanding about the human experience are a complex process that involves the understanding of factors with varied etiologies, varied course of progress, and varied multidimensional qualities and characteristics. Formal assessment can begin to help us organize these complex factors. Analogous to manipulating and transforming a “ball of wax” handed to us by our clients, assessment is likely to be impacted by who is doing the perceiving and handling of the “wax.” That is, the practitioner’s level of training, experience, and competency in assessment. The assessment process is also shaped by the referral question. Moreover, results from an assessment have a plethora of outcomes and consequences for the recipient of the evaluation. In this chapter, we discuss assessment as practiced by various psychologists, including clinical, projective, and objective assessment procedures, and explore ways to consider race, ethnicity, gender, and their intersectionality within these various assessment domains. We also provide recommendations for considering race, ethnicity, and gender in the assessment process and conclude with a case study that illustrates how to consider these variables in the scoring, interpretation, and formulation process.
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References
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.
American Psychological Association. (2003). Guidelines on multicultural education, training, research, practice, and organizational change for psychologists. American Psychologist, 58(5), 377–402.
Anastasi, A. (1997). Psychological testing (7th ed.). Upper Saddle River, NJ: Prentice Hall.
Anzaldùa, G. (1987). Borderlands/la frontera: The new mestiza. San Francisco, CA: Aunt Lute Books.
Arredondo, P., & Glauner, T. (1992). Personal dimensions of identity model. Boston, MA: Empowerment Workshops.
Barrio, C., Palinkas, L. A., Yamada, A., Fuentes, D., Criado, V., Garcia, P., et al. (2008). Unmet needs for mental health services for Latino older adults: Perspectives from consumers, family members, advocates, and service providers. Community Mental Health Journal, 44, 57–74.
Bloom, L. R. (2002). Stories of one’s own: Nonunitary subjectivity in narrative representation. In: S. B. Merriam & Associates (Ed.), Qualitative research in practice (pp. 289–309). San Francisco, CA: Jossey-Bass.
Breckler, S. J. (2006). Embracing the many applications of psychology. Monitor on Psychology, 37, 24.
Camera, W., Nathan, J., & Puente, A. (2000). Psychological test usage: Implications in professional psychology. Professional Psychology: Research and Practice, 31, 131–154.
Chavez-Dueñas, N. Y., Torres, H. L., & Adames, H. Y. (2011). Barriers to mental health utilization among Latinos: A contextual model and recommendations. Journal of Counseling in Illinois, 1(2), 49–58.
Dana, R. H. (1998a). Multicultural assessment of personality and psychopathology in the United States: Still art, not yet science, and controversial. European Journal of Psychological Assessment, 14, 62–70.
Dana, R. H. (1998b). Projective assessment of Latinos in the United States: Current realities, problems, and prospects. Cultural Diversity and Mental Health, 4(3), 165–184.
Falicov, C. (1998). Latino families in therapy: A guide to multicultural practice. New York, NY: Guilford.
Fishman, D. B. (1999). The case for pragmatic psychology. New York, NY: New York University Press.
Fouad, N. A. (2005, October). Multiculturally centered practices: Education, research, therapy, and organization development. Workshop conducted at the Fall Conference of the New Jersey Psychological Association, Woodbridge, NJ.
Fouad, N. A., & Arredondo, P. (2007). Becoming culturally oriented: Practical advice for psychologists and educators. Washington, DC: American Psychological Association.
Fuentes, M. A. (2003). Deconstructing diversity: Lessons learned from six blind men and an elephant. The Community Psychologist, 36(3), 23.
Fuentes, M. A., & Adames, H. Y. (2011). The social cultural profile. In M. Pope, J. Pangelinan, & A. Coker (Eds.), Experiential activities for teaching multicultural counseling classes and infusing cultural diversity into core classes (pp. 153–155). Alexandria, VA: American Counseling Association Press.
Hays, P. A. (2008). Addressing cultural complexities in practice: Assessment, diagnosis, and therapy (2nd ed.). Washington, DC: American Psychological Association.
Heaton, R. K., Miller, S. W., Taylor, M. J., & Grant, I. (2004). Norms for an expanded Halstead-Reitan battery: Demographically adjusted neuropsychological norms for African American and Caucasian adults. Lutz, FL: Psychological Assessment Resources.
Helms, J. E. (1997). The triple quandary of race, culture, and social class in standardized cognitive ability testing. In D. P. Flanagan, J. L. Genshaft, & P. L. Harrison (Eds.), Contemporary intellectual assessment: Theories, tests, and issues (pp. 517–532). New York, NY: Guilford.
Hill Collins, P. (1990). Black feminist thought: Knowledge, consciousness, and the politics of empowerment. Boston, MA: Unwin Hyman.
Hinshelwood, R. D. (2003). Clinical Klein. New York, NY: Basic.
Horn, R. E., & Weber, R. P. (2007). New tools for resolving wicked problems: Mess mapping and resolution mapping processes. Retrieved from http://www.strategykinetics.com/New_Tools_For_Resolving_Wicked_Problems.pdf
Jacobsen, F. M. (1988). Ethnocultural assessment. In L. Comas-Diaz & E. E. H. Griffith (Eds.), Clinical guidelines in cross-cultural mental health (pp. 135–147). New York, NY: Wiley.
Jones, S. R., & McEwen, M. K. (2000). A conceptual model of multiple dimensions of identity. Journal of College Student Development, 41, 405–413.
Kaplan, J. B., & Bennett, T. (2003). Use of race and ethnicity in biomedical publication. The Journal of the American Medical Association, 289, 2709–2716.
Kaplan, E., Fein, D., Morris, R., & Delis, D. C. (1991). WIAS-R NI: WAIS-R as a neuropsychological instrument. New York, NY: The Psychological Corporation.
Kaplan, R. M., & Saccuzzo, D. P. (2009). Psychological testing: Principles, applications, and issues (7th ed.). Belmont, CA: Wadsworth.
Kazdin, A. E. (2009). Psychological science’s contributions to a sustainable environment: Extending our reach to a grand challenge of society. American Psychologist, 64(5), 339–356.
Kunen, S., Niederhauser, R., Smith, P. O., Morris, J. A., & Marx, B. D. (2005). Race disparities in psychiatric rates in emergency departments. Journal of Consulting and Clinical Psychology, 73, 116–126.
LaRoche, M. J., & Maxie, A. (2003). Ten considerations in addressing cultural differences in psychotherapy. Professional Psychology: Research and Practice, 34(2), 180–186.
Lewis-Fernandez, R., & Diaz, N. (2002). The cultural formulation: A method for assessing cultural factors affecting the clinical encounter. Psychiatric Quarterly, 73(4), 271–295.
Lilienfield, S. O., Wood, J. M., & Garb, H. N. (2000). The scientific status of projective techniques. Psychological Science in the Public Interest, 1, 27–66.
Manly, J. J. (2005). Advantages and disadvantages of separate norms for African Americans. The Clinical Neuropsychologist, 19(2), 270–275.
Manly, J. J. (2006). Deconstructing race and ethnicity: Implications for measurement of health outcomes. Medical Care, 44(11, Suppl 3), S10–S16.
Mead, M. (2001). Sex and temperament in three primitive societies. New York, NY: Harper Collins.
Meyer, G. J., Finn, S. E., Eyde, L. D., Kay, G. G., Moreland, K. L., Dies, R. R., et al. (2001). Psychological testing and psychological assessment: A review of evidence and issues. American Psychologist, 56, 128–165.
Moraga, C., & Anzaldùa, G. (1981). This bridge called my back: Writings by radical women of color. New York, NY: Kitchen Table, Women of Color Press.
Nettles, R., & Balter, R. (2012). Multiple minority identities: Applications for practice, research, and training. New York, NY: Springer.
Nguyen, L., Huang, L. N., Arganza, G. F., & Liao, Q. (2007). The influence of race and ethnicity on psychiatric diagnoses and clinical characteristics of children and adolescents in children’s services. Cultural Diversity and Ethnic Minority Psychology, 13, 18–25.
Phelps, R., Eisman, E., & Kohout, J. (1998). Psychological practice and managed care: Results of the CAPP practitioner survey. Professional Psychology: Research and Practice, 29, 31–36.
Ruth, R. (2012). Contemporary psychodynamic perspectives on multiple minority identities. In R. Nettles & R. Balter (Eds.), Multiple minority identities: Applications for practice, research, and training (pp. 163–184). New York, NY: Springer.
Ryan, J. J., Lopez, S. J., & Sumerall, S. W. (2001). Understanding test construction. In W. I. Dorfman & M. Hersen (Eds.), Understanding psychological assessment (pp. 1–15). Dordrecht: Kluwer.
Shea, M., Yang, L. H., & Leong, F. T. L. (2010). Loss, psychosis, and chronic suicidality in a Korean American immigrant man: Integration of cultural formulation model and multicultural case conceptualization. Asian American Journal of Psychology, 1, 212–223.
Smedley, B., Stith, A., & Nelson, A. (Eds.). (2003). Unequal treatment: Confronting racial and ethnic disparities in health care. Washington, DC: National Academies Press.
Smith, D. E. (1990). The conceptual practices of power: A feminist sociology of knowledge. Boston, MA: Northeastern University Press.
Sommers-Flanagan, J., & Sommers-Flanagan, R. (2009). Clinical interviewing (4th ed.). Hoboken, NJ: Wiley.
Sue, D. W., Arredondo, P., & McDavis, R. J. (1992). Multicultural counseling competencies and standards: A call to the profession. Journal of Counseling and Development, 70(4), 477–486.
Thing, J. (2010). Gay, Mexican and immigrant: intersecting identities among gay men in Los Angeles. Social Identities, 16, 809–831.
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Fuentes, M.A., Adames, H.Y. (2014). Theories, Models, and Practices for Understanding Gender, Race, and Ethnicity in Clinical Assessment. In: Miville, M., Ferguson, A. (eds) Handbook of Race-Ethnicity and Gender in Psychology. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8860-6_14
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