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Steps.
1. Constituent Analysis: Definition and delimitation of the problem:
understanding the subject matter
2. Clinical hypothesis: derivation of cause-effect relationships
3. Clinical design: development of the measurement plan.
4. Clinical testing: collection of the data
5. Clinical data analysis
6. Clinical interpretation (Support or reject the hypothesis)
7. Conclusions: patient management
5. Clinical data analysis - objectifies and analyzes data. Scores, categorizes and
orders all inform. obtained in the intereview and testing sessions. Determine how
well/poorly the patient performed in reference to some standard criteria. could be
normative data or intragroup (other patients with similar problems). when scoring
spontaneous behavior, the norms are derived from the dx'ians's background info.
on normal speech and L behaviors.
After objectifying the data, categorize it in relation to the cause -effect hyp. Order
the data that provides information about S&L probls. Here she considers the
validity, reliability and completeness of the obtained data. NOT AN
INTERPRETIVE STEP.
6. Clinical interpretation - vital b/c it sets the course for future mgmt. of the
patient. Uses all the info. now available, from all sources, to determine its meaning
and significance. He wants to know if the data confirms or denies the original
hypotheses or if it suggests other interpretations.
Determine the significance of the results. What does the data mean in rel. to the
cause -effect hypothesis, to general purposes of dx, to refrral request and to the
statement of the problem as seen by the patient.
However tentative they may be, the dx'ian must arrive at some conclusion. States
succinctly what the disorder may be and to implicate probably causal factors;
formulate, state, and support the dx. Dx'ian puts the pieces all together, attempt to
understand the whole. Use his reasoning abilities to present the most logica
interpretation of the avaiable data. Be aware of missing info. Highest degree of
professionalism. Use his knowledge and problem-solving skills to arrive at best
answers to the clinical problems presented.