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As a result, she reported that her relationships were more satisfying, her binge eating had ceased, and that she and her boyfriend had become much closer During the Termination Phase of treatment, C was able to re ect on the progress that she had made during treatment Speci cally, C shared that when she began treatment, she did not have good relationships She noted that glossing over problems and trying to maintain a perfect image had actually hindered her relationships with others, and perpetuated her binge eating She talked about and reviewed with her therapist ways that she had learned to attend to con ict without feeling as if the world was coming to an end During the nal sessions, C and her therapist outlined a plan for C to stay binge free.

That is, she would try to share more with others during times of increased work stress, take steps to decrease her work load, and continue sharing her fears and concerns about con ict with her boyfriend..

Which writer on nutrition should the health worker refer to for his advice to the client Which authority on immunisation should the health carer consult How probable must a diagnosis be to be described as true Is the truth about HIV and AIDS the same in 2008 as it was in 1988 67 It has been argued that there is a difference between telling the whole truth and giving a client a true picture Much health work involves specialist knowledge, and Western medicine is based on the study of complicated scienti c disciplines To tell the client the whole truth about a particular condition, to explain the biochemistry, the physiology and the histories of like conditions in other people, might not be feasible There may be little time, and a proper understanding might require the client to have considerable prior knowledge.

16) Construct validity is a term used to indicate that the test scores are to be interpreted as indicating the test taker s standing on the psychological construct measured by the test (Standards, p 174) This type of validity focuses on the test score as a measure of a construct (ie, psychological characteristic or trait) such as intelligence, scholastic ability, reading comprehension, anxiety, or sociability No single study can establish the construct validity of a test or other measure (Messick, 1995) Evidence for construct validity may be based on studies of test content (item analysis, factor analysis) and an accumulation of evidence based on a multitrait multimethod construct validation paradigm.

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Inevitably, the most pertinent points have to be selected by the health worker Furthermore, it may be her opinion that the client has been given a true picture , but her opinion will not necessarily be shared by a different health worker, even from a similar background A related complication concerns the extent to which a health worker should be honest about her true feelings What if she thinks her patient is obnoxious and idle To tell the whole truth in these circumstances would mean telling a client her opinion about him, and this is unlikely to be the best way to encourage his recovery Further uncertainty can occur if a health worker has factual information that might be detrimental to a client, or that he is holding in con dence.

foreign land, the freedom and the fear, which people can experience when they rst try to shake off their bad faith Yet this illustration is so mundane, and the step so small When driving road vehicles it is the law that we must stop at traf c lights on the signal red In order to avoid accidents and ensure the traf c ows smoothly it can obviously be important to obey this particular rule Occasionally, traf c lights fail and we have to make our own judgement about whether or not it is safe to proceed So it is for the best that we can choose to disobey faulty signals if we need to But this is not the most interesting case Sometimes we are not sure if the traf c lights are working properly.

This model of construct validation suggests that evidence should be provided showing that the test correlates well with other measures of the same construct (convergent evidence) but does not correlate highly with measures of theoretically unrelated constructs (discriminant evidence) (Campbell & Fiske, 1959) How do you decide whether a test instrument is valid Both the quality and quantity of the supporting evidence are important in evaluating the validity of a test for the child being evaluated (Standards, p 17) Although the test manual and supportive materials are the starting points for test review, practitioners are obligated ethically to keep abreast of the recent research related to the validity of tests used in psychoeducational diagnosis.