Clinical Consultation in the Workplace: Are There Implications for Response Attitudes?

The clinical-organizational context (where clinical psychology services are provided in the individuals’ professional setting) has still been insufficiently approached in research, namely the influence it may have on the response attitudes of individuals undergoing psychological assessment. Our main...

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Main Authors: Bárbara Gonzalez, Rosa F. Novo, Maria João Afonso, Matilde Fernandes, Ana Vieira
Format: Article
Language:English
Published: Ubiquity Press 2025-01-01
Series:Psychologica Belgica
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Online Access:https://account.psychologicabelgica.com/index.php/up-j-pb/article/view/1346
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author Bárbara Gonzalez
Rosa F. Novo
Maria João Afonso
Matilde Fernandes
Ana Vieira
author_facet Bárbara Gonzalez
Rosa F. Novo
Maria João Afonso
Matilde Fernandes
Ana Vieira
author_sort Bárbara Gonzalez
collection DOAJ
description The clinical-organizational context (where clinical psychology services are provided in the individuals’ professional setting) has still been insufficiently approached in research, namely the influence it may have on the response attitudes of individuals undergoing psychological assessment. Our main goal is to find out if, when psychological assessment occurs in the workplace context, patients being assessed present specific response bias that may have implications for the clinical results and correlative decisions. Five hundred and ten adult participants grouped in two samples of ambulatory patients – Clinical-Organizational Sample (COS n = 238) and Clinical Sample (CS n = 272) – were assessed with the Minnesota Multiphasic Personality Inventory-2-RF validity and substantive scales. Under-reporting is five times more frequent in the COS, which presents Defensiveness (11%), and Desirability (5%). In the CS, under-reporting is residual and over-reporting is more prevalent than in the COS. Clinical record information of COS participants presenting under vs. over-reporting also reveal differences concerning their circumstances, and type of clinical conditions. Comparing participants with under-reporting in each sample, the COS had lower clinical profiles, and tended to present excessively low psychopathology and symptomology values, suggesting higher defensiveness. Finally, the fact that 33% of the COS present biased response attitudes (i.e., 15% presented under-reporting and 18% presented over-reporting) has implications for both clinical and career decision making processes. In conclusion, there are relevant differences in response attitude and psychopathology features between outpatients assessed in a traditional clinical setting and in a clinical-organizational one, suggesting the professional context of the patients may influence motivations to disclosure psychological symptoms and problems.
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spelling doaj-art-f147b196ba3945a8a6209821ce61a4c62025-02-11T05:42:04ZengUbiquity PressPsychologica Belgica2054-670X2025-01-016511–161–1610.5334/pb.13461331Clinical Consultation in the Workplace: Are There Implications for Response Attitudes?Bárbara Gonzalez0https://orcid.org/0000-0001-5142-256XRosa F. Novo1https://orcid.org/0000-0002-4670-6987Maria João Afonso2https://orcid.org/0000-0001-5555-5677Matilde Fernandes3Ana Vieira4Lusófona University, HEI-Lab: Digital Human-Environment Interaction Labs; CICPSI (Research Centre in Psychological Science)Faculdade de Psicologia, Universidade de Lisboa, CICPSI (Research Centre in Psychological Science) – Alameda da Universidade, 1649-013 LisbonFaculdade de Psicologia, Universidade de Lisboa – Alameda da Universidade, 1649-013 LisbonDivPsi – PSP (Portuguese Police – Clinical Psychology Department) Unidade Especial de Polícia – Quinta das Águas Livres, 2605-197 BelasDivPsi – PSP (Portuguese Police – Clinical Psychology Department). Unidade Especial de Polícia – Quinta das Águas Livres, 2605-197 BelasThe clinical-organizational context (where clinical psychology services are provided in the individuals’ professional setting) has still been insufficiently approached in research, namely the influence it may have on the response attitudes of individuals undergoing psychological assessment. Our main goal is to find out if, when psychological assessment occurs in the workplace context, patients being assessed present specific response bias that may have implications for the clinical results and correlative decisions. Five hundred and ten adult participants grouped in two samples of ambulatory patients – Clinical-Organizational Sample (COS n = 238) and Clinical Sample (CS n = 272) – were assessed with the Minnesota Multiphasic Personality Inventory-2-RF validity and substantive scales. Under-reporting is five times more frequent in the COS, which presents Defensiveness (11%), and Desirability (5%). In the CS, under-reporting is residual and over-reporting is more prevalent than in the COS. Clinical record information of COS participants presenting under vs. over-reporting also reveal differences concerning their circumstances, and type of clinical conditions. Comparing participants with under-reporting in each sample, the COS had lower clinical profiles, and tended to present excessively low psychopathology and symptomology values, suggesting higher defensiveness. Finally, the fact that 33% of the COS present biased response attitudes (i.e., 15% presented under-reporting and 18% presented over-reporting) has implications for both clinical and career decision making processes. In conclusion, there are relevant differences in response attitude and psychopathology features between outpatients assessed in a traditional clinical setting and in a clinical-organizational one, suggesting the professional context of the patients may influence motivations to disclosure psychological symptoms and problems.https://account.psychologicabelgica.com/index.php/up-j-pb/article/view/1346mmpi-2-rfclinical-organizational contextunder-reportingover-reportingpsychopathology
spellingShingle Bárbara Gonzalez
Rosa F. Novo
Maria João Afonso
Matilde Fernandes
Ana Vieira
Clinical Consultation in the Workplace: Are There Implications for Response Attitudes?
Psychologica Belgica
mmpi-2-rf
clinical-organizational context
under-reporting
over-reporting
psychopathology
title Clinical Consultation in the Workplace: Are There Implications for Response Attitudes?
title_full Clinical Consultation in the Workplace: Are There Implications for Response Attitudes?
title_fullStr Clinical Consultation in the Workplace: Are There Implications for Response Attitudes?
title_full_unstemmed Clinical Consultation in the Workplace: Are There Implications for Response Attitudes?
title_short Clinical Consultation in the Workplace: Are There Implications for Response Attitudes?
title_sort clinical consultation in the workplace are there implications for response attitudes
topic mmpi-2-rf
clinical-organizational context
under-reporting
over-reporting
psychopathology
url https://account.psychologicabelgica.com/index.php/up-j-pb/article/view/1346
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