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A-LevelPsychologyClinical psychology (abnormality)9990/41 · Oct/Nov 2018 · Q115 Marks

The Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) is a questionnaire. It has questions which are scored on a five-point scale. One question asks about the amount of time spent on obsessions: Time spent on obsessions | 0 hour/day | 0–1 hour/day | 1–3 hour/day | 3–8 hour/day | >8 hour/day Score: | 0 | 1 | 2 | 3 | 4

  1. (a)Explain the difference between obsessions and compulsions.[2]
  2. (b)Give two limitations of the question and rating scale presented above.[4]
  3. (c)Explain how one other questionnaire assesses obsessive-compulsive disorder (OCD).[4]
  4. (d)Discuss the advantages and disadvantages of using psychometric measures to assess OCD. You should include a conclusion in your answer.[5]

Mark scheme

Marking points from the official mark scheme (Oct/Nov 2018). The mark or mark type is shown in brackets.

  1. Marks: 1 mark for basic answer e.g. identification. 1 mark for elaboration/ example.
  2. Most likely answer (other appropriate responses to be credited):
  3. ∞ Obsessions: a state in which someone thinks about someone or something constantly or frequently; recurrent unwanted thoughts.
  4. ∞ Compulsions: repetitive physical behaviours and actions; rituals that are performed over and over again (in an attempt to relieve the anxiety caused by obsessional thoughts).
  5. Marks: 1 mark basic answer. 2 marks elaboration, twice.
  6. Most likely answer (other appropriate responses to be credited):
  7. ∞ The categories are not discreet: respondents may not be able to fully distinguish between each description e.g. 1 hour appears (as does 3 hours) for two different categories.
  8. ∞ The categories may not apply at all times: Sometimes the respondent may be one category and sometimes another.
  9. ∞ It may be difficult to distinguish between time spent on obsessions and time spent on compulsions.
  10. Marks: Must be an alternative questionnaire. Any other form of assessment cannot be credited.
  11. 1-2 marks basic answer. 3-4 marks detailed answer/elaboration.
  12. Most likely answer (other appropriate responses to be credited):
  13. The Maudsley Obsessive-Compulsive Inventory (MOCI) is one of the most used tests in clinical psychology for assessing the obsessive and compulsive symptoms in psychiatric patients. Includes 30 items using true/false format; 4 sub-scales: Checking (9 items), Cleaning (11 items), Slowness (7 items), and Doubting (7 items).
  14. Marks: Question requires discussion; always plural of each argument, and always requires conclusion.
  15. 1 mark for each advantage/disadvantage (however detailed) and related to the question up to 4 max.
  16. 1 mark for two strengths/weaknesses unrelated to the question.
  17. 1 mark for conclusion.
  18. Most likely answer (other appropriate responses to be credited):
  19. Advantages:
  20. ∞ Reliability is the extent to which the test gives consistent data over time i.e. the results from one person should be comparable to results from another person.
  21. ∞ Validity is the extent to which a test accurately measures a person's attributes i.e. OCD.
  22. ∞ the test includes items as defined by DSM as typical of people with OCD and any person can be assessed in relation to the norm.
  23. ∞ tests produce quantitative data allowing comparisons.
  24. Disadvantages:
  25. ∞ tests do not take into account individual differences, aspects unique to the person's OCD.
  26. ∞ tests may not allow a person to express their feelings.
  27. ∞ Tests may attach a label to a person and the label may 'stick' when the label is too vague or inappropriate for the person and their specific OCD.
  28. Conclusion: any appropriate conclusion drawn from the discussion that has been presented. 1 mark if appropriate. A conclusion is a 'decision reached by reasoning' and so a summary of points already made scores 0 marks.

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About this question

Topic
Clinical psychology (abnormality), A-Level Psychology (syllabus 9990). Structured question, 15 marks.
Source
A-Level Psychology, Oct/Nov 2018 Paper 4 Variant 1, question 1.

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