Raport de evaluare psihologic
I. Informaii despre client
Numele i prenumele:
Data naterii:
Data evalurii:
Vrsta cronologic la data evalurii:
Diagnostice asociate:
II. Obiectivele evalurii psihologice:
Psihodiagnosticul i Evaluarea are ca scop (ncercuiete X-ul corespunztor)
identificarea strilor psihologice de sntate i/sau boal i a mecanismelor psihologice de etiopatogenez
i/sau de sanogenez X
si/sau
cu relevan pentru (descrie situaia pentru care se face evaluarea)
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III. Date relevante pentru evaluarea psihologic
IV. Metode i tehnici, instrumente folosite n evaluare
V. Descrierea succint a componentelor psihologice (supuse evalurii)
Nivel Subiectiv/Emoional (inclusiv Satisfacia/Calitatea vieii)
Nivel Cognitiv
Nivel comportamental
Nivel psihofiziologic
Nivel de personalitate i Mecanisme Defensive/Adaptare
Nivel de relaionare interpersonal (inclusiv, de cuplu, familie, grup
etc.)
VI. Concluzii (Sumarizarea informaiilor n termeni psihologici):
n urma Psihodiagnosticului i Evalurii formulm urmtoarele concluzii psihologice:
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VII.
Recomandri (Implicaii ale Concluziilor pentru Obiectivul Psihodiagnosticului
i Evalurii):
n urma concluziilor Psihodiagnosticului i Evalurii formulm urmtoarele recomandri asociate obiectivului
psihodiagnosticului i evalurii, cu relevan pentru situaia pentru care se face evaluarea:
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[Recomandrile vor fi derivate deductiv si/sau inductiv din Concluziile formulate; vor fi evitai termenii absolutiti,
decizii non-psihologice (se fac doar recomandri asociate Obiectivului Examinrii Psihologice pe baza unor informaii
psihologice formulate n Concluzii, cu relevan pentru situaia pentru care se face evaluarea); recomandrile fi
accesibile, cu acordul clientului, unor tere pri, n funcie de contextul n care se face Psihodiagnosticul i Evaluarea]
