ABSTRACT

The derivation of “assessment” comprises both the Latin ad-sedere and the French assise representing a standard of conduct, an extent, a magnitude. Viewed within this context, assessment seems to have very definite legal connotations that could be associated with an intrusive, judgemental attitude. N. Coltart, in her seminal article on assessment, makes it very clear that the clinical interview exploits a combination of diagnostic efforts and skilful interaction to search for the subtle nuances which should lead to “a psychotherapy prescription”. Ideally, the assessor conducting the initial assessment should be a senior clinician, highly trained, familiar with local facilities, and informed by research. The attitude of the assessor and the style in which the diagnostic interview is conducted are vital components of the assessment process and its outcome. Clinical experience, including training, and, to some extent, the theoretical allegiances and cultural background of the assessor, are important contributors to the assessment.