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Clinical Psychology

Week 2 Powerpoints

QuestionAnswer
What do 80% of psychologists do? Psychotherapy
Psychologists wear many (blank)? Hats (Psychotherapy, Assessment, Administration, Research)
What is part of most clinical psychologists' everyday work lives? Assessment
What does Diagnosis and Administration involve? Usually involves administration of many different kinds of tests
What are some forms of assessment? Interviews, self-reports, observations, etc.
What are some domains of assessment and diagnosis? Psychological symptoms, medication, treatment history, and family dynamics
What are some purposes of assessment? Placement into a service, Diagnostic referral, Aid in treatment planning, treatment monitoring, treatment outcome
Intervention and Patients Intervention is usually cut short or time-limited. Most patients have less than 10 sessions. The median amount of sessions is 5-13.
What happens in therapy? Discussion of current stressors and relationships. Identifying and challenging thoughts, relating these to feelings.
Dominant form of Intervention? Cognitive Behavioral Therapy is the dominant orientation, with use on the rise.
Prevention time Few psychologists ascribe time to prevention
Primary Prevention Before the disease or disorder occurs
Secondary Prevention Reduce the reccurence of an already existing disease or disorder
Tertiary Prevention Reduce overall disability resulting from a disease or disorder
What is a reducing factor? Protective Factor (i.e. exercise)
What is an increasing factor? Risk factor (i.e. smoking)
What is a Clinical Psychologists role in prevention? Role is typically to develop, implement, and evaluate the programs.
What is a clinical consultation? Information and recommendations that are geared toward patient care (e.g. advice on difficult patient)
Organizational Consultation program development, organization evaluation, evaluation of organizational policies
Research in PhD programs Clinical psychology PhD programs include coursework and research training to prepare one for research work
How do clinical psychologists use research training? Most use this training to consume research and keep "up to date"
Clinical Supervision Practicum (supervised work within program) and Internships
Research Supervision Mentoring relationship with faculty on-or off site
Administration At universities, Internal Review Board (hiring staff and evaluating research)
Clinical psychologists have (blank) obligation? Ethical Obligation
Ethical Obligation Ethical obligation to apply knowledge of psychological phenomena to providing care
How to fulfill the ethical obligation? "Keeping up with the latest science on mental health care and how to best assess, diagnose, and treat patients with particular concerns
Using (blank) to inform care? Science
Disagreement about Scientific evidence The extent to which research evidence informs care
What counts as evidence? There is disagreement about what is really evidence, integration of best available research is an arbitrary definition.
What is clinical expertise? Intuition, a feeling that you are doing something right. Clinical experiences, extracted over the years. Maybe a little bit of both.
Research on Clinical Expertise? Evidence is not supportive of the utility of clinical expertise
Garb (1998) found: Given the same info, accurate/valid decisions occur at similar rates for both experienced and those "in training" clinicians. Clinical expertise NOT strongly correlated with the quality/performance of clinical services
Most PhD are given for: Clinical Psychology
Training models do NOT vary by: Amount of clinical training
Clinical training models DO vary by: Acceptance rates, tuition, research training, and class sizes.
Scientist-Practitioner Model AKA, the Boulder Model A training model for graduate programs that focus on training psychologists with a foundation of research and scientific training.
What is the key principle of Scientist-Practitioner Model? A psychologist should be trained to be a scientist and competent researcher, and also a practitioner who applies knowledge and techniques to solve the problems of clients.
What does it mean to be a Clinical Scientist? Training model similar to Boulder Model, except with a greater emphasis on research training.
Practitioner-Scholar Greater emphasis on clinical skills training and less on research (PsyD) Greater focus on naturalistic and sinlge-case studies
Which training model has the least financial support? Practitioner-Scholar Training Model
Scientist Practitioner Vs. Practitioner-Scholar Model Both models give similar amounts of clinical training, but scientist-practitioner students receive more research training
Internship programs strongly consider (blank): Accreditation
Jurisdiction-specific Licensure License applies to a geographic region, i.e. state
State Board Licensure Accountable to citizens to identify qualified providers, and remove unqualified providers
Baker et al. and Health Care Argues that contemporary health care costs more than ever. Also, health care is no longer purchased out of pocket (we now have insurance and government agencies)
Baker et al. and Purchasers of Care They demand evidence that services reimburse with care and are cost-effective
Baker et al. and Clinical Psychologists Clinical psychologists are outpaced in service delivery relative to other health care providers
Created by: roxandsocks