The main focus of clinical psychology is on which aspect of human behavior Quizlet

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Describe the evolution of the definition of clinical psychology from the early 1900s to present.

-The term clinical psychology was first used by Lightner Witmer 1907
-Initially, methods were more "research-based" where psychodynamics and intelligence assessments dominated the clinical psychology field. In the present day, methods are more "treatment-based" where psychotherapy and cognitive are the most common, widely endorsed activities in this field.

Paraphrase the definition of clinical psychology provided by Division 12 of the American Psychological Association

Clinical psychology uses science, theory and practice to understand maladjustment, disability, and discomfort. They use this knowledge to improve psychological aspects of your life including behavior, emotions and intellect.

Differentiate clinical psychologists from related professions, including counseling psychologists, psychiatrists, and social workers.

Clinical psychologist (PhD/PsyD) - work in hospitals/psych units, more disturbed patients, focus on behaviorism

Counselors (MS) - work in counseling centers, less disturbed clients, focus on humanistic approach.

Psychiatrists (MD) - work in hospitals as a licensed physician, can prescribe medication, focus on biological factors, fix problems with medicine.

Social workers (BS/MS) - focus on social relationships with society and life issues, less education, not centered on counseling.

Compare the training foci of the Boulder,

Scientist-Practitioner: Boulder- With this training model is a two-pronged approach of training that primarily focuses on teaching students to display competence in the application of clinical methods and research methods. This companies both clinical and research work together. This way of teaching is the most popular method of teaching across programs.

Vail,

Practitioner-Scholar:Vail-This approach offers a more extensive training in the development of allied clinical skills. This is more for people who don't really want to go into the research side of psychology but the practice side of it. With this model the birth of the PsyD (doctoral Degree) was born.

and Clinical Scientist models.

Clinical Scientist model: this is a strongly research-oriented model of training for those who are focused more on the research side of psychology. This model stresses the scientific side of psychology at a greater rate. For this model a PhD is still earned. Scientific method and evidence-based clinical methods.

Discuss perceived advantages and limitations of the Boulder, Vail, and Clinical Scientist models of training.

Boulder - there are few disadvantages or advantages; balance of research and practice.
Vail - the advantage is lots of "field" experience. A disadvantage is not enough research may contribute to outdated knowledge or methods.
Clinical Scientist - advantage is more science-based with the latest information. Disadvantage is not enough to practice can lead to gaps in knowing what works.

Know the steps in training towards becoming a clinical psychologist

1:Graduate School:
Coursework, Master's thesis, doctoral dissertation, & practicum Experiences
2: Clinical Internship:
full time practice
3: Postdoctoral
Fellowship/Internship:
Some: research or Some: Full time practice
4: Licensure:
Hours requirements vary by state, EPPP exam, & State licensure exams
5: Continuing education: Varying opportunities

EPPP

Examination for Professional Practice in Psychology
(EPPP is to psychologists what the NCE is to counselors)

Know what clinical competencies are

Clinical competencies:
Professionalism, knowledge, scientific mindedness, interpersonal relationships, cultural diversity knowledge, ethical conduct, productive relationships with peers.

Summarize current professional activities and employment settings of clinical psychologists in the United States.

Professional activities of clinical psychologists:
Psychotherapy and then diagnostic/assessment, teaching, supervision, research, consultation, and administration. More than half of clinical psychologist hold at least 2 professional positions.
## 60% Practice in the field
## 18% Teach in academia
## 10% Conduct research

Summarize major contributions of early pioneers, such as William Tuke, Dorothea Dix, and Eli Todd, to mental health care from the 1700s to the late 1800s.

William Tuke: He opened the York Retreat a residential treatment center where mentally ill would always be cared for with kindness, dignity, & decency. This institution became an example for humane treatment.
Dorothea Dix: She worked as a sunday teacher at jails and noticed the amount of mentally ill people in the jail and so as a result she started to go to different cities where she would gather information on the mentally ill and present her findings to the the local community leaders and try to persuade them to treat the mentally ill more humanely and adequately. She did this in more that 30 cities and was successful because as a result more institutions for the mentally ill started opening.
Eli Todd: He was a physician in Connecticut. He made known his ideas and views and supported mentally ill people and so as a result he was able to raise funds to open the Retreat. He made sure that the patients there were always treated in a humane and dignified way. Emphasized patients strengths not weaknesses and they were allowed an input on their own treatment.

Describe Lightner Witmer's key contributions to the field of clinical psychology.

1:In 1896 Lightner Witmer founds the first psychology clinic
2:In 1907 Lightner Witmer publishes first Clinical Psychology journal: The Psychology Clinic
3: Applied science of psychology to human psychopathology for the first time
4:He studied experimental psychology in Germany

Witmer applied science of psychology to human psychopathology for the first time and wrote the first scholarly journal in 1907 on psychology.

Recount the development of key diagnostic systems (including the DSM) for mental illness from the 1800s to present.

Key Diagnostic Systems History:Kraepelin
- Pioneer of diagnosis; coined early terms to categorize mental illness.
- Defined internal disorder (endogenous) and external (exogenous). This set the stage for the first DSM in 1952.

DSM (Diagnostic & Statistical Manual of Mental Disorders)
- Changed 6 times since 1952 (from 106 disorders to 300 today) (from 130 pages in 1952 to over 900 in the current edition)
- Most dramatic change from DSM-II to DSM-III (in the 1980s), including more disorders, specific diagnostic criteria, and multiaxial system.

Assessment Tests
- Stanford-Binet and Wechsler (Bellevue intelligence scales)- Rorschach (Inkblot image tests)- MMPI (Personality objective test)

Evaluate the process used to decide what will become a DSM disorder.

A DSM committee (members are Psychiatrist MD's) reviews disorders and decides based on if the disorder is severe enough to cause impairment, if it is sufficiently different from other disorders, and based on research. Their decisions are reviewed by peers before being included or excluded.

Identify important people and psychological instruments in the history of intellectual and personality assessment.

Key Intellectual & Personality History:
- Thorndike and Spearman - defined intelligence.
- Binet - created early intelligence test for children. Now common for adults and children as Stanford-Binet intelligence scale.
- Wechsler-Bellevue - IQ test for adults and later for children.
- Rorschach - inkblots.
- Morgan-Murray - Thematic Apperception Test (TAT)
- Hathaway-McKinley - MMPI (personality test for people with potential mental health issues)
- Kraepelin - Pioneer of diagnosis, coined early terms in mental illness. Defined internal disorder (endogenous) and external (exogenous).

Explain the influence of war on the professional activities of clinical psychologists.

The whole profession could have slowed down if not for WWII. WWII created a demand for treatment. Many affected soldiers needed psychotherapy to deal with their experiences from war. The VA encouraged the use of psychotherapy as a treatment and today employs one of the largest bodies of psychotherapists.

Discuss the growth of clinical psychology in the United States from the early 1900s to present.

Growth of Clinical Psychology:
1919 - APA was created.
1940's - Education and training more standardized.
1949 - Boulder conference - practice and research model formulated.
1953 - APA first ethical code.
1960's-70's - Field diversifies with females and minorities, behaviorism and humanism gained, first PsyD program.
1980's - Gained hospital admitting privileges and Medicare.
1950's to present - Percent of people who used treatment rose from 14% to 50%.

Explain what it means to describe multiculturalism as the "fourth force" in clinical psychology (and know the other three "forces")

Four "forces" of clinical psychology:
1. Psychoanalysis: Developed by Sigmund Freud: Psychoanalysis is a set of theories and therapeutic techniques related to the study of the unconscious mind, which together form a method of treatment for mental-health disorders
2. Behaviorism: Developed by John B. Watson. He believed that scientific psychology should study only observable behavior.
3. Humanism: A major perspective on psychology that emphasizes the unique qualities of humans especially their freedom and their potential growth.
4. Multiculturalism - can enhance and strengthen the other 3 forces. Lends sensitivity and awareness on how to apply the other three forces and shapes how clients understand their problems. The scientific study of how culture plays a role in human mental processes and behavior.

List professional efforts in clinical psychology that demonstrate the field's current focus on multiculturalism, including DSM 5 elements and APA efforts that address multiculturalism.

Professional efforts to focus on multiculturalism:
- The APA has published numerous journals, articles and official Divisions (subject publications) related to cultural diversity, race, gender and religion. They also revised their ethical code and accreditation standards to include more diverse students, but on how to educate them on diversity as well.
- The DSM has added text describing cultural variations of disorders and more guidance for clinicians to help with cultural competence. They also offer a Cultural Formulation Interview to help a clinician conduct a culturally informed interview with a client.
- The DSM now has a glossary of 'cultural concepts of distress' (culture bound symptoms - old term).

Speculate how cultural competence could be demonstrated with psychotherapy clients of various backgrounds.

Cultural competence:
Knowledge, empathy, cultural appreciation, exposure (travel to different cultural areas), humility, macro views of other cultures.

Compare major perspectives on the similarities and differences among people (e.g. acculturation and enculturation strategies, role of heterogeneity within cultures, emic vs etic, tripartite model of personal identity)

Perspectives on similarities/differences:
Heterogeneity - Important to remember there are exceptions to cultural trends (not all Asians are short; not all African Americans are basketball players).
Acculturation - The degree of how much one incorporates the "host" culture. Integration is the highest form.
Enculturation - The degree of which you identify with the "home" culture compared to the host culture. Marginalization is the least desirable.
Etic - emphasizes similarities in all cultures (universal); older method.
Emic - emphasizes culture-specific norms.
(Think about Starbuck's vs. McDonald's for Etic/Emic)
Tripartite model - recognizes 3 levels of identity. Individual, group, and universal.

Describe methods for training clinical psychologists in cultural issues.

Cultural Training Methods:
- Courses
- Readings
- Real-world experiences
- Encourage cultural self-knowledge, curiosity, and humility

Define "culture" in the context of clinical psychology.

Culture is often defined by ethnicity or race, but many other variables like gender, religion, disability, SES, age and sex should also be included.

Speculate how cultural competence could be demonstrated with psychotherapy clients of various backgrounds.

...

Explain the experimental method as used by clinical psychologists.

The Scientific Method
1. Observation
2. Theory
3. Prediction
4. Evidence
Controls or manipulates one or more variables to determine their effect on other variables. This is a strong method as it allows us to know if something is causal.

Describe the reasons why clinical psychologists perform research

Reasons clinical psychologists perform research:
- Intervention outcomes (do they even work?)
- Assessment methods (development of methods and validations of methods)
- Diagnostic issues
- Professional issues
- Teaching and training issues
- Etiology (cause, origins, or reason for something)
- Internal validity - will my design of study show that x causes y? Is there an alternative explanation that is plausible?
- External validity - will these result generalize to other people?

Differentiate among various experimental designs employed by clinical psychologists (e.g., between-group, within-group, quasi-experiment, etc).
PART 1

Between-group - comparing the two groups. The results of one group compared to the other group.
Within-group - compare subjects to themselves at different intervals. Not to be confused with 'case study' which involves only one participant
- Change over time.
Mixed-group - combination of between and within group designs.

Differentiate among various experimental designs employed by clinical psychologists (e.g., between-group, within-group, quasi-experiment, etc).
PART 2

Analogue design - when actual clinical populations or situations can't be accessed. It is an approximation or simulation of the "real thing".
Correlational method - relationship between 2 or more variables as they exist (not manipulated). Causality cannot be determined
Quasi experiment - compare 2 naturally occurring groups, not random. Independent variables are impossible.

Know the difference between efficacy and effectiveness

Efficacy - success of an intervention in a controlled study with clients who meet specific criteria (how well it works "in the lab") - generally high internal validity.
Effectiveness - success of an intervention in actual clinical settings in which clients' problems are not limited to predetermined criteria (how well it works in the "real world") - generally high external validity.

Know the difference between internal and external validity

Internal validity
- Based on the design of my study, can I conclude that X CAUSES Y?
Is there a plausible alternative explanation for my findings?
External validity
- will this result generalize to other people/situations?
How similar is my treatment to treatment as it is provided outside the lab?
How similar are my patients to patients in the community?

Be able to interpret the magnitude and direction of a correlation

Magnitude
-The absolute value of the correlation = the magnitude
-Ranges from 0 to 1
-The larger the absolute value, the stronger the association
Direction: Positive /, negative \, or zero uncorrelated

Distinguish between the aspirational and enforceable components of the American Psychological Association Code of Ethics.

Aspirational - General Principles section describes an ideal level of ethical functioning, or what to strive for
Enforceable - Ethical Standards section includes rules of conduct that can mandate minimal levels of behavior and can be specifically violated

Describe the five ethical principles of the APA Code of Ethics.

5 Ethical Principles of APA
1. Beneficence and Nonmaleficence: the first principle stresses out the need for researchers to work independently of biases, prejudices, and malignant affiliations and with a clear sense that what they are doing has very often impact on the lives of others.
2. Fidelity and Responsibility: striving to help fellow scientists improve the quality of their work before it enters into circulation.
3. Integrity: what we are supposed not to do in our practice as researchers. Cases of manipulation, fraud, fabricating results and general scientific misconduct are not unheard of, affecting tremendously the field.
4. Justice: fairness and justice entitle all persons to access to and benefit from the contributions of psychology and to equal quality in the processes, procedures, and services being conducted by psychologists
5. Respect for Peoples Rights and Dignity: The fifth principle in a way encompasses the previous four, adding an emphasis on obtaining individual's consent and protecting their confidentiality and privacy

Describe the 10 ethical standards of the APA Code of Ethics (developed by Fisher).

10 Ethical Standards of APA (Fisher's)
1. Resolving ethical issues
2. Competence
3. Human relations
4. Privacy and confidentiality
5. Advertising and other public statements
6. Record keeping and fees
7. Education and training
8. Research and publication
9. Assessment
10. Therapy

Propose ways that a clinical psychologist could ethically navigate contemporary ethical issues that have arisen in the profession. (i.e. know Fisher's model for ethical decision making)

Fisher's Model for Ethical Decision Making:
1. Make ethical commitment before problems arise.
2. Know APA ethical code.
3. Consult professionals/Law when relevant.
4. Understand other perspectives and how your actions will impact them. Consult colleagues for input while protecting confidentiality.
5. Generate and evaluate alternatives.
6. Select and implement most ethical course of action.
7. Monitor and evaluate course of action.
8. Modify and continue to evaluate as necessary.

Explain the limits of confidentiality for clients receiving services from a clinical psychologist.

Nothing is disclosed in therapy without important exceptions (such as duty to warn).

Determine key ethical considerations for psychological assessment and research.

Assessment - Test selection (test's reliability and validity), Test security (keep test private), Test data (shared at client's request).

Research - Psychotherapy Efficacy
What should control group receive?
- No treatment
- Placebo
- Alternate treatment

Differentiate between ethical and unethical multiple relationships for clinical psychologists.

-Multiple relationships can be unavoidable
-Discuss upfront with clients
-Clarify boundaries
-Avoid impaired judgment and exploitation

-Multiple relationships: Knowing someone professionally and in some other way
-Romantic/sexual, friendship, business, etc.
-Unethical when:
-Psychologist's objectivity, competence, or judgment can be impaired
-Exploitation or harm could result
-Boundary crossings (minor, often harmless) can lead to boundary violations (major, often harmful)

Propose ways that a clinical psychologist could ethically navigate contemporary ethical issues that have arisen in the profession.

-Managed care
-Managed care companies' emphasis on the financial bottom line can cause ethical conflicts
-Perhaps include info about managed care in the informed consent process
-Diagnostic decisions can be influenced by managed care companies' requirements

-Psychological tests" on the Internet
-Many have questionable reliability and validity
-Other issues include:
Identity of client, Testing conditions, Inability to observe behavior during testing
-Online therapy: "telehealth" gaining traction, especially for isolated
communicates; Bots

-Small communities can be rural areas or defined by ethnicity, religion, or other variables
-Multiple relationships can be unavoidable:
-Discuss upfront with clients
-Clarify boundaries
-Avoid impaired judgment and exploitation

Know what burnout is

Burnout refers to a state of exhaustion that relates to engaging continually in emotionally demanding work that exceed the normal stresses or psychological "wear and tear" of the job. Due to the nature of the work they often perform, clinical psychologists can find themselves quite vulnerable to burnout. Burnout and other factors can contribute to a level of impairment in the form of depression, substance abuse, or other manifestations that directly interferes with clinical work. Ethically psychologists should take action to prevent or minimize their own impairment, including professional burnout. Avoid by keeping job varied, avoid over involvement, balanced private life, reasonable expectations, healthy body.

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What is the main focus of clinical psychology is on which aspect of human behavior?

The specialty of clinical psychology addresses behavioral and mental health issues faced by individuals across the lifespan including: Adjustment issues and traumatic stress reactions. Emotional and psychological problems, including serious mental illness and crisis intervention.

What is clinical psychology quizlet?

Clinical Psychology. involves rigorous study and applied practice directed toward understanding and improving the psychological facets of the human experience, including but not limited to issues or problems of behavior, emotions, or intellect. Education & Training.

What is the focus in the study of psychology?

Psychology is the scientific study of the mind and behavior. Psychologists are actively involved in studying and understanding mental processes, brain functions, and behavior.

What is one of the major areas of focus in psychology?

Psychology focuses on understanding a person's emotions, personality, and mind through scientific studies, experiments, observation, and research. The study of psychology has four goals: Describe, Explain, Predict, and Change/Control.