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| The field of Clinical Psychology integrates science, theory, and practice to understand, predict, and alleviate maladjustment, disability, and discomfort as well as to promote human adaptation, adjustment, and personal development. Clinical Psychology focuses on the intellectual, emotional, biological, psychological, social, and behavioral aspects of human functioning across the life span, in varying cultures, and at all socioeconomic levels |
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Ph.D. Full-time for at least 4 years post-BA (mean = 7 years)
Masters Thesis
Dissertation
Comps
Pre-doctoral internship 1 year
post-doctoral internship 1-3 years
become a real person |
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| How long does pre-doctoral internship? |
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| How long is post doctoral internship? |
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| vary by state and training level |
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| Ethical requirements follow... |
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| APA's ethical principles of psychologists and code of conduct and state jurisprudence |
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less emphasis on research and more on the work.
Has larger acceptance rate.
Schools not in a uni setting.
Students graduate 1.5 years quicker.
Students usually pursue clinical careers and not acadmic.
Tend to be more psychodynamic in aproach. |
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| Students of Psy D ____ pursue clinical careers and not acadmic |
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| Psy D's tend to be more ___ in approach |
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| Serious cases. depression, everyday problems. |
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| Marriage and family therapists |
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| What are the activities of clin psych? |
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Research
Teaching
Psychotherapy
Psychological assessment
Consultation
Administration |
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| Hours per week of a grad student. |
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| What is the most time spent in clin psych? |
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| What is the most time spent in % involved |
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| How is psych in 21st century? |
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Evidence based practice.
Clin psych training.
Boulder model
Electicism and integration
Mental health care enviroment (which involves mental health parity, managed care, and prescription priveliges) |
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| Scientist-practitioner psychologists embody a research orientation in their practice and a practice relevance in their research |
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| Vail model was found in what year |
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| came out with a practitioner-Scholar model with far less emphasis on research |
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Never gets boring
Seeing people grow is highly reinforcing
Sense of cohesion between graduate students
You love psychology????
The hope of not being poor….someday.
So your siblings have to call you Dr |
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| Visited asylums where mentally ill were kept. Improved the conditions in which they were kept. Better food, exercise and interactions with staff. |
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| What year time frame was William Tuke? |
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received PhD. under Wilhelm Wundt
Founded first psychological clinic at U-Penn.
First time the science of psychology was applied to peoples problems. |
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| Founder of experimental psych |
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| founder of the categorical system as we know it (DSM). |
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| text revision to that addition. DSM-IV-TR. |
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Axis 1- principal disorder (immediat attention)
Axis II- personality disorder (secondary problem)
Axis III- medical
Axis IV- social situations
Axis V- level of functionality |
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| created one of the first standardized IQ tests that yielded an overall score. |
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| Controvery of Binet's tests... |
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| test was designed for military use only but people started using it for numerous other populations (e.g., school aged children |
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| Binet's IQ test led to present IQ test... |
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| Weschestrster Adulst Intelligence scale (WAIS) and wechsler Intelligence scale for children (WISC) |
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| Swiss psychiatrist, created inkblot tests |
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| Objective Personality tests |
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| Paper pencil, more scientific, higher reliability, validity. MMPI |
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| Sigmund Freud and psychodynamic theory became popular after WWI |
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| The evolution into Behavioral and Cognitive Therapy |
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| Watson, Pavlov, Skinner, Beck. |
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| Barlow, Hope, Foa, Loftus. |
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| Where is clin psych going? |
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More evidence based treatments
Decreasing treatment dropout
Improving treatment effectiveness
Better diagnostic reliability
Competing with drug therapy.
Where ever our generation takes it |
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| Why would it be best for a client to take medication for a psychological disorder? |
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| not maturity for traditional psychotherapy treatment. |
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| Consider before medication? |
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| Dependency factor. Side effects(irritability, worsen, weight gain, physical reactions. Psychosis, psychotics. If mix with alchol serious problems. 18-25 party. Existing illness. Cost. Cog function. Xanex, a robot. |
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| What do clients consider when making this decision? |
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| Relapse, cbt, 65% of people respond to medictation, 50% of them won’t respond |
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| Clinical psychologists are more expert than primary care physicians |
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| primary care can prescribe. They don’t have much training. Not much accuracy. |
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| Who already has prescription privelliges? |
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| What's against prescription privelliges? |
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| Training, threats to psychotherapy, ID confusion, potential influence of pharmaceutical industry. |
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| tired of not having list of treatments. Created a name and put division 12. APA said no but diseminated and became popular. Why controversial? May lessen research. Bias. It is biased. 95% is behavior therapy. Biggest reason? Money. APA members aren’t cog psychological. Psychodynamic instead. |
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| edna phoa. Address this. Test them compared to other treatments. Structured. Published as evidence treatment. Why do practicing academic psychologist why hate? Depends on patients. |
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| Benefits to manualized tx? |
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Science supports the outcomes
Establishing minimal levels of competency
Training improvements
Decreased reliance on clinical judgment???? hum |
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| Arguements against manualized tx |
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Threats to the psychotherapy relationship
Diagnostic complications
Restrictions on practice |
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| What's bad about technology? |
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Information passed on prematurely-fads? EMDR eye movement derapid. Use for anxiety. Problem: cbt and doing another therapy. Pet therapy. Dolphin therapy.
CONFIDENTIALITY -
Therapeutic relationships- human interaction is important.
Money Grab- a quick fix. Quick buck. |
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Just can you do something, doesn’t mena you should.
No theoretical basis-not based on cog or w/e.
No treatment recommendations
Consistently increasing the number of diagnoses when the field is pushing to combine diagnoses
Reliability/validity concerns –awful.diagnostic overlap.
MONEY RULES THE WORLD…and APA |
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| Arguements between psychologists |
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Cognitive vs. behavioral vs. CBT vs. psychodynamic vs. humanistic vs. eclectic.never a psychodynamic on interview.
Clinical vs. counseling vs. social workers
Ph.D. vs. Psy.D
Arguments between experts in the same field
Competition between grad students
Egos??? |
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| NAAAAAAAAAILLLL TAKE HIS COAT |
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