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Introduction to Clinical Psychology . Carolyn R. Fallahi, Ph. D. What is a Clinical Psychologist?. Research Teaching Services Across the Lifespan Varying cultures Various SES levels. Activities Engaged in by a Clinical Psychologist. Therapy/Intervention Diagnosis/Assessment

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introduction to clinical psychology

Introduction to Clinical Psychology

Carolyn R. Fallahi, Ph. D.

what is a clinical psychologist
What is a Clinical Psychologist?
  • Research
  • Teaching
  • Services
  • Across the Lifespan
  • Varying cultures
  • Various SES levels
activities engaged in by a clinical psychologist
Activities Engaged in by a Clinical Psychologist
  • Therapy/Intervention
  • Diagnosis/Assessment
  • Clinical Supervision
  • Teaching
  • Research
  • Consultation
  • Administration
related health professions
Related Health Professions
  • Psychiatry
  • Counseling Psychology
  • Psychiatric Social Workers
  • School Psychologists
  • Rehabilitation Psychologists
  • Health Psychologists
  • Psychiatric Nurses
issues in both counseling clinical ph d programs
Issues in both Counseling & Clinical Ph. D. programs
  • APA accreditation
  • Licensure
  • Psychologist – protected term
  • Psychological testing
  • Issues with Psychologists providing medication
what is involved with a degree in clinical psychology
What is involved with a degree in Clinical Psychology?
  • Statistics
  • Psychotherapy
  • Social psychology
  • Research
  • Psychometrics (test construction)
  • Assessment (adult or child)
what is involved with a degree in clinical psychology7
What is involved with a degree in Clinical Psychology?
  • Clinical Practicum
  • Ethical & Professional Issues
  • Psychopathology
  • Neuroscience
  • Family & Group Process
  • Cognitive Psychology
what is involved with a degree in clinical psychology8
What is involved with a degree in Clinical Psychology?
  • Experimental Psychopathology
  • Developmental
  • History & systems of psychology
  • Violence in the family
  • Internship
  • Research
  • The qualifying examination
other issues
Other Issues
  • APA approved internship programs
  • Psy. D. vs. Ph. D.
  • Ph. D. Model or Boulder model of training.
models of training
Models of training
  • 1949 landmark conference in Boulder, Colorado = Boulder model or the scientist-practitioner model.
  • Evidence based medicine.
  • More applied model.
  • Metzoff (1984): If we train purely applied psychologists, they will be obliged to accept on faith what is handed down to them without being able to evaluate it.
the psy d degree
The Psy. D. degree
  • U. of Illinois (1968).
  • Fear: that Psy. D’s won’t find employment.
professional schools
Professional Schools
  • No affiliations with universities.
  • Autonomous with their own financial & organizational framework.
  • 1987 – 45 professional schools.
  • ½ doctorates in clinical psychology awarded by professional schools.
  • Major handicap…. Many are not APA accredited.
professional regulation
Professional Regulation
  • Who is well trained & who is not?
  • This is an attempt to protect public interest.
  • Certification – guarantees that people cannot call themselves “psychologists” unless certified by a state board of examiners.
licensing
Licensing
  • Specifies nature of the title (psychologist) & training required for licensure.
  • Usually defines what specific professional activities may be offered to the public for a fee.
  • Usual requirements:
    • Education: doctoral degree from an APA-accredited Counseling or Clinical program
    • Experience: 1-2 years of supervised postdoctoral clinical experienced required.
    • Examinations: must pass the Examination for Professional Practice in Psychology & whatever state examinations.
licensing15
Licensing
  • Requirements continued:
    • Administrative Requirements
    • Specialties
american board of professional psychology
American Board of Professional Psychology
  • ABPP
  • 1947 established.
  • Certification of professional competence in the fields of behavioral psychology, clinical psychology, clinical health psychology, clinical neuropsychology, counseling psychology, family psychology, forensic psychology, group psychology, psychoanalysis, rehabilitation psychology & school psychology.
  • Oral exam, observations, clinical records, 5 years post doctoral experience.
national register
National Register
  • Self-certification.
  • Licensed / certified in state.

Private Practice

  • Managed health care.
apa recommended changes
APA recommended changes
  • Health care delivery systems
  • Sensitivity to ethical issues
  • Multidisciplinary environments
  • Managed-care-relevant clinical skills
  • Expertise in applied research
  • Management & business skills
  • technology
prescription privileges
Prescription Privileges
  • APA endorsed
  • Background
  • Benefits or Pros
  • Cons
multicultural issues
Multicultural Issues
  • Pluralistic Society
  • APA (2003) guidelines.
  • Sue (1998) We must demonstrate cultural competence: a knowledge and appreciation of other cultural groups and the skills to be effective with members of these groups.
sue 1998
Sue (1998)
  • Scientific mindedness
  • Dynamic sizing
  • Culture-specific expertise
  • Issues of gender
ethical standards
Ethical Standards
  • APA (1951).
  • Most recent version 2002.
  • 5 general principles:
    • Beneficence & non-maleficience
    • Fidelity & responsibility
    • Integrity
    • Justice
    • Respect for people’s rights & dignity
competence
Competence
  • Represent their training accurately.
  • Actively present themselves correctly.
  • Sensitive to treatment or assessment issues that could be influenced by a patient’s gender, ethnic or racial background, age, sexual orientation, religion, disability, or SES.
  • Safeguard patients against personal issues that could affect performance.
privacy confidentiality
Privacy & Confidentiality
  • The role of confidentiality in the client-psychologist relationship.
  • Not all information is deemed “privileged”.
  • 1976 Tarasoff case.
  • Jaffe v. Redmond (1996).
human relations
Human Relations
  • Dual relationships.
  • Sexual harassment & sexual intimacies
  • Client welfare.
other issues involving psychologists
Other issues involving psychologists.
  • Radio Call-in shows, TV talk shows, Internet groups…ethical?
  • Principle 2.64-1
  • 2002 APA ruling.