Chapter 1: Evolution of Clinical Psychology Flashcards
What is clinical psychology?
Branch of psychology that focuses on developing assessment strategies, interventions, prevention strategies to deal with the painful experiences that affect everyone’s lives
Science based
_% of CAD adolescents and adults report symptoms consistent with a diagnosis of a mental disorder
1/10
how many people suffer rom mental disorder?
1 in 5
The economic burden of mental issues is second to
that of cardiovascular disorders
At any given time, ____ people are suffering from a mental disorder, neurological or biological problem
450 million
1 in every ___ people seeking help for mental disorder is unlikely to be treated/diagnosed
4
Richard McFall
challenged clinical psychology field to to provide only services that research had shown to be safe and effective
- Manifesto for a science of clinical psych
Evidence based practice
Involves the synthesis of info drawn from research and systematically collected data on the patient in question, the clinicians professional experience, and the patients preferences when considering health care options
Counselling Psychology
traditionally provided services to individuals who were dealing with normal challenges in life; dealt with well adjusted people; commonly employed in Ed. settings, community clinics
Now: help people who are having trouble functioning
science based interventions
diagnose mental disorders
research focused on academic and minority adjustment issues
School Psychology
specialized training in psychology and education
overlap with child clinical psych
attention to social, emotional, and medical factors in a context of learning ad development
school based prevention programs
11.4 per 100 000 pple in US
psychiatry
MDs specilization
prescriptions
deals extensively with physiological and biochemical systems, and emphasizes biological functioning and abnormalities
little training in psych development, functioning, cognition, or learning
only 3% of MDs
Which health are profession provides the most mental health services?
primary care physicians
Clinical social work
focus on ways to improve health snd well being of individuals, families, groups and communities
case managers in mental health teams
Canada has ____ psychologists and _____ psychiatrists per 100, 000 people
35
12
biopsychosocial approach
theoretical framework that takes into account biological, psychological and social influences on health and illness
Hippocrates
biopsychosocial approach
500-300 B C
Plato
emphasized role of societal forces and psychological needs in the development and alleviation of mental disorders
Aristotle
emphasized biological determinants in mental disorders
St. Vincent de Paul
1500s
proposed that mental disorders were not caused by witchcraft or possession but by natural forces
Phillipe Pinel
reformer
enlightenment
1700s
director of an asylum in Paris ordered that chains e removed from patients and that they be treated humanely
William Tuke
advocated for development of hospitals based on ideas of appropriate care and established a country retreat where patients lived and worked
England
1700s
Benjamin Rush
US
promoted moral therapy
encourage compassion
Jean Martin Charcot
developer of clinical neurology
emphasis on psychological factors in hysteria, use of suggestion and hypnosis in treating this
Emil Kraeplin
German psychiatrist
all mental disorders are due to biological factors, and that these causes could not be effectively treated with the primitive methods available
Devoted his life to the study and classification of mental disorders
- examined how various symptoms covaried
- coined the term “syndromes”
- identified schizophrenia -> dementia praecox
Alfred Binet
french psychologist 20th century - Binet simon scale of intelligence - 50 tests of mental skills - ages 3-13 - established norms
Paul Meehl
1954 review of the relative strength of clinically and statistically based assessment
found that a purely clinical approach was inferior to a statistical approach
Clinical utility
usefullness of assessment data to provide info that leads to a clinical outcome that is better (or faster or less expensive) than would be the case if the psychologist did not have the assessment data
Services evaluation
activities designed to examine whether or not services work
meta analysis
a review technique by which groups of studies can be statistically combined and compared
efficacy
evidence that a treatment has been shown to work under research conditions that emphasized internal validity
effectiveness
evidence that a treatment has been shown to work under real life conditions
Carl Rodgers
rooted in the assumption that people were inherently capable of developing in a positive, healthy manner
humanistic approach
his book: counselling and psychotherapy
Hans Eysenck
critiqued the effectiveness of psychotherapy
argued that rates of improvement among clients given either psychotherapy or eclectic therapy were comparable to rates of remission of symptoms among clients who received no therapy at all