Chapter 16: The Art and science of Clinical psychology Flashcards

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1
Q

Who was Paul Meehl?

A

A rising star from the University of Minnesota’s psychology department, stepped up to the podium at a meeting of the midwestern Psychological Association to deliver his presidential address.

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2
Q

What was Meehl’s published book?

A

Clinical Versus Statistical Prediction: A Theoretical Analysis and a Review of the Evidence.

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3
Q

What did Meehl argue in this book?

A

he argued for the general superiority of empirical data over clinical judgment in making predictions about behaviour.

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4
Q

Who was Leta Hollingworth?

A

A member of the American Association of Clinical Psychologists, had suggested instituting a doctorate in psychology for those who wanted to specialize in testing and other kinds of application.

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5
Q

Who was Lightner Witmer?

A

had been the first to physically and methodologically bridge the laboratory and the clinic.

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6
Q

How did Witmer assess children in the Psychological Clinic?

A

using an approach he referred to as the clinical method, involving a medical exam and extensive psychological testing.

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7
Q

What does this testing encompass?

A

various cognitive tasks, some of which were imported directly from the lab. Results led to a detailed plan for each child, specifically developed to address his or her particular challenges.

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8
Q

Who was Molly Harrower?

A

A psychological consultant at the US Department of State, Harrower had begun a parallel career as a clinical psychologist in private practice a couple of years earlier in NYC. The first psychologist in private practice NY.

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9
Q

Who was Beatrice Edgell?

A

She studied psychology at Bedford College, University of London, where she was mentored by Beatrice Edgell, the first woman to be awarded a Ph.D. in experimental psychology in Great Britain. Edgell was a positive influence and Harrower became interested in pursuing graduate work in the field.

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10
Q

What did she learn at Smith?

A

The techniques of experimental psychology to test Gestalt principles and conducted research on visual perception.

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11
Q

Who is Kurt Goldstein?

A

a neurologist at Montefiore Hospital in NY. With Goldstein at Montefiore she became comfortable relating to patients in a medical environment and worked closely with doctors and psychiatrists.

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12
Q

Who is Wilder Penfield?

A

Harrower moved to Montreal and began what would become a historic assignment working with acclaimed neurosurgeon Wilder Penfield.

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13
Q

What did Penfield pioneer?

A

a technique for treating severe epilepsy involving stimulation of the brains of fully conscious patients and recording their responses. When he stimulated a spot that produced the characteristic aura preceding a seizure, he removed that small portion of the brain and successfully reduced the severity of the patient’s illness.

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14
Q

Who is Hermann Rorschach?

A

invented the Rorschach inkblot test, was a Swiss psychiatrist. In 1921 he outlined the technique in his book psycho-diagnostics.

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15
Q

What was Rorschach was primarily interested?

A

the effects of mental states on perception, which he defined as being made up of three processes: sensation, memory, and association.

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16
Q

What was Rorschach perceptual processes?

A

how these were related to their mental states or neurological conditions.

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17
Q

What are determinants?

A

After all responses were recorded, the tester would ask, for each response, “What made it look like that to you?” During this inquiry phase of the technique, the tester would uncover which of the determinants (color, form, shading, texture, or movement) patients had used in formulating their responses.

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18
Q

What was psychopathic personality?

A

schizophrenia, manic depression, epilepsy, dementia, and several other conditions.

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19
Q

Who is Bruno Klopfer?

A

a well-known interpreter of the Rorschach projective technique.

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20
Q

Harrower asked the question: Could the Rorschach technique detect the presence of brain tumors?

A

After detailed examination of numerous test protocols, she concluded that the Rorschach results of patients with tumors, did in fact, differ from those patients without tumors.

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21
Q

An example of this is:

A

while someone without tumors might give responses that used form, shading, and color, patients with tumours might consistently report using only the form or shape of the inkblot to describe their response. Meaning that patients with tumours appeared to cope with their impairment by simplifying their approach to the environment and clinging to strategies that seemed to work for them.

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22
Q

The need for more mental health practitioners, including clinical psychologists, was a national concern in the US, as we have noted, and this need led to?

A

the passage of the National Mental Health Act in 1946. Funds would be directed toward increased training efforts in four professions: psychiatry, psychology, psychiatric social work, and psychiatric nursing.

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23
Q

Who is David Shakow?

A

Was a chosen participate in the Committee on Training established by the Act and emerged as a key leader in designing a standardized clinical psychology graduate program.

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24
Q

What did Shakow and seventy-two colleagues met in Boulder, Colorado, in 1949 at a historic conference?

A

in fifteen days this group mapped out almost every aspect of clinical psychology training and credentialing, from student selection, to standards of training, to program accreditation, to professional licensure.

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25
Q

What were the three primary functions of clinical psychology?

A

diagnosis, research, and therapy.

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26
Q

What did Shakow emphasize about diagnosis?

A

he emphasized determining both the nature and the origin of a patient’s condition, especially its underlying psychological dynamics and potential outcomes.

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27
Q

What did Shakow emphasize about research?

A

Shakow was conducting research as the clinical psychologist’s main role. Rigorous training in scientific methodology, research design, and statistical analysis would set clinical psychologists apart from other mental health professionals, including psychiatrists, most of whom were not systematically trained to do clinical research.

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28
Q

Who is Carl Rogers?

A

One of the earliest psychologists to both empirically study the process of psychotherapy and develop a new approach.

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29
Q

What did Rogers begin to practice?

A

between 1940 and 1944, he began the practice of making phonographic records of entire therapy sessions and studying them intensively.

30
Q

What was Rogers client-centred therapy?

A

a new non directive approach that emphasized the importance of a number of aspects of the therapeutic encounter.

31
Q

What was Rogers’s theory called actualizing tendency?

A

one’s internal inclination toward growth. that psychological problems arise when this tendency becomes disrupted, such as when we repeatedly encounter what he referred to as conditions of worth.

32
Q

What the therapeutic encounter several components?

A

First, there must be psychological contact between an incongruent (anxious, vulnerable) client and a congruent (or integrated) therapist.

33
Q

What is an Incongruence?

A

was defined as the discrepancy between a client’s physical experience of a situation and his or her self-representation in that situation. Ex: if a student feels she should not be anxious when taking tests but actually does feel very anxious, she is in a state of incongruence.

34
Q

What is the first thing therapists strive for?

A

Congruence means that they strive to experience and express genuine and authentic feelings in relation to their clients and the therapy.

35
Q

What is the second thing therapists strive for?

A

strive to communicate unconditional positive regard for their clients - in his words, “a warm acceptance of each aspect of the client’s experience as being a part of that client.”

36
Q

What’s the last thing therapists strive for?

A

must express an accurate empathic understanding of the client’s inner world. in other words, therapists must be able to sense a client’s experience as if it were their own, but without actually becoming too involved in that experience.

37
Q

What are the common factors for therapeutic research?

A

these common factors were largely relational, such as the patient or client feeling understood, supported, respected, and cared for by the therapist.

38
Q

Who is Hans Strupp?

A

another pioneer of psychotherapy research, conducted a study in which he compared therapy delivered by college teachers selected for their warmth and popularity to therapy delivered by experienced clinicians.

39
Q

What did the results indicate?

A

the two groups of students did about equally well, suggesting that common factors were more important than specific techniques.

40
Q

Who developed laboratory studies of behaviour therapy?

A

Joesph Wolpe.

41
Q

What is behaviour therapy?

A

the focus is on changing observed behaviour rather than internal mental processes.

42
Q

What is systematic desensitization?

A

a technique in which relaxation exercises are paired with graded exposure to a feared stimulus, is an example of behaviour therapy.

43
Q

Who is Aaron Beck?

A

Some psychiatrists were becoming disillusioned with psychoanalysis and were seeing the value and excitement of this new research enterprise called clinical psychologists.

44
Q

What did ego psychologists promote?

A

the idea that with normal development, many of the functions of the ego become independent of their origins in the murky, unconscious, id. This idea certainly resonated later with Beck as he began his depression research.

45
Q

Who is David Rapaport?

A

Already well known for his work on diagnostic psychological testing, had just published a book on the psychoanalytic theory of thinking and was developing the theory of ego psychology.

46
Q

Who is Margaret Brenman-Gibson?

A

was at Austen Riggs, and the first psychologist to receive full clinical and research training as a psychoanalyst in the US at the time when many of the American psychoanalytic societies were still closed to non-physicians.

47
Q

What’s Ellis’s new approach?

A

Actively teaching his clients to change their attitudes and beliefs seemed much more effective, and he called this new approach Rational emotive therapy (RET).

48
Q

Who was Albert Ellis?

A

a psychoanalytic dropout who was developing a new form of therapy. ellis had become disillusioned with psychoanalysis when he began his clinical practice as an analyst in training.

49
Q

What is Ellis’s new approach?

A
50
Q

In RET, Ellis proposed what?

A

he called it the A-B-C model. A person’s response to an activating event or adversity (A) is rarely directly related to the adversity itself but is affected by the person’s beliefs, assumptions, and worldview. There beliefs (B) influence the emotional and behavioural consequences (C) of the adversity.

51
Q

What was Ellis’s musterbatory beliefs?

A

the irrational belief that the patient must be loved by everyone, or that she must always be successful.

52
Q

What are Ellis’s four categories for irrational beliefs related to emotional disturbance?

A

demands (shoulds, oughts, and musts); catastrophizing statements; low-frustration-tolerance thinking; and global evaluations of wroth.

53
Q

What book did Beck publish in 1967?

A

Depression: Clinical, Experimental, and Theoretical Aspects.

54
Q

What was Beck’s constructed Cognitive theory of depression?

A

A fundamental concept is the cognitive schema, a core belief structure that organizes information about the self, the world, and the future.

55
Q

What is what Beck calls the Cognitive triad?

A

the appraisals of the self, the world, and the future.

56
Q

What are Beck’s cognitive distortions?

A

were characteristic of his depressed clients’ thinking patterns. They were often unable to see any middle ground between two extremes, known as all-or-nothing thinking.

57
Q

What are negative automatic thoughts?

A

the tend to lead to a depressed mood. These are thoughts that arise almost instantaneously and are fed by a person’s underlying assumptions and core beliefs.

58
Q

What are interrelated according to Beck?

A

Emotion, behaviour, and cognition with changing in one can show changes in another.

59
Q

What did Beck develop?

A

Cognitive therapy, an approach that was distinctive by being deliberately directive and time-limited.

60
Q

What was the drug that first treated schizophrenia?

A

Chlorpromazine

61
Q

In 1958, the first drug to specifically treat depression was introduced?

A

imipramine.

62
Q

What is the randomized controlled trial (RCT)?

A

to show the effectiveness of any psychotherapy compared to antidepressants, the researchers randomly assigned forty-one patients who had been carefully screened and matched on a number of variables (such as severity of depression) to receive cognitive therapy or drug treatment(imipramine).

63
Q

What is interpersonal psychotherapy (ITP)?

A

was developed by psychiatrist Gerald Kerman and epidemiologist Myrna Weissman in the early 1970s as a short-term treatment for depression.

64
Q

What are the Treatment of Depression Collaborative Research Program (TDCRP)’s two clear goals?

A
  1. Evaluating the feasibility of conducting a multisite collaborative RCT of psychotherapy, and 2. comparing the two forms of psychotherapy for their effectiveness in treating depression.
65
Q

What did Meehl had devote his Ph.D. work to?

A

the Minnesota Multiphasic Personality Inventory (MMPI), a statistically derived measure of personality factors relevant to understanding psychopathology, or mental disorders.

66
Q

Who was Starke Hathaway?

A

received federal funding to develop a specialized psychological test to measure the extent of various forms of psychopathology for the purpose of screening recruits.

67
Q

What is Hathaway’s criterion-group method?

A

The purely empirical, objective, statistical approach to psychological test construction. Using this procedure, Hathaway produced an inventory with 566 items encompassing 10 clinical spaces: hypochondriasis, depression, conversion hysteria, psychopathic deviate, masculinity-femininity, paranoia, psychasthenia, schizophrenia, hypomania, and social introversion.

68
Q

What is Meehl’s profile analysis?

A

Meehl also became interested in the validity of profile analysis, the standard MMPI practice of examining patterns of scale scores, rather than individual scores in isolation, to generate diagnostic recommendations.

69
Q

What is evidence-based practice (EBP)?

A

the use of treatments that have been scientifically tested for their appropriateness and effectiveness for a specific disorder.

70
Q
A