Chapter 2 Notes Flashcards
In 2004, who rated psychologists at the top of the list for helpfulness (29%) despite the publics tendency to avoid specialists
Hunsley and Lee
What is a situation in Canada regarding psychologists
many people can’t afford the private services of psychologists (which is why most psychologists work at public facilities)
Why are psychiatrists more affordable
they bill the health care system directly
Clinical Psychology largely grew from the field of ___________.
Assessment
When was there a sharp increase in demand for psychotherapy
Following the second world war.
Currently, most North American psychologists are engaged in ___________ and many in ____________ __________.
Psychotherapy and Formal Assessment
What is Case Formulation
assembling all the info into a clinical picture and making a diagnosis
What is Differential Diagnosis
The process of emimination when diagnosing
What is the difference between an Assessment and a Tool
An assessment is a professional service/activity, a test is a tool
Informal assessment sometimes includes Collateral Interviews, what are they?
asking a third party about the patient
What is Confirmatory Bias
only hearing what confirms your thoughts and beliefs
Assessment should always be guided by what 3 things
the referral question, patient characteristics, and potential sources of information
Assessment is an _____ -based undertaking
Evidence-based
Assessment results are communicated to the patient and/or referral source in various ways. Generally this involves _________ __________ accompanied by ______________ sessions.
Generally this involves written reports and debriefing sessions. (this is where you would introduce the treatment plan)
What does the “effectiveness” in psychotherapy refer too
reduced symptoms and more time between episodes, etc
Most often, interventions involve __ to __ contacts
5-13 contacts
What is a big factor on the success of psychotherapy
the relationship and trust with the patient
Syncretism can damage therapeutic outcomes, what is syncretism??
the combination of incompatible things like views
If psychologists don’t prescribe prescriptions, what 3 things should they at least know about it
- The classes of drugs for different problems
- Efficacy of drugs and of drugs in combination with psychological treatment
- Side-effects
What are the 3 forms of prevention
Primary = measures taken to prevent a disorder from occurring
Secondary = reducing the risk for reoccurrence who has already experienced the disorder
Tertiary = reducing the effects of the disorder when It happens
What are risk factors and protective factors (primary prevention)
Risk factor = anything that increases the probability that a disorder will start
Protective factor = strengths that prevent a disorder from starting
The Health Professions Act requires us to continually expand and maintain ____________- in the interest of delivering the best professional service
Competence (capability)
The best psychologist practitioner not only treats but _______.
researches
What is considered a “natural extension of clinical practice”
teaching and supervising psychologists in training (practicum and residency supervisors)
Not only clinical techniques but consultation skills
What did Garb find on how important experiences is?
That prepared but inexperienced clinicians are as capable as experienced clinicians in their ability to make clinical decisions (but not equally effective)
Psychologists employed in community or hospital settings often find their way into _________ and ____________ roles
Management and administrative roles (less pressure than private practitioners)
Not many, but some hospitals contained psychology departments, what have these departments been largely replaced by?
program based management (organized by service, not by discipline)