Chapter 3 Flashcards
several outspoken and prominent individuals have also promoted the movement toward prescribing, including __________, a former president of the American Psychological Association;
Patrick H. DeLeon
widely recognized expert on psychopharmacology and 1 of 10 psychologists who took part in the first experimental pilot program of psychologists prescribing medication;
Morgan T. Sammons
He is the training director of the Psychopharmacology Postdoctoral Training Program in the School of Psychology at Fairleigh Dickinson University and former president of the American Society for the Advancement of Pharmacotherapy
Robert McGrath
Why Clinical Psychologists Should Prescribe?
- Shortage of psychiatrists
- Clinical psychologists are more expert than primary care physicians
- Other nonphysician professionals already have prescription privileges
- Convenience for clients
- Professional autonomy
- Professional identification
- Evolution of the profession
- Revenue for the profession
Why Clinical Psychologists Should Not Prescribe
- Training issues
- Threats to psychotherapy
- Identity confusion
- The potential influence of the pharmaceutical industry
According to him therapy had no proof of positive outcome sparked much research on the topic, and this early wave of research
Hans Eysenck’s (1952)
Issues facing the field of clinical psychology today
- Prescription Privileges
- Evidence-based Practice/Manualized Therapy
- Overexpansion of Mental Disorders
- Payment Methods: Third-party payment vs Self-Payment
- The Influence of Technology
Advantages of Evidence-Based Practice/Manualized Therapy
- Scientific Legitimacy
- Establishing minimal levels of competence
- Training improvements
- Decreased reliance on clinical judgement
Disadvantages of Evidence-Based Practice/Manualized Therapy
- Threats to the psychotherapy relationship
- Diagnostic complications
- Restrictions on practice
- Debatable criteria for empirical evidence
5.
Cosgrove, Krimsky, Vijayaraghavan, and Schneider (2006) found that of the 170 panel members of DSM-IV, __ of them, or __%, had financial ties to the major pharmaceutical companies.
95 of them, or 57%
The (3) most frequent types of financial ties
- research funding
- consultant fees
- speaking fees
benefits to pay for therapy, at least
partially
health insurance/managed care (third party payer)
use of technology, and particularly the Internet, by clinical psychologists
telepsychology but is also called telehealth, telemental health, and cybertherapy
technologically savvy clinical psychologists can use
- videoconferencing
- e-mail or text
- interactive Internet sites
- online psychotherapy programs
- virtual-reality techniques/virtual exposure to feared objects
- computer-based self-instructional programs
- apps and biofeedback sensors on handheld devices
