Clinical Psych Chapter 3 Flashcards
what fives states allow psychologist to prescribe medicine
New Mexico
Idaho
Iowa
Illinois
Louisiana
what are reason’s why psychologist should be able to prescribe
-they know the patients better
-there aren’t many psychiatrists especially in rural areas
-psychologists have more trust with the patient
-convince for clients
-professional otumany sense of freedom
-evolution of the profession
-revenue
reasons psychologist shouldn’t prescribe
-psychiatrist lose creditability
-training issues with clinical psychologist
-threats to psychotherapy and getting less frequent
-influence of the pharmaceutical treatment
who is Hans Eysenck
-1952 claimed that therapy is not beneficial
-triggered a movement to evaluate therapy outcomes
what came out of the movement to evaluate therapy
-examining if therapy works/ seeing what approach works better for specific disorders
-need for a manual
insures uniformity across therapists
treatment outcome research
see how well a specific therapy works for a certain disorder
evidence based (empirically supported treatments)
when outcomes data supports the use of manualized therapy
What are the three components of evidence based practice
-integrating the best available research
-clinical expertise
-patients characteristic, traits and cultural background
advs of evidence based
1.Scientific legitimacy- establishes some sort of credibility
2. Competency - minimum level of competency
3.Training - ensuring good quality of training
Clinical judgment
disadvantages of evidence based
- More robotic of a relationship between patient and therapist (psychotherapy relationship)
- Diagnostic implications
- Practice restrictions - limited on creativity, not as flexible
- Debatable criteria
Because the dsm evolved…
- greater number of diagnoses
- lower threshold required to be given a diagnosis
what are the consequences of the evolution of the dsm
- can affect someones self image
- normalializing ones problems
- people get treatment that don’t need it
- can affect how health insurance/ court can see you
positive effects on therapy
more people can get it
negative effects on therapy
having third parties affects the quality of therapy and there can be ethical issues like confidenality
benefits of tele-therapy
- more affordable
- more access for therapy
- if you’re nervous you don’t have to go in person