Current Controversies & Directions in Clinical Psychology

Question 1

Psychologists having prescription privileges can be a good thing because…

Answer 1

There is a shortage of psychiatrists, clinical psychologists have more expertise than primary care physicians in mental health-related issues, other nonphysician professionals already have prescription privileges, it’s convenient for clients, clinical psychologists will have more freedom to provide care for their clients, clear professional distinction from other professionals who provide therapy, encourages a biopsychosocial approach to mental health treatment, and increased public interest in clinical psychology-related services.

Question 2

Videoconference therapy, self-report questionnaires, email/text to send psychotherapy to a client, etc. are all examples of what?

Answer 2

Telepsychology

Question 3

Psychologists having prescription privileges can be a bad thing because of…

Answer 3

Training issues, threats to psychotherapy, identity confusion, influence of the pharmaceutical industry, and medication efficacy compared to psychotherapy

Question 4

____________________ is using replicable scientific research to determine the best methods of psychological assessment and treatment.

Answer 4

Scientific Research

Question 5

________________________ is a clinician’s professional experience and judgment.

Answer 5

Clinical Expertise

Question 6

___________________________- is a client’s age, gender, social–cultural background, expectations and preferences for treatment.

Answer 6

Client Characteristics

Question 7

_______________________ is a tool used to keep variability among therapists to a minimum

Answer 7

Manualized therapy

Question 8

What is the focus of dialect behaviour therapy?

Answer 8

Acceptance and change

Question 9

________________________ happens by introducing new disorders that capture experiences once considered normal or by lowering the bar for existing disorders.

Answer 9

Expansion of Mental Disorders

Question 10

Harder for people to be considered well.
Harmful medication side effects.
Unnecessary therapy that undermines a person’s own coping skills.
Risks to self-image due to stigma.
Influence on how health insurance companies consider the person.
Influence on how a court of law views the person.

These are all risks for what?

Answer 10

Risks of over diagnosis

Question 11

______________________ is a strategy for payment where clients use their health insurance to pay for therapy.

Answer 11

Health Insurance & Managed Care

Question 12

___________________ is the presence of a third party (e.g., private insurance companies) that affects the payment of treatment services.

Answer 12

Third-Party Payer

Question 13

______________________ is paying for treatment services using one’s own finances that likely won’t be reimbursed at a later time.

Answer 13

Out of Pocket Pay

Question 14

Companies exercise too much control over clinical decisions.
Companies’ emphasis on financial concerns make providing appropriate and ethical care difficult.
Confidentiality is an ethical concern.
Lower pay from clients who pay directly and out of pocket.
Takes time away from direct clinical work.
Can possibly result in the denial of care that the psychologist believes is necessary.

These are all _____________________.

Answer 14

Effects of Payments on Treatment

Question 15

Does video conference psychotherapy work as well as face-to-face therapy?

Answer 15

Yes

Question 16

__________________ is a structured outpatient therapy program that often requires a one-year commitment.

Answer 16

Dialectical Behaviour Therapy

Question 17

What are 3 components of dialect behaviour therapy?

Answer 17

Skills Training Group
Individual Psychotherapy
In-the-moment coaching and consultation

Question 18

One purpose of the ________________________ is to keep variability among therapists to a minimum, such that if the technique proves effective, it can be shared with others in exact, unambiguous terms.

Answer 18

Therapy manual

Question 19

________________________ is a specific form of behaviour therapy for the treatment of OCD.

Answer 19

Exposure and response prevention

Question 20

__________________________ is for the treatment of borderline personality disorder.

Answer 20

Dialectal behaviour therapy

Question 21

_____________________________ is defined as the integration of the best available research with clinical expertise in the context of patient characteristics, culture, and preferences.

Answer 21

Evidence-based practice

Question 22

____________________________ is using therapy that lacks empirical support.

Answer 22

Malpractice

Question 23

Therapists who demonstrate flexibility rather than following a rigid manual have more success in outcomes and engaging clients. True or false?

Answer 23

True

Question 24

The term _______________________ is often used to describe this strategy of following a manual while adapting it as necessary.

Answer 24

Flexibility within fidelity

Question 25

The most common way to pay for therapy nowadays is through __________________________.

Answer 25

Health insurance/managed care