Week 1 Key Concepts Flashcards

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1
Q

Clinical Psychologists

A
  • Requires doctorate degree
    • 4 years of coursework including thesis/dissertation
    • predoctoral & postdoctoral internship
    • Take the EPPP (Examination for Professional Practice in Psychology) for licensure
    • CEUs (Continuing Education Units) to maintain competence in the growing field of psychology
  • Study, assess, and treat people with psychological problems/disorders (psychotherapy)
  • Unique from other practictioners in that they can administer psychological assessments
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2
Q

Specialties in Clinical Psychology

A
  • Child Clinical Psychology
  • Clinical Health Psychology
    • Pediatric Psychology (Child Health Psychology)
  • Clinical Neuropsychology
  • Forensic Psychology
  • Geropsychology (older population)
  • Community Psychology
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3
Q

Three Models of Training in Clinical Psychology

A
  • Scientist Practioner (Boulder) model
    • dual emphasis on practice AND research
    • receive training in applying clinical methods (assessment, psychotherapy) and research methods to study the field scientifically
    • PhD
  • Practitioner Scholar (Vail) model
    • Leans toward practice with less extensive training in research and more in developing applied clinical skills
    • PsyD
  • Clinical Scientist model
    • stresses scientific side of psychology with the scientific method & evidence based clinical methods
    • PhD
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4
Q

Counseling Psychologists

A
  • Require either PhD or PsyD
  • more likely to work with less pathological clients
  • Often work in university counseling centers as opposed clinical psychologists working in hospitals/inpatient psychiatric units
  • Tend to endorse a humanistic/client centered approach more strongly as opposed to clinical psychologists endorsing behaviorism more strongly
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5
Q

School Psychologists

A
  • Enhance the intellectual, emotional, social, & developmental lives of students
  • Conduct psychological testing to determine diagnoses such as learning disabilities & ADHD
    • Especially intelligence & achievement tests
  • Use/develop programs to meet educational/emotional needs of students
  • Consult with adults involved in the student’s lives
    • Teachers, school administrators, school staff, parents
  • Limited in direct counseling with students
  • Require PhD but there are MA-level school psychologists
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6
Q

Social Workers

A
  • Most have an MSW (masters of social work) but there are PhD options
  • Focus on interaction between an individual & the components of society that may contribute to or alleviate their problems
  • See client’s problems as products of social ills
    • Racism, oppresive gender roles, poverty, abuse, etc
  • Arrange for clients to transition successfully to the community after leaving inpatient units with housing, employment, & outpatient mental health services
  • Connect clients with social services
    • Welfare agencies, disability offices, job training sites
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7
Q

Professional Counselors:

Marriage and Family Therapists (MFTs)

Licensed Professional Counselor (LPCC)

A
  • Require MA degree
  • Work generally involves counseling with little emphasis on psychological testing or research
  • Focus on providing services to clients
  • Specialze in areas such as career, school, addiction, couple/family, or college counseling
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8
Q

MA training in Psychology

A
  • General masters degree in psychology
  • Provide a broad base of how the scientific ideologies of psychology are applied to behavioral, cognitive, and societal issues
  • Do not qualify students for private practice, but can be used as a means of clarifying career options for students who are unsure, and could be used as a first step to a PhD degree
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9
Q

Psychiatrists and Psychiatric Nurses

A
  • Require an MD (medical degree) or DO (doctor of osteopathy)
  • Licensed as physicans
  • Prescribe medication
  • Emphasize biology and view disorders as physiological abnormalities of the brain
    • Fix the brain by prescribing medication
  • Psychiatric Nurses
    • Can prescribe medication under supervision of an MD
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10
Q

“Psychotherapists”

A
  • psychoanalytic approach which attends to the hidden or unconscious processes of the mind
  • does not require a PhD, just an MA
  • sketchy! Be careful when choosing one
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11
Q

Diagnostic Approaches/Models:

The D’s of Diagnosis

A
  • Distress, Deviance, Dysfunction/Disability, & Statistical Infrequency
  • Normative approach
    • Looks at deviance- Is it normal in their culture?
    • Ex. Schizophrenia
  • Subjective Distress
    • Does it look like they are in distress?
    • Ex. Depression, Panic Disorders
  • Impaired Social Functioning
    • Does it stop them from functioning normal in society?
    • Ex. Social Phobia
  • Satistical Infrequency
    • Rarer disorders
    • Ex. Dissociative Identity Disorder
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12
Q

Harmful Dysfunction Theory

A
  • Harmful
    • Subjective, based on social norms
  • Dysfunction
    • Objective, scientific term
    • Failure of a mental mechanism to perform a natural function for which it is designed by evolution
  • A disorder combines both value & scientific components
    • We consider both scientific data & social values in the context of which the behavior took place
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13
Q

Medical Model of Psychopathology

A
  • Used in the DSM
  • Each disorder is defined categorically and features a specific list of symptoms
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14
Q

Benefits of Diagnosis (diagnostic labels)

A
  • Professionals
    • Leads to more funded research of the disorder to discover etiology (cause)
    • Clinicians can begin to add the disorder to their vocabulary, leading to more communication
  • Clients
    • Lets them identify and demystify their experiences
    • Helps them feel like they share a recognized problem with other people & aren’t alone
    • Can help acknowledge the significance to their family/friends, people will take a label more seriously
    • Allows them to gain access to treatment/medication, possibly through health insurance
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15
Q

Costs/Risks of Diagnosis

A
  • Prejudice
    • labels could carry stigma that can damage self image and lead to others stereotyping that individual
  • Legal issues
    • Diagnostic labels could affect decisions in child custody cases, sentencing decisions, & fitness to stand trail
  • Cultural/Context
    • Is it abnormal in Western norms, but normal in their culture?
    • Is it still normal if a whole culture participates in a pathological behavior?
      • Would extensive rituals in a certain religion mean they all have OCD?
      • Anorexia is seen everywhere but bulimia is more tied to Western norms/ introduction of media
      • If you talk to God you’re religious, if God talks to you you’re schizophrenic
  • Reliability
    • Diagnostic Overexpansion, diagnoses cover too much of normal life and labels that as a mental illness
    • Why 2 weeks for symptoms and not 3? Controversial cutoffs
  • Power- who decides?
    • Mostly white, male, middle class psychiatrists
    • Creates bias
    • High prices for DSM might influence decisions made in creating it
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16
Q

The emergence of treatment (rather than containment)

A
  • Hippocrates- 4 humors
    • Ahead of his time in the sense that he attributed mental illnesses to natural causes
  • Posessed by evil spirits/witchcraft
  • Institutionalized in asylums, most treated patients horribly until the emergence of some with better conditions
  • Criminalization of patients in prisons because there weren’t enough hospitals
  • Emergence of moral treatment through a belief of dignity and equality for all men
17
Q

William Tuke

A
  • Lived in England
  • Opened the York Retreat, a residential treatment for the mentally ill to be treated with kindness, dignity, and decency
    • Became an example of humane treatment and soon similar institutions opened throughout Europe & the US
18
Q

Philippe Pinel

A
  • Liberator in France
  • Worked to get mentally ill out of Paris dungeons
  • Created new instituions where staff included in treatment of each patient a case history, ongoing treatment notes, and an illness classification
    • Showed he genuinely wanted these people to improve and not just be locked away
19
Q

Eli Todd

A
  • Lived in Connecticut, U.S.
  • A time where only 3 states had hospitals for the mentally ill, and so the burden fell upon families to care for them with shame & embarassment
  • Inspired by Pinel in France
  • Opened The Retreat in Connecticut
  • Led to similar institutions opening in other U.S. states
20
Q

Dorothea Dix

A
  • Sunday school teacher in a jail in Boston
  • Noticed mentally ill patients weren’t there because of crimes
  • Travelled to cities, collected data on their treatment of the mentally ill, presented that data to community leaders, and persuaded them to give better treatment to the mentally ill
  • Her efforts established more than 30 institutions for the mentally ill throughout the United States
21
Q

Clifford Beers

A
  • Confined in hospitals & had first hand experience of maltreatment
  • Founded the National Comittee for Mental Hygiene, now known as Mental Health America in order to reform for treatment of the mentally ill
  • Opened the 1st outpatient mental health clinic in the U.S.
22
Q

Mental Disorders

(key features of contemporary definition)

A
  • Syndrome (cluster of symptoms)
  • Individual’s cognition (thinking), emotion regulation, or behavior reflects a dysfunction in psychological, biological, or developmental proceses underlying mental functioning
  • Associated with a distress/disability in social, occupational, etc. activities
23
Q

What’s NOT a mental disorder?

A
  • An expectable culturally approved response to a stressor or loss
    • death of a loved one
  • Socially deviant behavior
    • could be political, religious, or sexual
    • conflicts between the individual & society
    • does NOT count as mental disorder unless it results from a dysfunction in the individual
24
Q

Lightner Witmer

A
  • Earns PhD under Wilhelm Wundt (founder of experimental psychology) in Germany
  • Founded 1st psychological clinic at University of Pennyslyvania
    • examined children whose problems arose in school settings & were related to learning/behavior (school psychology)
  • Led to about 20 psychological clinics in the U.S., most modeled after Witmers
  • Founded the first scholarly journal in psychology called “The Psychological Clinic” & publishes the first definition of clinical psychology in the first article titled “Clinical Psychology”
25
Q

Emil Kraepelin:

the formal introduction of diagnosis

A
  • “Father of Descriptive Psychiatry”
  • German psychiatrist who worked with Wundt
  • Believed disorders were caused by biological & genetic dysfunctions
    • Challenged the psychological/psychoanalytic causes proposed by Freud
  • Wrote Clinical Psychiatry: A textbook for Students & Physicians
26
Q

Kraepelinean Diagnostic Theory

A
  • 2 category system
    • Exogenous (external, easier to treat)
    • Edogenous (internal)
  • Assigned specific terminology
    • Psychosis was seperated into either:
      • Dementia Praecox (schizophrenia)
      • Manic Depression (bipolar disorder)
  • Classified based on syndromes (pattern of symptoms)
  • Used the Medical Model of Illness (not psychoanalytical)
  • Focused on the course of illness to tease apart similar syndromes
27
Q

Symptom Versus Syndrome

A
  • Symptom- used to diagnose a medical condition
  • Syndrome- cluster of symptoms