Week 4 - Ethics And Practices Flashcards
What is a psychiatrist?
Have a medical degree (MD) and are listened to practice in their province
Require specialist certification from Royal College of Physicians and Surgeons of Canada
Has sub specialities ex) forensic
Can also get a GRADUATE degree in psychiatry (does not include clinical/licensing)
What is a psychologist?
Registered psychologists are licensed by regulatory bodies
^ these determine standards of practice and codes of conduct
In Canada licensing is a provincial authority (Health Professions Act)
What is a Hippocratic oath?
Early example of standards of practice that physicians had to swear to uphold
Swear to Apollo and other gods
Is the Hippocratic oath updated today?
Updated and translated fir contemp audiences
Remains original inspiration for modern standards of practice
IF performed now it’s a RITE OF PASSAGE not a LEGAL COMMITMENT
Are research psychiatrist/psychologists licensed to practiced and have an overarching body?
No
Overseen by their institution and relevant local laws
May also join professional societies
LOTS of unregulated terms people call themselves without formal training/certification
Research within the university have what categories? (Boards)
REB 1- in person research, instructed-led course based
REB 2- interventional type research, mixed method applications
REB 3- non-invasive health research (HOLD FEDERAL-WIDE ASSURANCE)
REB 4- all invasive health research (^^^)
What’s does research outside the university have for regulation?
Local jurisdictions may have their own ethics board
Ex) Health Reserach Ethics Board of Canada
What are the 3 stages of client treatment?
1) Assessment - nature depends heavily on the patient, want to gather information, interviews/observation
2) Diagnosis - usually based on DSM, published by APA (5th) edition, WHO (ICD) manual
3) treatment - depend on diagnosis, severity of condition, patient history and tolerance, financial considerations
***SOME CONDITIONS HAVE A “GOLD STANDARD” THAT CLINICIANS USUALLY START WITH
What are the features of good assessments?
1) standardization
2) reliability
3) validity
What are the 4 types of validity?
1) internal- extent which it follows ACCURATE, causual inferences
2) external- extent which it APPLIES in other contexts
3) construct- degree of which it represents a construct which is NOT directly invisible
4) content- degree of which it represents ALL aspects of a construct
What is involved in a unstructured interview?
Open-ended questions
Follow up on interesting responses
Ex) “would you tell me about yourself”
What can observations contain?
Self-monitoring
Analog observations - clinicians observe patients in a formal/office setting
Naturalistic observations
What the problems with observations?
Can be BIASED or INCONSISTENT
Poor reliability
Observer effect
Observer bias
The DSM is currently based on what type of model?
Biological model of mental health
REJECTS psychodynamic concepts
Many “conditions” have been medicalized, and some de- medicalized
True or false. All clinicians must formally diagnose their clients
False
Not all seek to formally identify diagnose conditions
Patients may find diagnosis stigmatizing or culturally inappropriate
