Week Eight - Clinical Psychology I Flashcards
How are Clinical Disorders typified? Determining normality.
Infrequent behaviour (statistically) Personal distress Impaired function Behaviour that violates norms Evidence of biological dysfunction
What is an Assessment Order? (TMHA, 2013)
Can only be made by medical practitioners - others can apply for it to be done by the practitioner
Its the first stage. Allows capacity to be assessed without consent of the person, in order to confirm whether the person meets the assessment criteria and treatment criteria
What are the Treatment Criteria? 5
a) has a mental illness
b) without treatment, MI is likely to cause harm
c) treatment will be appropriate/effective
d) treatment cannot be adequately given except under treatment order
e) person does not have decision making capacity
Who is the Treatment Order made by?
The Tribunal consisting of:
- Lawyer (chairperson)
- Psychiatrist
- Experienced MH person
- A fourth if no exisiting ax order
Occurs following application for MH practitioner.
Key thing in Ax Orders and Tx Orders?
Another approved practitioner must also have assessed when there isn’t an existing assessment order
The Treatment Order may require the following:
- Require specified treatment
- Treatment at a particular place eg hospital
- Person to be admitted to and detained in facility for treatment
- Provide for other matters that tribunal think is necessary
What are Advanced Care Directives/Statements?
Someone with decision making capacity or enduring guardian can:
- appoint an enduring guardian
- complete an instructional/value ACD
- regards care and treatment
Comes into effect when a person no longer has decision-making capacity
An ACD can contain?
Instructional Directives: Specific directions and treatment that can be consented to or refused.
Values Directive: More general views regarding values and preferences for care.
What is the Science-Practitioner Model?
An integrative approach to science and practice wherein each must continually inform the other.
Criticisms of Science-Practitioner Model?
Science is changing
We can derive knowledge from practice alone
Science does not always inform practice
How can we split up therapy elements?
Common factors
Specific factors
What are Common Factors of Therapy?
Attributes which are intrinsic to many:
- alliance
- expectancies
- instilling hope
- explanation for behaviour/rationale for treatment
What are some Specific Factors of Therapy?
Techniques associated with specific therapies. Must be manualisable - instructions must be developed and taught how to apply
The key factor of Specific Factors of a therapy treatment?
CAN BE MEASURED (through RCTs) to then be considered empirically supported therapies (EST).
However, no differences of ESTs and those with few/no specific factors - suggests common are most important
The Science-Practitioner Gap argument?
- We should be focused on the common factors
- Others argue we should be focused on the measurable factors
- Some argue false dichotomy, we should measure common factors and integrate them into EST
