CLP3305 Week 3 of Lecture Notes: 2/1, 2/3, & 2/5
CLP3305 Week 3 of Lecture Notes: 2/1, 2/3, & 2/5 CLP3305
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This 5 page Class Notes was uploaded by Courtney Adams on Saturday February 6, 2016. The Class Notes belongs to CLP3305 at Florida State University taught by Dr. Sullivan in Spring 2016. Since its upload, it has received 29 views. For similar materials see Clinical and Counseling Psychology in Sociology at Florida State University.
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Date Created: 02/06/16
Clinical Psychology CLP3305 2/1/16 Most common ethical incidents 1. Confidentially 2. “Boundary Issues”: blurred, dual or conflicted relationships 3. Payment: You can charge them for a “no show” fee as long as you let them know before charging and it is clearly stated in the documents they signed Professional Issues If you have a friend or family member that you are concerned about, “plant the seed” o Let them know the specific resources available for them to get help Three steps 1. Plant the seed 2. Gain that person’s trust 3. Don’t judge Chapter 4: Research methods in clinical psychology Research and ethics (in relation to adults) Must be interesting to you Choose something timely (something in the news that matters) o Ex: autism, bullying, sexual harassment IRB: your study has to be submitted to IRB and they have to approve it before you start Informed consent ** o The researcher is required to inform the participant of any risk, limitations, discomforts, etc. o The researcher is also required to inform the participant that they have the freedom to withdraw from the study Confidentiality ** o The only place you have the participant’s name is on the informed consent agreement o Everywhere else in the study, the participant’s identity will be protected Deception/Lying o The research is allowed to lie, BUT only when the IRB approves Debriefing o The researcher is required to inform the participant the idea behind the study, why it is important and what they were specifically testing Clinical Psychology CLP3305 Fraudulent Data o Common o Some people submit made up findings o But very counterproductive because you want to publish the experiment so other people can replicate it and get close to the same results 2/3/16 Chapter 5: Diagnosis and classification of psychological problems Abnormal Behavior Statistical infrequency (#s) or violation of social norms ** o Advantages of this definition Cutoff points Appeal We like #s (ex: IQ) o Problems with this definition Choice of cutoff points Ex: at what point do you get a ticket when the speed limit is 70? 71? 75? 85? Close calls are so frustrating Number of deviations Ex: why is a 90 an A? Cultural and development relativity #s are good but they aren’t everything o We need to pay attention to the #s but also the culture (BOTH) Subjective distress o Keyword - Subjective: exactly how much stress so you need and everyone has a different threshold o Advantages of this definition It seems reasonable to think that adults can assess when they are stressed and that they can share this information AND ARE MOTIVATED TO DO SO Works when people are motivated to make a change When the patient is stressed, they will be more motivated to fix the problem and more likely to change with therapy o Problems with this definition Not everyone that is diagnosed as “disordered” reports they are stressed Clinical Psychology CLP3305 Doesn’t work for people that don’t care, people that are delusional, and people that are in denial o Schizophrenic: these people know there is a problem, but they think the problem is YOU (not themselves) o Substance Abuse/Eating Disorder: People diagnosed with either of these are in denial, “If I wanted to quit, I could” o Antisocial people: People that don’t care about anyone but themselves How mush stress is abnormal? Disability, dysfunction, or impairment o Must create some degree of social or occupational problems with the person “Be all that you can be” People fitting in this category are NOT being all that they can be They are hurting themselves o Advantages of this definition Little inference required o Problems with this definition Who establishes the standards for social or occupational dysfunction? “Are you playing God” It’s your views to think the patient is at fault for hurting himself or herself. Who says he/she needs family/friends, social atmosphere, school, work, etc? Take home message: Abnormal behavior does not necessarily indicate mental illness 2/5/16 Mental illness DSM5: updated version of the book that all psychologists follow (Basically a book of all the disorders and their numbers) o The syndrome, cluster of abnormal behaviors o A mental disorder represents a dysfunction within an individual This means it is not a societal issue o Not all “outliers” (both ends of the bell curve) are signs of mental disorders Clinical Psychology CLP3305 The importance of diagnosis 1. Treatment has to match the problem Shows what mode of treatment would be most effective 2. Insurance purposes 3. Communication: Between professionals: when one uses a term in the book and the other knows exactly what he/she is referring to Between client and therapist: as a therapist, you are required to tell the client what their diagnosis is but sometimes you would rather not because the client may start to fill that role 4. “Normalizing”: Lets the patient know that other people feel exactly what and how they feel. Shows them that they are not alone 5. Allows distinctions to be made 6. Research Co-morbidity: multiple diagnosis **DON’T have to know the multiaxal assessment system of diagnosis** General Issues in classification o Quality vs. Quantity Quality: “black vs. white,” you either have it or you don’t Quantity: the reality is that everyone experiences it, BUT the key is how much you experience it “Quantity is the key” o Bases of categorization Classify psychiatric patients Heterogeneity: sometimes can be a problem because most of the time when someone is diagnosed with a problem they are grouped within that category You have to be careful. Everyone in a category isn’t the same o Pragmatics of classification Everything in the DSM5 is covered by insurance. So you have to be careful what you classify as a condition o Reliability Goes hand in hand with validity Refers to consistency of diagnosis Clinical Psychology CLP3305 Key word – Consistency: basically a second opinion o Both people should come up with the same diagnosis Negatives to Diagnosing o For some clinicians classifying people may become more satisfactory than trying to relieve their problems *** o Classifications can be harmful Self Fulfilling Prophecies: the diagnosis becomes the clients identity, consumes their life, becomes who they are Gives the client an excuse: “No, I cant do this because I am Schizophrenic” Diathesis-stress model: works under all models and included BOTH nature and nurture o Environmental stress then causes the disorder
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