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PSY 330 Week 2 Notes

by: Lauren Toomey

PSY 330 Week 2 Notes PSY 330

Lauren Toomey
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About this Document

These notes cover lectures on 8/30 and 9/1.
Clinical Counseling Psychology
Lee Rosén
Class Notes
Psychology, clinical, Counseling




Popular in Clinical Counseling Psychology

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This 4 page Class Notes was uploaded by Lauren Toomey on Thursday September 8, 2016. The Class Notes belongs to PSY 330 at Colorado State University taught by Lee Rosén in Winter 2016. Since its upload, it has received 48 views. For similar materials see Clinical Counseling Psychology in Psychology at Colorado State University.


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Date Created: 09/08/16
PSY 330 Lecture 4 Ch. 2 Thursday, September 1, 2016 11:09 AM • Activities of Clinical Psychologists • Percentage of Psychologists Who Engage in Each Activity • Assessment & Diagnosis 58 • Psychotherapy 76 • Consultation 38 • Research 47 • Teaching 49 • Supervision 47 • Administration 46 • Percentage of Psychologists Time in Each Activity • Assessment & Diagnosis 14 • Psychotherapy 35 • Consultation 6 • Research 15 • Teaching 11 • Supervision 6 • Administration 11 • Activities of Assessment in Clinical Psych • Assessment is very common and comes in many forms o Evaluating the functioning of an individual client o Evaluating a family or social unit of some sort o Diagnosis o Formal standardized testing (cognitive, behavioral, or personality) o Assessment in psychotherapy § Planning • Can't have good assessment unless you have good planning § Monitoring § Evaluating o Assessment takes 2-3 weeks to get results back o Misdiagnosis happens all the time • Most of the time, pediatricians are trying to diagnose, which is where mistakes can happ en • When a psychologist diagnoses, that’s how it's corrected • Activities of Intervention o Intervention is very common as well • Psychotherapy: talk therapy § Most people attend fewer than 10 sessions regardless of problem § ITP: Introspective talk therapy § Different approaches (Psychodynamic, cognitive -behavioral, experiential, etc.) focus on different issues (although most challenge thoughts and validate emotions) § In N. America cognitive behavioral is most common, followed by an integrative approach and psychodynamic • CBT-- ACT (acceptance Commitment Therapy) directly coincides with talk therapy because it makes you state your values and beliefs o The Prescription Privileges Debate • Currently only a select few psychologists can prescribe (in New Mexico and Louisiana) • Highly debated • Prevention o Prevention is less common but growing • Primary prevention: prevention of a disease before it occurs • Secondary prevention: reducing the recurrence of a disease • Tertiary prevention: reducing the overall disability that results from a disease o Prevention usually based in community settings • Psychologist usually has several roles in prevention § Developing programs § Implementing programs § Evaluating outcomes of programs • Additional activities of clinical psychologists o Consultation • Clinical consultation: offering advice and information for other treatment professionals • Organizational (or community) consultation: § Evaluating a service, or providing an opinion on how an organization is doing • Usually there is a needs assessment, program development, program evaluation, and policy consultation o Research • All psychologists are trained to conduct and evaluate research • APA's ethics code requires a commitment to increasing scientific knowledge • Small percentage produce research • Much more common i n university settings • Range and content of research varies dramatically § Can be on normal human functioning psychopathology, assessment, intervention or prevention o Teaching • University courses (graduate or undergrad) in variety of areas related to clinical psych § Ex. At CSU Psy 310 basic counseling skills • Also can teach in several other settings (e.g., community colleges, in clinics training professionals, to medical students, in workshops/seminars, etc.) o Clinical Supervision o Research Supervision o Administration • 1st pillar of clinical psychology: Science o Science of Clinical Psych • Clinical psychologists must maintain their knowledge of research relevant to their activities § Stay up to date on research • This is true for all theoretical orientations • However, how research informs practice differs for many clinical psychologists • Balance between open-mindedness and skepticism § Ex. EMDR is an empirically -based treatment for trauma (open minded) • Exposure based system § Ex. Skeptic: scared straight -- sending young kids who are trouble makers to prison, but it backfires and they look up to prisoners • Psychology is based in a science of human behavior • 2nd pillar of psychology: Ethics o 5 general principles of the APA (2010) • Beneficence and nonmalficence : help and avoid doing harm • Fidelity and responsibility : developing trust and show awareness of their professional responsibilities • Integrity in professional relationships: treat everyone with respect • Justice; all people should have access to benefit from the contribut ion of psychology • Respect for people's rights and dignity o Informed consent: all individuals in therapy and participants in research must indicate that they understand and are willign to participate • Training in clinical psych o Scientist-practitioner model o Clinical scientists model o Practitioner-scholar model PSY 330 Lecture 5- Ch. 3: Classification & Diagnosis Tuesday, September 6, 2016 11:03 AM • Important Aspects of a classification scheme o Classification: a way for scientists to organize, describe, and relate the subject matter to their discipline o Validity: whether a classification scheme is accurately capturing reality • Is it true to reality? o Utility: how useful the classification scheme is o Diagnosis system: a classification based on rules used to organize and understand diseases & disorders • "The other" o Categorical approach: an object is determined to be a member of a category or not (e.g., depressed or not depressed) • Nothing in between • DSM takes a categorical a pproach o Dimensional approach : an object differs in degree from others-- a continuum • E.g. mildly depressed, moderately depressed, severely depressed • ADHD § Anxiety is best thought of dimensionally (mildly, right amount, insanely anxious) o Prototype model: members of a category may differ in degree to which they represent a common example (used in DSM 5 today) • Autism Spectrum Disorder (new terminology) § Each person is a member in a different category § Each person can differ widely from each other, but have that si milar connection within the prototype • Defining Abnormal Behavior o What is abnormal? Many factors need to be considered including: • The cultural & societal context • Whether there is stress or discomfort • Whether the problem is harming others • How common the problem is • How much it is interfering with a person's ability to function • If it is common for that person's developmental stage § Developmental psychopathology • Ex. Diagnosing children with disorders because their symptoms are more than what you'd expect from that age • Diagnosis & Defining Disorder o No diagnosis is based on a single symptom o DSM-IV-TR defines disorder in a complicated fashion including; • Symptoms associated with distress or impairment/disability § Severe dysphoria: pervasively sad all day, every day § Anhedonia: the things that used to make you happy don't anymore; don't enjoy previous hobbies • Increased risk of suffering • Culturally atypical • Not just deviant behavior (unless there is also dysfunction? o Wakefield- Harmful dysfunction: the problem must be clear and there must be harm to person or others around them o Dyscontrol: impairment must be involuntary or not readily controlled • Person is consciously/willfully acting inappropriately or abnormal, so it's not a mental illness • They knew the consequences going into it (deemed stupid, not mental illness) o Most all contemporary models are biopsychosocial-- but different theories represent different emphases • Biopsychosocial model is the best way to think about mental illness today • Some models emphasize biological aspects while others while others emphasize psychological or social aspects § Ex. Studying ADHD would be big on a biological model o Life stress model: important impact of the number of life stressors on the development of disorders


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