1 advanced issues: one giant critical thinking moment
TRANSCRIPT
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Advanced Issues:One giant Critical Thinking Moment
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Being a Consumer of Psychotherapy
Selecting a Psychotherapist: Issues and Considerations
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Reviewing the Homework California Board of Psychology:
consumer guide Trull: p. 64-76 Humphreys: Clinical
psychologists… (article)
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Being Selective Shopping for therapists Important decision about with whom
you work Remember the issue of being critical
How does this impact our decision? What would being critical look like in this
situation? Could it be we can work with someone we
are not initially comfortable with? How can we be critical about this?
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What Do We Look For? All of what we have been talking
about over the semester Science, Art, and Philosophy
The science of clinical psychology How important is it to the client Role of science in assessment
Role of the art of therapy Role of the therapist’s and client’s
philosophy of what treatment is
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Training What is the training of the
psychologist (Masters, Ph.D.) Does this matter? When does it matter?
What are the specializations/limitations of this training for the client?
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The Main Ingredients of Psychotherapy Interventions Ingredients that cut across therapy
for all clients Is the therapy
Specifiable? Plausible? Replicable?
Were they trained in this therapy?
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Assessment Is the therapy based on some assessment
Is the assessment thorough enough to do a treatment?
Is the assessment tied to treatment? Is the assessment on-going? Is there a targeted set of goals? Does the therapist share assessment data
with the client? How will the client and therapist know
when the treatment is complete?
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Models and Paradigms Choice of model of therapy is up to the
client and match to the therapist Some data indicate that certain therapies
have more support than others for outcome Match may or may not actually matter How much does experience matter?
Compassion, active focus may be essential
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The Science in Practice Empirically Supported Treatments
and Evidenced Based Practice Some therapies have good data to
suggest this is where to start Identify specific problems
Is the therapist up on the empirical literature? Does this matter in this case?
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Medications and Psychotherapy Consideration of medication as
Not involved Adjunctively involved Only mode of therapeutic intervention
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Cultural Context Variables Does the therapist have an
understanding of the client as an individual?
Is the therapist sensitive to issues of Culture/Ethnicity? Gender? Sexual orientation?
Is the therapist using stereotypes of cultures to understand this client with these problems?
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Ethics of Good Treatment Client needs to know his or her
rights in therapy Client needs to know what
limitations are of therapist Client needs to know what
limitations are for confidentiality
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Remember the Paul Question "What treatment, by whom, is most
effective for this individual with that specific problem, under which set of circumstances, and how does it come about?" (Paul, 1969, p. 44). How can we apply this to ourselves or
others selecting a psychotherapist and/or a treatment?
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The Future of Clinical Psychology
Where the heck are we going?
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The Future of the Field Again, being critical
What do we consider when we think about the future of the field?
Have we arrived? Remember presentism
Is the sky falling? (C. Little, ca. 1900) Do we need to run?
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Where the Field is (headed) Managed Behavioral Health Care
Changing the face of clinical practice Why did this come into existence? Is this good or bad? What is going to happen from here?
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Where the Field is (headed) Prescription Privileges
Homework: DeLeon & Wiggins Prescription (article) DeNelsky The case against (article)
Also known as part of the biologization of psychology
Psychologists (PhDs) have the right in New Mexico and Louisiana
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Where the Field is (headed) Prescription Privileges
Definitely will change the face of clinical practice
Why did this come into existence? Think about the contingencies of practice
here Is this good or bad? What is going to happen from here?
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Where the Field is (headed) Empirically Supported Treatments
Many want only these trained and disseminated
What will the consequences of this be? Why does this present challenges to
the field? How does this relate to Evidence Based
Practice?
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Where the Field is (headed) Pathologization of everything
Giving a name and disorder to many, many mood states
Minor depression, Depressive Personality, Premenstrual Dysphoric Disorder, etc.
Is this good or bad? Who wins on this? Who loses? How does this benefit the field of psychology?
What are the roots of a science of behavior? A science of psychology?
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You Are the Future Future mental health service
providers, researchers, consumers of service
YOU will make the difference Remember the role of consensus
This is on your side Remember the importance of theory
It’s your field! GO and make a difference!