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9780130871190

Clinical Psychology Evolving Theory, Practice, and Research

by ; ;
  • ISBN13:

    9780130871190

  • ISBN10:

    0130871192

  • Edition: 4th
  • Format: Paperback
  • Copyright: 2001-05-16
  • Publisher: Pearson

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Summary

Bridging the gap between practicing clinicians and researchers, this comprehensive introduction is designed to provide a firm understanding of the basics of clinical psychology. It stresses the importance of theory, quality research, prevention, assessment skills and clinical abilities in interventions. The authors provide many examples and provocative presentations of issues that engages readers in lively and current clinical concerns.The book provides an introduction to basic concepts, and details assessment, evaluation and research within clinical psychology as well as clinical work in forensics, psychopharmacology and more.For individuals interested in broad-based introduction to clinical psychology.

Table of Contents

Preface xi
Section I: Introduction and Basic Concepts
Clinical Psychology: Nature, History and Neighboring Professins
1(26)
The Nature of Clinical Psychology
2(8)
Professional knowledge, skills, and attitudes
3(1)
Clinical settings, clients, and activities
3(2)
Jeremy Sherman
5(2)
Mary Lopez
7(1)
James Starkey
8(1)
Comments
9(1)
A Brief History of Clinical Psychology
10(11)
Period I: The early years
12(1)
Period II: A time of consolidation
13(3)
Period III: Rapid growth
16(1)
Period IV: Mixed development and professional proliferation
17(1)
Period V: Recent developments and the future
18(3)
Neighboring Professions
21(6)
The four core mental health professions
22(2)
Paraprofessionals
24(1)
Master degrees in mental health work
24(3)
Useful Ideas About People: Theoretical Perspectives
27(30)
Four Broad Background Perspectives
29(18)
Systems---Biological, psychological, sociopolitical
29(4)
Stress and coping
33(2)
Timing and development over the life cycle
35(7)
Self, possibilities, and choice
42(5)
Five Orientations for Clinical Work
47(1)
Natural helping orientation
47(1)
Curative orientation
47(1)
Learning orientation
48(1)
Growth orientation
48(1)
Ecological orientation
48(1)
Introduction to Three Historical Theories and Their Leading Proponents
48(9)
The psychodynamic tradition---Freud
49(1)
The behavioral and cognitive tradition---Skinner and Ellis
50(4)
The humanistic tradition---Rogers
54(3)
Helping Without Harming: Designs, Decisions, and Ethics
57(34)
Primum Non Nocere: The ``Prime Directive'' for Clinical Careers
58(1)
Factors Influencing Decisions About Interventions
59(12)
Attitudes and expectations about interventions
59(1)
Basic orientations to intervention
60(3)
Importance of the treatment of choice
63(1)
Possible side effects---The case for caution
63(3)
Diagnosis---The challenge of classification
66(5)
Goals in Intervention: Plans and Contracts
71(3)
Designing a plan
72(1)
Confusion about goals
72(1)
Carrying out the plan---Case management
73(1)
Avoiding Distortion and Bias
74(3)
Origins of distortions and biases: Money, workload, and personality issues
74(2)
Overestimating one's predictive ability
76(1)
Ethics: The Guide to Effective and Safe Clinical Practice
77(14)
The APA Ethics Code
78(6)
Other official guidelines
84(2)
Do ethical codes truly aid the clinician's quest to help without harming?
86(2)
The role of ethics in the development of a professional sense of self
88(3)
Section II: Assessment, Evaluation, and Research: Skills and Issues Related to Effective Clinical Endeavors
Assessment and Testing: Tools for Gathering Information
91(37)
The Purposes of Assessment
92(3)
Decision making
94(1)
Developing a working image or model
94(1)
Hypothesis checking
95(1)
The Assessment Process at Work
95(1)
How Assessment Processes Influence the Selection and Use of Clinical Tools
95(1)
The Basic Methods: Interviewing and Observation
96(12)
Interviewing skills
96(4)
Typical stages of clinical interviews
100(3)
Types of interviews
103(4)
Observing
107(1)
Tests and Testing
108(20)
A general introduction to psychological testing
109(1)
Issues related to the construction of tests
110(2)
The administration of tests
112(1)
Tests of abilities and cognitive functioning
112(1)
Tests of intelligence
113(2)
Deficit and cerebral dysfuntion
115(1)
General achievement and aptitude tests
115(1)
Tests of personality and socioemotional functioning
116(5)
Single and specialized scales and inventories
121(1)
Projective techniques
122(3)
Other areas of assessment and a challenge
125(3)
Using Assessment Information: Interpretation and Communication
128(34)
Influences Surrounding the Final Phases of Assessment
131(3)
General orientations to clinical assessment and formulation
134(1)
The Making of Meaning---Clinical Interpretation and Clinical Formulation
134(8)
Selecting what is important
138(1)
Sample, correlate, and sign: Levels of interpretation
139(1)
Clinical formulation
139(3)
Aids to Interpretation---Quantitative and Computerized
142(6)
Sources of quantitative information for interpretation
142(3)
Computer-based test interpretation
145(2)
Clinical versus statistical contributions
147(1)
Communication of Findings
148(8)
Writing a report
148(3)
Ethical issues in report writing
151(1)
Pitfalls in writing reports
152(4)
Comments
156(6)
Being Accountable: Research and Evaluation
162(29)
What Is Accountability?
163(1)
Expanding Clinical Knowledge
164(2)
Personal learning
164(1)
The contexts of discovery and justification
164(2)
Research in Clinical Psychology
166(13)
Research consumers and research producers
166(1)
The place of assessment in general research
166(2)
Research considerations about treatment and prevention
168(11)
Program Evaluation
179(9)
Process and outcome evaluation
183(1)
Formative and summative evaluation
184(1)
Steps in developing an evaluation study
185(3)
Research, Evaluation, and Policy
188(1)
Comments
189(2)
Section III: Clinical Work Across The Life Span
Introduction to Interventions: Psychotherapy and Counseling
191(44)
The Nature and Purposes of Psychological Interventions and Psychotherapy
192(3)
What is psychotherapy?
193(2)
Psychodynamic Therapies
195(11)
Freud's evolving thought
195(5)
Early offshoots of Freudian psychoanalysis---Jung, Adler, Horney, and Sullivan
200(2)
Later developments in psychodynamic thought
202(2)
Attachment theory
204(1)
Comments on psychoanalytical and psychodynamic therapies
204(2)
Behavioral and Cognitive-Behavioral Therapies
206(12)
Classical conditioning
206(1)
Operant conditioning
207(2)
Cognition and behavior
209(8)
Comments on behavioral and cognitive-behavioral therapies
217(1)
Humanistic Therapies
218(7)
Evolution of the ``third force''
219(1)
Client-centered or person-centered therapy
220(1)
Gestalt therapy
220(2)
Transpersonal psychology
222(1)
Comments on humanistic therapies
222(3)
Additional Therapeutic Approaches
225(1)
Commonalities, Differences, Eclecticism, and Integrational Therapies
226(3)
Counseling for Development
229(6)
The continued evolution of counseling
231(4)
Working With Children: Intervening Across Environments
235(32)
Elizabeth Schaughency
Amy Matthews
Unique Issues in Working With Children: Developmental Considerations in the Determination of Abnormality and Need for Intervention
237(6)
Age as a consideration when evaluating psychological adjustment
237(1)
A different diagnostic system for children?
237(3)
Permanence of childhood disorders
240(3)
Different Models of Service Delivery for Working With Children
243(8)
Developmental issues
244(2)
Contextual issues
246(2)
School-based mental health services
248(1)
Special education and services for students with disabilities
249(2)
Special Considerations Related to Developmental and Contextual Issues: Ethical and Legal Issues
251(1)
Implications for Specialized Skills and Training for Working With Children
252(3)
A Brief History of Specialties in Professional Psychology That Serve Children, Youth, and Their Families
255(6)
Clinical child psychology
256(1)
School psychology
257(4)
Psychologists Specializing in Health Issues in Children: Pediatric Psychology and Pediatric Neuropsychology
261(2)
Pediatric psychology
261(1)
Pediatric neuropsychology
262(1)
Comments
263(4)
Working With Adults: Seeking Effective Interventions With Individuals and Groups
267(35)
Individual Psychotherapy---Variety and Commonality
268(3)
Is Individual Psychotherapy for Adults Effective?
271(3)
Individual psychotherapy versus pharmaceutical therapy
274(1)
Individual psychotherapy: Are the consumers happy?
275(1)
How the Participants Impact the Process: Therapist and Client Characteristics
276(3)
Therapist characteristics
277(2)
Client characteristics that may impact therapeutic success
279(1)
Examples of Psychotherapeutic Interventions for Selected Disorders
279(8)
Anxiety disorders
280(2)
Depression
282(3)
Schizophrenia
285(2)
Comments on Individual Therapy
287(6)
Groups
293(9)
Group psychotherapy
295(2)
Psychodrama and role-playing
297(1)
Cognitive-behavioral structured learning groups
298(1)
Self-help groups
299(1)
Psychoeducational and other groups
299(1)
How effective is group therapy?
300(2)
Working With Older Adults: Relating Interventions to Aging
302(28)
Martha R. Crowther
Antonette M. Zeiss
Society and Aging
303(2)
Demographics
304(1)
Proficiency in Geropsychology
305(3)
Psychopathology in Older Adults
308(14)
Depression
309(1)
Anxiety
310(1)
Dementia
311(1)
Other problems that could be a focus of treatment
312(10)
Psychological Interventions
322(1)
Assessment: Being sensitive to issues of aging
322(1)
Psychotherapy: General observations about adaptations and effectiveness
323(1)
Psychotherapy With Older Adults
323(3)
Common adaptations
324(1)
Psychological interventions in the context of interdisciplinary teams
325(1)
Comments
326(4)
Taking the Body Into Account: Health Psychology, Neuropsychology, and Medication
330(36)
Lawrence R. Burns
Kristopher J. Selke
Risa J. Stein
Walker S. Carlos Poston II
Health Psychology
331(15)
What is health and health psychology?
332(2)
Biological, psychological, and social influences on health and disease
334(1)
Genetics
334(1)
Stress, social supports, and coping
335(1)
Assessment in health psychology
335(2)
Introducing and maintaining treatment
337(2)
Psychological treatment procedures
339(4)
Pain and the interdisciplinary nature of health psychology
343(2)
Health psychology and prevention
345(1)
Neuropsychology
346(10)
What is neuropsychology?
346(2)
Some basic neuroanatomy
348(4)
Neuropsychological assessment
352(4)
Psychopharmacology
356(8)
Neurotransmitter interaction with receptors
357(1)
Neurotransmitter types
357(1)
Psychopharmacological effectiveness considerations
357(2)
Neurotransmitter systems
359(5)
Comments
364(2)
Section IV: Clinical Work in Broader Contexts
Forensic Psychology: Applying Psychology in the Legal System
366(30)
Charles Ruby
The Definition of Forensic Psychology
368(1)
Terminology
368(1)
A Process Classification Scheme for Forensic Psychology
369(20)
Investigative forensic psychology
370(9)
Adjudicative forensic psychology
379(5)
Preventive forensic psychology
384(5)
Ethical and Legal Considerations for Forensic Psychological Evaluations
389(4)
Who is the forensic psychologist's client?
391(1)
On the stand
391(1)
Scientific rigor
392(1)
Comments
393(3)
Working With Small Systems: Families and Couples
396(25)
Indications and Contraindications for Family Therapy
397(1)
A Brief History of Family Therapy
398(3)
Some basic concepts and principles
399(2)
Kinds of Therapy With Families
401(5)
``Bowenian'' or transgenerational family therapy
401(1)
Communication and Satir family therapy
402(1)
Experiential family therapy
402(1)
Milan family therapy
403(1)
Constructivist or narrative family therapy
404(1)
Solution-focused family therapy
404(1)
Strategic family therapy
404(1)
Structural family therapy
405(1)
Behavioral and cognitive-behavioral family therapies
406(1)
Psychodynamic and object-relations family therapies
406(1)
Causation and Blame in Family Therapy
406(1)
Does Family Therapy Work?
407(2)
An Example of Family Therapy
409(2)
Therapy With Couples
411(2)
Selected Kinds of Couple Therapy
413(2)
Behavioral couple therapy (BCT)
413(1)
Cognitive behavioral couple therapy (CBCT)
414(1)
Emotionally focused couple therapy (EFCT)
414(1)
Does Couple Therapy Work?
415(1)
Which type of couple therapy works best?
416(1)
Prevention Programs with Couples: Does an Ounce of Prevention Equal a Pound of Cure?
416(3)
Examples of Couple Therapy
419(2)
Prevention: A Goal Throughout Interventions
421(29)
Prevention and Clinical Work---A Natural Combination
422(3)
Why care about prevention?
423(1)
Prevention's historical role in mental health
423(2)
Community Psychology
425(1)
Approaches to Prevention and Related Issues
426(4)
Classification of prevention programs
426(3)
Integration of prevention and therapy
429(1)
Risk and Protective Factors---The Two Faces of Prevention
430(7)
Risk factors
430(3)
Protective factors
433(3)
The interaction of risk and protective factors
436(1)
Do Prevention Programs Work?
437(6)
Examples of universal prevention programs
438(1)
Examples of selective preventive interventions
438(2)
Examples of indicated preventive interventions
440(3)
The Future of Prevention Interventions, Research, and Practice
443(3)
Comments
446(4)
Working With Larger Systems: Organizations, Communities, and Societal Issues
450(27)
Organizations
451(10)
The psychologist in managerial leadership
453(4)
Mental health organizations
457(1)
Professional advocacy and accrediting organizations
457(3)
Organizational consulting
460(1)
Community
461(9)
What is a community?
461(1)
Community subsystems
461(3)
Needs for cohesion among subsystems
464(2)
Cultural competence
466(1)
The work of community psychologists
466(3)
Improving social systems
469(1)
Building competence and empowerment
470(1)
Societal Issues and Policies
470(3)
Learning from other states and countries
472(1)
Comments
473(4)
Epilogue 477(4)
References 481(59)
Name Index 540(10)
Subject Index 550

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Excerpts

PREFACE TO THE FOURTH EDITIONThis book is the culmination of many years of thought, research, and practice in clinical psychology by many people. The first edition published in 1962 was by Norm Sundberg and Leona Tyler; Julian Taplin joined us for the second and third editions in 1973 and 1983; and this fourth edition is the result of efforts by Sundberg, Allen Winebarger, Taplin, and invited authors for several special chapters. Sadly Leona Tyler passed away in 1993 after many years of contributing to psychology, especially by her research and writing on individual differences and counseling practice and by her service as the fourth woman president of the American Psychological Association. We are pleased that many of Leona's ideas live on in this book, and we have dedicated it to her with gratitude and affection. (For details of her life, see Sundberg & Littman, 1994.)In this book we have addressed such basic questions as these: What is clinical psychology? What are the fundamental ideas and tools for accomplishing effective and meaningful work with people and their problems? How can clinical work be related to both psychological research and the real world of daily living? In attempting to answer such questions, we have focused on advanced college undergraduates and beginning graduate students. We know that earlier editions have proven useful to a wider variety of readers, however--nurses, physicians, social workers, ministers, "intelligent laypersons," and even psychologists studying for state and national licensing examinations. The editions have also been used in other countries. Clinical, counseling, and other branches of applied psychology are becoming important players in understanding lives around the world.This edition represents both continuity and change. We have retained many of the emphases found in the earlier editions, as reflected by each edition's subtitle: "An Introduction to Research and Practice" (1962), "Expanding Horizons" (1973), and "Perspectives, Issues, and Contributions to Human Service" (1983). For this edition we have noted the changing nature of the field by using the word "Evolving" in the subtitle. As we updated this book, we continued to believe strongly in the necessity of seeking to integrate research, theory, and practice, even though such integration is difficult. We want readers to be aware of issues and conflicting perspectives, which call for creative efforts in practical application. Such efforts are essential as we seek to "help without harming" those who turn to clinicians for education, prevention, and therapeutic services. Over the years we have seen the expansion of clinical psychology into many areas of activity. We continue to see clinical work as involved with human development over the life span and with ecological settings that change over time. We recognize cultural, ethnic, and gender differences and commonalties in our country and others, and the dangers of failing to take those into account. We take a long-range view of the practice and art of living and the way that psychologists can be of help as they enter into personal lives. Building on earlier editions, this introduction to clinical psychology integrates a focus on the importance of the prevention of psychological disorder and the promotion of mental health throughout the text. We truly hope to engage the reader and to inspire the next generation of clinicians in this wondrous and significant search.The 15 chapters of the book are divided into 4 sections. The first section explores introductory concepts and conceptions about the field and covers decision making and ethical considerations about clinical work with people. The second section introduces readers to a more detailed look at assessment, evaluation, and research. The third looks at applications of clinical work and interventions across the life span and at physical and neurological aspects of clinical psych

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