Contemporary Clinical Psychology Third Edition Thomas Plante, Ph.D., ABPP Santa Clara University and...

Contemporary Clinical Contemporary Clinical PsychologyPsychology Third EditionThird Edition

Thomas Plante, Ph.D., ABPPThomas Plante, Ph.D., ABPP

Santa Clara University and Santa Clara University and

Stanford University School of Stanford University School of MedicineMedicine

Chapter 1Chapter 1

What Is Contemporary Clinical Psychology?

Clinical Psychology Clinical Psychology ActivitiesActivities

ResearchResearchAssessment Assessment TreatmentTreatmentTeaching Teaching

ConsultationConsultationAdministrationAdministration

Clinical Psychology Clinical Psychology Employment SettingsEmployment Settings

Private and Group PracticesPrivate and Group Practices Colleges and UniversitiesColleges and Universities Hospitals Hospitals Medical Schools Medical Schools Outpatient Clinics Outpatient Clinics Business and Industry Business and Industry Military Military Other LocationsOther Locations

Clinical Psychology SubspecialtiesClinical Psychology Subspecialties Child Clinical Psychology Child Clinical Psychology Health Psychology Health Psychology Neuropsychology Neuropsychology Forensic Psychology Forensic Psychology GeropsychologyGeropsychology

Clinical Psychology Organizations Clinical Psychology Organizations

American Psychological Association American Psychological Association American Psychological SocietyAmerican Psychological Society State and County Psychological AssociationsState and County Psychological Associations National Register of Health Care ProvidersNational Register of Health Care Providers American Board of Professional PsychologyAmerican Board of Professional Psychology Other OrganizationsOther Organizations

Related FieldsRelated Fields

Counseling PsychologyCounseling Psychology School Psychology School Psychology Psychiatry Psychiatry Social Work Social Work Psychiatric NursingPsychiatric Nursing Marriage and Family CounselingMarriage and Family Counseling Other Counselors Other Counselors Other PsychologistsOther Psychologists

Chapter 2Chapter 2

Foundations and Foundations and Early History of Early History of

Clinical PsychologyClinical Psychology

Early Conception of Mental Illness: Early Conception of Mental Illness: Mind and Body ParadigmsMind and Body Paradigms

GreeksGreeks Middle AgesMiddle Ages Renaissance Renaissance 19th Century 19th Century Birth of PsychologyBirth of Psychology

The Founding of Clinical PsychologyThe Founding of Clinical Psychology

Lightmer WitmerLightmer Witmer Binet's Intelligence TestBinet's Intelligence Test Mental Health and Child Guidance Mental Health and Child Guidance

MovementMovement Sigmund Freud in AmericaSigmund Freud in America The Influence of World War IThe Influence of World War I Clinical Psychology Between World Wars I Clinical Psychology Between World Wars I

and IIand II

Significant events in the history of Significant events in the history of clinical psychologyclinical psychology

2,500–500 BC Supernatural, magic, herbs, and reason approaches to 2,500–500 BC Supernatural, magic, herbs, and reason approaches to illnessillness

470–322 BC470–322 BC Greeks use holistic approach Greeks use holistic approach 130–200 AD130–200 AD Galen develops foundation of Western medicine Galen develops foundation of Western medicine 500–1450 500–1450 Middle Ages: supernatural forces influence health and Middle Ages: supernatural forces influence health and

illnessillness 1225–12741225–1274 Saint Thomas Aquinas uses scientific thinking Saint Thomas Aquinas uses scientific thinking 1490–15411490–1541 Paracelsus uses movements of the stars, moon, sun, and Paracelsus uses movements of the stars, moon, sun, and

planets to understand behaviorplanets to understand behavior 1500–17001500–1700 Renaissance and scientific discoveries suggesting Renaissance and scientific discoveries suggesting

biological factors influence health and illnessbiological factors influence health and illness 1596–16501596–1650 René Descartes develops mind/body dualismRené Descartes develops mind/body dualism 1745–18261745–1826 Pinel developed humane moral therapy to treat mentally Pinel developed humane moral therapy to treat mentally

illill 1802–18871802–1887 Dorothea Dix advocates for humane treatment of Dorothea Dix advocates for humane treatment of

mentally illmentally ill 18481848 New Jersey becomes first state to build a hospital for New Jersey becomes first state to build a hospital for

mentally ill mentally ill

Significant events, continuedSignificant events, continued 1879 1879 Wundt develops first laboratory in psychologyWundt develops first laboratory in psychology 1879 1879 William James develops first American psychology laboratory at HarvardWilliam James develops first American psychology laboratory at Harvard 1883 1883 G. Stanley Hall develops second psychology laboratory at John HopkinsG. Stanley Hall develops second psychology laboratory at John Hopkins 1888 1888 James McKeen Cattell develops third American psychology laboratoryJames McKeen Cattell develops third American psychology laboratory 1890 1890 James publishes James publishes Principles of PsychologyPrinciples of Psychology 1890 1890 James McKeen Cattell defines “mental test”James McKeen Cattell defines “mental test” 1892 1892 American Psychological Association foundedAmerican Psychological Association founded 1895 1895 Breuer and Freud publish Breuer and Freud publish Studies on HysteriaStudies on Hysteria 1896 1896 Witmer establishes first psychological clinic at U. PennWitmer establishes first psychological clinic at U. Penn 1900 1900 Freud publishes Freud publishes The Interpretation of DreamsThe Interpretation of Dreams 1904 1904 Binet begins developing an intelligence testBinet begins developing an intelligence test 1905 1905 Binet and Simon offer Binet-Simon Scale of IntelligenceBinet and Simon offer Binet-Simon Scale of Intelligence 1905 1905 Jung creates a word association testJung creates a word association test 1907 1907 Psychological ClinicPsychological Clinic, first clinical journal published, first clinical journal published 1908 1908 Beers begins mental hygiene movementBeers begins mental hygiene movement 1909 1909 Clinical psychology section formed at APAClinical psychology section formed at APA 1909 1909 Freud’s only visit to America at Clark UniversityFreud’s only visit to America at Clark University

Significant events, continuedSignificant events, continued 1909 1909 Healy develops child guidance clinic in ChicagoHealy develops child guidance clinic in Chicago 1916 1916 Terman develops Stanford-Binet Intelligence TestTerman develops Stanford-Binet Intelligence Test 1917 1917 Clinicians of APA leave to form American Association of Clinical Clinicians of APA leave to form American Association of Clinical

Psychologists (AACP)Psychologists (AACP) 1917 1917 Yerkes and committee develop Army Alpha testYerkes and committee develop Army Alpha test 1919 1919 AACP rejoins APAAACP rejoins APA 1921 1921 James McKeen Cattell develops Psychological CorporationJames McKeen Cattell develops Psychological Corporation 1921 1921 Rorschach presents his inkblot testRorschach presents his inkblot test 1924 1924 Mary Cover Jones uses learning principles to treat children’s fearsMary Cover Jones uses learning principles to treat children’s fears 1935 1935 APA Committee on Standards and Training define clinical psychologyAPA Committee on Standards and Training define clinical psychology 1935 1935 Murray and Morgan publish the TATMurray and Morgan publish the TAT 1936 1936 Louttit publishes first clinical psychology textbookLouttit publishes first clinical psychology textbook 1937 1937 Clinicians leave APA again to form American Association of AppliedClinicians leave APA again to form American Association of Applied

Psychology (AAAP)Psychology (AAAP) 1937 1937 Journal of Consulting PsychologyJournal of Consulting Psychology begins begins 1939 1939 The Wechsler-Bellevue Intelligence Scale is publishedThe Wechsler-Bellevue Intelligence Scale is published 1943 1943 Hathaway publishes MMPIHathaway publishes MMPI 1945 1945 AAAP rejoins APAAAAP rejoins APA

Chapter 3Chapter 3

Recent History of Recent History of Clinical PsychologyClinical Psychology

Significant events: Significant events: 1940s and 1950s1940s and 1950s

1940s1940s 1945 1945 AAAP rejoins APAAAAP rejoins APA 1945 1945 Connecticut passes first certification law for psychologyConnecticut passes first certification law for psychology 1946 1946 VA and NIMH fund clinical psychology trainingVA and NIMH fund clinical psychology training 1947 1947 ABEPP is founded to certify cliniciansABEPP is founded to certify clinicians 1949 1949 Halstead presents neuropsychological testing batteryHalstead presents neuropsychological testing battery 1949 1949 Boulder Conference defines scientist-practitioner model of trainingBoulder Conference defines scientist-practitioner model of training 1950s1950s 19501950 Dollard and Miller publish Dollard and Miller publish Personality and Psychotherapy: An Analysis in Personality and Psychotherapy: An Analysis in

Terms of Learning, Thinking, and CultureTerms of Learning, Thinking, and Culture 1951 1951 Rogers publishes Rogers publishes Client-Centered TherapyClient-Centered Therapy 19521952 Eysenck publishes Eysenck publishes The Effects of Psychotherapy: An EvaluationThe Effects of Psychotherapy: An Evaluation 1952 1952 American Psychiatric Association publishes diagnostic categories in American Psychiatric Association publishes diagnostic categories in

Diagnostic and Statistical ManualDiagnostic and Statistical Manual ( (DSM - IDSM - I )) 1953 1953 APA publishes APA publishes Ethical StandardsEthical Standards 1953 1953 Skinner presents operant principlesSkinner presents operant principles 19551955 Joint Commission on Mental Health and Illness foundedJoint Commission on Mental Health and Illness founded 1956 1956 Stanford University training conferenceStanford University training conference 19581958 Wolpe publishes Wolpe publishes Psychotherapy by Reciprocal InhibitionPsychotherapy by Reciprocal Inhibition 1958 1958 Miami training conferenceMiami training conference 1959 1959 Mental Research Institute (MRI) foundedMental Research Institute (MRI) founded

Significant events:Significant events: 1960s and 1970s 1960s and 1970s

1960s1960s 19601960 Eysenck publishes Eysenck publishes Handbook of Abnormal Psychology: An Experimental Handbook of Abnormal Psychology: An Experimental

ApproachApproach 1963 1963 Congress passes legislation creating community mental health centersCongress passes legislation creating community mental health centers 1965 1965 Chicago training conferenceChicago training conference 1965 1965 Conference at Swampscott, MA, starts community psychology movementConference at Swampscott, MA, starts community psychology movement 1967 1967 Association for Advancement in Behavior Therapy foundedAssociation for Advancement in Behavior Therapy founded 1968 1968 First PsyD program founded at the University of IllinoisFirst PsyD program founded at the University of Illinois 1969 1969 First freestanding professional school of psychology founded at First freestanding professional school of psychology founded at

California School of Professional PsychologyCalifornia School of Professional Psychology 1970s1970s 1970 1970 DSM IIDSM II published published 1973 1973 Vail training conferenceVail training conference 1976 1976 National Council of Schools of Professional Psychology (NCSPP) foundedNational Council of Schools of Professional Psychology (NCSPP) founded 19771977 George Engel publishes paper in George Engel publishes paper in ScienceScience defining biopsychosocial model defining biopsychosocial model 19771977 Wachtel publishes Wachtel publishes Psychoanalysis and Behavior Therapy: Toward an Psychoanalysis and Behavior Therapy: Toward an

IntegrationIntegration

Significant events:Significant events:1980s and 1990s1980s and 1990s

1980s1980s 1980 1980 DSM IIIDSM III published published 1981 1981 APA ethical standards revisedAPA ethical standards revised 1982 1982 Health psychology definedHealth psychology defined 19861986 NCSPP Mission Bay training conferenceNCSPP Mission Bay training conference 1987 1987 Salt Lake City training conference Salt Lake City training conference 1987 1987 DSM III-RDSM III-R published published 1988 1988 American Psychological Society foundedAmerican Psychological Society founded 1989 1989 NCSPP San Juan training conferenceNCSPP San Juan training conference 1990s1990s 1990 1990 NCSPP Gainesville training conferenceNCSPP Gainesville training conference 19911991 NCSPP San Antonio training conferenceNCSPP San Antonio training conference 1992 1992 Michigan Conference on postdoctoral trainingMichigan Conference on postdoctoral training 1994 1994 DMS IVDMS IV published published 1995 1995 APA publishes a list of empirically validated treatmentsAPA publishes a list of empirically validated treatments 1998 1998 International Society of Clinical Psychology founded in San FranciscoInternational Society of Clinical Psychology founded in San Francisco 19991999 Guam authorizes psychologists to prescribe psychotropic medicationGuam authorizes psychologists to prescribe psychotropic medication

Significant recent events in 2000sSignificant recent events in 2000s 2001 APA alters mission statement to reflect psychology as a 2001 APA alters mission statement to reflect psychology as a

health care disciplinehealth care discipline 2002 APA ethics code revised2002 APA ethics code revised 2002 New Mexico allows psychologists medication prescription 2002 New Mexico allows psychologists medication prescription

authorityauthority 2003 Health Insurance Portability and Accountability Act 2003 Health Insurance Portability and Accountability Act

(HIPAA) becomes law(HIPAA) becomes law 2004 Louisiana allows psychologists prescription authority2004 Louisiana allows psychologists prescription authority 2006 APA publishes findings from a Presidential Task Force on2006 APA publishes findings from a Presidential Task Force on

Evidence-Based Practice Evidence-Based Practice 2008 The U.S. Congress passes the Paul Wellstone Mental Health 2008 The U.S. Congress passes the Paul Wellstone Mental Health

and Addiction Equity Act of 2007 allowing mental health parityand Addiction Equity Act of 2007 allowing mental health parityin health carein health care

Chapter 4Chapter 4

Research: Research:

Design and OutcomeDesign and Outcome

Research Methods and DesignsResearch Methods and Designs

ExperimentsExperiments Quasi-Experimental DesignsQuasi-Experimental Designs Case StudiesCase Studies Correlational MethodsCorrelational Methods Epidemiological MethodsEpidemiological Methods Cross-Sectional and Longitudinal DesignsCross-Sectional and Longitudinal Designs

Treatment Outcome ResearchTreatment Outcome Research

Treatment Package StrategyTreatment Package Strategy Dismantling Treatment StrategiesDismantling Treatment Strategies Constructive Treatment StrategiesConstructive Treatment Strategies Parametric Treatment StrategyParametric Treatment Strategy Comparative Treatment StrategyComparative Treatment Strategy Client-Therapist Variation StrategyClient-Therapist Variation Strategy Process Research StrategyProcess Research Strategy

Examples of Threats to Internal Examples of Threats to Internal and External Validityand External Validity

Threats to internal validityThreats to internal validity HistoryHistory MaturationMaturation TestingTesting InstrumentationInstrumentation Statistical RegressionStatistical Regression Selection BiasSelection Bias Experimental MortalityExperimental Mortality Threats to external validityThreats to external validity TestingTesting ReactivityReactivity Multiple-Treatment InterferenceMultiple-Treatment Interference Interaction of Selection BiasesInteraction of Selection Biases

Different Levels of ResearchDifferent Levels of Research Level 1 Level 1 Basic laboratory research on factors Basic laboratory research on factors

associated with behavior changeassociated with behavior change Level 2Level 2 Analogue treatment research to Analogue treatment research to

identify effective ingredients of identify effective ingredients of therapeutictherapeutic procedures under procedures under controlled laboratory conditionscontrolled laboratory conditions

Level 3Level 3 Controlled clinical research with patient Controlled clinical research with patient populationspopulations

Level 4Level 4 Clinical practice. Therapists may Clinical practice. Therapists may measure outcome in case studies or measure outcome in case studies or clinical series.clinical series.

Questions and Challenges Conducting Questions and Challenges Conducting Treatment Outcome ResearchTreatment Outcome Research

Is the treatment provided in a research program similar Is the treatment provided in a research program similar to to the treatment provided in actual clinical practice?the treatment provided in actual clinical practice?

Are the patients and therapists used in a research study Are the patients and therapists used in a research study typical of patients and therapists in actual practice?typical of patients and therapists in actual practice?

How and when is treatment outcome measured?How and when is treatment outcome measured? Statistical versus clinical significance.Statistical versus clinical significance. How can treatment outcome decisions be made when some How can treatment outcome decisions be made when some

studies might conclude one thing and other studies studies might conclude one thing and other studies conclude something different?conclude something different?

What is a program of research and how is it conducted?What is a program of research and how is it conducted?

Contemporary Issues in Contemporary Issues in Clinical Psychology Treatment Clinical Psychology Treatment

Outcome ResearchOutcome Research Biopsychosocial approaches to psychopathology Biopsychosocial approaches to psychopathology

researchresearch Meta-analysisMeta-analysis Empirically supported treatmentsEmpirically supported treatments Comprehensive and collaborative multi-site Comprehensive and collaborative multi-site

clinical trial research projectsclinical trial research projects Community-wide interventionsCommunity-wide interventions Ethical issuesEthical issues Multicultural issuesMulticultural issues

Chapter 5Chapter 5

The Major Theoretical Models: The Major Theoretical Models: Psychodynamic, Psychodynamic,

Cognitive-Behavioral, Cognitive-Behavioral, Humanistic, and Humanistic, and

Family SystemsFamily Systems

The Four Major Theoretical The Four Major Theoretical Models in Clinical PsychologyModels in Clinical Psychology

Psychodynamic ApproachPsychodynamic Approach Cognitive-Behavioral ApproachCognitive-Behavioral Approach Humanistic ApproachHumanistic Approach Family Systems ApproachFamily Systems Approach

Alternatives to the Alternatives to the Psychodynamic ApproachPsychodynamic Approach

Behavioral Approach Behavioral Approach Cognitive Approach Cognitive Approach Humanistic ApproachHumanistic Approach Family Systems Approach Family Systems Approach Psychotropic Medication Psychotropic Medication Community Mental Health Movement Community Mental Health Movement Integrative Approaches Integrative Approaches Biopsychosocial ApproachBiopsychosocial Approach

The Psychodynamic ApproachesThe Psychodynamic Approaches

Freud’s Psychoanalytic Freud’s Psychoanalytic PerspectivePerspective

The Revisionist or Neo-Freudian The Revisionist or Neo-Freudian PerspectivePerspective

The Object Relations PerspectiveThe Object Relations Perspective

The Behavioral and Cognitive-The Behavioral and Cognitive-Behavioral ApproachesBehavioral Approaches

The Classical Conditioning PerspectiveThe Classical Conditioning Perspective The Operant PerspectiveThe Operant Perspective The Social Learning PerspectiveThe Social Learning Perspective The Cognitive Perspective: Beliefs, The Cognitive Perspective: Beliefs,

Appraisals, and AttributionsAppraisals, and Attributions

The Humanistic ApproachThe Humanistic Approach

The Client-Centered PerspectiveThe Client-Centered Perspective Maslow’s Humanistic PerspectiveMaslow’s Humanistic Perspective The Gestalt PerspectiveThe Gestalt Perspective

The Family Systems ApproachThe Family Systems Approach

The Communication ApproachThe Communication Approach The Structural ApproachThe Structural Approach The Milan ApproachThe Milan Approach The Strategic ApproachThe Strategic Approach The Narrative ApproachThe Narrative Approach

Chapter 6Chapter 6

Integrative and Integrative and Biopsychosocial Biopsychosocial Approaches in Approaches in

Contemporary Clinical Contemporary Clinical PsychologyPsychology

A Call to IntegrationA Call to Integration

Commonalities amongCommonalities among Approaches Approaches

Efforts toward IntegrationEfforts toward Integration EclectismEclectism Beyond Psychological ModelsBeyond Psychological Models

Biopsychosocial FactorsBiopsychosocial Factors

Diathesis-stress perspectiveDiathesis-stress perspective Reciprocal-gene-environment Reciprocal-gene-environment

perspectiveperspective Psychosocial factors influencing Psychosocial factors influencing

biologybiology Development of the biopsychosocial Development of the biopsychosocial

perspective perspective

Biopsychosocial ApplicationsBiopsychosocial Applications

Obsessive-Compulsive DisorderObsessive-Compulsive Disorder Anxiety and PanicAnxiety and Panic Cardiovascular DiseaseCardiovascular Disease CancerCancer

Chapter 7Chapter 7

Contemporary Psychological Contemporary Psychological Assessment I: Assessment I:

Interviewing and Observing Interviewing and Observing BehaviorBehavior

InterviewingInterviewing

RapportRapport Effective Listening SkillsEffective Listening Skills Effective CommunicationEffective Communication Observation of BehaviorObservation of Behavior Asking the Right QuestionsAsking the Right Questions

Types of InterviewsTypes of Interviews

Initial Intake or Admissions InterviewInitial Intake or Admissions Interview Mental Status InterviewMental Status Interview Crisis InterviewCrisis Interview Diagnostic InterviewDiagnostic Interview Structured InterviewsStructured Interviews Computer-Assisted InterviewsComputer-Assisted Interviews Exit or Termination InterviewsExit or Termination Interviews

Standard Clinical InterviewStandard Clinical Interview Identifying Information Identifying Information Referral Source Referral Source Chief Complaint or Presenting ProblemsChief Complaint or Presenting Problems Family Background Family Background Health BackgroundHealth Background Educational BackgroundEducational Background Employment BackgroundEmployment Background Developmental History Developmental History Sexual History Sexual History Previous Medical TreatmentPrevious Medical Treatment Previous Psychiatric TreatmentPrevious Psychiatric Treatment History of Traumas History of Traumas Current Treatment GoalsCurrent Treatment Goals

Chapter 8Chapter 8

Contemporary Psychological Contemporary Psychological Assessment II: Assessment II:

Cognitive and Personality Cognitive and Personality AssessmentAssessment

Halstead-Reitan Neuropsychological Halstead-Reitan Neuropsychological Test BatteryTest Battery

Category TestCategory Test Tactual Performance TestTactual Performance Test Rhythm TestRhythm Test Speech Sounds Perception TestSpeech Sounds Perception Test Finger Oscillation TestFinger Oscillation Test Trail Making TestTrail Making Test Strength of Grip TestStrength of Grip Test Sensory-Perceptual ExaminationSensory-Perceptual Examination Tactile Perception Tactile Perception Modified Halstead-Wepman Aphasia Screening TestModified Halstead-Wepman Aphasia Screening Test Wechsler Adult Intelligence Scale—IV (WAIS-IV)Wechsler Adult Intelligence Scale—IV (WAIS-IV) Minnesota Multiphasic Personality Inventory—2 (MMPI-2)Minnesota Multiphasic Personality Inventory—2 (MMPI-2)

MMPI-2 Scales MMPI-2 Scales Validity ScalesValidity Scales ?? (Cannot Say)(Cannot Say) L L (Lie)(Lie) F F (Validity)(Validity) K K (Correction)(Correction) Clinical ScalesClinical Scales 1 1 Hypochondriasis Hypochondriasis (Hs) (Hs) 22 Depression Depression (D)(D) 33 Conversion Hysteria Conversion Hysteria (Hy)(Hy) 44 Psychopathic Deviate Psychopathic Deviate (Pd)(Pd) 55 Masculinity-Femininity Masculinity-Femininity (Mf)(Mf) 66 Paranoia Paranoia (Pa)(Pa) 77 Psychasthenia Psychasthenia (Pt)(Pt) 88 Schizophrenia Schizophrenia (Sc)(Sc) 99 Hypomania Hypomania (Ma)(Ma) 00 Social Introversion Social Introversion (Si)(Si)

MCMI-III ScalesMCMI-III Scales Clinical Personality Patterns ScalesClinical Personality Patterns Scales Scale 1 Scale 1 SchizoidSchizoid Scale 2A Scale 2A AvoidantAvoidant Scale 2B Scale 2B DepressiveDepressive Scale 3 Scale 3 DependentDependent Scale 4 Scale 4 HistrionicHistrionic Scale 5 Scale 5 NarcissisticNarcissistic Scale 6A Scale 6A AntisocialAntisocial Scale 6B Scale 6B Aggressive (Sadistic)Aggressive (Sadistic) Scale 7 Scale 7 CompulsiveCompulsive Scale 8A Scale 8A Passive-Aggressive (Negativistic)Passive-Aggressive (Negativistic) Scale 8B Scale 8B Self-DefeatingSelf-Defeating Clinical Syndrome ScalesClinical Syndrome Scales Scale A Scale A AnxietyAnxiety Scale H Scale H SomatoformSomatoform Scale N Scale N Bipolar: ManicBipolar: Manic Scale D Scale D DysthymiaDysthymia Scale B Scale B Alcohol DependenceAlcohol Dependence Scale T Scale T Drug DependenceDrug Dependence Scale R Scale R Post-Traumatic Stress DisorderPost-Traumatic Stress Disorder

MCMI-III Scales, continuedMCMI-III Scales, continued Severe Syndrome ScalesSevere Syndrome Scales Scale SS Scale SS Thought DisorderThought Disorder Scale CC Scale CC Major DepressionMajor Depression Scale PP Scale PP Delusional DisorderDelusional Disorder Severe Personality Pathology ScalesSevere Personality Pathology Scales Scale S Scale S SchizotypalSchizotypal Scale C Scale C BorderlineBorderline Scale P Scale P ParanoidParanoid Modifying IndexesModifying Indexes (Correction Scales) (Correction Scales) Scale X Scale X DisclosureDisclosure Scale Y Scale Y DesirabilityDesirability Scale Z Scale Z DebasementDebasement

16PF (Fifth Edition)16PF (Fifth Edition) A A WarmthWarmth B B ReasoningReasoning C C Emotional StabilityEmotional Stability E E DominanceDominance F F LivelinessLiveliness G G Rule ConsciousnessRule Consciousness H H Social BoldnessSocial Boldness I I SensitivitySensitivity L L VigilanceVigilance M M AbstractednessAbstractedness N N PrivatenessPrivateness O O ApprehensionApprehension Q1 Q1 Openness to ChangeOpenness to Change Q2 Q2 Self-RelianceSelf-Reliance Q3 Q3 PerfectionismPerfectionism Q4 Q4 TensionTension

Rorschach SampleRorschach Sample

Chapter 9Chapter 9

Psychotherapeutic Psychotherapeutic Interventions Interventions

Common Denominators Common Denominators in Psychotherapyin Psychotherapy

Professional PersonProfessional Person Professional MannerProfessional Manner Professional SettingProfessional Setting Duration of SessionsDuration of Sessions Frequency of SessionsFrequency of Sessions

Stages of PsychotherapyStages of Psychotherapy

Initial ConsultationInitial Consultation AssessmentAssessment Development of Treatment GoalsDevelopment of Treatment Goals Implementation of TreatmentImplementation of Treatment Evaluation of TreatmentEvaluation of Treatment TerminationTermination Follow-UpFollow-Up

Modes of PsychotherapyModes of Psychotherapy

Individual TreatmentIndividual Treatment Group PsychotherapyGroup Psychotherapy Couples PsychotherapyCouples Psychotherapy Family TherapyFamily Therapy

Chapter 10Chapter 10

Psychotherapeutic Psychotherapeutic Issues Issues

Ten Issues about PsychotherapyTen Issues about Psychotherapy

Does Psychotherapy Work?Does Psychotherapy Work? Long-Term Therapy versus Short-Term TreatmentLong-Term Therapy versus Short-Term Treatment Psychotherapy DropoutsPsychotherapy Dropouts Is One Type of Therapy Better than Another?Is One Type of Therapy Better than Another? Enduring Psychotherapy EffectsEnduring Psychotherapy Effects Common Factors Associated with Positive Psychotherapy Common Factors Associated with Positive Psychotherapy

OutcomeOutcome Change Is ChallengingChange Is Challenging Level of Training for PsychotherapistsLevel of Training for Psychotherapists Health Care Costs and PsychotherapyHealth Care Costs and Psychotherapy Psychotherapy HarmPsychotherapy Harm


Areas of Specialization Areas of Specialization in Contemporary in Contemporary


Clinical Health PsychologyClinical Health Psychology

SmokingSmoking ObesityObesity Alcohol ConsumptionAlcohol Consumption Stress ManagementStress Management Acquired Immune Deficiency Syndrome Acquired Immune Deficiency Syndrome

(AIDS)(AIDS) Chronic PainChronic Pain

Child Clinical PsychologyChild Clinical Psychology

Attention Deficit/Hyperactivity Disorder Attention Deficit/Hyperactivity Disorder (ADHD)(ADHD)

Learning DisordersLearning Disorders Child Abuse and NeglectChild Abuse and Neglect Anorexia NervosaAnorexia Nervosa

Clinical NeuropsychologyClinical Neuropsychology

EpilepsyEpilepsy Brain InjuriesBrain Injuries Degenerative DiseasesDegenerative Diseases

Forensic PsychologyForensic Psychology

Involuntary CommitmentInvoluntary Commitment Insanity DefenseInsanity Defense Child CustodyChild Custody Jury SelectionJury Selection

GeropsychologyGeropsychology

Degenerative DiseasesDegenerative Diseases Vascular DiseasesVascular Diseases Parkinson’s DiseaseParkinson’s Disease Psychiatric Issues (Anxiety, Depression, Psychiatric Issues (Anxiety, Depression,

Substance Abuse)Substance Abuse)


Consultative, Teaching, Consultative, Teaching, and Administrative and Administrative

Roles in Contemporary Roles in Contemporary Clinical PsychologyClinical Psychology

ConsultationConsultation

Consultation DefinedConsultation Defined Consultation RolesConsultation Roles Types of ConsultationTypes of Consultation Stages of ConsultationStages of Consultation To Whom Do Clinical Psychologists Offer To Whom Do Clinical Psychologists Offer

Consultation?Consultation? Effective ConsultationEffective Consultation Problems in ConsultationProblems in Consultation

TeachingTeaching

Teaching in Academic SettingsTeaching in Academic Settings 1. Psychology Departments1. Psychology Departments 2. Medical Schools and Hospitals2. Medical Schools and Hospitals Teaching in Nonacademic SettingsTeaching in Nonacademic Settings 1. Clinics1. Clinics 2. Workshops2. Workshops 3. Business and Industry3. Business and Industry 4. General Public4. General Public


Ethical Standards Ethical Standards in Contemporary in Contemporary


Ethical PrinciplesEthical Principles

CompetenceCompetence IntegrityIntegrity Professional and Scientific ResponsibilityProfessional and Scientific Responsibility Respect for People’s Rights and DignityRespect for People’s Rights and Dignity Concern for Others’ WelfareConcern for Others’ Welfare Social ResponsibilitySocial Responsibility

Ethical StandardsEthical Standards

Advertising and Other Public StatementsAdvertising and Other Public Statements TherapyTherapy Teaching, Training, Supervision, Research, Teaching, Training, Supervision, Research,

and Publishingand Publishing Forensic ActivitiesForensic Activities


Current and Future Current and Future Trends and Challenges Trends and Challenges

in Contemporary in Contemporary Clinical PsychologyClinical Psychology

Trends in SocietyTrends in Society

Contemporary Changes in the American Contemporary Changes in the American FamilyFamily

Multicultural and Diversity IssuesMulticultural and Diversity Issues Advances in Science, Technology, and Advances in Science, Technology, and

MedicineMedicine MoneyMoney Gender Shifts in ProfessionsGender Shifts in Professions

Research and Practice IssuesResearch and Practice Issues Managed Health CareManaged Health Care Prescription PrivilegesPrescription Privileges Medical Staff PrivilegesMedical Staff Privileges Private PracticePrivate Practice SpecializationSpecialization Empirically Supported TreatmentsEmpirically Supported Treatments Reaching Beyond Mental Health in Reaching Beyond Mental Health in

Contemporary Clinical PsychologyContemporary Clinical Psychology Training IssuesTraining Issues


Becoming a Clinical Becoming a Clinical Psychologist: Psychologist:

A Road MapA Road Map

Ten Important Goals During the Ten Important Goals During the College ExperienceCollege Experience

High Grade Point AverageHigh Grade Point Average High Graduate Record Examination ScoresHigh Graduate Record Examination Scores Quality Research ExperienceQuality Research Experience Quality Clinical ExperienceQuality Clinical Experience Excellent Verbal SkillsExcellent Verbal Skills Excellent Interpersonal SkillsExcellent Interpersonal Skills Reliability and DependabilityReliability and Dependability Excellent ProductivityExcellent Productivity Excellent Letters of RecommendationExcellent Letters of Recommendation High MotivationHigh Motivation

Applying to Graduate Programs Applying to Graduate Programs in Clinical Psychologyin Clinical Psychology

PhD versus PsyD versus MAPhD versus PsyD versus MA University versus Freestanding Professional University versus Freestanding Professional

School School Accreditation Accreditation Training Curriculum and EmphasisTraining Curriculum and Emphasis

After Graduate SchoolAfter Graduate School

Clinical Internship Clinical Internship Postdoctoral FellowshipPostdoctoral Fellowship SpecializationSpecialization Certification and/or LicensureCertification and/or Licensure EmploymentEmployment

Contemporary Clinical Psychology Third Edition Thomas Plante, Ph.D., ABPP Santa Clara University and...

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Transcript of Contemporary Clinical Psychology Third Edition Thomas Plante, Ph.D., ABPP Santa Clara University and...