Home About us Contact
|
Home About us Contact | ||
|
|
||
Clinical Psychologists (clinical + psychologist)
Selected AbstractsThe Vulnerability and sexual abuse of people with learning disabilitiesBRITISH JOURNAL OF LEARNING DISABILITIES, Issue 2 2007Nicholas Guy Peckham Accessible summary ,,People with learning disabilities are more likely to experience sexual things happening to them when they do not want them to. This is called sexual abuse. ,,A group was started to help some women who have been sexually abused. ,,Women who wanted to attend the group were given information about it and asked on three separate occasions if they wanted to attend. Their carers helped them and went to a different group upstairs in the same building. ,,We found that the group helped the women feel less scared and depressed and helped the women's carers understand them better. ,,This research matters because it helped the women move on with their lives and will help others who want to start a group. Summary In his capacity as a Clinical Psychologist the author provides psychological support to people with learning disabilities living in hospital and in the community. Frequently, the problem behaviour highlighted in referral letters (such as sexualized behaviour, anger management or self-harm) is formulated as relating to a past history of abuse and neglect which they had experienced. In view of increasing client referrals and a limited research literature the author established a small team, developed and then piloted a survivors' group for women with a learning disability. The pilot achieved ethical approval and the survivors' group ran concurrently with an educational support group for their carers. For more details about this pilot study see Peckham (2005)Developing, delivering and evaluating a survivors group pilot in Northumberland for women with significant learning disabilities who have been sexually abused. Unpublished DClinPsych Thesis, University of Newcastle, Newcastle upon Tyne; and Peckham et al. (2007). These articles summarize the research literature in the area of sexual abuse and describe, in detail, the problem of delivering and evaluating a survivors' group for women with learning disabilities. [source] The clinical psychologist's role in the OOKP clinic.ACTA OPHTHALMOLOGICA, Issue 2009A one year review OOKP Surgery places complex Physical and Psychological demands on patients. Attention to Psychological factors is likely to facilitate good outcome and improve Quality of Life. This presentation outlines an innovative addition to the OOKP service at Sussex Eye Hospital, Brighton UK, incorporating a Clinical Psychologist as a member of the OOKP medical team. It will describe the first year's work including a study which has identified four subgroups of patients presenting for OOKP and the psychological needs of each group. The presentation describes how the service aims to address the particular psychological needs of these patient groups from assessment to psychological follow up. The presentation will also include a summary of a second Qualitative Interview study looking at patients' reports of their experiences of undergoing OOKP from a bio-psychosocial perspective. The National Health Service, UK seeks to use patient experience and feedback to shape clinical services and the implications of the outcomes of the research for the service will be discussed. [source] Overcoming Barriers to Increase the Contribution of Clinical Psychologists to Work With Persons With Severe Mental IllnessCLINICAL PSYCHOLOGY: SCIENCE AND PRACTICE, Issue 4 2006David Roe Psychosocial treatments for persons with severe mental illness (SMI) have been developing rapidly over the past decade. Despite the fact that people with SMI are often in the greatest need of care, clinical psychologists are not currently playing a major role in their treatment and are underrepresented compared to other disciplines in this area such as nursing, social work, and psychiatry. In this article, we present possible reasons for clinical psychologists' underrepresentation and discuss motivators, potential opportunities, and ways for clinical psychologists to take a greater role in the provision of services for persons with SMI. Implications for the training of clinical psychologists are discussed. [source] Psychotherapy in Brunei DarussalamJOURNAL OF CLINICAL PSYCHOLOGY, Issue 8 2007N. Kumaraswamy Clinical psychologists face unique challenges in developing Southeast Asian countries because mental health care has not received the kind of attention it deserves. In part, this has been the result of lack of knowledge or misunderstanding about mental health and adherence to various religious and traditional beliefs. In this article, the practice of psychotherapy in Brunei Darussalam is reviewed and then illustrated with a typical case, Mrs. A Asian psychotherapists need more comprehensive knowledge of prevailing cultural beliefs and religious practices among multiethnic population groups. © 2007 Wiley Periodicals, Inc. J Clin Psychol: In Session 63: 735,744, 2007. [source] Clinical psychologists do politics: Attitudes and reactions of Israeli psychologists toward the politicalPSYCHOTHERAPY AND POLITICS INTERNATIONAL, Issue 3 2009Nissim Avissar Abstract This article presents an analysis of a survey among Israeli clinical psychologists, examining their attitudes towards diverse political issues. The survey involved the distribution of 600 questionnaires, 115 of which were returned. Within this framework, psychologists were asked to relate to questions regarding political issues in psychotherapy and the ways of dealing with them, socio-political issues in psychology studies and training processes, socio-political involvement of psychologists as citizens or as professionals, and more. This inquiry enabled the current state of affairs to be portrayed with regard to common professional-political conceptions and stances toward political aspects of psychotherapeutic work. The survey's findings point to a divide within the Israeli psychologist community, as expressed by divergent and contradictory opinions that arise in response to a sizable portion of the issues examined. It is quite possible that this rift marks a process of change and indicates the decline of the conservative psychodynamic conceptual system. This theoretical perspective had, up until recently, a hegemonic position within the Israeli psychotherapeutic milieu. In most cases this standpoint was applied in a dogmatic manner, justifying a passive social-political stance in the name of anonymity and neutrality. It appears that still, today, this epistemic position is predominant within the Israeli psychotherapeutic culture. However, nowadays, a large minority of Israeli clinical psychologists seems to be sensitive to different political aspects of psychotherapy and favourable toward working in a politically informed and socially responsible manner. As political issues are almost entirely absent from psychology academic programs and clinical training processes, there is much confusion and helplessness as to how such issues and phenomena should be treated in therapy. Copyright © 2009 John Wiley & Sons, Ltd. [source] Paroxysmal Hypertension: The Role of Stress and Psychological FactorsJOURNAL OF CLINICAL HYPERTENSION, Issue 7 2008DPhil, Thomas G. Pickering MD This paper reviews the limited literature on paroxysmal hypertension. A case report describes the clinical picture frequently seen in specialty hypertension practice, a patient with paroxysmal or intermittent hypertension who proves not to have a pheochromocytoma. The variety of diagnostic labels given to these patients is reviewed, including pseudopheochromocytoma, panic attacks, and hyperventilation syndrome. The clinical features, pathology, diagnosis, and treatment of these syndromes are outlined. It is proposed that successful management of these patients may be best achieved by collaborative care between a hypertension specialist and a psychiatrist or clinical psychologist with expertise in cognitive-behavioral panic management, stress-reduction techniques including controlled breathing, and treating health anxiety. The use of drugs effective for treatment of panic disorder can also be helpful in managing these patients. [source] Using patient-focused research in evaluating treatment outcome in private practiceJOURNAL OF CLINICAL PSYCHOLOGY, Issue 10 2002Ted P. Asay The increasing emphasis on therapist accountability and empirical demonstration of psychotherapeutic treatment effectiveness points to the need for practicing therapists to integrate treatment evaluation methods into routine clinical practice. Unfortunately, most private practitioners have little involvement in carrying out evaluation procedures. In this study we demonstrate how patient-focused research was used to track the progress and outcome of patients seen by a clinical psychologist in private practice. Twenty-nine adults and 40 children/adolescents were evaluated on a weekly basis to assess the number of sessions required to reach improvement (reliable change) and recovery (clinically significant change). Dose-response survival analysis results indicated that 50% of adults reached clinically significant change in 54 sessions, and 50% of youth met the same standard in 14 sessions. These results were compared with outcome in large-scale studies. Implications of this study for integrating treatment evaluation methods into clinical practice are discussed. © 2002 Wiley Periodicals, Inc. J Clin Psychol 58: 1213,1225, 2002. [source] Meeting the advocacy needs of people who have been abused by health and social care practitionersJOURNAL OF COMMUNITY & APPLIED SOCIAL PSYCHOLOGY, Issue 5 2001Jennie Williams Abstract The Prevention of Professional Abuse Network (POPAN) is the first national organization within the UK to address the problem of the abuse of clients and patients by health and social care providers. POPAN has a small staff group of eight people and a larger network of advisers, supporters and allies; its activities include campaigning, training, consultancy, and the provision of information, advice and advocacy. Jennie Williams is a clinical psychologist and trustee of POPAN, she has supported the development of the organization since the early 1990s; Jo Nash was the main person involved in the development and provision of the advocacy service between September 1997 to January 2000. This is the edited version of a taped and transcribed interview that took place in 1999. Jo Nash is uniquely placed to provide information of significance to anyone using or providing health and social care services. Her work as an advocate has given her a very particular insight into the challenges faced by those seeking redress for professional abuse, and she has first hand experience of providing advocacy to people who are vulnerable and reluctant to trust anyone offering help. In this interview Jo Nash directs attention to the considerable limitations in current complaints systems, practices and procedures, and offers comment on the implications for change. Her work with POPAN provides continual reminders of the importance of prevention, and she identifies a number of ways in which action can be taken to prevent health and social care practitioners abusing their patients and clients. Copyright © 2001 John Wiley & Sons, Ltd. [source] Immediate follow-up after ICU discharge: establishment of a service and initial experiencesNURSING IN CRITICAL CARE, Issue 2 2003Eunice Strahan Summary ,Follow-up of patients discharged from the intensive care unit (ICU) is recommended as a means of service evaluation (Department of Health (2000). Comprehensive Critical Care: a Review of Adult Critical Care Services), in order to monitor the quality of the services provided ,Without patient follow-up, ICU staff have only ,death' or ,discharge alive from hospital' as clinical outcomes from which to judge practice performance, and limited evidence exists on which to base decisions about improvements to critical care practice (Audit Commission (1999). Critical to Success , the Place of Efficient and Effective Critical Care Services Within the Acute Hospital ) ,To address these issues the Regional Intensive Care Unit (RICU) obtained information from patient assessment/interview on problems experienced by patients within 8,9 days (mean), following discharge from RICU ,A nurse-administered questionnaire was used to identify functional outcomes, nutrition and psychological issues such as anxiety and sleep disturbances ,Benefits of patient follow-up introduced and planned include: ,patient diaries for long-term patients ,input from clinical psychologist ,review of sedation used in RICU [source] Prevalence of social phobia and its comorbidity with psychiatric disorders in IranDEPRESSION AND ANXIETY, Issue 7 2006Mohammad-Reza Mohammadi M.D. Abstract This study explored the prevalence of social phobia (SP) in the general population of Iran, the sociodemographic characteristics of subjects with SP, and its comorbidity with the other lifetime psychiatric disorders. Our study was part of the nationwide study on the prevalence of psychiatric disorders in Iran. Overall, 25,180 Iranian subjects, age 18 years and over, from urban and rural areas of Iran were selected by a clustered random sampling method and interviewed face-to-face by 250 trained clinical psychologists using DSM-IV diagnostic criteria. Out of 12,398,235 households, 7,795 households in the form of 1,559 clusters of five households were selected. The statistical framework was based on the household lists available from the Department of Health in the provinces. The response rate was 90%. The lifetime prevalence of SP was 0.82%. The rate was 0.4% in males and 1.3% in females. The rate was higher in younger age groups and widows/widowers. It was not related to educational level and residential area. Specific phobia (66.7%), obsessive,compulsive disorder (17.4%), major depressive disorder (15%), and panic disorder (12.1%) were the most common lifetime psychiatric disorders among subjects with SP. The rate of SP in Iran is more similar to that in other Asian countries, and it is lower than that in Western countries. The rate of other psychiatric disorders among subjects with SP is more than that in the general population, and the most common psychiatric disorders were the other anxiety disorders and major depressive disorder. Depression and Anxiety 23:405,411, 2006 © 2006 Wiley-Liss, Inc. [source] Readiness for Cognitive Therapy in People with Intellectual DisabilitiesJOURNAL OF APPLIED RESEARCH IN INTELLECTUAL DISABILITIES, Issue 1 2006Paul Willner Aims, Cognitive therapies are increasingly being offered by clinical psychologists to people with intellectual disabilities. This paper reviews some of the factors that influence people's readiness to engage in cognitive therapy. Literature review, Limited verbal ability, psychological-mindedness (particularly in relation to the understanding of emotions and the mediating role of cognitions), and self-efficacy, are all likely to present significant barriers. There may also be motivational barriers to treatment, including the functionality of some psychological presentations, maladaptive beliefs promoting resistance to change, the intellectually challenging nature of cognitive therapy, and external factors such as inappropriate settings. Engagement with therapy can be promoted by involving carers to support the therapy, but carers may themselves display a range of limitations of ability and motivation similar to those displayed by clients, which need to be recognized, and where possible addressed, in order for their involvement to be effective. Recommendations, If barriers to treatment are recognized, significant steps can be taken to increase accessibility. In addition to simplifying the delivery of therapy, there is also scope to simplify the model; this point is illustrated by case examples, and some principles for formalizing modifications to standard procedures are suggested. As barriers to treatment can often be surmounted, a decision whether or not to offer cognitive therapy should be derived from a comprehensive formulation, and should never be based solely on a client's performance on tests of cognitive ability. [source] Psychotherapy in Argentina: A clinical case from an integrative perspectiveJOURNAL OF CLINICAL PSYCHOLOGY, Issue 8 2007Beatriz GómezArticle first published online: 29 JUN 200 The article describes psychotherapy practice in Argentina. It outlines the main features of training and regulation of clinical psychologists. A brief description of the main treatment approaches and the major current challenges is presented. Subsequently it delineates the probable treatment locations and options for a 30-year-old woman, Mrs. A, seeking psychological help in Argentina. The case is then considered from an integrative perspective starting with the intake process, which includes a comprehensive pretreatment assessment followed by the treatment plan. Its course is described as composed of four stages: (1) psychoeducational initial intervention, (2) psychotherapy for symptom alleviation, (3) marital treatment, and (4) psychoeducational final intervention. Posttreatment evaluation and possible outcome and prognosis are presented, as well as factors that might prevent improvment. The article ends with a hopeful view of the future role of psychotherapy in Argentina. © 2007 Wiley Periodicals, Inc. J Clin Psychol: In Session 63: 713,723, 2007. [source] Developing an evidence base in clinical psychologyJOURNAL OF CLINICAL PSYCHOLOGY, Issue 3 2006Karina W. Davidson We suggest a process for clinical psychologists to collect an evidence base and join the evidence-based movement already underway in many areas of medicine. To illustrate this process, we review the history of cholesterol discovery, evaluation, and management as an evidence-based process, extracting lessons applicable to the field of psychology. By examining these lessons and building consensus, clinical psychologists can advance the movement along an evidence-based practice continuum, improve client care, build a more informative evidence base, and promote equitable reimbursement for psychological practice. © 2005 Wiley Periodicals, Inc. J Clin Psychol 62: 259,271, 2006. [source] Paul Everett Meehl: The cumulative recordJOURNAL OF CLINICAL PSYCHOLOGY, Issue 10 2005Niels G. Waller In this brief biographical sketch of Paul Meehl, the authors examine the "cumulative record" of his scholarship and mentorship. This record sheds light on why Meehl is widely regarded as one of the most influential clinical psychologists of the 20th century, as well as on Meehl's remarkable intellectual life. Time has proven that Meehl's writings are exceptional in their quality, influence, breadth, and depth. In addition, Meehl's cumulative record raises important questions regarding the reinforcement contingencies in major research-oriented psychology departments. © 2005 Wiley Periodicals, Inc. J Clin Psychol 61: 1209,1229, 2005. [source] The matrix model for clinical psychology: A contextual approachJOURNAL OF CLINICAL PSYCHOLOGY, Issue 9 2005Stanley Sue The four level matrix model proposed by C.R. Snyder and T.R. Elliott (this issue) is a bold attempt to provide a coherent philosophy and model to guide the training of clinical psychologists. Shortcomings of current training practices, such as a focus on individuals rather than community dynamics and on pathology rather than strengths, are addressed in the proposed model. Difficulties in the implementation of the model are discussed. © 2005 Wiley Periodicals, Inc. J Clin Psychol. [source] Professional approaches to stroke treatment in Japan: a relationship-centred modelJOURNAL OF EVALUATION IN CLINICAL PRACTICE, Issue 2 2006Brian Taylor Slingsby M.P.H. Abstract Rationale, To examine how stroke professionals in Japan approach rehabilitation therapy. Methods, This qualitative study was based on Grounded Theory. Data collection included (1) non-participatory observation, (2) non-structured interviews, and (3) semi-structured interviews. A national hospital located in an urban area of the prefecture of Kanagawa in Japan specializing in the treatment of stroke and other neurological disorders. Stroke professionals (doctors, nurses, clinical psychologists, physiotherapists, occupational therapists and speech therapists), patients and patients' families. Results, (1) Professionals recognized patient motivation as a factor related to rehabilitation outcome, but believed it to be a direct product of fostered fiduciary relationships and effective patient interaction. (2) Professionals regarded fiduciary relationships as the most important determinant of rehabilitation outcome. (3) Professionals adapted their behaviour and communication style in aims of fostering fiduciary relationships. These findings informed a three-component model of care: the Relationship-centred Model. Conclusions, The Relationship-centred Model describes how stroke professionals in Japan approach rehabilitative therapy. This model of care may be preferred by patients in other countries who also favour a family-centred approach to decision making. [source] Parenting Narcissus: What Are the Links Between Parenting and Narcissism?JOURNAL OF PERSONALITY, Issue 2 2006Robert S. Horton ABSTRACT Previous theorizing by clinical psychologists suggests that adolescent narcissism may be related to parenting practices (Kernberg, 1975; Kohut, 1977). Two studies investigated the relations between parenting dimensions (i.e., warmth, monitoring, and psychological control) and narcissism both with and without removing from narcissism variance associated with trait self-esteem. Two hundred and twenty-two college students (Study 1) and 212 high school students (Study 2) completed the Narcissistic Personality Inventory, a trait self-esteem scale, and standard measures of the three parenting dimensions. Parental warmth was associated positively and monitoring was associated negatively with both types of narcissism. Psychological control was positively associated with narcissism scores from which trait self-esteem variance had been removed. Clinical implications of the findings are discussed, limitations are addressed, and future research directions are suggested. [source] Effecting science, affecting medicine: Homosexuality, the Kinsey reports, and the contested boundaries of psychopathology in the United States, 1948,1965JOURNAL OF THE HISTORY OF THE BEHAVIORAL SCIENCES, Issue 4 2008Howard Hsueh-Hao Chiang Despite the well-documented intensive battle between Alfred Kinsey and American psychiatrists around the mid-twentieth century, this paper argues that Kinsey's work, in fact, played a significant role in transforming mental health experts' view of homosexuality starting as far back as the late 1940s and extending all the way through the mid-1960s. After analyzing the way in which Kinsey's work pushed American psychiatrists to re-evaluate their understanding of homosexuality indirectly through the effort of clinical psychologists, I then focus to a greater extent on examples that illustrate how the Kinsey reports directly influenced members of the psychiatric community. In the conclusion, using a Foucauldian conception of "discourse," I propose that in order to approach the struggle around the pathological status of homosexuality in the 1950s and the 1960s, thinking in terms of a "politics of knowledge" is more promising than simply in terms of a "politics of diagnosis." Central to the struggle was not merely the matter of medical diagnosis, but larger issues regarding the production of knowledge at an intersection of science and medicine where the parameters of psychopathology were disputed in the context of mid-twentieth-century United States. © 2008 Wiley Periodicals, Inc. [source] Ethical Issues for Psychologists in Pain ManagementPAIN MEDICINE, Issue 2 2001Mary Lou Taylor PhD Pain management is relatively young as a specialty. Although increasing attention is being paid to issues such as pain at the end of life and pain in underserved populations, only recently has an open discussion of ethical issues in chronic pain treatment come to the fore. Psychologists specializing in pain management are faced with a myriad of ethical issues. Although many of these problems are similar to those faced by general clinical psychologists or other health psychologists, they are often made more complex by the multidisciplinary nature of pain management and by the psychologists' relationships to third-party payers (health maintenance organizations, workers' compensation), attorneys, or other agencies. An open forum exploring ethical issues is needed. This article outlines major ethical considerations faced by pain management psychologists, including patient autonomy and informed consent, confidentiality, reimbursement and dual relationships, patient abandonment, assessment for medical procedures, clinical research, and the interface of psychology and medicine. American Psychological Association ethical principles and principles of biomedical ethics need to be considered in ethical decision making. Further exploration and discussion of ethics for pain management psychologists are recommended. [source] Clinical psychologists do politics: Attitudes and reactions of Israeli psychologists toward the politicalPSYCHOTHERAPY AND POLITICS INTERNATIONAL, Issue 3 2009Nissim Avissar Abstract This article presents an analysis of a survey among Israeli clinical psychologists, examining their attitudes towards diverse political issues. The survey involved the distribution of 600 questionnaires, 115 of which were returned. Within this framework, psychologists were asked to relate to questions regarding political issues in psychotherapy and the ways of dealing with them, socio-political issues in psychology studies and training processes, socio-political involvement of psychologists as citizens or as professionals, and more. This inquiry enabled the current state of affairs to be portrayed with regard to common professional-political conceptions and stances toward political aspects of psychotherapeutic work. The survey's findings point to a divide within the Israeli psychologist community, as expressed by divergent and contradictory opinions that arise in response to a sizable portion of the issues examined. It is quite possible that this rift marks a process of change and indicates the decline of the conservative psychodynamic conceptual system. This theoretical perspective had, up until recently, a hegemonic position within the Israeli psychotherapeutic milieu. In most cases this standpoint was applied in a dogmatic manner, justifying a passive social-political stance in the name of anonymity and neutrality. It appears that still, today, this epistemic position is predominant within the Israeli psychotherapeutic culture. However, nowadays, a large minority of Israeli clinical psychologists seems to be sensitive to different political aspects of psychotherapy and favourable toward working in a politically informed and socially responsible manner. As political issues are almost entirely absent from psychology academic programs and clinical training processes, there is much confusion and helplessness as to how such issues and phenomena should be treated in therapy. Copyright © 2009 John Wiley & Sons, Ltd. [source] The Role of the Nurse on a Transdisciplinary Early Intervention Assessment TeamPUBLIC HEALTH NURSING, Issue 4 2002Mary Beth Stepans Ph.D. Assessing young children with disabilities is a complex process requiring the expertise of a team of professionals from several disciplines. Team members often include the child's family members, early childhood special educators, clinical psychologists, speech-language pathologists, social workers, physical and occupational therapists, pediatricians, and nurses. A team approach meets standards of best practice in early childhood intervention and encourages full family participation in the assessment process. This article explores the process of team building, role release through a transdisciplinary approach, and a nurse's role on a transdisciplinary assessment team. [source] Attention-Deficit Hyperactivity Disorder: How Much Do We See?CHILD AND ADOLESCENT MENTAL HEALTH, Issue 4 2000Daphne Keen A postal questionnaire survey of senior clinical psychologists, child psychiatrists and community paediatricians in the Trent region (85% response) revealed that a total of 826 new ADHD cases were seen over the index period, 1997,1998. Approximately a third of these were adolescents. Wide variations in individuals' clinical caseloads, both within and between professional groups, were revealed. No respondent could identify any local formal transitional arrangements or adult services for older ADHD cases. This would suggest that there is a pressing need to establish such services for patients with ADHD irrespective of their age. [source] Danger,early maladaptive schemas at work!: the role of early maladaptive schemas in career choice and the development of occupational stress in health workersCLINICAL PSYCHOLOGY AND PSYCHOTHERAPY (AN INTERNATIONAL JOURNAL OF THEORY & PRACTICE), Issue 2 2008Martin Bamber The schema-focused model of occupational stress and work dysfunctions (Bamber & Price, 2006; Bamber, 2006) hypothesizes that individuals with EMS (unconsciously) gravitate toward occupations with similar dynamics and structures to the toxic early environments and relationships that created them. They subsequently re-enact these EMS and their associated maladaptive coping styles in the workplace. For most individuals, this results in ,schema healing', but for some individuals with more rigid and severe EMS, schema healing is not achieved and the structures and relationships of the workplace, together with the utilization of maladaptive coping styles, serve to perpetuate their EMS. The model hypothesizes that it is these individuals who are most vulnerable to developing occupational stress syndromes To date, this model has been subjected to very little empirical investigation, so the main aim of this study was to address this gap in the literature by testing out some of its main assumptions and to provide empirical data, which would either support or reject the model using a population of health workers. Specifically, it was hypothesized that ,occupation-specific' EMS would be found in health workers from a range of different healthcare professions. It was also hypothesized that the presence of higher levels of EMS would be predictive of raised levels of occupational stress, psychiatric caseness and increased sickness absence in those individuals. A cross-sectional study design was employed and a total of 249 staff working within a NHS Trust, belonging to one of five occupational groups (medical doctors, nurses, clinical psychologists, IT staff and managers), participated in the study. All participants completed the Young Schema Questionnaire-Short Form (Young, 1998); the Maslach Burnout Inventory-Human Services Form (Maslach & Jackson, 1981), and the General Health Questionnaire-28-item version (Goldberg, 1978). A demographic questionnaire and sickness absence data was also collected. The results of a between groups analysis of variance and further post hoc statistical analyses identified a number of occupation specific EMS. Also, the results of a series of multiple linear regression analyses indicated the presence of some EMS to be predictive of higher levels of burnout, psychiatric caseness and sickness absence in health workers. In conclusion, the findings of this study provide empirical support for the schema-focused model of occupational stress and work dysfunctions (Bamber & Price, 2006; Bamber, 2006), and it appears that the existence of underlying EMS may constitute a predisposing vulnerability factor to developing occupational stress.,Copyright © 2008 John Wiley & Sons, Ltd. [source] A model of personal professional development in the systematic training of clinical psychologistsCLINICAL PSYCHOLOGY AND PSYCHOTHERAPY (AN INTERNATIONAL JOURNAL OF THEORY & PRACTICE), Issue 4 2007Alia I. Sheikh Staff development has been identified as a key way to improve the delivery of psychological therapies, particularly through enhancing professionals' capacity for reflective practice. Traditionally, the ,reflective practitioner' model has guided how we train professionals to deliver therapies, but this model is vague and needs refinement. We therefore outlined a more coherent model, by integrating the ideas and methods of these and other educationalists into our working definition of the ,Personal Professional Development' (PPD). We proposed that reflection can be made explicit within a circumplex model that is based upon an experiential learning cycle. This allowed ,reflective practice' to be developed systematically and analyzed empirically. We detailed how PPD is addressed within one clinical psychology training program, and provided some initial, promising evaluation data to support the approach. The need for further development and evaluation of our model and its associated methods is discussed as an appropriately reflexive next phase.,Copyright © 2007 John Wiley & Sons, Ltd. [source] A survey of influences on the practice of psychotherapists and clinical psychologists in training in the UKCLINICAL PSYCHOLOGY AND PSYCHOTHERAPY (AN INTERNATIONAL JOURNAL OF THEORY & PRACTICE), Issue 2 2006Mike P. Lucock A questionnaire survey of 95 qualified psychotherapists of various therapeutic orientations and 69 psychologists in clinical training was carried out to investigate the main influences on their clinical practice, using the Questionnaire of Influencing Factors on Clinical Practice in Psychotherapies (QuIF-CliPP). For the qualified group the most highly rated factors were current supervision, client characteristics, client feedback, psychological formulation, intuition/judgement, professional training and post-qualification training. For the trainees, those rated highest were current supervision, past supervision, client characteristics, client feedback, psychological formulation and professional training. Evidence based factors such as treatment manuals and evidence based guidelines were rated relatively low for both groups, although the cognitive behaviour therapists rated them significantly higher than the other groups. Personal therapy was rated highly by the psychodynamic, psychoanalytic, person centred and eclectic therapists but not by CB therapists. The implications of these findings for the application of evidence based practice and the need to evaluated supervision, personal therapy and training are discussed.,Copyright © 2006 John Wiley & Sons, Ltd. [source] Clinical practice guidelines in clinical psychology and psychotherapyCLINICAL PSYCHOLOGY AND PSYCHOTHERAPY (AN INTERNATIONAL JOURNAL OF THEORY & PRACTICE), Issue 6 2003Glenys Parry Evidence-based clinical practice guidelines have proliferated over the past two decades. Few are limited to psychological therapies or are targeted at clinical psychologists and psychotherapists , the UK guideline Treatment Choice in Psychotherapy and Counselling is a major exception. However, psychological therapies will increasingly be considered alongside medical treatments in diagnosis-specific guidelines. There has been interest and debate about the place of guidelines in the psychological therapies, with views ranging from scepticism to enthusiasm. This paper defines clinical practice guidelines, describes major guideline programmes internationally, examines guidelines of specific interest to psychologists and psychotherapists, explores issues in their implementation, reviews evidence for their effectiveness in changing practice and improving therapy outcomes and draws out implications for practice. Guidelines are only one aspect of informing psychologists and psychotherapists about best practice. They need to be supplemented by other clinical support methods and with methods of monitoring what is actually done in practice.,Copyright © 2003 John Wiley & Sons, Ltd. [source] Trainee clinical psychologists' adaptation and professional functioning: a longitudinal studyCLINICAL PSYCHOLOGY AND PSYCHOTHERAPY (AN INTERNATIONAL JOURNAL OF THEORY & PRACTICE), Issue 1 2003Willem Kuyken Clinical psychology training is a professionally formative period, which provides an opportunity to enable trainees to learn good self-care skills and mature approaches to learning. If realized, this can support lifelong learning and high levels of professional functioning. This study sought to use transactional coping theory and experiential learning theory to improve our understanding of what factors predict changes in psychological adaptation and professional functioning over the course of clinical psychology training. A mixed prospective within-persons and cross-sectional between-persons design was used. A sample of 183 trainee clinical psychologists (60.2% response rate) from 15 British clinical psychology training programmes participated at time one, 167 of whom participated at time 2 a year later (91.3% of the time 1 sample). They completed measures of appraisal, coping, social support and professional functioning at times 1 and 2. Path analyses suggested that trainees who appraised the demands of training as manageable, and reported greater access to appropriate support, engaged in less avoidance coping, reported fewer problems of psychological adaptation and were more likely to approach the task of learning and working appropriately and resiliently. Implications for clinical psychology training are suggested. Copyright © 2003 John Wiley & Sons, Ltd. [source] Personality style, psychological adaptation and expectations of trainee clinical psychologistsCLINICAL PSYCHOLOGY AND PSYCHOTHERAPY (AN INTERNATIONAL JOURNAL OF THEORY & PRACTICE), Issue 4 2002Jeni Brooks The literature suggests that personality affects how individuals experience stress, cope, utilize social support and psychologically adapt. This study examined the personality style, psychological adaptation and expectations of 364 UK trainee clinical psychologists. Personality traits characterizing the sample were: enhancing, modifying, extraversing, outgoing, and agreeing. Mean overall personality adjustment was significantly better than the normal population. The sample scored significantly poorer on self-esteem, anxiety and depression, but well outside the defined range for poor adaptation. A small percentage (8%, n = 31) had ,poor' personality adjustment scores, scored worse on indicators of psychological adaptation and reported greater shortfall of course aspects compared with expectations. However, 41% scored as having a significant problem on one or more of: anxiety, depression, low self-esteem and work adjustment. About one-third had a probable substance use problem. In regression analyses, poor personality adjustment, and different areas of expectation-shortfall, especially impact of training on life variously predicted anxiety, depression, and poor work adjustment. Satisfaction with social support was not predictive of adaptation after personality adjustment was accounted for. Implications for clinical psychology training include the need for enhanced expectation-management through pre-course marketing, and better attention to trainees' personal and professional development throughout training. Copyright © 2002 John Wiley & Sons, Ltd. [source] Optimizing blood pressure reduction: predicting success in the home environmentCLINICAL PSYCHOLOGY AND PSYCHOTHERAPY (AN INTERNATIONAL JOURNAL OF THEORY & PRACTICE), Issue 1 2001A. R. Craig Transferring skills to non-clinic contexts remains a challenge for clinical psychologists. Research is needed that investigates strategies of transferring clinic skills as well as factors that are associated with successful transfer. This paper presents research that involved training clients to reduce blood pressure (BP) in the home environment and isolating factors related to successful BP reduction. Subjects diagnosed with mild hypertension participated in a controlled trial investigating the efficacy of continuous BP feedback in helping to reduce systolic BP in the clinic and home environment. While the benefits of learning BP feedback in the clinic was not shown to be beneficial over a control, training in the home environment was shown to reduce BP significantly in comparison to controls. Factors shown to be associated consistently and reliably with reduction of BP in the home were those that involved beliefs or expectations of self-control. Expectations (self-efficacy) and an internal locus of control consistently predicted the ability to reduce both systolic and diastolic BP in the home environment. Implications for the behavioural treatment of hypertension are discussed. Copyright © 2001 John Wiley & Sons, Ltd. [source] Overcoming Barriers to Increase the Contribution of Clinical Psychologists to Work With Persons With Severe Mental IllnessCLINICAL PSYCHOLOGY: SCIENCE AND PRACTICE, Issue 4 2006David Roe Psychosocial treatments for persons with severe mental illness (SMI) have been developing rapidly over the past decade. Despite the fact that people with SMI are often in the greatest need of care, clinical psychologists are not currently playing a major role in their treatment and are underrepresented compared to other disciplines in this area such as nursing, social work, and psychiatry. In this article, we present possible reasons for clinical psychologists' underrepresentation and discuss motivators, potential opportunities, and ways for clinical psychologists to take a greater role in the provision of services for persons with SMI. Implications for the training of clinical psychologists are discussed. [source] | |||||||||||||