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PubMed2003

The ethical ideologies of psychologists and physicians: a preliminary comparison.

The ethical ideologies of psychologists (who provide health services) and physicians were compared using the Ethics Position Questionnaire. The findings reveal that psychologists tend to be less relativistic than physicians. Further, we explored the degree to which physicians and psychologists report being influenced by a variety of factors (e.g., family views) in their ethical decision making. Psychologists were more influenced by their code of ethics and less influenced by family views, religious background, and peer attitudes than were physicians. We argue that these differences reflect the varied professional cultures in which practitioners are trained and socialized.

Codes of Ethics↗
PubMed2003

[Misdirections in the professional training used to prepare psychologists in Brazil to work in the public health-care system].

In Brazil, the practice of psychologists in public health-care institutions is hampered by the professional training that they have received. That training is inadequate in meeting the requirements of primary health care, in satisfying the needs of the patients who use the public health-care system, and in overcoming the social inequalities that exist in Brazil. This piece is intended to identify the factors that make it harder to provide adequate psychological care in public health-care institutions, especially in the local Basic Health Units of Brazil's public health-care system, the Unified Health System. These hindrances to providing good care mainly originate in training that points psychologists in the direction of very restricted models of health care. These narrow models prevent the psychologists from responding appropriately to the needs of their patient clientele and of the public institutions. These limited models also make it hard for psychologists to adapt to the dynamic conditions that they will face in the Unified Health System.

Brazil↗
PubMed2004

Psychologists' judgments of psychologically aggressive actions when perpetrated by a husband versus a wife.

Research literature suggests that clinical judgments of men's versus women's behavior and symptoms typically rate the men as more pathological and dangerous. To determine whether this view would extend to assessments of psychologically aggressive actions, two separate versions of a survey listing potentially psychologically abusive behaviors perpetrated by either a wife toward her husband or the identical actions perpetrated by a husband toward his wife were sent to a nationwide sampling of practicing psychologists. Results indicated that psychologists, irrespective of demographics, rated the husband's behavior as more likely to be psychologically abusive and more severe in nature than the wife's use of the same actions. Psychologists did not differentially rely on any of the three contextual factors (i.e., frequency/duration, intent of the perpetrator, and perception of the recipient) to influence their determination that a behavior was "psychological abuse" dependent upon whether the initiator of the psychological actions was the husband or the wife. Future research could assess more directly the rationale for the psychologists' differing views of male versus female behavior. In addition, more normative information is needed to inform mental health professionals as to the prevalence and severity of psychologically aggressive actions in the general population.

Adult↗
PubMed1994

Early childhood special educators' perceptions of school psychologists' roles in their programs.

Perceived and preferred roles of 67 school psychologists in early childhood special-education programs were examined in a partial replication with 268 respondents in Illinois of Mowder, Willis, and Widerstrom's work. The most commonly cited reason for consultation with school psychologists was related to psychological assessment, with information on children's functioning as the most likely benefit. Respondents preferred the mental health model. Although respondents were satisfied with the roles of school psychologists, they presented several concerns about expanded roles for school psychologists.

Child, Preschool↗
PubMed2000

High service users: does the clinical psychologist have a role?

OBJECTIVE: To assess the impact of psychological intervention on high users of the GP service. DESIGN: A sample of high-attenders was offered the opportunity to attend an interview with a clinical psychologist. A three-year (one year before and two years after psychological intervention) survey of patient records was carried out to determine the pattern of patient attendances. In addition, GP and patient satisfaction questionnaires were utilised to rate the psychological service. SETTING: A GP surgery situated in the coastal region of Scotland. SUBJECTS: All adult patients, who had consulted over 12 times in the 12 months prior to the beginning of the study except those who had ongoing medical problems that the GP felt were being dealt with adequately, were invited to a psychological interview. In all, 174 invitations were sent, and 101 agreed to psychological intervention. RESULTS: After three months both the GPs and patients positively rated the input of the psychologist. There were short-term benefits from the psychological intervention in terms of attendance rates, which were not in evidence in the long term. For the participating group there was a significant decrease in attendance rate three months after psychological intervention compared to the non-participating group (P < 0.001). However, at 12 and 24 months after intervention both groups reduced attendance at a similar rate. CONCLUSION: Psychologist intervention had a short, but not long term, benefit, in reducing attendance rates. However, both GPs and patients found the provision of a report from the psychologist useful.

Adult↗
PubMed1997

Psychologists' accuracy in identifying neuropsychological test protocols of clinical malingerers.

Neuropsychology practitioners' accuracy in detecting malingering (based on neuropsychological test data alone) was investigated. Four test protocols had been produced by clinical malingerers who were identified by below-chance forced-choice test (FCT) results. For two of the cases observation/ surveillance data also indicated malingering. Two test protocols had been produced by severely head-injured individuals. Sixty psychologists reviewed a malingered test protocol and 26 reviewed data of a head-injured patient. Error rates (diagnosis of cerebral dysfunction without identifying malingering) ranged from zero to 25% and averaged 10% across the four malingered cases. Eight percent of the psychologists diagnosed malingering in the severely head-injured cases. Psychologists who received FCT data were significantly more confident in their diagnoses than were psychologists who did not receive FCT results, but they were not more accurate. The results suggest that neuropsychologists are capable of accurately detecting malingering, at least for obvious cases.

Journal Article↗
PubMed1993

[A study on job satisfaction of clinical psychologists working in the medical field].

The purpose of this study was to examine the relationship of job satisfaction to job difficulty and worthiness, reported by the clinical psychologists who worked at medical institutions. A mail survey of 748 clinical psychologists working at hospital and clinics revealed the following results. First, job satisfaction was related more to job situation than job content. Also, job satisfaction was low among those who worked at non-university psychiatric or geriatric hospitals, who did not practice psychotherapy, and who were not in education, research, or management. In addition, compared to the high job satisfaction group, the low group perceived more incongruity between institutional climate and their psychological work, felt being less valued by other professionals, were less able to function fully as a practicing psychologist, and experienced more role ambiguity as a clinical psychologist in a hospital setting.

Adult↗
PubMed1998

Results of a job analysis of psychologists working in state hospitals.

The graduate training of psychologists should prepare them for central roles in state hospitals, especially roles involving direct patient care and supervision of colleagues. To what extent do actual job practices match graduate preparation? To find out, 55 psychologists from 12 state hospitals in the Midwest were surveyed regarding their educational backgrounds and time currently spent in various job activities. Results indicated that paperwork consumes more time than any other activity, followed by therapeutic services, psychological assessment, supervision, and case management. Almost 50% of the sample was trained under a cognitive-behavioral orientation; however, more than 60% of survey participants now practice according to eclectic models. These results imply that psychologists in these settings may not be utilized to their full potential because of a variety of organizational constraints.

Administrative Personnel↗
PubMed1994

Belief in the existence of multiple personality disorder among psychologists and psychiatrists.

The present study surveyed the attitudes of psychiatrists and psychologists with regard to the existence of dissociative and multiple personality disorders. Questionnaires were sent to psychiatrists and psychologists in all VA Medical Centers. A total of 1,120 VA psychologists and psychiatrists completed the surveys. More than 97% of respondents indicated that they believed in dissociative disorders, while 80% reported a belief in multiple personality disorder. Belief in multiple personality disorder was related significantly to profession, age, and years of experience.

Adult↗
PubMed2002

The psychologist's role in the collaborative process of psychopharmacology.

This is a discussion of a collaborative approach between psychologists, physicians, patients, and others in the administration of psychotropic medication. It is based on a systems point of view. In that perspective, not only are the people indicated above a system, but also the patient is considered from a holistic-systems point of view. It requires that the psychologist not only be a member of the system, and a well-versed in medication member at that; (s)he must also be an observer of the system, be able to take a meta perspective, in order to be able to exercise some unique functions--functions for which psychologists are well-trained.

Family Practice↗
PubMed2004

The scientifically-minded psychologist: science as a core competency.

At the Competencies Conference: Future Directions in Education and Credentialing in Professional Psychology, the Scientific Foundations and Research Competencies Work Group focused on identifying how psychologists practice scientifically. This article presents the subcomponents associated with the core competency of scientific practice. The subcomponents include: 1). access and apply current scientific knowledge habitually and appropriately; 2). contribute to knowledge; 3). critically evaluate interventions and their outcomes; 4). practice vigilance about how sociocultural variables influence scientific practice; and 5). routinely subject work to the scrutiny of colleagues, stakeholders, and the public. In addition, the article briefly discusses how the depth of training for and assessment of each subcomponent will vary by training model. Implications and future directions for individual psychologists, training programs, and the profession are discussed. This is one of a series of articles published in this issue of the Journal of Clinical Psychology. Several other articles that resulted from the Competencies Conference will appear in Professional Psychology: Research and Practice and The Counseling Psychologist.

Competency-Based Education↗
PubMed2005

Re-envisioning the training and practice of clinical psychologists: preserving science and research orientations in the face of change.

We argue for preservation of an expectation of psychologists that approach human problems from an evidence-based perspective. Acquisition of the requisite knowledge, skills, and practical experience require access to resources outside of graduate psychology programs. Whether adhering to a scientist-practitioner or practitioner-scholar model, psychologists must be "scientifically literate." Deficiencies are noted in the training of scientist-practitioner psychologists for the conduct of clinical trials and the dissemination and sustained implementation of evidence-based interventions.

Curriculum↗
PubMed1975

A competency-based curriculum for training middle-level community--clinical psychologists.

The focus of this paper is to delineate the basic skills that might be appropriate for a community--clinical psychologist.. The need for competent professionals to deliver mental health services has exceeded the capacity of existing training programs. Current training emphasis is aimed at providing a community--clinical psychologist on the middle level who would have a set of skills or competencies that would easily identify him as a psychologist

Community Mental Health Services↗
PubMed1978

The psychologist in the community mental health center: an analysis of activities and training needs.

Professional activities and expressed needs for additional training were examined in the case of 211 psychologists employed in 51 community mental health centers in western United States. Two-thirds of the work week is taken up directly or indirectly with traditional clinical services, 19% with community mental health activities; and the balance in program development, administration, research, and program evaluation. In contrast to the common assertion linking psychologists and research activity, the current results indicate that psychologists in community mental health centers devote very little time to research or program evaluation. Expressed training needs parallel reported activity patterns - highest for clinical functions and moderately high for community mental health functions. The significant impact of the community mental health movement is seen in both the distribution of professional activities and in expressed needs for additional competence.

Adult↗
PubMed1999

Psychologists' beliefs about the prevalence of childhood sexual abuse: the influence of sexual abuse history, gender, and theoretical orientation.

OBJECTIVE: This study examined the influence of sexual abuse history, gender, theoretical orientation, and age on beliefs about the prevalence of childhood sexual abuse among clinical and counseling psychologists. METHOD: A mail survey design was used in this study. Participants were randomly selected from the American Psychological Association membership database. There were 615 psychologists who completed self-report measures on beliefs about the prevalence of childhood sexual abuse and demographic characteristics. RESULTS: Overall, clinicians' scores on the prevalence of childhood sexual abuse were moderate. There were significant gender differences on beliefs, suggesting that women were more likely believe that childhood sexual abuse is a common occurrence compared to men. Multiple regression analysis indicated that clinician characteristics (history of sexual abuse, gender, and theoretical orientation) were significantly related to beliefs about the prevalence of childhood sexual abuse. However, these characteristics only accounted for a small amount of the overall variance predicting beliefs. CONCLUSIONS: These results suggest that clinicians do not hold extreme beliefs regarding the prevalence of childhood sexual abuse. Moreover, certain clinician characteristics are associated with their beliefs, which in turn, may impact their clinical judgment and treatment decisions. Furthermore, much of the variance was unaccounted for in the model indicating that psychologists' beliefs are complex and are not unduly influenced by their personal characteristics. Implications for clinical practice and future research are discussed.

Child↗
PubMed1999

Integrating health and mental health services in schools: psychologists collaborating with primary care providers.

This article reviews recent trends, developments and empirical support for the expansion of psychological practice to include school-based treatment and management of serious and chronic medical conditions, including somatization, in collaboration with primary health care providers. Trends and developments reviewed include (a) the expansion and integration of health, mental health, social and community services in schools, (b) the rapid growth of school-based health centers (SBHCs), (c) psychology's increased involvement in the collaborative treatment of chronic and serious medical disorders, (d) recent federal and state legislative initiatives, and (e) cost-driven marketplace changes. Lack of empirical data specific to collaborative psychologist-health care provider collaboration in schools and SBHCs, particularly around somatization, is discussed. Ethical and legal, professional, and reimbursement issues that must be addressed if psychologists are to practice in this emergent arena are identified. This article calls for research to document both the clinical effectiveness and cost-efficacy of collaborative psychologist-primary care provider intervention in schools and SBHCs.

Child↗
PubMed2005

Some variables associated with psychologists' appraisal of psychotherapy in Argentina.

The purpose of this research is to provide information about the state of psychotherapy in Argentina, as well as to study some variables involved in psychologists' evaluation of psychotherapy. A survey of 14 items was elaborated ad-hoc for this purpose, and administered to 226 psychologists from all over the country by mail and, in some cases, personally. Results suggest that the predisposition to apply techniques from different frameworks is associated with the amount of experience and with the perception of a bias concerning other theoretical focuses, although it is not related to the evaluation of the state of psychotherapy. On the other hand, in the view of psychologists, personal aspects of the therapeutic relationship are believed to be the most important factor in patients' change and effective progress.

Adult↗
PubMed1990

Early interactions between animal psychologists and animal activists and the founding of the APA Committee on Precautions in Animal Experimentation.

The current conflict between animal psychologists and animal rights activists often is presented as a recent and unique phenomenon. Although its scope may be unprecedented, the fundamental issues are longstanding. Early criticisms of animal psychologists are viewed in the context of the broader Victorian antivivisectionist movement and are seen as similar to those of the present time. Various attitudes toward animals and research were expressed by individuals such as Charles Darwin, George John Romanes, William James, and John Dewey. Media attacks on animal research were directed at psychologists such as G. Stanley Hall, John B. Watson, Ivan P. Pavlov, and Edward L. Thorndike. The American Psychological Association Committee on Precautions in Animal Experimentation was founded in 1925 at the instigation of Walter B. Cannon, with Robert M. Yerkes as the first chair.

Animal Welfare↗