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PubMed1975

The community psychologist as social planner. Designing optimal environments.

The environmental movement may provide a vehicle by which community psychologists can contribute to large-scale ecological change. This paper uses one outgrowth of the environmental movement--the environmental impact assessment process--to illustrate the procedures for input by community psychologists can participate in the environmental impact assessment process to (1) predict the effects of any new project on the demand for treatment services and (2) suggest ways in which a project may be designed to prevent psychological problems and enhance community well-being.

California↗
PubMed1989

Taking on the roles of educator and mediator: two means of preventing ethical conflicts for community psychologists when financial resources are scarce.

Three approaches are presented in this commentary on ethical conflicts in the practice of community psychology. The first is the prevention of such conflicts, in contrast with ways in which conflicts can be coped with or resolved. The second is a re-examination of the roles of the community psychologist, and of how a modification of these roles could reduce the likelihood that ethical conflicts would arise. And, finally, a more general problem is pointed out concerning the fact that communities do not generate funds sufficient to meet the needs of their citizens. Community psychologists are drawn into ethical conflicts revolving around the allocation of funds if and when these conditions prevail.

Community Mental Health Services↗
PubMed2007

[The effects of stalking on psychiatrists, psychotherapists and psychologists. Prevalence of stalking and its emotional impact].

Stalking in the psychiatric context describes a pathological behaviour which is characterized by repeated persecution, harassment, or menacing of or assault on a person. Because of the association between stalking and mental disorders, psychiatrists, psychologists and psychotherapists belong to particularly exposed professions. If they fall victim to stalking during their career, disruptive impacts up to posttraumatic stress disorder (PTSD) can be the consequence. A total of 117 psychiatrists, psychologists or psychotherapists in Graz participated in an anonymous interview. To register possible experiences with stalking defined behaviour, a modified version of the questionnaire of Kamleiter was used. The prevalence and severity of posttraumatic stress symptoms were determined using the Impact of Event Scale of Horowitz. The study showed an incidence of stalking of 38.5%. The rate of female stalkers (60%) was extraordinary high. Most victims (68.9%) experienced non-violent threats. Most of the offenders (41.9%) were diagnosed as suffering from schizophrenia, schizotype and delusional disorders (F2) followed by disorders of adult personality and behaviour (F6) (30.2%). Some 44.4% of the victims developed symptoms of PTSD, which were usually only slight. The analyses suggest that stalking, in the psychiatric field of activity, is a common and serious phenomenon, and that strategies for the prevention and protection of potentially affected professions have to be developed.

Adult↗
PubMed2006

The role of the psychologist in adult congenital heart disease.

In addition to monitoring and treating the cardiac disease, patients benefit from health professionals recognizing and managing the potential psychosocial consequences of growing up with congenital heart disease. Working groups from Europe and North America have emphasized the benefit of inclusion of specialized mental health care for adult congenital heart disease (ACHD) patients. This article reviews the evidence that ACHD patients have special and unique psychosocial needs and outlines ways in which psychologists can be integrated into multidisciplinary ACHD care teams. There are three professional domains in which clinical health psychologists can contribute to an ACHD team: provision of clinical services, multidisciplinary research, and professional education. Considerations for incorporating psychology into ACHD teams are presented.

Adolescent↗
PubMed2005

What research paradigms have cognitive psychologists used to study "false memory," and what are the implications of these choices?

This research examines the methodologies employed by cognitive psychologists to study "false memory," and assesses if these methodologies are likely to facilitate scientific progress or perhaps constrain the conclusions reached. A PsycINFO search of the empirical publications in cognitive psychology was conducted through January, 2004, using the subject heading, "false memory." The search produced 198 articles. Although there is an apparent false memory research bandwagon in cognitive psychology, with increasing numbers of studies published on this topic over the past decade, few researchers (only 13.1% of the articles) have studied false memory as the term was originally intended--to specifically refer to planting memory for an entirely new event that was never experienced in an individual's lifetime. Cognitive psychologists interested in conducting research relevant to assessing the authenticity of memories for child sexual abuse should consider the generalizability of their research to the planting of entirely new events in memory.

Cognition↗
PubMed2006

Satisfaction, utilisation and perceived benefit of individual psychosocial support for breast cancer patients--a randomised study of nurse versus psychologist interventions.

OBJECTIVE: In a prospective, randomised study, individual psychosocial support performed by: (1) specially trained oncology nurses (INS) or (2) psychologists (IPS) were compared with respect to utilisation, satisfaction and perceived benefit. METHODS: Between December 1997 and December 1999, consecutive breast cancer patients (n=120) were included at start of adjuvant therapy (chemo-, endocrine and/or loco-regional radiotherapy). Data were collected by an extended version of the 'IPS-patient satisfaction questionnaire' within 1 week after termination of the support intervention. Questionnaires were also mailed to all patients 6, 12 and 18-24 months after inclusion. Levels of distress were collected with the Hospital Anxiety and Depression Scale (HADS) and Impact of Event Scale (IES) questionnaires. RESULTS: The patients were highly satisfied with the individual psychosocial support intervention they received, irrespective of which profession provided the support. However, the patients in the INS group reported higher levels of benefit regarding disease-related problems, regardless if the patients at baseline reported low or high levels of distress. CONCLUSIONS: Patients were highly satisfied with an individual psychosocial support intervention. In areas dealing with somatic aspects, the group intervened by nurses were more satisfied than the one by psychologists. PRACTICE IMPLICATIONS: Individual psychosocial support by specially trained nurses is a realistic alternative in routine cancer care.

Adaptation, Psychological↗
PubMed1998

The role of the clinical psychologist in gynecological cancer.

Gynecological cancers, which account for a substantial proportion of cancer cases in women, can precipitate a wide range of psychological difficulties including affective disturbances, sexual problems, certain somatic symptoms, and family issues. The clinical psychologist has a unique contribution to make in the assessment and treatment of the psychological needs of gynecological cancer patients, while also conducting research and providing training for health professionals regarding the psychological issues associated with gynecological cancer. Although the gynecological cancer setting affords the clinical psychologist multiple personal benefits, strategies must usually be implemented to minimize any negative impact arising from working in an area of considerable psychological stress.

Cognitive Behavioral Therapy↗
PubMed2001

Clinical care of gambling disorders: training, experience, and competence among VHA psychologists.

Problem gambling is a common, highly destructive disorder which is often overlooked by clinicians. Levels of clinical training, clinical experience, and professional competence for providing clinical services for problem gambling were examined in a survey of 181 clinical psychologists working in the Veterans Healthcare Administration (VHA). The results suggest that the majority of clinical psychologists have little or no formal training and little or no past or current clinical experience in the treatment of disordered gambling, nor do they see themselves as competent to evaluate or treat patients with disordered gambling. Most have not referred patients for treatment of problem gambling and do not know of a competent provider to whom they can refer. There is an identifiable subgroup, representing 9% of respondents, who do have more training, provide services, and see themselves as competent to provide care for patients with problem gambling. The amount of formal training is positively correlated with care provided and self-ratings of competence. Despite the lack of training and experience, most respondents expressed interest in receiving additional training. These data suggest that to improve rates of diagnosis and treatment of patients with problem gambling in mental health settings, additional training needs to be made available for mental health providers as a group, with specialized training for clinicians interested in specializing in this area.

Adult↗
PubMed2004

The need for action when conducting intervention research: the multiple roles of community psychologists.

In choosing to implement empowering interventions with marginalized populations, community psychologists often have to merge research and action. We present three case stories that exemplify empowerment efforts in the context of a multi-year school intervention designed to develop the advocacy skills of ethnic minority students' with disabilities and promote attainment of transition-related goals. In the process of implementing the intervention, our research team had to instigate change, advocate, and/or mediate in multiple conflictual interactions between the various stakeholders in the schools. We faced both positive and negative consequences for our actions. We discuss the responsibilities of community psychologists in the process of empowering others and the implications for the practice of community research.

Adolescent↗
PubMed1989

The (even) bolder model. The clinical psychologist as metaphysician-scientist-practitioner.

Is the clinical psychologist best characterized as a scientist-practitioner? Or does the practice of science and psychotherapy involve metaphysics to such an extent that the clinical psychologist ought to be considered a metaphysician-scientist-practitioner? To answer these questions, the roles, if any, of metaphysics in science and psychotherapy are examined. This article investigates this question by examining the views of the logical positivists, Karl Popper and Imre Lakatos, and concludes that the practice of science and psychotherapy involves metaphysics in (a) problem choice, (b) research and therapy design, (c) observation statements, (d) resolving the Duhemian problem, and (e) modifying hypotheses to encompass anomalous results.

Humans↗
PubMed1989

Women and AIDS-related concerns. Roles for psychologists in helping the worried well.

Acquired Immunodeficiency Syndrome (AIDS) has important implications for the practice of psychology. As the epidemic continues, the role of behavior change and psychosocial factors in the spread and transmission of Human Immunodeficiency Virus (HIV) infections assumes increasing significance. Psychologists, as behavior change experts, have a special and challenging role to play in educating the public, particularly women, about AIDS. This article examines AIDS- and HIV-related concerns in women with a focus on the personal dilemmas for the practicing psychologist, problems in health behavior advocacy, and methods and pitfalls in modifying sexual behaviors.

Acquired Immunodeficiency Syndrome↗
PubMed1990

The psychologist as admitting clinician. A single case example.

An experiential view of significant issues associated with independent hospital practice for psychologists is offered through a case presentation. The example is a model of practice in effect at a 90-bed, free-standing, inpatient facility opened in 1985, that gives psychologists full professional staff privileges.

Hospitalization↗
PubMed1991

Issues in psychotherapy with lesbians and gay men. A survey of psychologists.

In 1984, a task force of the American Psychological Association (APA) Committee on Lesbian and Gay Concerns was charged with investigating bias in psychotherapy with lesbians and gay men. The task force surveyed a large and diverse sample of psychologists to elicit information about specific instances of respondent-defined biased and sensitive psychotherapy practice. Open-ended responses were used to separately identify major themes of biased and sensitive practice and to illustrate each with concrete examples. Results suggest that psychologists vary widely in their adherence to a standard of unbiased practice with gay men and lesbians. To bring individual practice into accord with APA policy will require continued and expanded efforts to educate practitioners about sexual orientation.

Attitude of Health Personnel↗
PubMed1992

Injury control. What psychologists can contribute.

Psychologists are inadequately represented in the injury control field, despite the size of the problem and the importance of behavioral factors in injury. Using motor vehicle injuries as an example, this article discusses modern injury control principles and the role psychologists can play in injury reduction.

Accident Prevention↗
PubMed1993

The public's knowledge about psychologists and other mental health professionals.

A random sample of New London County, CT, residents received a questionnaire about nine mental health professions or professionals (MHPs): clergyperson, marriage and family counselor, nonpsychiatric physician, psychiatrist, psychiatric nurse, psychologist, psychotherapist, social worker, and telephone crisis counselor. Respondents defined each MHP and reported their satisfaction with treatment, which MHP they would recommend, their referral source(s), licensure requirements, and fees. A mixed-design analysis of variance was computed, with comfortableness as the dependent variable; age, sex, saw an MHP, and education, the between-subjects variables; and the nine MHPs, the within-subjects variable. A significant MHP effect showed that physicians were perceived as slightly more comfortable than were psychologists (nonsignificant), who, nevertheless, were perceived as exceeding all other trained MHPs in the comfortableness experienced by their clients.

Attitude↗
PubMed1996

The case against prescription privileges for psychologists.

The right to prescribe psychoactive medications could have major effects on the practice of psychology, on its education and training, on the marketing of psychological services, and on the public's perception of the field. This article presents the case against psychologists pursuing prescription privileges, including discussion of several arguments advanced by proponents of prescription privileges. Although APA has endorsed the effort to secure prescriptive authority, there is no requirement that states actually change their licensing laws so that their psychologists can prescribe. The costs (and potential risks) involved in pursuing prescription privileges are discussed.

Curriculum↗
PubMed2003

Disability and rehabilitation research. Opportunities for participation, collaboration, and extramural funding for psychologists.

The National Institute on Disability and Rehabilitation Research (NIDRR) funds research and related activities that promote new knowledge that helps individuals with disabilities to perform regular activities in the community and increases the capacity of society to provide full opportunities and supports for individuals with disabilities. NIDRR achieves this goal by promoting interdisciplinary research and related activities. Psychologists play a key role in many of these activities and assist with improving understanding of disability and rehabilitation by participating in peer review of research proposals or by reviewing NIDRR's proposed research priorities. Psychologists also contribute by taking advantage of training and the many other opportunities for support outlined in this article.

Capital Financing↗
PubMed2005

Global mobility for psychologists: the role of psychology organizations in the United States, Canada, Europe, and other regions.

Global mobility for psychologists is rapidly improving because of an emerging consensus on recognition standards, the demand for cross-border mobility both internal and external to the profession, and the efforts of membership, credentialing, and regional organizations to promote mobility. In the United States, multiple credentialing organizations promote mobility, primarily through individual endorsement of credentials. The Canadian regulatory boards signed a mutual recognition agreement implementing fast-track mechanisms for licensed psychologists seeking mobility and a competency-based assessment for initial registration. Europe plans to reduce barriers to mobility through mutual recognition of qualifications via a EuroPsy diploma that provides a benchmark for professional psychology education and training. Other regions have not made as much progress with regard to promoting mobility, as many do not yet even regulate the practice of psychology. The authors examine who seeks mobility, which geographic regions promote mobility, and by which mechanisms.

Canada↗