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At least 19 recordsLinked to original sources
PubMed1976

The Adlerian approach: a practical psychology for family practice.

A systematic approach to understanding the patient's personality and helping him cope with common life problems is found in Adlerian Psychology. It is uniquely appropriate to family practice because it stresses the interpersonal purposes of behavior and symptoms and the influence of family constellation on the development of the individual life-style. By obtaining a small amount of data about the patient's present life situation and his family of origin, the physician can gain a basis for understanding how the patient developed his unique way of acting and reacting to the physical and social stresses of life. Interpretation of two or three early recollections reveals what the patient expects of himself, others, and life. The insight thus gained is used as the basis for a holistic assessment of the problem; a directive, supportive, action-oriented plan for treatment; and an ongoing doctor-patient relationship of mutual respect.

Adolescent↗
PubMed2003

Practicing psychology in the era of managed care. Implications for practice and training.

Beginning with the HMO Act of 1973, managed care, a system for controlling health care costs, rapidly expanded and gained influence as the main vehicle for health care delivery in the United States. Implementation of managed care principles in the mental health arena has generated much debate, particularly with respect to issues of quality of care. The authors briefly trace the development of managed care and evaluate its impact on the practice of psychology. The extant literature is reviewed with specific attention to issues of quality of care, confidentiality of patient information, and shifting practice patterns of clinicians. Finally, the future of professional psychology within the context of managed care is examined, and the implications of newly created mental health roles for practitioners, training programs, and organized psychology are discussed.

Confidentiality↗
PubMed1983

Outcome of eclectic psychotherapy in private psychological practice.

The outcome of eclectic psychotherapy in a private psychological practice was examined in 69 clients. Target symptoms, life-adjustment ratings, social-adjustment ratings, and therapy expectancy were obtained before and after four months of psychotherapy from clients, therapists, and independent clinical raters. Results indicated that significant change had occurred after four months of psychotherapy for 6 of 10 categories of target complaints, in 9 of 11 areas of life adjustment and in 14 of 22 areas of social adjustment. Overall, 70 percent of clients showed improvement in their symptoms; 14 percent were unchanged and 17 percent deteriorated. The major value of the study is an exploration of psychotherapy outcome under naturalistic conditions in a growing but rarely studied treatment setting.

Adult↗
PubMed1993

Young, scarred children and their mothers--a short-term investigation into the practical, psychological and social implications of thermal injury to the preschool child. Part II: implications for the child.

A short-term, prospective study, using both quantitative and qualitative methods, was designed to determine the practical, psychological and social implications of thermal injury resulting in scarring for children under 5 years of age, during the 6 months following the child's discharge from hospital. Mothers of 57 children (whose thermal injuries ranged from 1 to 41 per cent of body surface area and who all required skin grafting) were interviewed whilst the child was in hospital and at home, at 1 week, 2 months and 6 months following hospital discharge. From the mothers' descriptions, four categories of child behavioural response to thermal injury and hospitalization were identified. In the first week after discharge from the burns unit, 56 per cent (32/57) of children displayed minor or major disturbed behaviour, which had reduced to 19.3 per cent (11/57) by the 6-month interview. There were many reported physical and practical problems associated with the thermal injury and after-care. The MacGregor Deformity Scale was employed to assess the child's appearance. The child behaviour test scores (S. Jenkins et al. J. Child Psychol. Psychiatr. 1980; 21: 5; N. Richman et al. Pre-school to School-A Behavioural Study. 1982; Academic) demonstrated a similar progression of behavioural responses as the qualitative data, and, furthermore, indicated that the children under 2 years of age seemed to be affected for a more prolonged period.

Burns↗
PubMed1993

Young, scarred children and their mothers--a short-term investigation into the practical, psychological and social implications of thermal injury to the preschool child. Part I: Implications for the mother.

A short-term, prospective study, using both quantitative and qualitative methods, was designed to determine the practical, psychological and social implications of thermal injury resulting in scarring, for the mothers of thermally injured children, during the 6 months following the child's discharge from hospital. Mothers of 57 thermally injured children under 5 years of age were interviewed whilst the child was in hospital and at home, at 1 week, 2 months and 6 months following hospital discharge. Thermal injuries ranged from 1 to 41 per cent of body surface area and all required skin grafting. Qualitative analysis of interview transcripts resulted in the development of a model of the mother's response--The Maternal Thermal Injury Response Pattern (MTIRP)--which describes a phasic pattern of general response categories. The mothers' psychiatric morbidity was measured using Goldberg's (1978) 60-item General Health Questionnaire (GHQ). The mean of the mothers' total GHQ scores was 2.42 for the retrospective, pre-injury score, 24.5 at the hospital interview and 5.96 at 6 months following the child's discharge from hospital. In conclusion, the mother is a neglected victim of a young child's thermal injury. Use of the MTIRP as an educational tool for carers would promote increased understanding and, thus, more appropriate support.

Burns↗
PubMed1992

What creates the dilemma in ethical dilemmas? Examples from psychological practice.

Twenty psychologists were interviewed about an ethical dilemma that they had found to be particularly difficult to resolve. In just under half of the cases the dilemma involved a perceived conflict of ethical principles (e.g., the welfare of the consumer vs. the right to privacy). In the other cases, the psychologists were prevented from following an ethically prescribed course of action by some nonethical consideration such as contractual obligation, legal requirement, or the demands of an employer. We discuss the implications of these two sorts of dilemmas for psychological practice and make some suggestions for proactive approaches to ethical problem solving.

Adolescent↗
PubMed1989

Psychological practice in a pediatric rehabilitation hospital.

Described 127 consecutive referrals to a newly formed psychological consultation service in a pediatric rehabilitation hospital. This setting served children whose needs for comprehensive care and long-term hospitalization could not be met effectively elsewhere in the community. The complex patient population included children with permanent mental and/or physical handicaps who had survived due to advances in medical technology, those with traumatic or congenital brain injury, failure to thrive, feeding problems, apnea, tracheostomy, child abuse, and psychosomatic disorders. A range of psychological services were offered, including specialized assessments and treatment planning for rehabilitation, home and school placement, direct treatment and monitoring of behavioral progress, and consultation with staff. Implications for the practice of pediatric psychology and service delivery to patients in pediatric rehabilitation settings are discussed.

Adolescent↗
PubMed2005

Delivering the nuts without the bolts: the plight of clinical psychology practice.

A vision as bold as that expressed by C.R. Snyder and Timothy R. Elliott in their target article, "Twenty-First Century Graduate Education in Clinical Psychology: A Four Level Matrix Model" (this issue, pp 1033-1054), should make the long-awaited breakthrough in training that would include development, implementation, and evaluation of large-scale health delivery systems. The realization that clinical psychology is part of the health care industry, and not just psychotherapy or mental health, would enable psychologists to go beyond the laboratory and become important decision makers in the health care arena and thus command a greater share of health care funding.

Behavior Therapy↗
PubMed2003

Transforming psychological practice and society. Policies that reflect the new paradigm.

As people with disabilities challenge psychology to acknowledge the sociopolitical foundations of their marginalization, they urge psychologists to help improve disability policy within and beyond the borders of the discipline. Understanding disability through a social paradigm offers opportunities to reframe the way psychologists define problems related to disability, to develop more collaborative relationships between psychologists and people with disabilities, and to adopt new professional responsibilities with respect to the disability community. The authors address the impact of the social paradigm on policies within psychology that guide consulting, advocacy, and training. The impact of national policy decisions, such as those associated with reimbursement, on practice and training is also discussed. Highlighted throughout are points of controversy prompted by new disability frameworks that remain open to illumination from the field.

Humans↗
PubMed1982

[The leukemic child. Reflections from 5 years of psychological practice in a pediatric hematologic unit].

This report describes the psychological study of 130 children admitted to a paediatric haematology unit, where the personnel are sensitive to the needs of the infant and the parents also have their place. Taking several situations confronting the child with leukaemia, we try to stress the effect of the illness on schooling, family life and psychological function. The illness interrupt the psycho-affection development of the child and affects his relations to himself and others. Faced with childhood leukaemia, where somatic pathology and psychological difficulties interact, the psychologist has the role of listening to and supporting the child and the family as well as that of mediator with the personnel.

Activities of Daily Living↗