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Chapter 3: Current Controversies
Terms in this set (20)
Historically, prescribing has distinguished psychiatrists from psychologists.
The ability to prescribe medication to clients, which constitutes a controversy among contemporary clinical psychologists bc psychologists want that privilege.
Since 2002, which two states have agreed to grant prescription privileges to psychologists?
Louisiana with the proper training
More states may pass it too.
Why should psychologists be able to prescribe?
1. Shortage of psychiatrists, especially in rural areas.
2. Other non-physicians have privileges, like dentists, optometrists, and some nurses
3. "One-stop" shopping for clients
4. Professional Autonomy
5. Evolution of the profession
6. Personal identification
7. Revenue for the profession
why psychologists should not prescribe
Which courses? When? Taught by whom?
Threats to psychotherapy, Would medications replace talk therapy?
Identity confusion, Especially when only some prescribe
Influence of pharmaceutical industry
Evidence-based treatments and Manualized Therapies
when outcome data supports the use of a manualized therapy, the treatment is known as "evidence-based"
when researchers measure therapy outcomes they use..
therapy manuals are good for
* ensuring uniformity across therapists
* to minimize variability
Advantages of Evidence-Based Practice/Manualized Therapy
* scientific legitimacy
* establishing minimal levels of competence
* training improvements
* decreased reliance on clinical judgement
disadvantages of evidence-based/manualized therapy
* threats to the psychotherapy relationship
* diagnostic complications
* restrictions on practice
* debatable criteria for empirical evidence
A form of therapy, often used in research, in which a manual describes a set course of therapy, indicating what steps the therapist should take, what instructions to offer, and so on.
Impact of Managed Care
- emphasis on cost containment
- efficient utilization of resources (care in alternative settings)
third party payment
system developed to help individuals pay for the cost of medical bills, usually a health insurance plan
Effect of Third-Party Payment on Therapy
can result in
* Negative impact on quality
* Too little control over clinical decisions
* Ethical problems, including confidentiality
* Confusion about informed consent (what to tell clients about payment method)
* Greater affordability for many clients
effect of third-party payment on diagnosis
Surveys of psychologists suggest that can result in
* Increased likelihood of being diagnosed with a mental disorder
* Certain diagnostic categories being used more or less often
the influence of technology
telehealth can replace or supplement face-to-face meetings
In recent years, clinical psychologists have increasingly used technology in the direct delivery of psychological services
Benefits of Telehealth
* anonymity and more
applications of technology in clinical psychology examples
Videoconferencing to interview or treat
Interactive Internet sites
Online psychotherapy programs
Virtual reality therapeutic experiences
Therapist/client interaction via hand-held devices (e.g., PDAs)
Technology—Suggestions for Emerging Professional Issues
Obtain informed consent about the technology
Follow relevant telehealth laws
Follow APA ethical code
Ensure confidentiality via encryption
Make efforts to appreciate culture
Obtain relevant training
Know client's local emergency resources
problems with telehealth
- Confirming the identity and location of the client
- Confidentiality across electronic transmission
- Making interpretations in the absence of nonverbal cues that would be present face-to-face
- Competence in technical as well as clinical skills
- Credentials of on-line therapist
- Should your bedroom become a therapy room?
- How can you build a therapeutic relationship?
- Frame of therapy
- May not have the same impact of sitting with someone
- The selling point of "no embarrassment in sharing difficult issues" could be a negative
- Is it therapy or confession?
THIS SET IS OFTEN IN FOLDERS WITH...
Chapter 1: Defining Clinical Psychology
Chapter 2: Evolution of Clinical Psychology
Chapter 4: Cultural Issues in Clinical Psychology
Chapter 5: Ethical Issues in Clinical Psychology
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