Sunday, June 29, 2014

Does psychotherapy work for all disorders listed in the DSM? Identify the disorders that outcome research suggests have the best success rate.

          The Diagnostic and Statistical Manual of Mental Disorders (DSM) is a classification of mental disorders that numerous mental health professionals use (American Psychiatric Association, 2014). The intended use of the DSM is applicable in a variety of contexts and researchers and clinicians use it in numerous orientations. The newest edition of the DSM or DSM-5 was designed for the purpose of use in clinical settings such as within clinics and private practices (American Psychiatric Association, 2014). Numerous mental health professionals use the DSM such as clinical psychologists as a reference or means of help with determining if a patient is suffering from a specific mental illness. In regard to disorders listed in the DSM, psychotherapy is an effective measure for treating numerous disorders it lists. Psychotherapy is an intentional and informed application of interpersonal stances and clinical methods taken from established psychological principles as a means of modifying the emotions, cognitions, behavior of individuals in a direction deemed desirable by that particular individual (Plante, 2011).
          Plante (2011), "psychotherapy is the general umbrella term for an enormous range of interventions, modalities, and integrative strategies employed in the service of improving quality of life and health" (p. 247). Therefore, psychotherapy is an effective means of treatment for disorders such as eating disorders, depressive disorders, personality disorders, and anxiety disorders. Specifically, psychotherapy is a means of treatment for disorders such as attention-deficit/hyperactivity disorder (ADD/ADHD), bipolar disorder, depression, schizophrenia, obsessive-compulsive disorder (OCD), and generalized anxiety disorder. During psychotherapy, patients can learn about their problems, behavior, thoughts, and feelings, and gain stress management skills; which, is why it is an effective means of treating numerous disorders listed in the DSM.
References
American Psychiatric Association. (2014). Retrieved from http://www.psych.org/practice/dsm
Plante, T.G. (2011). Contemporary Clinical Psychology (3rd ed.). Hoboken, NJ: John Wiley & Sons, Inc.

What are the stages of therapy? Describe each stage and its goal.

          The development and treatment goals stages involves a psychologist informing a patient of treatment goals by a means of using either formal or less formal instruments for completion of such a process. The goal of this stage is to outline a treatment plan. The implementation of treatment stage involves a psychologist implementing the treatment plan with his or her patient. The goal of this stage is to meet the actual treatment goals. The evaluation of treatment stage involves a psychologist making an evaluation of his or her patient's treatment to determine the effectiveness of the treatment plan, and to determine if it should be altered or terminated (Plante, 2011). The termination of treatment stage involves just that, a psychologist terminating a his or her patient's treatment plan once treatment goals are completed. The follow-up stage involves a psychologist following up with his or her patient to determine if achieved changes were maintained after terminating treatment.
Reference
Plante, T.G. (2011). Contemporary Clinical Psychology (3rd ed). Hoboken NJ: Wiley & Son

Saturday, June 21, 2014

Identify at least one contributor to each of the four theoretical approaches in clinical psychology, along with his or her specific theories or views about human behavior. Which of the four approaches do you find most interesting?

         The four theoretical approaches in clinical psychology are the psychodynamic approach, the behavioral and cognitive-behavioral approaches, the humanistic approach, and the family systems approach (Plante, 2011). Each of these four approaches can be considered as resulting effects of Sigmund Freud's work; whereas, others either tried to further Freud's work or discredit his work which led to other theories that were either the result of further previous theories or as a result of opposing them. The psychodynamic approach is a product of Freud's work; whereas, Freud held the belief that human behavior was the result of conflict between three mental structures which are the id, ego, and superego (Plante, 2011). The behavioral and cognitive-behavioral approaches where a result of B. F. Skinner's and other's work; whereas human behavior occurred as a result of learning and conditioning (classical and operant). The humanistic approach was partially the result of Abraham Maslow's work; whereas, Maslow held the belief that human behavior was motivated in order to achieve particular needs. The family system approach was partially the result of Virginia Satir's work; whereas, shel held the belief that human behavior was the result of families acting covertly or overtly as a means of achieving a balanced relationship (Plante, 2011).
          Of these four approaches, I find the humanistic approach as one of the most interesting. Of course it can be seen that human behavior occurs as the result of needs and once needs are met, individuals continue to behave in a manner to continue to meet such needs. Needs are indeed a driving force that influence behavior.
Reference
Plante, T. G. (2011). Contemporary Clinical Psychology (3rd ed.). Hoboken, NJ: Wiley & Sons, Inc

What types of methods and testing instruments do psychologists use to make a diagnosis? Which ones do you think are most effective?

          Certain methods and testing instruments are critical components of clinical psychology that enable clinical psychologists to effectively diagnosis clients and patients. Psychologists use a variety of methods and testing instruments to make a diagnosis in regard to what is causing the problem or problems that clients and patients are suffering from. Such a diagnosis is a necessity when effectively trying to alleviate the cause of a client's and patient's suffering. Often it is necessary for psychologists to establish a rapport with clients and patients first before using certain methods and testing instruments, because establishing such a rapport can lessen the stress that clients and patients may suffer from when establishing a new client or patient relationship with a psychologist. Such stress can affect the results of certain methods and testing instruments when diagnosing clients and patients. Also, such a rapport may enable a psychologist to determine if a clients or patients are being honest when answering items from testing instruments.
          Such methods and testing instruments that psychologists employ for diagnosis purposes are interviews (structured and not structured), self-monitoring procedures and methods, self-reports such as questionnaires and inventories, behavioral monitoring, surveys, and psychological tests. In regard to my beliefs about the most effective methods and testing instruments, I believe that psychological testing is the most effective means for making a diagnosis of a client or patient. Psychological tests have the potential, if used appropriately to diagnosis clients and patients for assessing or diagnosing various psychological and behavioral disorders and problems such as Post Traumatic Stress Disorder (PTSD), and other problems such as the root of relationship problems (Plante, 2011).
Reference
Plante, T.G. (2011). Contemporary Clinical Psychology (3rd ed.). Hoboken, NJ: John Wiley & Sons, Inc.

Saturday, June 14, 2014

Examination of Clinical Psychology

          As a major field of psychology, clinical psychology focuses on understanding, the assessment, and treatment of behavioral and psychological disorders and problems. Plante (2011), “in fact, clinical psychology focuses its efforts on the ways in which the human psyche interacts with physical, emotional, and social aspects of health and dysfunction” (p. 5). It makes an attempt at using the principles of psychology to alleviate, predict, and understand behavioral, social, psychological, biological, emotional, and intellectual components of human functioning (Plante, 2011). Also, it makes use the principles of human behavior for assisting individuals with various concerns and problems experienced during one’s lifespan in their physical selves, emotions, and in relationships (Plante, 2011). Clinical psychology has a vast history and evolving nature. Research and statistics hold a significant role in regard to this major field of psychology. As a field of psychology, clinical psychology shares some similarities with and other professions; such as school psychology, psychiatry, and social work, but numerous differences do exist that distinguish it from these and other disciplines.
The History of Clinical Psychology
          Clinical psychology as a field developed from the discipline psychology, which in turn developed from philosophy. The thoughts and ideas of numerous philosophers such as one of the most influential thinkers ever, Sigmund Freud, in regard to the human mind and behavior, sparked the foundation of what is known as psychology today. However, psychology did not develop into a discipline distinct from philosophy until 1879. At this point, at the University of Leipzig in Germany, German philosopher Wilhelm Wundt, also known as the father of experimental psychology developed the first psychological laboratory, which resulted in the formation of psychology as a discipline distinct from philosophy (Plante, 2011). Also, what contributed to psychology becoming a distinct discipline occurred in 1892, with the formation of the American Psychological Association (APA). Four years after this development at the University of Pennsylvania, in Philadelphia, Pennsylvania, American psychologist Lightner Witmer opened the first psychological clinic (Watson, 1953). Hence, this resulted in the emergence of clinical psychology as a field of psychology. In regard to specialty areas of psychology, clinical psychology is the more so popular area. Plante (2011), “today clinical psychology is a complex and diverse field encompassing numerous subspecialties and a continuum of scientific and practitioner-focused enterprises” (p. 31).
The Evolving Nature of Clinical Psychology
          Despite the APA lacking an interest in clinical psychology because of a primary interest in scientific research occurring in an academic setting and not of clinical applications, clinical psychology still grows at a rapid pace in the twentieth century during the first two decades (Plante, 2011). At this point, clinical psychology grew rapidly in spite of the rejection of the APA. However, this is not the determining factor of the evolving tendency of clinical psychology. One reason clinical psychology is ever evolving is because of Sigmund Freud’s influential thoughts and work that helped mold the direction of clinical psychology. Numerous psychologists have either sought to disprove Freud’s work and develop other schools of thought in regard to the human mind and behavior or sought to further Freud’s work. Although, clinical psychology instinctively has an evolving nature because of its concern to understand, assess, and treat behavioral and psychological disorders and problems. Therefore, clinical psychology continually uses research and the scientific method to develop a better understandings, assessments, and treatments of such disorders and problems.
The Role of Research and Statistics in Clinical Psychology
          Integrated into clinical psychology’s foundation is research. Applied and basic research enables clinical psychology to answer questions in regard human behavior, treatment, and diagnosis of psychological disorders and problems (Plante, 2011). Fundamental to the practice and science of clinical psychology is research. In regard to statistics, it is an aspect of the scientific method used in research that enables clinical researchers to collect statistical data that enables them to determine if significant information is relative to human behavior, diagnosis, and treatments of psychological disorders and problems. Both research and statistics play a significant role in clinical psychology.  
Clinical Psychology and other Professions
          Numerous differences exist between clinical psychology and other professions, like psychiatry, social work, and school psychology. For instance, clinical psychology and psychiatry are two of the most dominant mental health professions that share a close relationship; whereas, they share a common interest of treating and understanding mental illness (Haslam & Lusher, 2011). However, they differ as far as clinical activities, professional training to become a clinical psychologist or psychiatrist, and various other respects, such as for beliefs about the treatment, etiology, and nature of mental illness. As well as differing in practice characteristics, professional roles, scientific research, and publication of relevant findings in regard to understanding, treating, and alleviating mental illness (Haslam & Lusher, 2011).
          However, researchers with psychology and psychiatric backgrounds commonly collaborate and publish with each other, but the journals that they publish in remain set apart by disciplines. In regard to social work, unlike in psychology, social workers do not obtain an education as extensive as that of clinical psychologists and are not as extensively trained in performing research or the use of testing instruments of psychology as with clinical psychologists (Plante, 2011). In regard to school psychology, school psychologists usually only obtain an MA in psychology, and few obtain a Ph.D.; whereas, clinical psychologists obtain a Ph.D. Also, school psychologists extensively work in special education, secondary, and elementary schools; whereas, clinical psychologists work in varying education fields, private and public practices, teach and perform research in clinical settings.
          The major key differences among clinical psychology and other professions of  mental health are that clinical psychology is an integration of clinical knowledge, theory, and science, that is, a means to understand, relieve, and prevent psychologically-based dysfunction or distress; therefore, promoting development and subjective well-being.
Conclusion
          Focusing on assessing, treating, and understanding behavioral and psychological disorders and problems is the nature of clinical psychology. Clinical psychology’s history is vast, and it is the foundation of a discipline that has an evolving nature. Research and statistics have held a critical role; whereas, enabling clinical psychology to maintain the focus of assessing, treating, and understanding behavioral and psychological disorders and problems. Numerous differences exist between clinical psychology and related fields, but the major difference is the nature of clinical psychology being an integration of clinical knowledge, theory, and science.  
Plante, T.G. (2011). Contemporary Clinical Psychology (3rd ed.). Hoboken, NJ: John Wiley & Sons, Inc.

Watson, R. I. (1953). A Brief History of Clinical Psychology. Psychological Bulletin, 50(5), 321-346. doi:http://dx.doi.org/10.1037/h0062847

Why is research needed in clinical psychology? How do clinicians use research to develop effective treatment plans?

        The significant concerns of clinical psychology are assessing, understanding, and treating psychological and behavioral disorders and problems. Clinical psychology, attempts using the principles of psychology for predicting, understanding, and alleviating behavioral, social, psychological, biological, emotional, and intellectual components of human functioning (Plante, 2011). Research is an integral aspect of clinical psychology in both clinical and academic settings. Clinical psychology is a science and as a science clinical psychology cannot blindly assess and treat psychological and behavioral disorders and problems, or understand psychological and behavioral disorders and problems that can be detrimental to human functioning. Proceeding in such a blind manner can result in ineffective treatments and misunderstandings of such disorders and problems which can result in detrimental harm to human functioning. Therefore, more harm than good would result in regard to diagnosing or misdiagnosing the problems affecting clients and patients, and treating clients and patients; because of blind misunderstandings.
          Therefore, clinical psychology must use research as its foundation through a means of utilizing the scientific method and psychological principals when conducting activities or research related to assessing, understanding, and treating psychological and behavioral disorders and problems. Thereby, clinical psychologist or clinicians use research to understand and assess psychological and behavioral disorders and problems, and to develop effective treatment methods for alleviating the effects of such disorders and problems in regard to clients and patients. Also, such research allows clinicians to pinpoint which treatment methods are more effective for particular clients and patients, and which treatment methods should be used in regard to particular psychological and behavioral disorders and problems.  
Reference
Plante, T. G. (2011). Contemporary Clinical Psychology (Third ed.). Hoboken, NJ: John Wiley & Sons Inc.

How does research affect clinical practice? Is all research equally trustworthy?

           Clinical psychology and research share a strong bond or relationship, whereas clinical psychology is dedicated to using research and dependent on research. Research is at the foundation of everything that occurs in clinical psychology (Plante, 2011). Research provides the direction and basis of any activities that occur in clinical psychology (Plante, 2011). Therefore, research is an invaluable component of clinical psychology. Without research, clinical psychology cannot be an effective discipline of psychology that develops tests or assessments that factor into assessing and treating individuals who suffer from psychological disorders and behavioral disorders and problems that affect human functioning. Also, research enables clinical psychologist to develop treatment methods in regard to treating individuals who suffer from such disorders and problems, as well as it allows for reassessing such treatment methods to make them more effective and allows clinical psychologist to develop more progressive treatment methods that have a less aversive effect on one's clients or patients. Research also helps clinical psychologist follow appropriate steps such as the steps involved in the scientific method to determine the factors that cause or  attribute to psychological disorders and behavior. Simply put, research affects the nature of clinical psychology. 
          Is all research equally trustworthy, no. Especially, when humans are an aspect of research conducted in clinical psychology. Researchers must follow a particular set of rules and guidelines when conducting research. If clinical researchers ignore such rules and guidelines then their research methods become invalid and untrustworthy.
Reference

Plante, T.G. (2011). Contemporary Clinical Psychology (3rd ed.). Hoboken, NJ: John Wiley & Sons, Inc.