Clinical use of the five-factor model: an introduction.

In the past decade, clinical psychologists have developed a renewed appreciation of the value of assessment. At the same time, personality psychologists have come to agree on a fundamental taxonomy of personality traits, the five-factor model. Articles in this special series describe the model and its measurement and discuss applications in three different settings: general clinical practice, a sexual behaviors consultation unit, and a behavioral medicine clinic. This introduction raises questions about the use of personality profiles in psychodiagnosis, the range of applicability of the five-factor model, the utility of personality feedback in psychotherapy, the stability of personality scores among psychotherapy patients, and the feasibility of using personality scores to select optimal forms of treatment. This special series is intended to stimulate research on such topics.     

Gender differences in presentation and conceptualization of adolescent self-injurious behaviour: Implications for therapeutic practice

The UK is reported to have the highest rate of self-injurious behaviour (SIB) in Europe. It is no longer underrepresented in adolescent male populations, and further appears to correlate significantly with the increase in young male completed suicides. Early research suggested mental health professionals view males as being psychologically healthier than females. Gender differences in behavioural presentation and conceptual understanding of SIB may account for such disparity. The fields of counselling psychology and psychotherapy are in the advantageous position of embracing broader perspectives in which to challenge methodological and conceptual biases within existing medical frameworks. Differential gender biases in the nosology of comorbid conditions, psychodiagnosis, and treatment decisions are identified. Mental health workers across disciplines continue to find the management of SIB a challenge despite the wealth of theoretical models available to inform practice. Some techniques and promising therapies (dialectical behaviour therapy and problem-solving therapy) are highlighted as practicable approaches for counselling psychologists. Conclusions reveal future research may benefit from incorporating broader definitions of SIB expressed across the sexes. Further investigation into treatment efficacy with particular emphasis on the impact of gender role socialization is also indicated.     

Clinical Use of the Five-Factor Model: An Introduction

In the past decade, clinical psychologists have developed a renewed appreciation of the value of assessment. At the same time, personality psychologists have come to agree on a fundamental taxonomy of personality traits, the five-factor model. Articles in this special series describe the model and its measurement and discuss applications in three different settings: general clinical practice, a sexual behaviors consultation unit, and a behavioral medicine clinic. This introduction raises questions about the use of personality profiles in psychodiagnosis, the range of applicability of the five-factor model, the utility of personality feedback in psychotherapy, the stability of personality scores among psychotherapy patients, and the feasibility of using personality scores to select optimal forms of treatment. This special series is intended to stimulate research on such topics.     

Psychology in the public sector: addressing the psychological effects of combat in the U.S. Navy

The response of military psychology in times of war or other great public crises may presage the success of the profession in less perilous times. The ability of public-sector psychologists to provide assistance and improve the common welfare during conflict or turmoil is generally followed by an increased demand for psychological services. This likely reflects the success of the psychological response during those crises, and it underscores the fact that psychological consequences of war or disaster require both immediate clinical attention and long-term policy development. The U.S. Navy serves as a model for public-sector psychological service provision. A brief history of Navy psychology is provided, followed by an examination of how Navy psychologists are responding to the issues raised by the current conflict in the Middle East and the problems associated with stigma in the treatment of posttraumatic stress disorder.     

Dual-relationship prohibitions: A concept whose time never should have come

The concept of dual-relationship prohibitions has limited value in that it creates confusion and leads to unfair results in ethics and licensing actions. It serves little purpose because it does not assist psychologists in analyzing situations. Neither does it provide much help in assisting psychologists in deciding how to act in a particular situation, such that the client's best interest is considered. This article addresses the problems with dual-relationship prohibitions. It also focuses on the constitutional problems of dual-relationship restrictions. Finally, a new standard is offered, that of substantial conflict of interest. In addition, an analytical model is proposed to guide psychologists in making decisions regarding whether a substantial conflict of interest exists where multiple-role relationships are involved. Finally, several suggestions are presented to make the entire process connected with ethics complaints fairer and more constitutionally sound.     

Supervision Needs of Correctional Mental Health Counselors

Supervision of mental health counselors and psychologists is a developing field within psychology. Supervision models and needs are being researched and defined. Supervision for correctional mental health counselors and psychologists is an important part of correctional psychology, but has received very little research attention. There are many aspects of correctional psychology that are unique from the field of psychology as a whole; this is certainly true for supervision of correctional mental health staff. This article examines the supervision needs of correctional mental health counselors and psychologists. An application of one supervision model to correctional psychology is presented.     

Action and reaction elements as performance-modifying components of computer use in clinical psychology

Application of computerized equipment in psychodiagnosis and cognitive training entails novel methodical aspects which relate to design of operator and response controls as well as to the test configuration. Some of these aspects are discussed.     

The roles of the secondary school counselor and the secondary school psychologist as perceived by educators of counselors and by educators of school psychologists

This study has indicated that counselor educators and educators of school psychologists are substantially in agreement regarding their perceptions of the roles of guidance counselors and school psychologists in the secondary school. Functions which are perceived as being performed by both counselors and psychologists have been described. These may lead either to collaborative endeavor or role conflict. Basic counselor and school psychologist roles have been presented. The perceived role of the counselor is broad and extensive; the perceived role of the school psychologist appears narrow and intensive.     

Psychotropic Medication Consultation in Schools

Abstract

Assessing, consulting, and intervening with students being treated with psychotropic medications is an increasingly common activity for school psychologists. This article reviews some of the literature providing evidence for the greater need for training in school psychopharmacology. A legal and ethical case study is presented that highlights the complexity of medication issues for school psychologists. Training programs are encouraged to examine current curricular requirements to insure that graduates are exposed to evidenced-based treatments including pharmacological approaches. It is vital that school psychologists examine their own competencies as they work to ethically and legally consult with families and physicians to improve adaptive functioning in school-aged populations.     

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.     

The 2003 Survey of Academic Medical Center Psychologists: Implications and Outlook

This paper offers commentaries on Pate and Kohout’s (2005) report of data from the 1997 and 2003 surveys of psychologists in medical school settings. The commentaries reflect upon the significance of the survey findings and implications for psychology’s role in medical school and academic health science settings. Though the response rate to the survey was disappointing, the data indicate that psychologists are moving up in academic rank, and have made substantial gains in salary. The data also indicate that among psychologists who are medical staff members, who constitute half the 2003 sample, an increasing proportion are functioning autonomously as reflected in gains in the percentage having admitting privileges, staff voting privileges, and authority to write orders. Research continues to be a major focus for psychologists in academic medical centers. Overall, the findings indicate that psychologists can have productive, satisfying careers in medical school/academic health center settings—though there is one troubling sign, a sizeable drop in the number of positions being created for younger, more recently trained psychologists. Methodological enhancements are described that could improve the quality, scope, and usefulness of data from future studies, both for understanding long-term trends and for conducting salary negotiations. High quality data provide a solid foundation for advocating for psychologists’ full participation in the life of medical schools and academic health centers.     

Operant behavioral consultations as conducted by master's and doctoral level psychologists in Virginia

Compared the similarities and differences between the steps engaged in by master's and doctoral level school psychologists in Virginia as they conducted operant behavioral consultations. The data used in the comparisons came from a questionnaire completed by 42 master's level psychologists and 24 doctoral level psychologists. Two of the 12 major steps in conducting operant behavioral case consultations revealed significant differences, with the doctoral psychologists reporting a higher frequency of baseline observations being conducted and a greater frequency of observation during treatment. The doctoral psychologists also reported committing almost three times as much time to each case as did the master's level psychologists. Some discussion and questions are raised with regard to the implications of the above differences in relation to efficiency and outcomes of interventions by both groups.     

Ethical and Professional Issues for Psychologists and Counselors Employing Biofeedback in Counseling Settings

Biofeedback training is a relatively new procedure that is being incorporated into the counseling services of psychologists and counselors. If the highest professional standards and the appropriate safeguards for clients' welfare are to be maintained, careful attention should be given to the ethical and professional issues involved. The American Psychological Association's (1977) ethical standards for psychologists are the basis of the discussion. It is hoped that the discussion will stimulate further consideration of ethical and professional issues of the clinical application of biofeedback among practitioners.     

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.     

Psychologists in medical schools in 1997. Research brief

The activities, income, and medical staff membership and limitations on that membership for psychologists working in U.S. medical school settings in 1997 were examined. A total of 1,938 psychologists responded to a survey conducted by the Research Office of the American Psychological Association, in conjunction with the Association of Medical School Psychologists. Some of the most salient findings were that (a) the largest number of psychologists was involved in research activities, (b) just over half of medical school psychologists were required to generate all or part of their own income through clinical work and research, and (c) the majority of these psychologists were members of a medical staff but were not extended full medical staff privileges. These and other results are discussed in the context of academic rank, tenure status, and other relevant factors.     

Training Family Therapists in a Multicultural Setting

Authors describe a multicultural training model for family therapists and psychologists at a traditionally conservative Afrikaans speaking university in South Africa. Black psychologists are now receiving high priority in a masters degree program that leads to professional registration licensure because of the needs of the population. The authors emphasize the importance of being able to think multidimensionally and creating a context in which students can do the same in such contexts.     

Sources of error in the psychoeducational diagnosis of children

A detailed exploration of the role of diagnostic practices is presented, with special attention given to such practices in school psychology. Basic principles related to diagnostic typology and concepts of reliability and validity are reviewed in the context of recent diagnostic decision-making research. Finally, the intrusion and eventual reduction of particular errors of consistency and inconsistency and psychodiagnosis are examined with a view toward improvements in future training and practice.