Importance of developmental theory and investigation to research in clinical child psychology

Focuses on the developmental periods of infancy, childhood, and adolescence to offer illustrations of the advantages of using developmental theory and research to establish targets for research on intervention, assessment and treatment planning, and evaluation of effective strategies for prevention of childhood and later adult disorders. The importance for training clinical graduate students in developmental approaches to research is stressed, and hopes for a future of mutual contributions of developmental and clinical psychology are expressed in light of the fact that, after a troubled history of isolation from one another and even active denigration of one another's goals and methods, developmental and clinical psychology are exhibiting joint recognition of the advantages of collaborative research.     

Quality control and the practice of clinical psychology

Because of current health care reforms, quality control, accountability, and cost-effectiveness have become important issues in the practice of clinical psychology. It is imperative that practicing clinicians begin to evaluate their services to assess whether they demonstrate high quality and cost-effectiveness, as well as a continued commitment to qualify improvement. Deming's (1986) approach to quality control is discussed as a useful strategy for improving effectiveness in the practice of clinical psychology. This approach emphasizes the process of identification of the client population, improvements through incremental processes, and evaluation of outcomes. Organizational Behavior Management (OBM) techniques are also reviewed as useful ways in which to supplement and improve on Deming's approach to quality control. Science and quality control are discussed as being inherently coherent. The scientist—practitioner model dictates that services provided to clients should be rigorously evaluated. Various procedures for evaluating the quality of services provided in clinical practice are discussed.     

Buddhist psychology: A review of theory and practice

This paper gives an account of some of the major aspects of Buddhist psychology. The survey is confined to the texts of Early, or Theravada, Buddhism — that is, the canonical texts and their early Pali commentaries and related expository texts. The importance of psychological concepts in the philosophy and practice of Buddhism is highlighted. The problems inherent in the study of Buddhist psychology are discussed, including the problem of translation and interpretation. The paper then describes and analyzes several key Early Buddhist psychological notions including: basic drives that motivate behavior, perception and cognition, consciousness, personal development and enlightenment, meditation, and behavior change. The relationship between theory and practice in Buddhist psychology is commented on, with special reference to meditative techniques and other behavior change strategies. Finally, comments are made on the possible interaction between Buddhist and modern psychology. An earlier version of this paper was presented at the Annual Conference of the British Psychological Society, St. Andrews, April, 1989.     

Buddhist psychology: A review of theory and practice

This paper gives an account of some of the major aspects of Buddhist psychology. The survey is confined to the texts of Early, or Theravada, Buddhism — that is, the canonical texts and their early Pali commentaries and related expository texts. The importance of psychological concepts in the philosophy and practice of Buddhism is highlighted. The problems inherent in the study of Buddhist psychology are discussed, including the problem of translation and interpretation. The paper then describes and analyzes several key Early Buddhist psychological notions including: basic drives that motivate behavior, perception and cognition, consciousness, personal development and enlightenment, meditation, and behavior change. The relationship between theory and practice in Buddhist psychology is commented on, with special reference to meditative techniques and other behavior change strategies. Finally, comments are made on the possible interaction between Buddhist and modern psychology. An earlier version of this paper was presented at the Annual Conference of the British Psychological Society, St. Andrews, April, 1989.     

Comparison of counseling and clinical psychology graduates on the examination for professional practice in psychology

Doctoral recipients in clinical psychology scored higher than doctoral recipients in counseling psychology on the national licensing exam, the Examination for Professional Practice in Psychology. The largest discrepancies between the 2 groups were on Subtest I (diagnosis), Subtest II (intervention), and Subtest III (research). The differences were less large for Subtest IV (professional/ethical/legal issues) and for Subtest V (social application). The authors recommend that both counseling and clinical psychology graduate students take more course work in the department of the other discipline.     

Training in clinical child psychology: doing it right

Discusses (a) what roles the specialty of clinical child psychology fulfills and how societal and professional changes have enhanced the need for the specialty, (b) how the field defines itself, (c) how models of training are conceptualized for the specialty, and (d) how some training programs implement specialty training with broad, interdisciplinary components. Clinical child psychology is a professional field of research and practice that, when adequate training is provided, properly deserves a places as a specialty. The dangers of overspecialization and narrowness are more likely present in traditional clinical (adult) psychology than in clinical child psychology, especially when the clinical child training is done in a broadly comprehensive and integrated manner.     

An ecological approach to child and family clinical and counseling psychology

The ecological model of child and family clinical and counseling psychology considers mental health service delivery within a health maintenance framework, approaching the complexity of children's behavior in a systematic and organized fashion using science-based intervention practices. The service delivery framework integrates assessment, intervention, and motivation at all phases of an intervention. Assessments enhance the participants' and professionals' appraisal, which in turn impact motivation to change. Interventions are sensitive to assessment-based targets and participant motivation. A menu of interventions range from assessment, feedback, and brief interventions to more extensive mental health services, potentially integrated with other community agencies and school settings. The ecological model suggests revisions in the conceptualization of child and adolescent psychopathology, training for mental health professionals, and strategies for the design and testing of interventions. In general, a reformulation of mental heath services for children and families within an ecological framework enhances the potential for integrating science and practice.     

Bridging between basic theory and clinical practice

This paper articulates and discusses the parts played by different processes and representations in the overall conduct of applied clinical science. It distinguishes two sorts of representation, theories in the science base and bridging representations needed to map from real world behaviour to basic theory and from theory back to the real world. It is then argued that macro-theories of the "normal" human mental architecture could help synthesise basic theoretical accounts of diverse psychopathologies, without recourse to special purpose clinical cognitive theories of particular psychopathologies or even specific symptoms. Using the Interacting Cognitive Subsystems model [Affect, Cognition and Change: Re-modelling Depressive Thought, Lawrence Erlbaum Associates, Hove, 1993], some specific macro-theoretic variables are identified. Concrete illustrations are given of how the essence of quite complex basic theory can be translated into a simpler representational format to help clinicians conceptualise a psychopathological state and pinpoint relevant variables that might be changed by therapeutic interventions. Some suggestions are also offered about how the inevitable problem of complexity in multiple component theories might be directly confronted.     

Examination for professional practice in psychology subtest scores of professional and traditional clinical psychology program graduates

Professional school clinical psychology graduates not only exhibit inferior performance on the research subtest of the Examination for Professional Practice in Psychology (EPPP; D. I. Templer & M. E. Tomeo, 1998), but they also perform less well on the four more professionally oriented subtests: diagnosis, intervention, professional/ethical/legal issues, and application to social systems. Graduates of free-standing professional schools exhibited performances inferior to those of graduates of non-free-standing professional schools on the diagnosis, intervention, and professional/ethical/legal subtests.     

Catastrophe theory applications in clinical psychology: A review

Catastrophe theory is a new mathematical science that permits some insight into the way in which sudden changes or discontinuities of behavior may occur even though the underlying causative forces are essentially continuous. This article aims to present a nonmathematician’s view of catastrophe applications in clinical psychology. Areas covered include anorexia nervosa, binge eating and drinking, affective disorders, schizophrenia, aggressiveness, and prison disturbances. Where appropriate, therapeutic implications and possible physiological correlates are offered. Examples are given of catastrophe theory’s ability to explain previously inexplicable findings. Attention is drawn to its refutability and predictive value, and hence its scientific respectability.     

Object relations theory in clinical practice

This paper outlines the psychoanalytic techniques derived from ego psychology-object relations theory. It stresses the centrality of affects to interpretation and describes how the focus on dominant object relations in the transference modifies the economic, dynamic, and structural criteria for interpretation. Clinical examples illustrate this technique across a broad spectrum of psychopathology. The technique for genetic constructions and reconstructions in the transference is described, and this approach is contrasted with other object relations theories. Finally, the application of this approach to countertransference and dream analysis is summarized.     

Compulsory schooling, child study, clinical psychology, and special education. Origins of school psychology.

The historical development of school psychology is discussed in the context of circumstances and individuals significant to its origins. The contributions of Witmer's clinical psychology and Hall's child study demonstrate how early forms of school psychology evolved from their conceptualizations. Even though the specialty did not achieve a stable national identity until the second half of the 20th century, the provision of psychological services in schools is among the earliest fields of applied psychology and has distinct connections to Witmer and Hall.