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61.
62.
Dr Craig J. Gonsalvez Judy Hyde Sandra Lancaster Julie Barrington 《Australian psychologist》2008,43(4):278-285
Abstract: There is universal recognition of the need for developmentally appropriate supervised clinical experience in professional psychology training. University clinics were established to provide a bridging function for postgraduate clinical psychology students, assisting the integration of psychological theory and research into real‐world clinical applications and professional identity development. The aim of training in university clinics is to provide opportunities for clinical practice and high‐quality supervision to monitor and shape clinical skills. The experiences gained in external practicum settings complement this initial training but cannot replace it. The recent introduction of Medicare rebates for psychology services has threatened the survival of university clinics because low‐cost psychological treatment is now available from experienced practitioners. This paper provides data on Australian university clinics collected before the introduction of Medicare. Concerted efforts are needed to protect university clinics in order to maintain standards required for accreditation of clinical psychology training programs. The potential impact of the loss of university training clinics is discussed and strategies to ensure their survival are suggested. 相似文献
63.
Scheinkman M 《Family process》2008,47(2):197-213
This paper presents a multi-level framework and road map to guide the therapeutic process. Starting with the couple's reactive pattern, the multi-level approach first orients the therapist on how to create a "holding environment." It then suggests how the therapist, in collaboration with the couple, can proceed to explore interactional, sociocultural/ organizational, intrapsychic, and intergenerational processes that might be fueling the couple's dynamics. Central to this approach is the construct of the vulnerability cycle, a nexus of integration that helps the therapist stay anchored while moving through the many layers of therapeutic work. The overall goal is to help the partners move from reactivity to responsibility for their own feelings and behavior; from impasse to a greater ability to reflect, express feelings, listen, negotiate, and make choices about how to be in the relationship. This paper describes a range of concepts and interventions from basic to complex; it is intended as an organizational tool for practice and clinical training. 相似文献
64.
William N. Robiner Richard J. Seime 《Journal of clinical psychology in medical settings》2008,15(1):3-6
Psychologists, interns, and postdoctoral fellows convened in Minneapolis May 3–5, 2007 for the 3rd National Conference of
the Association of Psychologists in Academic Health Centers (APAHC): “Psychologists in Academic Health Centers: Traditions
and Innovations in Education, Science, and Practice.” This paper reviews the development and organization of the conference,
which built upon the two previous conferences of the Association of Medical School Psychologists. The articles in this special
issue are based on a selected number of the 32 conference presentations, covering a range of timely topics that reflect the
conference theme. Participants’ positive perceptions and satisfaction with the conference reveal the value of such conferences
focused on the activities, interests, opportunities, and challenges of psychologists who work in academic health centers (AHCs)
and teaching hospitals. Moreover, the content and success of the conference underscores the importance of APAHC as an organization
serving the needs and promoting the interests of psychologists affiliated with AHCs.
相似文献
William N. RobinerEmail: |
65.
Outcomes for cognitive-behaviour therapy (CBT) in randomised controlled trials (RCTs) have rarely been compared to those in routine clinical practice. Taking the case of CBT for chronic fatigue syndrome (CFS), we evaluated the results of a successful RCT against those of the same treatment given in the same setting as part of routine practice. Fatigue and social adjustment scores were compared for patients who received CBT for CFS as part of a RCT (N=30) and patients who received CBT as part of everyday clinical practice (N=384). The results in the RCT were superior to those in routine clinical practice. Between pre-treatment and 6-month follow-up, the RCT showed a larger reduction in fatigue and greater improvement in social adjustment than those in routine treatment. The changes in fatigue scores were similar for both groups during treatment but were greater in the RCT between post-treatment and follow-up. Potential reasons for the superior results of the RCT include patient selection, therapist factors and the use of a manualised treatment protocol. Practitioners need to pay particular attention to relapse prevention and ensuring adequate follow-up in addition to encouraging patients to continue with cognitive-behavioural strategies once treatment has ended. 相似文献
66.
James C. Overholser 《Journal of Contemporary Psychotherapy》2007,37(4):205-211
For many professionals, the Boulder model captures the ideals of clinical psychology. Unfortunately, it can be extremely difficult
to integrate science and practice in many work settings. The present paper provides several recommendations for encouraging
the scientist-practitioner model in academia. Faculty can strive to integrate teaching, research, and clinical services in
weekly activities. First, it is important for the professional to retain a strong and clear focus on clinical psychology,
without straying into allied fields. Second, it is essential for anyone who works in academia to learn to juggle many different
activities that demand the professional’s time. Third, it is important to maintain a consistent focus on specific areas of
interest in order to cultivate them into domains of expertise. Fourth, it is helpful to appreciate the synergism whereby work
in one area can enhance the other domains. Fifth, it is helpful to integrate several activities into one multi-purpose task.
Finally, it can be useful to view professional involvement in many different activities that could help to advance the field. 相似文献
67.
培养科学的临床思维——由一例延误诊治病例引发的哲学反思 总被引:1,自引:0,他引:1
临床工作中,误诊误治在所难免,重要的是我们能否对其进行反思,从中积累经验教训提高诊疗水平。本文首先从哲学的角度分析了造成误诊的原因,然后指出防止或减少误诊的途径是培养科学的临床思维,并提出了在临床过程中培养科学临床思维应注意的8个方面。 相似文献
68.
Dustin B. Wygant Lana I. Boutacoff Paul A. Arbisi Yossef S. Ben-Porath Peter H. Kelly William M. Rupp 《Journal of clinical psychology in medical settings》2007,14(3):197-205
The current study examined the MMPI-2 Restructured Clinical (RC) scales (Tellegen et al., MMPI-2 Restructured Clinical (RC) scales: Development, validation, and interpretation. Minneapolis: University of Minnesota Press, 2003) in a sample of 1,091 bariatric surgery candidates. The RC scales were
developed to address concerns about limited discriminant validity of the Clinical scales. Internal consistency and external
validity analyses were conducted to evaluate the RC scales in this setting. Results indicated that the RC scales are generally
more internally consistent than the Clinical scales and display significantly better convergent and discriminant validity
in predicting a variety of behavioral, psychological, and developmental variables relevant to preoperative bariatric psychological
evaluations. Implications of the results and recommendations for future research with the RC scales in medical settings are
discussed. 相似文献
69.
Iwanowski PS 《Science and engineering ethics》2007,13(3):333-336
Setting reasonable and fair limits of emergency research acceptability in ethical norms and legal regulations must still adhere
to the premise of well-being of the research subject over the interests of science and society. Informed consent of emergency
patients to be enrolled in clinical trials is a particularly difficult issue due to impaired competencies of patients’ to
give consent, short diagnostic and therapeutic windows, as well as the requirement to provide detailed information to participants.
Whereas the Declaration of Helsinki, Good Clinical Practice guideline, Additional Protocol to the European Bioethical Convention
concerning Biomedical Research, as well as appropriate regulations adopted by the Food and Drugs Administration (USA) allow
waivers from participants’ consent or deferred consent for emergency research, the regulations of most European Community
countries following the Clinical Trial Directive (2001/20/EC) do not give space for a deferred consent or a waiver from consent
for adult patients (unless surrogate consent is made use of). This is even more confusing in case of Poland, where conflicting
regulations on a waiver from a participant’s consent in emergency research exist and the regulations on surrogate consent
of temporarily incompetent adults are too restrictive and authorise only the guardianship courts to consent, which is not
or hardly feasible in practice. European Community regulations need to be amended to allow for implementation of the deferred
consent or waivers from consent for emergency research in order to enable ethical research of emergency conditions that should
become a large part of important public health priorities. 相似文献
70.
A General Factor of Personality (GFP) occupies the apex of the hierarchy in three prominent personality disorder inventories. On the Millon Clinical Multiaxial Inventory-III, a GFP accounted for 41% of the variance in two second-order factors, 31% of the variance in five first-order factors, and 26% of the variance in all 24 scales. On the Dimensional Assessment of Personality Pathology, a GFP accounted for 61% of the variance in six first-order factors and 36% of the variance in all 18 scales. In a cross-validation study of the Personality Assessment Inventory, a GFP accounted for 65% of the variance in two second-order factors, 47% of the variance in five first-order factors, and 27% of the variance in all 18 scales. 相似文献