Psych 344

Psych 344/clinical *Introduction Leslie case - Every delusion has a kernel of truth; be sensitive to religious delusions - Early onset of mental break 18-19 (schizophrenia) - Differential diagnosis – first break psychosis vs stress vs drugs etc - Quick way to gather evidence is drug test; yet infer diagnosis because there is no test for schizophrenia Clinical psych definition - Individuals who have difficulty adjusting to their environment can develop maladjustment, disability, etc which leads to therapy - Extreme immediate need such as psychosis outbreak leads to psychiatric intervention What do we study? - Behavior is ways in which organisms responds to, adapt, and adjust to its environment. - What is adaptive as a child may not have the same qualities later in life, adaptation and adjustment needs to grow and change. - Mental processes that underlie behavior - Behavior is visible and observable; mental processes is private and internal. - Mental processes are harder to study 9/9/19 Hippoctates - Not supernatural powers but rather a logical explanation as to why something doesn’t seem normal. - Medical model- turns to the body; identify the abnormality in the body then we can treat. - Blood- hyperactive behavior - Black bile- depressive behaviors - Yellow bile - Phlegm - Hypothesizing that it is the imbalance in the bodily fluids that is considered to be the cause of bizarre behavior. Treatment of the mentally ill - Middle ages church held power over the teaching of science - Schizophrenia = bizarre behavior; church explained with supernatural. They were isolated and demonized. - Renaissance brings about naturalistic explanations Emil kraeplin - Strong advocate for looking at bizarre behavior by cause of biology and genetics. - Psychiatry should be considered a branch of medical science The empirical tradition

The psychometric tradition - Looking at individual differences and seeing if there is a way to test for them. - Phrenology 9/23/19 Assessment Goals - Asking the right questions in a way that the patient will provide you with the right information - Youre not going to get everything from the first session although it should evolve - Emphasis on tentative diagnose (differential diagnoses) - Check for red flags when discussing - Find the right setting depending on type of care. Clinical interviewing situations - Problem-referral interviews more social work - Intake interview- generally to understand the nature of the presenting problem. In the context of their current situation but also the history and context of their development. - Mental status information we can write up- “ this person is very guarded in the interview” - DSM symptom checklist interview 10/17/18 Midterm 1- Provide a definition for the field of psychology 2- Discuss the debate involving the field of clinical psychology as a science versus a practice 3- What is meant by empiricism and discuss how this relates to the development of the field of clinical psychology 4- There were three traditions that influences the development of clinical psychology. Discuss what is meant by the clinical tradition and how this relates to the development of the field of clinical psychology as we know it today. 5- What is the purpose of a good referral question in the process of clinical assessment/psychological testing? 6- What is meant by the mental status exam as part of a good clinical interview? 7- What impact could cultural bias have on psychological assessment ( note this question is asking more about the tests themselves) 8- There have been decades of research concerning outcomes of psychotherapy. Discuss some of the client and therapist variables that are considered important to a good therapeutic relationship and ultimately better therapy outcomes 9- Choose and discuss at least one hot topic in the field of mental health. What is you understand on this topic and why? Chapter 6- clinical interventions - Therapeutic relationship is a dynamic that is larger than the two parts. The whole is larger than the sum of its parts. In dynamics its more than a linear relationship.