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Sample vs Population
A sample is drawn from a population to estimate parameters and test hypotheses
Research Question
Asks if there is a difference or relationship; two answers: no difference (H₀) or difference (H₁)
Hypothesis Tested
The null hypothesis (H₀) is tested; rejecting H₀ supports the alternative hypothesis (H₁)
Probabilistic Logic of Hypothesis Testing
Uses probability to decide if sample results are unlikely under H₀
Alpha Level
Sets the probability threshold for a Type I error (e.g., α = .05)
Critical Region
Range of values for which H₀ is rejected; determined by alpha level
Statistic
The test (e.g., t, F) that compares sample data to what is expected if H₀ is true
Test Statistic
Value produced by the statistic; compared to critical value to decide on H₀
Decision Rule
If test statistic falls in the critical region, reject H₀; otherwise fail to reject
Type I Error
Rejecting a true H₀ (false positive)
Type II Error
Failing to reject a false H₀ (false negative)
Bradford-Hill Criteria
Standards for inferring causality in research
Strength of Association
Stronger relationships provide stronger causal evidence
Consistency
Findings replicate across studies
Specificity
Effect is linked to a specific cause
Temporality
Cause precedes the effect
Biological Gradient
Dose-response relationship supports causality
Plausibility
Causal claim fits current scientific knowledge
Coherence
Does not conflict with established facts
Experiment
Experimental evidence strengthens causal inference
Analogy
Similar known causal relationships support causality
Contextual Model
Psychotherapy is a socially situated healing practice focusing on relational and cultural factors
Therapeutic Relationship
Strong alliance between client and therapist
Expectations & Hope
Client belief in therapy's effectiveness promotes change
Rituals & Healing Context
Structured therapeutic activities that provide meaning and promote healing
Common Factors
Shared therapy elements (empathy, alliance, positive regard) that drive outcomes across approaches
Random Sampling
Selecting participants from a population to generalize findings
Random Assignment
Assigning participants to groups to control for confounds and improve internal validity
External Validity
Random sampling enhances generalizability
Internal Validity
Random assignment enhances causal inference
WEIRD Participants
Western, Educated, Industrialized, Rich, Democratic; overrepresented in research samples
Selection Bias
Threat to validity controlled by random assignment
Group Equivalence
Random assignment increases equivalence but does not guarantee it
Ensuring Group Equivalence
Use matching or statistical control (e.g., ANCOVA)
Matching Variables
Match on variables theoretically related to the dependent variable
Experimental Design
Random assignment used; allows for stronger causal conclusions
Quasi-Experimental Design
No random assignment; uses existing groups
Meta-Analysis
A quantitative review combining results from multiple studies using effect sizes
Effect Size
Standardized measure of the magnitude of a treatment effect
Medical Model
Assumes specific therapeutic ingredients cause change
Contextual Model
Assumes common factors and the therapeutic relationship drive change
No-Treatment Control
Group receives no intervention; measures natural change
Wait-List Control
Group receives treatment after a delay; ethical alternative
Placebo Control
Group receives inactive treatment mimicking real therapy
Attention-Only Control
Group receives therapist attention but no active treatment
Treatment-as-Usual (TAU)
Group continues standard care available in real-world settings
Nonequivalent Control
Used when random assignment isn't possible; helps rule out rival explanations
Alternative Treatment
Participants receive another active intervention for comparison
Ethical Concerns
Denying or delaying treatment raises ethical issues
TAU Strengths
Ethically sound and ecologically valid
TAU Weaknesses
Variability makes it hard to isolate effects
Deliberations When Selecting Groups
Ethics, scientific validity, feasibility, and generalizability
Intervention Package Strategy
Tests entire treatment program as a whole
Comparative Intervention Strategy
Compares two or more active interventions
Dismantling Strategy
Examines which treatment components produce effects
Constructive Strategy
Adds new treatment elements to enhance efficacy
Psychosocial Strategy 1
Base interventions on theory and research
Psychosocial Strategy 2
Adapt interventions to cultural and contextual factors
Psychosocial Strategy 3
Ensure replication and treatment fidelity
Absolute Efficacy
Overall evidence showing psychotherapy works compared to no treatment
General Efficacy
Synonymous with absolute efficacy; demonstrates psychotherapy benefits across studies
Four Major Classes of Validity
Internal, External, Construct, Data-evaluation
validity
Internal Validity
The degree to which results are due to the independent variable rather than confounds (e.g., history, maturation)
External Validity
The degree to which results generalize to other people, settings, and times
Construct Validity
The extent to which a test or manipulation truly represents the construct of interest
Data-evaluation Validity
The facets of the evaluation that influence the conclusions we reach about the experimental condition and its effect
What is a construct?
An abstract concept used to explain behavior or phenomena (e.g., depression, intelligence, self-esteem)
How is "construct" used?
Operationalized into measurable indicators, allowing abstract ideas to be studied empirically
Confound
An extraneous variable that covaries with the independent variable, making results hard to interpret
Wine Example (Kazdin)
Wine + social interaction co-vary; unclear which causes the effect, threatening construct validity
Alpha (α)
The significance level; the set probability of making a Type I error
Type I Error
Rejecting the null hypothesis when it is actually true (false positive)
Effect Size
A measure of the magnitude of an effect or relationship, beyond statistical significance
Why Effect Size Matters
Large samples can produce significance for trivial effects; effect size shows practical importance
Error Variance
Random variability not due to the IV; caused by measurement error, participant variability, environment
Error Variance & Effect Size
Higher error variance lowers effect size, making effects harder to detect
Statistical Power
Probability of correctly rejecting a false null hypothesis
Low Statistical Power
Increases the risk of a Type II error (false negative)
Sample Size & Power
Larger samples increase statistical power and reduce Type II error risk
Components of the Medical Model
1) Illness or Disease
2) Biological Explanation
3) Mechanism of Change
4) Therapeutic Procedures
5) Specificity
What is the first component of the Medical Model?
Illness or Disease - Disorder is identified through symptoms, history, and tests; may also include prevention (e.g., vaccines)
What is the second component of the Medical Model?
Biological Explanation - Each illness has a biological cause (e.g., influenza virus, H. pylori for ulcers)
What is the third component of the Medical Model?
Mechanism of Change - Treatment must target the biological system causing the disorder (e.g., neutralizing acid vs. antibiotics for ulcers)
What is the fourth component of the Medical Model?
Therapeutic Procedures - Treatment is based on explanation and mechanism, such as drugs, surgery, or procedures
What is the fifth component of the Medical Model?
Specificity - Treatment must work through its intended biological mechanism, proven by being more effective than placebo and linked to causal change
What is a placebo?
A placebo is a substance that has no active pharmacological properties that would be expected to produce change for the problem to which it is applied.
Major Threats to Construct Validity
1) Attention and Contact Accorded the Client
2) Single Operations and Narrow Stimulus Sampling
3) Experimenter Expectancies
4) Demand Characteristics
Attention and Contact Accorded the Client
The possibility that positive effects are due to extra attention given to participants, not the intervention itself
Single Operations and Narrow Stimulus Sampling
Results may reflect one experimenter, stimulus, or condition rather than the construct; multiple sources help rule this out
Experimenter Expectancies
Unintentional cues from experimenter (tone, expressions, instructions) influence participant responses
Demand Characteristics
Incidental cues in the study that "prompt" participants to act in ways mistaken for the effect of the IV
What are the three training models in clinical psychology?
Scientist-Practitioner (Boulder, 1949), Practitioner-Scholar (Vail, 1973), Clinical-Scientist (1991).
Which training model does APU PsyD align with?
Practitioner-Scholar Model (Vail Model).
What is the main goal of experiments?
To draw causal inference by testing relationships between variables and establishing internal and external validity.
What are the five critical components of an experiment?
(1) Treatment condition (IV), (2) Comparison condition (control/alternative), (3) Units of assignment (sample), (4) Random assignment, (5) Outcome measure (DV).
What is the difference between an independent and dependent variable?
IV = manipulated condition/treatment; DV = measured outcome.
What are the four categories of experimental validity (Kazdin)?
Internal validity, External validity, Construct validity, Data evaluation validity.
Define internal validity.
The degree to which a study establishes a trustworthy cause-and-effect relationship between a treatment and outcome.
Define external validity.
The degree to which study results can be generalized to other settings, populations, or times.
What are the eight threats to internal validity (Kazdin)?
History, Maturation, Testing, Instrumentation, Statistical regression, Selection bias, Attrition, Diffusion of treatment