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Lightner Witmer
established the first psychological clinic at the University of Pennsylvania in 1896 and coined the term ‘clinical psychology’, laying the groundwork for the profession
Training models
the boulder model (ph.d) and vail model (psy.d)
Boulder model (ph.d)
emphasizes both science and practice (scientist-practitioner)
Vail model (psy.d)
places primary emphasis on clinical service delivery and practice rather than empirical research
Limits of confidentiality
psychologists are legally and ethically required to breach confidentiality under specific circumstances; such as imminent danger of self-harm, child abuse, or a duty to warn an identifiable third party of threatened violence (the Tarasoff rule)
Efficacy v.
Effectiveness
Efficacy
evaluates therapy under highly controlled, idealized research settings with high internal validity
Effectiveness
evaluates therapy in real-world clinical settings with high external validity
Quasi-experimental limitations
lack random assignment of participants, which introduces potential confounding variables
Meta-analysis
a statistical method used to combine and integrate multiple independent research studies to calculate an overall effect size
Interviewing microskills
paraphrasing involves restating the cognitive meaning of a clients comments, whereas reflection of feeling focuses explicitly on underlying emotional tone
Multiple relationships
unethical dual or multiple roles occur when a psychologist maintains a professional relationship while concurrently holding another significant relationship with that client or someone close to them
Mental Status Exam (MSE)
a standardized evaluation of a clients current cognitive, emotional, and behavioral functioning at a specific point in time