Description
Book SynopsisTable of ContentsPreface to the Fourth Edition xxi
About the Author xxv
Part One Foundations and Fundamentals 1
Chapter 1 What Is Contemporary Clinical Psychology? 3
Case Study: Carlos 4
Definition and Inherent Intrigue 5
Perspective and Philosophy 6
Education and Training 8
Activities 10
Highlight of a Contemporary Clinical Psychologist: Patrick H. DeLeon, PhD, ABPP 14
Employment Settings 16
Hospitals 17
Subspecialties 18
Child Clinical Psychology 19
Organizations 21
How Does Clinical Psychology Differ From Related Fields? 23
The Big Picture 27
Key Points 28
Key Terms 29
For Reflection 29
Real Students, Real Questions 29
Web Resources 29
Chapter 2 Foundations and Early History of Clinical Psychology 31
Early Conceptions of Mental Illness: Mind and Body Paradigms 34
The Founding of Clinical Psychology 39
Highlight of a Contemporary Clinical Psychologist: Rev. Gerdenio “Sonny” Manuel, SJ, PhD 40
The Influence of Binet’s Intelligence Test 41
The Influence of the Mental Health and Child Guidance Movement 41
The Influence of Sigmund Freud in America 42
The American Psychological Association and Early Clinical Psychology 42
The Influence of World War I 43
Clinical Psychology Between the World Wars 44
The Influence of World War II 46
The Big Picture 47
Key Points 47
Key Terms 48
For Reflection 48
Real Students, Real Questions 49
Web Resource 49
Chapter 3 Recent History of Clinical Psychology 51
Clinical Psychology Immediately After World War II 52
The Rise of Alternatives to the Psychodynamic Approach 57
Highlight of a Contemporary Clinical Psychologist: Nadine J. Kaslow, PhD, ABPP 66
A New Training Model Emerges 68
The Rise of Empirically Supported Treatments and Resurgence of Cognitive Behavioral Models 70
Present Status 71
The Big Picture 72
Key Points 73
Key Terms 74
For Reflection 74
Real Students, Real Questions 74
Web Resources 75
Chapter 4 Research: Design and Outcome 77
Research Methods and Designs 78
Cross Sectional and Longitudinal Designs 93
Highlight of a Contemporary Clinical Psychologist: Alan E. Kazdin, PhD, ABPP 94
Treatment Outcome Research 96
Questions and Challenges in Conducting Treatment Outcome Research 99
Contemporary Issues in Clinical Psychology Treatment Outcome Research 104
How and Where Is Research Conducted in Clinical Psychology, and How Is It Funded? 107
The Big Picture 109
Key Points 110
Key Terms 112
For Reflection 112
Real Students, Real Questions 113
Web Resources 113
Chapter 5 The Major Theoretical Models: Psychodynamic, Cognitive Behavioral, Humanistic, and Family Systems 115
The Four Major Theoretical Models in Clinical Psychology 116
Case Study: Mary 118
Highlight of a Contemporary Clinical Psychologist: Marcia J. Wood, PhD 133
Understanding Mary From Different Theoretical Orientations 135
The Big Picture 137
Key Points 137
Key Terms 138
For Reflection 139
Real Students, Real Questions 139
Web Resources 139
Chapter 6 Integrative and Biopsychosocial Approaches in Contemporary Clinical Psychology 141
The Call to Integration 142
Biopsychosocial Integration 146
Case Study: Mary—Integrating Biological Factors 151
Synthesizing Biological, Psychological, and Social Factors in Contemporary Integration 153
Case Study: Mary—Integrating Social Factors 155
Highlight of a Contemporary Clinical Psychologist: Lillian Comas-Diaz, PhD 157
Application of the Biopsychosocial Perspective to Contemporary Clinical Psychology Problems 157
Case Study: Hector Experiences Obsessive-Compulsive Disorder (Biopsychosocial) 160
Case Study: Nicole Experiences School Phobia (Biopsychosocial) 161
Case Study: Taylor Experiences Cardiovascular Disease, Job and Family Stress, and Type A Personality(Biopsychosocial) 164
Case Study: Marilyn—Biopsychosocial With Cancer 166
Case Study: Mary—Biopsychosocial Synthesis 167
Conclusion 168
The Big Picture 169
Key Points 169
Key Terms 170
For Reflection 170
Real Students, Real Questions 170
Web Resources 170
Part Two Roles and Responsibilities 171
Chapter 7 Contemporary Psychological Assessment I: Interviewing and Observing Behavior 173
Goals, Purposes, and Types of Assessment 174
Reliability and Validity 176
Interviewing 177
Types of Interviews 182
Case Study: Joe Experiences Depression 184
Highlight of a Contemporary Clinical Psychologist: Stanley Sue, PhD 189
Potential Threats to Effective Interviewing 190
Behavioral Observations 190
Checklists and Inventories 195
Case Study: José and the BDI, CBCL, and SCL-90-R_198
The Big Picture 200
Key Points 200
Key Terms 201
For Reflection 202
Real Students, Real Questions 202
Web Resources 202
Chapter 8 Contemporary Psychological Assessment II: Cognitive and Personality Assessment 203
Cognitive Testing 204
Case Study: Paul—WAIS-IV (Intellectual Assessment) 208
Case Study: Robert Experiences a Head Injury and Resulting Antisocial Behaviors (Neuropsychological) 216
Highlight of a Contemporary Clinical Psychologist: Lori Goldfarb Plante, PhD 217
Personality Testing 218
Case Study: Martha Experiences Severe Depression and Borderline Personality (Rorschach) 227
Case Study: Xavier Experiences Bipolar Disorder (Rorschach) 229
Case Study: Debbie Experiences Alcoholism, Depression, and Phobic Anxiety (TAT ) 231
Case Study: Xavier (Sentence Completion) 232
Case Study: Elias Experiences Anxiety and Depression (Sentence Completion) 232
Communicating Assessment Results 233
Case Study: Thomas Experiences Aggressive Behavior Associated With Autism Spectrum Disorder (Psychological Assessment Report) 234
The Big Picture 237
Key Points 237
Key Terms 238
For Reflection 239
Real Students, Real Questions 239
Web Resources 239
Chapter 9 Psychotherapeutic Interventions 241
Contemporary Integration in Psychotherapy Using Evidence-Based Approaches 243
Goals of Psychotherapy 244
Similarities or Common Denominators in Psychotherapy 245
Stages of Psychotherapy 247
Modes of Psychotherapy 251
Case Study: Shawna Experiences Enuresis (Individual Child Therapy) 252
Case Study: James Experiences Bipolar Disorder (Individual Psychotherapy) 254
Highlight of a Contemporary Clinical Psychologist: John C. Norcross, PhD, ABPP 256
Nonpsychotherapy Approaches to Treatment: Biological and Social Interventions 257
Case Study: Inpatient Group Psychotherapy 259
Case Study: Hans and Marta Experience Severe Marital Discord (Couples Therapy) 262
Case Study: The Kaplans Experience a Family Death and a Suicide Attempt in the Family (Family Therapy) 265
The Big Picture 267
Case Study: Mako Experiences Anorexia Nervosa—Integration of Theories, Techniques, Modalities, and Biopsychosocial Factors (Contemporary Psychotherapy) 269
Key Points 271
Key Terms 271
For Reflection 271
Real Students, Real Questions 271
Web Resources 272
Chapter 10 Psychotherapeutic Issues 273
Does Psychotherapy Work? 274
Long-Term Therapy Versus Short-Term Treatment 276
Psychotherapy Dropouts 277
Is One Type of Therapy Better Than Another? 279
Enduring Psychotherapy Effects 280
Highlight of a Contemporary Clinical Psychologist: John Pina, PhD 283
Common Factors Associated With Positive Psychotherapy Outcome 284
Change Is Challenging 286
Level of Training for Psychotherapists 288
Health-Care Costs and Psychotherapy 289
Psychotherapy Harm 290
The Big Picture 296
Key Points 296
Key Terms 297
For Reflection 297
Real Students, Real Questions 298
Web Resources 298
Chapter 11 Areas of Specialization 299
Clinical Health Psychology 301
Case Study: Celeste Experiences Type A Personality and Irritable Bowel Syndrome 309
Child Clinical Psychology 310
Case Study: Weight-Loss Treatment Program 311
Case Study: Joe Experiences Alcoholism 312
Clinical Neuropsychology 319
Highlight of a Contemporary Clinical Psychologist: Susan Steibe-Pasalich, PhD 320
Case Study: Sam Experiences Autism 322
Case Study: Zoe Experiences Acting-Out Behaviors 323
Case Study: Sally Experiences Anorexia Nervosa 324
Case Study: Joseph Experiences Dementia and Depression 327
Geropsychology 327
Forensic Psychology 331
Case Study: Austin Experiences Substance Abuse and a Severe Head Injury 333
Case Study: Margaret Experiences Problems Associated With a Stroke 333
Other Subspecialties 335
Case Study: The Lee Family Experiences Stress Associated With Divorce and Child Custody 335
Case Study: Marie Experiences Suicidal Behaviors and Depression Case Study: Betty Experiences Job Stress 336
The Big Picture 336
Key Points 337
Key Terms 338
For Reflection 338
Real Students, Real Questions 338
Web Resource 339
Chapter 12 Consultative, Teaching, and Administrative Roles 341
Consultation 342
Case Studies: Consultation With Mental Health Colleagues 351
Case Studies: Consultation with Non–Mental Health Professionals 354
Highlight of a Contemporary Clinical Psychologist: Julie B. (Sincoff) Jampel, PhD 355
Teaching 356
Case Studies: Teaching in Academic Settings 358
Case Studies: Teaching in Nonacademic Locations 360
Administration 361
Case Studies: Administrators in Clinical Psychology 362
The Big Picture 363
Key Points 363
Key Terms 364
For Reflection 364
Real Students, Real Questions 365
Web Resources 365
Chapter 13 Ethical Standards 367
How Do Professional Ethics Differ From the Law? 369
Fundamental Ethical Principles 371
Case Study: Dr. A Treats a Patient Although He Has Inadequate Competence to Do So 373
Case Study: Dr. B Conducts Psychological Testing Less Than Rigorously 374
Case Study: Dr. C Misleads His Clients Regarding His Credentials 375
Case Study: Dr. D Participates in a Dual Relationship With Her Client 376
Case Study: Dr. E Treats a Client Very Different From Those With Whom He Has Expertise 376
Case Study: Dr. F Is Concerned About Unethical Behavior in a Colleague 377
Case Study: Dr. H Breaks Confidentiality With a Client 378
Case Study: Dr. I Does Not Report Child Abuse Due to Patient Pressure 379
Case Study: Dr. J Has Strong Personal Values That Impact His Work With Clients 379
Case Study: Dr. K Experiences Personal Prejudice That Impacts Her Work With Diverse Clients 380
Case Study: Dr. L Takes Advantage of His Students for Personal Favors 380
Case Study: Dr. M Is Greedy and Unwilling to Give Back to Society 380
Case Study: Dr. N Allows Unqualified Trainees to Give Psychological Tests 383
Case Study: Dr. O Uses Testing Materials for Purposes for Which
They Were Not Developed 383
Case Study: Dr. P Does Not Protect Psychological Tests From Misuse 384
Case Study: Dr. Q Uses His Work With a Client for His Own Advantage 385
Case Study: Ms. R Allows Others to Misrepresent Her Credentials 385
Case Study: Dr. S Misleads Others About His Training 386
Case Study: Dr. T Dates a Relative of His Patient 387
Case Study: Dr. U Abandons His Clients 387
Case Study: Dr. V Publishes Research in a Way to Help Her Career Rather Than Doing So More Responsibly 387
Case Study: Dr. W Surprises His Students With Rejection Without Any Warning 388
Highlight of a Contemporary Clinical Psychologist: Thomas G. Plante, PhD, ABPP 388
Why Would a Psychologist Behave in an Unethical Manner? 389
Case Study: Dr. X Does Not Provide Full Informed Consent to His Clients 390
Case Study: Dr. Y Fails to Help and Support Her Students 391
Case Study: Dr. AA Commits Insurance Fraud 391
How Are Ethics Enforced? 391
Case Study: Dr. BB Enters a Dual Relationship With His Client 392
What Is the Process for Solving Ethical Dilemmas? 393
Is Behaving in Accordance With Ethical Principles Always Clear-Cut? 393
The Big Picture 394
Key Points 395
Key Terms 396
For Reflection 396
Real Students, Real Questions 396
Web Resources 396
Part Three Where Is Clinical Psychology Going, and Should I Go With It? 397
Chapter 14 Current and Future Trends and Challenges 399
Trends in Society 401
Highlight of a Contemporary Psychologist: Carrie York Al-Karam, PhD 409
Research Issues 411
Practice Issues 411
Reaching Beyond Mental Health in Contemporary Clinical Psychology 423
Training Issues 424
The Big Picture 425
Key Points 425
Key Terms 426
For Reflection 427
Real Students, Real Questions 427
Web Resource 427
Chapter 15 Becoming a Clinical Psychologist: A Roadmap 429
College 430
Applying to Graduate Programs in Clinical Psychology 434
Graduate School in Clinical Psychology 436
Clinical Internship 440
Highlight of a Contemporary Clinical Psychologist: Martin M. Antony, PhD 440
Postdoctoral Fellowship 443
Specialization 443
Certification and Licensure 443
Employment 445
The American Board of Professional Psychology Diploma 447
Is Clinical Psychology Right for Me? 448
How to Get More Information About Current Issues in Clinical Psychology 449
The Big Picture 450
Key Points 451
Key Terms 452
For Reflection 452
Real Students, Real Questions 453
Web Resources 453
Glossary 455
Appendix: Ethical Principles of Psychologists and
Code of Conduct 465
References 489
Index 517
