(Total: 853 journals)
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- Toward a culturally informed evaluation of foreign qualifications: An
overview of the European Union’s clinical psychology training system
in the North American context.
- Abstract: Along with globalization, mobility of professionals is becoming increasingly important for the psychology profession as well. In the absence of a relatively fast and straightforward (re)licensure process for foreign-trained psychologists however, not only these professionals are compelled to face substantial personal difficulties when moving from 1 country to another but the public’s access to health services may also be negatively affected. As some of the difficulties in the credentialing of foreign-trained clinical psychologists may also be due to informational gaps among the evaluators of educational records from foreign countries, the aim of this article is to present current data about the educational, training, and licensing systems of clinical psychologists in the European Union (EU). One representative for each of the 28 EU member states was asked to provide detailed information about the clinical psychology academic training, practicum, and licensing requirements of the given country. Following a description of the characteristics of the 28 EU countries and a comparison of the North American and European clinical psychology training systems, the authors propose general guidelines for credentialing organizations and psychology boards to facilitate a more culturally informed evaluation of foreign qualifications. The authors hope that the consideration of the country-specific information and the proposed general guidelines presented in this manuscript can advance the manner and sophistication with which credentialing organizations approach foreign qualifications obtained not only in Europe but in any part of the world. (PsycINFO Database Record (c) 2016 APA, all rights reserved)
- The strict liability standard and clinical supervision.
- Authors: Polychronis; Paul D.; Brown, Steven G.
Abstract: Clinical supervision is essential to both the training of new psychologists and the viability of professional psychology. It is also a high-risk endeavor for clinical supervisors because of regulations in many states that impose a strict liability standard on supervisors for supervisees’ conduct. Applied in the context of tort law, the concept of strict liability makes supervisors responsible for supervisees’ actions without having to establish that a given supervisor was negligent or careless. Consequently, in jurisdictions where the strict liability standard is used, it is virtually inevitable that clinical supervisors will be named in civil suits over a supervisee’s actions regardless of whether a supervisor has been appropriately conscientious. In cases of supervisee misconduct, regulations in 27 of 51 jurisdictions (the 50 states plus the District of Columbia) generally hold clinical supervisors fully responsible for supervisees’ actions in a professional realm regardless of the nature of the supervisees’ misbehavior. Some examples are provided of language from these state regulations. The implications of this current reality are discussed. Altering the regulatory approach to clinical supervision is explored to reduce risk to clinical supervisors that is beyond their reasonable control. Recommendations for conducting clinical supervision and corresponding risk-management practices are suggested to assist clinicians in protecting themselves if practicing in a jurisdiction that uses the strict liability standard in regulations governing clinical supervision. (PsycINFO Database Record (c) 2016 APA, all rights reserved)
- The influence of training and experience on mental health
practitioners’ comfort working with suicidal individuals.
- Authors: Jahn; Danielle R.; Quinnett, Paul; Ries, Richard
Abstract: Suicide risk is a common issue that arises during the course of mental health treatment, and death by suicide can occur while receiving treatment. Patient death by suicide is the number one fear reported by mental health practitioners. To identify what may contribute to this fear, we sought to examine relations between suicide-focused training, professional experience, fear of suicide-related outcomes, comfort with and skills in working with suicidal patients, and knowledge of suicide risk and protective factors. The sample included 289 primarily masters- or doctoral-level mental health practitioners from a wide array of backgrounds. Multivariate analyses of variance and correlations indicated that practitioners who felt their training was sufficient endorsed significantly lower fear of patient death by suicide and significantly greater comfort and skills in working with suicidal patients, as well as greater knowledge of suicide risk and protective factors. Practitioners who worked with suicidal patients reported more knowledge of suicide risk and protective factors but did not report significantly different fear of patient death by suicide or patient suicide attempt than practitioners who did not work with suicidal patients. These results suggest that suicide-focused training may be critical to reducing practitioner fear of negative suicide-related outcomes and increasing comfort working with suicidal individuals. Providing such training may improve practitioners’ knowledge and skills, enhancing clinical outcomes. (PsycINFO Database Record (c) 2016 APA, all rights reserved)
- Caregivers’ attachment and mental health: Effects on perceived bond
in institutional care.
- Authors: Mota; Catarina Pinheiro; Matos, Paula Mena
Abstract: The aim of the present study was to analyze the relationship between the quality of caregivers’ parental attachment and the quality of the perceived bond with institutionalized adolescents. The mediational effect of caregivers’ psychopathological symptoms was also tested in this association. The sample consisted of 181 institutional caregivers from Northern and Central Portugal who responded to self-report questionnaires, namely, the Father/Mother Attachment Questionnaire, the Relationship with Adolescents Questionnaire, and the Brief Symptom Inventory. The results suggested that the caregivers’ perception of parental inhibition of exploration and individuality was associated with psychopathological symptoms, whereas the caregivers’ perception of a close emotional bond with both parental figures was associated with perceived empathy and responsiveness toward adolescents. The mediational role of psychopathological symptoms in the association between parental attachment and the perceived bond with adolescents was confirmed. The results are discussed according to attachment theory, considering the quality of the caregivers’ attachment as a facilitator of emotional and interpersonal skills that help create a quality relationship with institutionalized adolescents. (PsycINFO Database Record (c) 2016 APA, all rights reserved)
- Ethical guidelines for mobile app development within health and mental
- Authors: Jones; Nick; Moffitt, Matthew
Abstract: Currently there are no ethical guidelines for mobile health (mHealth) applications (apps) despite the rapid innovation and use of mobile technologies in the health care field. As such, we address existing policies from the federal government, development guidelines from the mobile industry, and ethical guidelines from the American Psychological Association that apply to the development of mHealth apps intended for psychological use. Privacy and confidentiality are of primary concerns when developing and using mHealth apps for the purpose of research, assessment, and ongoing therapy. Specifically, the use of app notifications and widgets can put app user’s privacy at risk unless used properly. Methods in which app developers and providers can safeguard against violations of privacy and confidentiality are examined. In addition, special considerations are made for the use of apps with inpatient and rural populations and for those with cognitive impairments. This discussion serves to inform those who develop and utilize mHealth apps of the ethical guidelines that should be followed when creating and using such apps. (PsycINFO Database Record (c) 2016 APA, all rights reserved)
- Client discovery of psychotherapist personal information online.
- Authors: Kolmes; Keely; Taube, Daniel O.
Abstract: Psychotherapists are becoming more concerned about their personal information being accessible on the Internet. Professional articles and ethics workshop presenters encourage clinicians to be aware of the availability and accessibility of this information; however, little is known about the phenomenon of clients searching for clinicians’ personal information, or how this may impact the psychotherapy relationship. This study involved 332 psychotherapy patients who had found their clinicians’ personal information, professional information, or both, in the course of their online activities. This article, however, focuses primarily on questions that addressed those who found personal information about their clinician, including information about the clinicians’ family members. The researchers explored where clients searched, why clients felt compelled to search, and whether they revisited sites to obtain ongoing updates about clinicians. They also explored clients’ reports regarding how access to this personal information affected their experience of treatment. Neutral, positive, and negative experiences are described. Recommendations are made for how psychotherapists might manage the accessibility of this information, and how they may respond in clinically sensitive ways when clients disclose regarding online searching or discovery of clinician personal information. (PsycINFO Database Record (c) 2016 APA, all rights reserved)
- Dimensions of treatment quality most valued by adolescent substance users
and their caregivers.
- Authors: Becker; Sara J.; Midoun, Miriam M.; Zeithaml, Valarie A.; Clark, Melissa A.; Spirito, Anthony
Abstract: Professional psychologists are increasingly encouraged to document and evaluate the quality of the treatment they provide. However, there is a significant gap in knowledge about the extent to which extant definitions of treatment quality converge with patient perceptions. The primary goal of this study was to examine how adolescent substance users (ASU) and their caregivers perceive treatment quality. The secondary goal was to determine how these perceptions align with expert-derived definitions of ASU treatment quality and dimensions of perceived quality used frequently in other service disciplines. Focus groups and individual interviews were conducted with 24 ASU and 29 caregivers to explore how participants conceptualize a quality treatment experience. Content analysis identified 3 major dimensions of perceived treatment quality, each of which contained 3 subdimensions: therapeutic relationship (i.e., acceptance, caring, connection), provider characteristics (i.e., experience, communication skills, accessibility), and treatment approach (i.e., integrated care, use of structure, and parent involvement). Results revealed modest convergence between patient perceptions and existing definitions of quality, with several meaningful discrepancies. Most notably, the therapeutic relationship was the most important dimension to ASU and their caregivers, while expert-derived definitions emphasized the treatment approach. Implications for practicing psychologists to enhance training and supervision, quality improvement, and health education initiatives are discussed. (PsycINFO Database Record (c) 2016 APA, all rights reserved)
- The impact of joint consultation with family physicians on perception of
- Authors: Cordella; Barbara; Greco, Francesca; Di Trani, Michela; Renzi, Alessia; La Corte, Cosima; Solano, Luigi
Abstract: Evidence in the literature indicates that psychology is regarded favorably. The public, however, appears somewhat confused about the role and functions of psychologists. This may impact upon the capacity of professionals to assist the wider community. The aim of this study was to investigate whether the presence of a psychologist in the primary care setting together with the physician affects the image of psychologists among the public. An observational study was conducted on a group of 227 patients recruited in the waiting rooms of 4 primary care practices: the physician worked in a joint consultation with the psychologist in 2 of these practices, whereas the physician worked alone in the other 2. Propensity score-matching was used to minimize any bias arising from a nonexperimental design. An open-ended question was conceived to assess people’s perception of psychologists. Our findings show that almost 65% of the participants thought that the psychologist addresses daily life problems and 96% considered the psychologist useful. No significant differences between the 2 groups emerged regarding how useful psychologists are and the issues they address, while patients who attended a joint consultation were 4 times more likely to perceive the personal relevance of the psychologist than those who consulted the physician alone (odds ratio [OR] = 4.3, p < .02). In conclusion, this study reveals a positive public image of psychology, though a joint consultation setting appears to be required to induce patients to consider psychologists as relevant to themselves. (PsycINFO Database Record (c) 2016 APA, all rights reserved)
- Sex and sport: Attractions and boundary crossings between sport psychology
consultants and their client-athletes.
- Authors: Moles, Troy A.; Petrie, Trent A.; Watkins Jr; C. Edward
Abstract: Sexual attractions as well as sexual and nonsexual boundary crossings (SBCs & NSBCs, respectively) have been examined within counseling and clinical psychology (Pope, 1988), though little research has addressed these issues within sport psychology. Thus, we examined the incidence of sexual attraction and the SBCs and NSBCs of male (n = 170) and female (n = 105) sport psychology consultants (SPCs) with their client-athletes. The SPCs had earned their degrees in exercise or sport science (n = 201) or psychology (n = 65); 9 did not provide their degree area. Of the 112 SPCs who reported being sexually attracted to least 1 of their client-athletes, 13.6% SPCs crossed sexual boundaries, primarily by discussing sexual matters unrelated to their work; no SPC reported kissing, dating, or having sexual intercourse with a client-athlete. Regarding actual boundary crossings, the SPCs attended client-athletes’ sporting events (89.4%), initiated nonsexual touching (58.1%), attended social gatherings (43.5%), traveled with client-athletes (34.9%), and remained at parties with client-athletes (31.9%). There was no gender (male vs. female) by degree area (psychology vs. exercise or sport science) differences in frequency of these behaviors. SPCs trained in psychology viewed the following behaviors as more professionally acceptable than did those trained in exercise or sport science: (a) travel with client, (b) disclose personal stressors, (c) become social friends, (d) exchange a gift, (e) send holiday greeting card, (f) client is employed where SPC works, (g) client stay at SPC’s house, and (h) form a business relationship with client. (PsycINFO Database Record (c) 2016 APA, all rights reserved)