Counseling psychology in clinical health psychology: The impact of specialty perspective.

Not all clinical health psychologists are trained as clinical psychologists. A significant minority is trained and identifies as counseling psychologists. As a field, it is important to understand how the specialty-specific values, training context, scholarship, and parameters of practice of counseling psychology contribute to clinical health psychology. In this article, we (a) identify the core values and training context of counseling psychology, (b) review the scholarly history of clinical health psychology by counseling psychologists, (c) present the parameters of practice of clinical health psychology as identified from the extant counseling psychology literature, and (d) examine American Psychological Association membership status to investigate joint membership in the Division of Health Psychology and the Society of Counseling Psychology. Conclusions indicate that (a) an identifiable set of core values guides the training of counseling psychologists, (b) scholarly literature by counseling psychologists has contributed to the growth and development of clinical health psychology, and (c) parameters of practice reflect the specialty-specific perspective of counseling psychology. As professional psychology continues to grow as a health care profession, clinical health psychology will benefit from the knowledge, values, attitudes, competencies, and practice parameters of counseling psychology, and counseling psychology will benefit from recognizing what it brings to the practice of clinical health psychology. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Putting psychology in its place: An introduction from a critical historical perspective.

Review of book: Putting Psychology in its Place: An Introduction from a Critical Historical Perspective by Graham Richards, Routledge, 1996, x + 197 pp. Reviewed by Raymond E. Francher. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Assessing the scholarly impact of health psychology: A citation analysis of articles published from 1993 to 2003.

Objective: We conducted a citation analysis to explore the impact of articles published in Health Psychology and determine whether the journal is fulfilling its stated mission. Design: Six years of articles (N = 408) representing three editorial tenures from 1993–2003 were selected for analysis. Main Outcome Measures: Articles were coded for several dimensions enabling examination of the relationship of article features to subsequent citations rates. Journals citing articles published in Health Psychology were classified into four categories: (1) psychology, (2) medicine, (3) public health and health policy, and (4) other journals. Results: The majority of citations of Health Psychology articles were in psychology journals, followed closely by medical journals. Studies reporting data collected from college students, and discussing the theoretical implications of findings, were more likely to be cited in psychology journals, whereas studies reporting data from clinical populations, and discussing the practice implications of findings, were more likely to be cited in medical journals. Time since publication and page length were both associated with increased citation counts, and review articles were cited more frequently than observational studies. Conclusion: Articles published in Health Psychology have a wide reach, informing psychology, medicine, public health and health policy. Certain characteristics of articles affect their subsequent pattern of citation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Impact psychosocial de la maladie dans la perspective des systémes de développement: Nouvelles directions pour la psychologie de la sant?

Although health psychologists in Canada have been interested for some time in the psychosocial impact of diseases and with the behavioral methods used to treat disease to to promote wellness, there is still much to learn from the view of systems development. If present it collection constitutes a reliable indicator, it would seem that research specialists in the area of pain have are making a good start. It is hoped that the articles in this issue will arouse the interest and stimulate the efforts in the field. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The inadvertent emergence of a phenomenological perspective in the philosophy of cognitive psychology and psychoanalytic developmental psychology.

The phenomenological perspective described by M. Merleau-Ponty seems to be emerging in the context of contemporary developmental research, theories of communication, metaphor theory, and cognitive neuroscience. This emergence is not always accompanied by reference to Merleau-Ponty, however, or appropriate interpretation. On some cases, the emergence of the perspective seems rather inadvertent. The purpose of this essay is to ferret out some of the points which contemporary thinking has in common with Merleau-Ponty's phenomenology. Though it may appear that the examples chosen for this essay might be scrutinized separately, the thread that ties them together is Merleau-Ponty's work. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychosocial aspects of selected issues in women's reproductive health: Current status and future directions.

Emphasizing research published in the past decade, this article presents a summary and evaluation of psychosocial investigations of women's reproductive health, with a focus on selected aspects of menstruation, pregnancy and birth, infertility, and menopause. In some areas, studies have focused on negative physical and psychological concomitants of these health issues. However, research reveals substantial individual variability, with most women adapting well to reproductive health changes. Although methodological and conceptual shortcomings have limited firm conclusions, research has advanced our understanding of the multivariate biological, psychological, and social influences on women's reproductive health and associated outcomes. Understanding and promoting women's reproductive health across the lifespan requires biopsychosocial approaches to research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The psychosocial impact of caregiving on young people who have a parent with an illness or disability: Comparisons between young caregivers and noncaregivers.

Objective: To investigate the psychosocial impact of young caregiving by empirically validating prominent qualitative themes. This was achieved through developing an inventory called the Young Caregiver of Parents Inventory (YCOPI) designed to assess these themes and by comparing young caregivers and noncaregivers. Method: Two hundred forty-five participants between 10 and 25 years completed questionnaires: 100 young caregivers and 145 noncaregivers. In addition to the YCOPI, the following variables were measured: demographics, caregiving context, social support, appraisal, coping strategies, and adjustment (health, life satisfaction, distress, positive affect). Results: Eight reliable factors emerged from the YCOPI that described the diverse impacts of caregiving and reflected the key themes reported in prior research. The factors were related to most caregiving context variables and theoretically relevant stress and coping variables. Compared with noncaregivers, young caregivers reported higher levels of young caregiving impact, less reliance on problem-solving coping, and higher somatization and lower life satisfaction. Conclusions: Findings delineate key impacts of young caregiving and highlight the importance of ensuring that measures used in research on young caregivers are sensitive to issues pertinent to this population. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Health psychology in global perspective.

Reviews the book, Health psychology in global perspective by Frances E. Aboud (see record 1998-07478-000). Initially, the reviewer was unsure of what to expect from this book, and yet in completing it he feel humbled by the perspective it provided on international and cross-cultural health issues. The reading of this book has served to expand his definition of health psychology to include global and cross-cultural concerns. The organization of the book is logical and easy to follow. The first two chapters provide an introduction to the rest of the text. Each of the remaining seven chapters is dedicated to a specific health concern. Aboud's hope is that the reader will come to appreciate that solutions are not as simple as they might appear in the global health community and that enthusiasm must be tempered with "caution and realistic expectations." We must be careful not to stereotype other people and their problem, and recognize that health and well-being are expressed in different but entirely acceptable ways in different cultures. Courses in health psychology will benefit from the inclusion of this book. It incorporates case studies, case vignettes, and student activities along with the text in a manner that students will find challenging. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of The psychology of health and health care: A Canadian perspective.

Reviews the book, The psychology of health and health care: A Canadian perspective by Gary Poole, Deborah Hunt Matheson, and David N. Cox (2001). This book is a timely introductory text that aims to situate the rapidly expanding field of health psychology within the geographic, socio-demographic, and empirical landscape of Canada. This textbook would be appropriate for beginning and intermediate undergraduate students across a range of disciplines, including psychology, public health, and nursing. As such, it has a number of features to commend it. It is written in a clear and concise style, with explanatory tracks guiding the reader step by step through each new concept. In keeping with health psychology's applied focus, web sites for important resources are provided and sample case studies are integrated with key concepts throughout each chapter. Finally, the up-to-date coverage of Canadian health statistics and research publications is a delight for those of us who have been struggling to find texts that reflect the unique ways in which we view, structure, fund, administer, and research health psychology and health care in this country. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Qualitative health psychology: Theories and methods.

Reviews the book, Qualitative health psychology: Theories and methods by Michael Murray and Kerry Chamberlain (1999). Qualitative research in health psychology is relatively new but already displays considerable vigour. The 15 chapters of the present book offer wide-ranging examples of the contributions that qualitative research can make to the field of health psychology; they also encourage reflection and debate on the positivist, quantitative perspective that has traditionally dominated health psychology and underpins its epistemological alliance with biomedicine. The editors and authors are to be commended on the overall clarity of the writing, given the many contributors and the plethora of specialized terms introduced in the presentation of diverse methodologies. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Toward a developmental psychology of Sehnsucht (life longings): The optimal (utopian) life.

The topic of an optimal or utopian life has received much attention across the humanities and the arts but not in psychology. The German concept of Sehnsucht captures individual and collective thoughts and feelings about one's optimal or utopian life. Sehnsucht (life longings; LLs) is defined as an intense desire for alternative states and realizations of life. Presenting a first effort at capturing this phenomenon, the authors conceptualize LLs as composed of 6 interrelated core characteristics: (a) utopian conceptions of ideal development; (b) sense of incompleteness and imperfection of life; (c) conjoint time focus on the past, present, and future; (d) ambivalent (bittersweet) emotions; (e) reflection and evaluation of one's life; and (f) symbolic richness. Self-report data from 299 adults (19-81 years) support the postulated structure and support predictions regarding the functional role of Sehnsucht. Having LLs was evaluated as providing direction to development and helping to manage life's incompleteness. At the same time, the frequent and intense experience of LLs was associated with lower well-being. When LLs were perceived as controllable, however, this negative association disappeared. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Stimulus reduction as a technique in health psychology.

The uses of the Restricted Environmental Stimulation Technique (REST) in health psychology, and theoretical explanations for its effectiveness, can be understood in the context of its impact on cognitive processes and on behaviors related to information overload in the normal environment. Cognitive effects, including openness to new information and better concentration, have been applied in the induction of habit change (cessation of smoking, weight reduction); the interruption of stimulus bombardment is central in the utilization of REST in stress management (hypertension, childhood dysfunctions). This paper reviews data on the inclusion of REST in health psychology programs, and suggests directions for further clinical research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Application of the competency model to clinical health psychology.

In response to the growing emphasis on defining professional competence within applied psychology (e.g., clinical, neuropsychology, counseling, school), in 2007 American Psychological Association Division 38 (Health Psychology) sponsored a summit meeting with a specific focus on revisiting the standards of graduate curricula and training in clinical health psychology. Using the cube model of core competency domains of professional psychology as a framework, summit participants were charged with identifying the foundational and functional competencies expected of a well-trained, entry-level clinical health psychologist. As a product of these discussions, the present article is presented as an initial effort to identify the competencies and begin the discussion in clinical health psychology. As such it is likely to be of interest to a wide audience, including clinical training programs with an existing or planned emphasis in clinical health psychology, practitioners interested in acquiring the competencies required to practice as a clinical health psychologist, and students evaluating potential graduate and postgraduate training options in clinical health psychology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Stages of change and physical activity among individuals with severe mental illness.

Objective: To apply the constructs of the transtheoretical model (TTM) of change to understand physical activity among individuals with severe mental illness. Method: Predictions of stages of change of physical activity and self-reported physical activity were investigated among 92 adults with severe mental illness, using cognitive and behavioral processes of change, self-efficacy, and perceived pros and cons of exercise as predictors. Results: Separate logistic regression analyses for adjacent pairs of stages indicated that 33% of the variance was accounted for when predicting preparation versus action/maintenance stages, with behavioral processes making a significant unique contribution to prediction. A multiple-regression analysis was conducted to examine prediction of self-reported physical activity on the basis of all of the TTM measures, and the full model accounted for nearly 27% of the variance. Conclusion: Results suggest that TTM constructs hold promise in understanding physical activity of people with severe mental illness with significant implications for clinical practice and future research. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Research definitions of mental health and mental illness.

The conceptual and methodological difficulties involved in each of the various categories of definitions of mental health outlined in this review are discussed. Suggestions for further research are presented. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Extending the study of autobiographical memory: Thinking back about life across the life span.

By combining a life perspective with a life span perspective, the authors present a basic framework for extending the study of autobiographical memory. The life perspective suggests not only the consideration of individual episodes of memory but how they are strung together into a life. The life span perspective takes into account the chronological age and life context of individuals and how these factors might affect abilities and motivations related to the use of autobiographical memory. The authors discuss how these 2 perspectives are combined to yield a useful framework for studying autobiographical memory and present 2 examples of work done using this framework. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychosocial safety climate: Development of the PSC-12.

Psychosocial risks in the workplace have the potential for causing psychological and social harm that contributes toward the mental health disability burden. Psychosocial risks are influenced by macrolevel factors such as the psychosocial safety climate within the organization. This paper concerns the development and evaluation of a short instrument to measure psychosocial safety climate (PSC). PSC is conceived as an up-stream resource, and concerns senior management values and attitudes toward care and practices in relation to employee psychosocial well being. In a pilot sample (N = 78) we used an iterative procedure incorporating regression analysis to reduce 26 items down to a parsimonious 12 item, four-factor scale (PSC-12). The PSC-12 was then assessed using confirmatory factor analysis and the scale validated in a second representative sample of Australian workers (N = 398). The PSC-12 showed expected relationships with psychosocial risk factors (e.g., job demands, job resources), worker engagement and health, and work related outcomes (e.g., job satisfaction). We further confirmed the invariance of the factor coefficients and factor covariance across the two multioccupational samples using multigroup analysis. In a third organizational study (N = 16 teams, 106 health care workers) we found that PSC showed group like psychometric properties, and team level PSC was associated with individual level psychological distress and work engagement. PSC showed incremental value beyond a physical safety measure. The results provide initial indications that the PSC-12 can be used across a range of occupations, and within organizations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The process of mental health consultation: A systematic look within the context of community psychology.

The process of mental health consultation has been generally defined in terms of the techniques which the psychologist uses, "the how" of the consultant's role. The content, "the what" of this process is now being considered. The issues raised are partly based on the analysis of all consultation - contacts (N-56) collected during the first nine operational months of a project serving a sample population previously not reached by traditional clinical settings. Specifically this paper discusses the way in which a record-keeping method, devised specifically to account for "what" happens during a consultation, yields findings clarifying, complementing and at times diverging from what has been impressionistically reported to be content of the consultation process: a focus on psychopathology and intrapsychic conflicts of the consultee's charges. This pilot project in its attempt to systematically record all consultant's activities, has methodological implications for valid functional definitions of the mental health consultant within the context of community psychology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Community psychology: Impressions of the Boston conference on the education of psychologists for community mental health.

Mental health "is shifting from the amelioration of illness to preventive intervention at the community level… community psychology is more than a by-product of clinical… it depends upon and interacts with all the basic areas of psychological knowledge. Particular emphasis [is] given to the contributions of social psychology, group dynamics, and child development." The Conference recommended that "some permanent organizational medium be established… to facilitate communication among psychologists with vital interest in community psychology." (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Training for the future of psychology practice.

This article responds to the Eby et al. (this issue, pp. 57–68) paper on issues and dilemmas for the future of training for psychology practice. The author addresses these issues and discusses them in regards to our identity as psychologists and changes in training needed in light of the recent passage of federal health care reform legislation. The changes in health care include the importance of training to work in integrated health care systems, primary care, using electronic health records, and dealing with health disparities. Training recommendations from the 2009 APA Presidential Task Force on the Future of Psychology Practice are presented. (PsycINFO Database Record (c) 2011 APA, all rights reserved)