Nursing and Psychological Treatments.

Presents a comment on "Psychological Treatments" (see record 2004-21168-001) by D. H. Barlow. In his article, Barlow pointed to the need "to solidify the identification of psychology as a health care profession" by changing the terminology of practice in the health care context from psychotherapy to psychological treatments and suggested that the only persons qualified to carry out such interventions are doctoral-level psychologists. Unfortunately, there was no discussion of the health care professionals who already provide psychological treatments in health care settings and their contribution to the evidence base supporting such treatment. The authors find several aspects of the article to be problematic. Overall, the authors feel that suggesting that psychology should claim treatment of psychological disorders and psychological components of physical disorders in health care settings as exclusively its own domain ignores the research and clinical contributions of others. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychological Treatments.

Psychology has recently identified itself as a health care profession and codified this change in the bylaws of the American Psychological Association. Although psychologists make a number of contributions to the nation's health-and mental health-the most identifiable activity focuses on treating physical or psychological pathology with psychological interventions. Recently, health care policymakers have established that evidence supporting the efficacy of these interventions is more than sufficient for their inclusion in health care systems around the world. To promote faster and more widespread dissemination of these interventions specifically targeting problems severe enough to be included in health care systems and to solidify the identification of psychology as a health care profession, perhaps it is time for a change in terminology. It is proposed that psychologists label these procedures psychological treatments so as to differentiate them from more generic psychotherapy, which is often used outside of the scope of health care systems. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Crossing the Quality Chasm in Behavioral Health Care: The Role of Evidence-Based Practice.

The concept of evidence-based practice (EBP) is one receiving increasing attention from providers, managers, payers, and regulators of care, yet practical guidelines for professional psychologists who may be interested in incorporating EBPs into their own work settings are not available. The author explores the pragmatics of EBP adoption within the broad context of quality problems in American health care, particularly as described in a heralded 2001 publication by the Institute of Medicine. Concrete suggestions are offered to help practitioners locate EBP resources for specific clinical problems, use an evidence hierarchy to infer "best practices," address the science-to-service management challenge, and generate outcomes data and feedback loops to continuously improve clinical effectiveness. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Evidence-Based Practice: Beyond Empirically Supported Treatments.

Must the clinician choose between a practice that is strictly objective and data based and one that is purely subjective and experience based? Optimally, practitioners need to follow a model of evidence-based psychotherapy practice, such as the disciplined inquiry or local clinical scientist model, that encompasses a theoretical formulation, empirically supported treatments (ESTs), empirically supported therapy relationships, clinicians' accumulated practical experience, and their clinical judgment about the case at hand. Some shortcomings of ESTs are reviewed, and a form of evidence for psychotherapy practice is presented that entails the accumulation of systematic case studies published online. Practitioners can contribute to such a database and be guided in their practice by those cases most relevant to their clients' problems. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

"Psychological services provided within Veterans Administration nursing homes": Correction to Kupke.

Reports an error in "Psychological services provided within Veterans Administration nursing homes" by Thomas Kupke (Professional Psychology: Research and Practice, 1986[Jun], Vol 17[3], 185-190). In this article, the copyright information was incorrect. The correct copyright information is included in the erratum. (The following abstract of the original article appeared in record 1986-28163-001.) Surveyed the nature and scope of psychological services provided within 67 Veterans Administration nursing facilities to examine the emerging professional domain of the nursing home psychologist. Data regarding service delivery models, use of time, assessment and treatment services, multidisciplinary team activities, staff and student training, and research are provided. The profile of the ideal nursing-home psychologist that emerges from this survey is that of a well-rounded psychologist capable of rendering a full range of assessment, treatment, and consultative services while also functioning as a treatment team member, a teacher, a program developer, and a researcher. (40 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Postdoctoral Training in Psychotherapy.

During the past year, a number of articles have appeared in the American Psychologist on the general issue of whether psychologists should or should not do psychotherapy. While it is indisputable that a problem of this kind deserves attention as long as enough people are concerned to give it substance, we confess to a sense of bewilderment: Is not a long dead horse receiving a rather severe whipping? In settings ranging from hospitals and clinics to private practice, psychologists are doing psychotherapy, have been doing it for some time, and are likely to continue doing it as long as there is a social need for this kind of service. This fact has been clearly acknowledged by such national organizations as the VA and the USPHS and, through ABEPP and the Education and Training Board, by the APA itself. Much more central questions, it seems to us, are those of whether psychologists are being adequately trained for their therapeutic function and of what can be done to make training opportunities more available. First, we recommend that a comprehensive survey be made, through the Education and Training Board or other appropriate agency, of precisely what postdoctoral training resources are available in the nation for psychologists. Second, we urge that the APA investigate the possibility of establishing postdoctoral training programs in strategically located universities. Third, suspecting that one or another of the major foundations would be interested in this kind of venture into professional training at postdoctoral levels, we suggest that the APA take responsibility for investigating potential sources of financial support. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychotherapy: The humanistic (and effective) treatment.

Although it is well established that psychotherapy is remarkably effective, the change process in psychotherapy is not well understood. Psychotherapy is compared with medicine and cultural healing practices to argue that critical aspects of psychotherapy involve human processes that are used in religious, spiritual, and cultural healing practices. A model of psychotherapy is presented that stipulates various aspects that involve uniquely human characteristics. Central to this model is patient acquisition of an adaptive explanation of his or her difficulties. Finally, the research evidence for this model is presented. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychological services in relation to health insurance plans.

"Our preliminary investigations revealed that it is almost impossible to make any kind of general statement about the position of clinical psychologists in the insurance picture at the present time." The Board of Professional Affairs recommends that future efforts be directed at gaining general acceptance of provisions for covering psychological services when deemed necessary by those having medical responsibility for the treatment of the claimant. From Psyc Abstracts 36:02:2AK24W. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychological treatment of eating disorders.

Significant progress has been achieved in the development and evaluation of evidence-based psychological treatments for eating disorders over the past 25 years. Cognitive behavioral therapy is currently the treatment of choice for bulimia nervosa and binge-eating disorder, and existing evidence supports the use of a specific form of family therapy for adolescents with anorexia nervosa. Important challenges remain. Even the most effective interventions for bulimia nervosa and binge-eating disorder fail to help a substantial number of patients. A priority must be the extension and adaptation of these treatments to a broader range of eating disorders (eating disorder not otherwise specified), to adolescents, who have been largely overlooked in clinical research, and to chronic, treatment-resistant cases of anorexia nervosa. The article highlights current conceptual and clinical innovations designed to improve on existing therapeutic efficacy. The problems of increasing the dissemination of evidence-based treatments that are unavailable in most clinical service settings are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychological services in state schools for delinquent boys.

A discussion of the results of a survey sent to 68 institutions which serve a male population between the ages of 12 and 18 and which are training schools, not penal institutions. The discussion covers the following topics: number of schools employing psychologists, training level of the psychologists, ratio of boys to psychologists, and the need for workers in this area. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Training in Psychotherapy for Psychologists: Recommendations of Clinical Psychologists.

This article discusses the current debate on the subject of psychotherapy training for psychologists and how it tends to concern itself with rather broad philosophical issues and matters of role definition. As part of a larger study, data not previously reported were derived from three questions which asked for opinions about ideal patterns of psychotherapy training for psychologists. This brief report suggests the desirability of careful stratification of the group of clinical psychologists in future opinion sampling and when policy recommendations are being developed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A National Survey of Practicing Psychologists' Use and Attitudes Toward Homework in Psychotherapy.

Homework assignments have been studied extensively in psychotherapy research, but there is little data on the way in which homework is transferred to clinical practice. A survey was conducted of 827 practicing psychologists nationwide regarding their use and attitudes toward homework. Overall, 68% of the present sample indicated that they "often" or "almost always" used homework assignments. Factor analysis revealed that practitioners have a range of attitudes that can be classified as reflecting the notion that homework has (a) a negative impact on in-session therapeutic work and (b) a positive effect on therapy outcomes. More positive attitudes were reported among those with a cognitive-behavioral theoretical orientation. Nevertheless, the use of homework among psychodynamic/analytic practitioners reported in the present sample was unexpected and suggests that theoretical and empirical work is required to examine homework's effects in a range of psychotherapy approaches. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Epilogue: Psychological interventions in the changing health care systems.

Psychotherapy has utility for a wide variety of circumstances that have significant economic, personal, and social consequences. This special issue is a small attempt to address some of these problems. There are important omissions, such as the frequent use of psychotropic medications in psychotherapy, psychological rehabilitation of patients and families with chronic health problems, and hospice care. The need for establishment of a national policy on how psychotherapy can be used to create more effective and humane solutions to societal problems has been identified. The challenge is how to fund the study of health and other social problems responsive to psychotherapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Addressing key challenges in evidence-based practice in psychology.

With its promise of enhancing the effectiveness of services, evidence-based practice in psychology (EBPP) appears to offer much to psychologists, patients, and policymakers. The purpose of this article is to examine some of the key challenges facing psychologists who wish to provide evidence-based treatment services, including how research evidence is used in EBPP, whether the results of the treatment research literature can be generalized to typical clinical practice, and how effective evidence-based treatments are in clinical practice. On the basis of recent evidence-based initiatives and treatment research, there is a solid scientific basis for EBPP, although much more research is necessary on the treatment of relatively mild, but common, clinical conditions and on the transporting of evidence-based treatments into clinical practice. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Exploring Unique Roles for Psychologists.

Presents a comment on "Psychological Treatments" (see record 2004-21168-001) by D. H. Barlow. Barlow highlighted unique roles that psychologists can play in mental health service delivery by providing psychological treatments--treatments that psychologists would be uniquely qualified to design and deliver. In support of Barlow's position, the authors draw from their own clinical practice with special psychiatric populations, such as adults with severe and persistent mental illness and behaviorally disordered youths, to illustrate some potential unique roles for psychologists. The authors believe psychologists are uniquely trained to design such individualized functional behavioral analysis protocols because of their training in research design, behavior analysis, learning theory, and behavior change. Psychologists may also be uniquely qualified to design, implement, and evaluate many specialized therapy techniques, as Barlow has outlined and suggested. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychological consultation and services in a general medical hospital.

When psychologists need to see patients who have been admitted to a general medical hospital or are asked to see a patient in a general medical hospital, they must be aware of, and in compliance with, the rules governing consultation, privileging, and privacy. Psychological treatment for patients is an important part of the treatment of patients with medical conditions that may be exacerbated by psychosocial stressors, preexisting anxiety, or depressive symptoms. The role of the psychologist is to have an integrated role with the medical team and work with the patient in effectively managing these symptoms. Models for promoting psychological services to all patients, especially those who are medically ill, have emerged as one of the few growth areas in psychology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychologists' Use of Touch in Individual Psychotherapy.

A national sample of 470 practicing psychologists responded to a survey regarding touch in adult individual psychotherapy. Results reflected a high degree of caution regarding physical contact with clients. Close to 90% of respondents never or rarely offered touch to clients during a session. The handshake, a socially stereotyped form of touch most likely to occur during greeting or parting, was the only form of touch that occurred with some frequency. Therapist and client gender, theoretical orientation, and touch experience of the therapist were related to the use of touch. Contrary to guidelines, touch was typically not discussed with clients when it occurred. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Therapeutic Alliance in Face-to-Face Versus Videoconferenced Psychotherapy.

Despite the great potential videoconferencing holds for providing psychotherapy services to a wide range of individuals, it is presently underused by psychologists. Do psychologists hold negative attitudes that interfere with their willingness to use the technology? What do psychologists think about the impact of the technology on the therapeutic alliance? Thirty clinical psychologists were randomly assigned to watch an identical therapy session, either face-to-face or videoconferencing format. Our prediction that psychologists in the videoconferencing condition would rate the therapeutic alliance significantly lower than would psychologists in the face-to-face condition was supported. We discuss the need to develop appropriate therapist training and improve the general dissemination of information regarding videoconferencing as an important means by which to reduce negative attitudes toward the technology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

American Psychological Association annual report.

Presents the 2009 American Psychological Association annual report. It highlights a very important year for APA and psychology by summarizing activities within each directorate. It describes strides made toward the goal of infusing psychology into the health care marketplace and of bringing psychology—and the unique skills of psychologists—to the attention of the public. This report aims to give insight into the contributions psychologists make to our communities and our country. (PsycINFO Database Record (c) 2010 APA, all rights reserved)