Nature and History of Clinical Psychology

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Nature and History of Clinical

Psychology
Gladycel T. Contraras
Mary May M.
Fernando 2017
Nature
• " Today, clinical psychology is one of
the most popular subfields and the
single largest employment area
within psychology͟. –Lightner Witmer
(student of Wundt)

• The study of individuals, by


observation or experimentation,
with the intention of promoting
change.
Psychology in the Philippines
(https://www.pap.org.ph/sites/default/files/pap_certification_of_psychology_specialists_primer_pdf.pdf)
• Certification of Psychology Specialist:
• Certification of Assessment Psychologists
• Certification of Clinical Psychologists
• Certification of Counseling Psychologists
• Certification of Developmental Psychologists
• Certification of Educational Psychologists
• Certification of Industrial/Organizational
Psychologists
• Certification of Social Psychologists

• Board Exam
• Psychometrician
• Psychologist
Work
Settings
and Job
Roles
He was one of the first to focus on the
idea that mental illness was something
that could be treated by talking with
the patient, and it was the
development of his talk therapy
approach that is often cited as the
earliest scientific use of clinical
psychology.

Histor
y
Answer:
Historical Timelines of Clinical
Psychology
Timeline of Clinical
Psychology.pdf
• American psychologist Lightner Witmer opened the first
psychological clinic in 1896 with a specific focus on helping
children who had learning disabilities. It was also Witmer
who first introduced the term 'clinical psychology' in a
1907 paper. (other books mentioned 1904).
The Beginnings of
Clinical Psychology
• A young child, about seven years
old, enters a clinic. That in itself
is scary, but then unfamiliar
adults put him next to a small
table. On the table are blocks
and puzzles.
• The adults ask him to stack the
blocks, then ask him to complete a
simple puzzle. All the time they
are taking notes and discussing
the child's performance.

Witmer agreed to treat a young boy who had trouble


with spelling. He was dedicated to helping children
with learning disabilities.
• He looks up from time to time to see what
they are doing, but, for the most part, he is
absorbed in the tasks. After the child has
complied with their requests for a while,
the adults begin making suggestions to him.
• In one instance they ask him if it may not be
a better idea to stack the blocks from largest
to smallest so that they don't fall down. Then
they ask if starting by building the edges of a
puzzle might not help him complete it faster.
• The child is a random child seen by
members of Lightner Witmer's psychological Three members of the
Psychological Clinic at the entrance,
clinic soŵetiŵe iŶ the early ϭϵϬϬ͛s. ca. 1923.
• The testing was the beginning of clinical
psychology.
Source: Alessandri, M., Heiden, L., & Dunbar-Welter, M. (1995). "History and Overview" in Heiden, Lynda &
Hersen, Michel (eds.), Introduction to Clinical Psychology. New York: Plenum Press. ISBN 0-306-44877-7
• Ten years later in 1907, Witmer was to found the first journal of this new
field, The Psychological Clinic, where he coined the term "clinical
psychology", defined as "the study of individuals, by observation or
experimentation, with the intention of promoting change".

• The field was slow to follow Witmer's


example, but by 1914, there were 26
similar clinics in the U.S.

Sources: Compas, Bruce & Gotlib, Ian. (2002). Introduction to Clinical Psychology. New York,
NY:
McGraw-Hill Higher Education. ISBN 0-07-012491-4
Cover of The Psychological Clinic, the first
Evans, Rand. (1999). Clinical psychology born and raised in controversy. APA Monitor, 30(11)
journal of clinical psychology, published in 1907
by Lightner Witmer.
Evolution During War

• Clinical psychology became more established


during the period of World War I as
practitioners demonstrated the usefulness of
psychological assessments.
• In 1917, the American Association of Clinical
Psychology was established although it was
replaced just two years later with the
establishment of the American Psychological
Association (APA) (founded by G. Stanley Hall in
1892) developed a section on Clinical
Psychology, which offered certification until
1927
• World War I with the development
of two intelligence tests, Army
Alpha and Army Beta (testing
verbal and nonverbal skills,
respectively), which could be used
with large groups of recruits.
• Due in large part to the success of
these tests, assessment was to
become the core discipline of
clinical psychology for the next
quarter century, when another
war would propel the field into
treatment.
• During World War II, clinical psychologists were called upon to help
treat what was then known as shell shock (now referred to as
posttraumatic stress disorder).
• It was the demand for professionals to treat the many returning veterans
in need of care that contributed to the growth of clinical psychology
during this period.
• During the 1940s, the U.S. had no programs that offered a formal degree
in clinical psychology. The U.S. Veterans Administration set up a number
of doctoral-level training programs and by 1950 more than half of all the
PhD- level degrees in psychology were awarded in the area of clinical
psychology.
Summary of History
• EŶlighteŶŵeŶt period ;later ϭϳϬϬ͛sͿ
• Philippe Pinel – French reformer: humane
treatment of the mentally ill
• William Tuke – English reformer:
hospitals based on appropriate care
• Benjamin Rush – U.S.: moral therapy
• ϭϴϬϬ͛s – neurology as a discipline
recognizing hysteria could not be
recognized as biological: Charcot, Janet and
Freud
History of Assessment in Clinical Psychology
• Early Clinical Psychology was almost entirely an assessment field
• Late ϭϴϬϬ͛s – Francis Galton: differences in reaction time as
intelligence differences
• Wilhelm Wundt (Germany) first psychology laboratory,
studied sensation and perception
• James McKeen Cattell: studied connection between reaction
time
and intelligence
• CoiŶed terŵ ͞ ŵ eŶtal tests͟
History of Assessment in Clinical Psychology
• Emil Kraepelin (Germany)
• Believed in biological causes to mental illness
• Worked on classifications of syndromes – much of his work formed basis
for DSM and ICD (chp 3)
• Alfred Binet (France)
• French government asked Binet and collaborator Theodore Simon
to design a measure to assess children with cognitive deficits
• 1908 Binet-Simon scale measured 50 tests of mental skills
• 1916 Lewis Terman (US) modified it, first widely available test of
cognitive ability
History of Assessment in Clinical Psychology

• WWI – APA asked to develop a scale to measure


mental functioning of recruits
• Army Alpha Test (verbal abilities)
• Army Beta Test (non-verbal abilities – for those who could
not read or
spoke limited English)
• These tests and the value they gave recognized clinical psychology as
a sub-discipline of psych
• Testing began to flourish
• Wechsler-Bellevue intelligence test 1939 (considered the gold
standard in IQ tests)
• Projective tests – Rorschach Inkblot 1921, Thematic Apperception Test
(TAT) etc.
History of Assessment in Clinical Psychology
• WWII – Psychologists again active in tests for armed forces
• MMPI – (personality test) 1943
• Heavy use of statistics and test development
• Criticisms of Early Assessment
• Paul Meehl – importance of using statistics to testing viability
of hypotheses
• Walter Mischel͛s work showing personality traits as having
problems with
validity
• Behavioral assessment as a field grew in part from these
criticisms
History of Assessment in Clinical Psychology
• ϭϵϴϬ͛s – Diagnostic and Statistical Manual for Mental Disorders
(DSM-III) published
• DSM-III more focused on observable symptoms
• Focus on reliability

• Several changes in psychological assessment have recently


occurred
• Clinical utility – does the assessment help with treatment
• Service evaluation – do treatments work
History of Intervention in Clinical Psychology

• Sigmund Freud
• First elaborated treatment of mental health issues
• Early connection to neurology and work of Charcot
• Focus on role of unconscious
• Many subsequent followers elaborating related psychodynamic
theories
(e.g., Jung, Adler, etc.)
• Lightner Witmer – coiŶed terŵ ͚cliŶical psychology͛ – opened a
clinic (1904) to assess and remediate learning difficulities
• DeŵaŶd for therapy iŶcreases iŶ ϭϵϰϬ͛s aŶd ϱϬ͛s
History of Intervention in Clinical Psychology
• WWII
• Soldiers needing therapy when returning from war
• Members of public affected by loss
• VA hired many clinical psychologists
• MaŶy therapy approaches developed iŶ ϭϵϰϬ͛s – ϲϬ͛s
• Carl Rogers Client-centered approach
• Several adaptatioŶs to Freud͛s ŵodel
• Fritz Perls – Gestalt therapy
• Joseph Wolpe – Systematic desensitization
History of Intervention in Clinical Psychology
• Criticisms of Psychotherapy
• Hans Eysenck 1952
• Levitt, 1957
• Resulting in enormous amount of research on whether psychotherapy
works
• Efficacy studies – focus on studies that emphasize internal validity of
the study
• Effectiveness studies – focus on studies that look at real world
conditions
• Meta-analysis – statistical technique combining several studies,
showed psychotherapy effective
History of Intervention in Clinical Psychology

• Contemporary approaches
• Albert Ellis – Rational Emotive
Therapy
• Aaron Beck – Cognitive Therapy
• Cognitive Behavioral Therapy
• Short-term Dynamic Therapy
• Prevention in Clinical Psychology
• A growing area of Clinical Psychology
Assignment #1:
• Make a network/illustration/diagram following the historical
dates
and major landmarks.
Standard format of your submittals:
• Short typewriting
• Upper left corner: Last name, First name, Middle Initial
• Under your name: Course/Year/Section
• Upper Right Corner: Date
• Computerized or handwritten

• Yellow paper is for quizzes only. All submittals must be in


short
typewriting.
Quiz #1:
Do not write your
name. Write the date
today.
Write the course, year
and section

1. Write your
impression towards
your clinical
psychology

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