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Clinical Psychology
Vocabulary from "Clinical Psychology" (Trull, 7 ed.) chapters 1-5
135
Psychology
Undergraduate 3
02/06/2013

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Term
Accreditation
Definition
A designation bestowed by the American Psychological Association on psychological training programs that meet acceptable training standards
Term
Clinical Practicum
Definition
A training experience designed to build specific clinical skills (in assessment, psychotherapy, etc.). Often a practicum combines academic content, or theory, with practical experience.
Term
Clinical Psychologist
Definition
A member of a profession devoted to understanding and treating individuals affected by a variety of emotional, behavioral, and/or cognitive difficulties. Clinical psychologists may be involved in numerous activities, including psychotherapy, assessment and diagnosis, teaching, supervision, research, consultation, and administration.
Term
Clinical Science Model
Definition
A clinical psychology training model that emphasizes empirically supported approaches to assessment, prevention, and clinical intervention. This model arose from concerns that clinical psychology was not firmly grounded in science.
Term
Counseling Psychologists
Definition
Psychologists whose interests and activities overlap significantly with those of clinical psychologists. Traditionally, counseling psychologists have provided individual and group psychotherapy for normal or moderately maladjusted individuals and have offered educational and occupational counseling.
Term
Doctor of Psychology (Psy.D.) degree
Definition
An advanced degree in psychology that is emerging as an alternative to traditional research-oriented Ph.D. degrees. It has a relative emphasis on clinical and assessment skills and a relative de-emphasis on research competence.
Term
Doctoral Degree
Definition
A degree that requires training beyond the master's degree. In clinical psychology, the doctoral degree is usually obtainable after 4 years of graduate training in assessment, diagnosis, psychotherapy, and research, plus a 1-year internship.
Term
Graduate Record Examination
Definition
A test frequently required of applicants to graduate training programs. The GRE assesses quantitative, verbal, and analytical abilities. In addition, the GRE offers subject tests for several disciplines, including psychology.
Term
Health Psychologists
Definition
Psychologists whose research or practical work focuses on the prevention of illness, the promotion and maintenance of good health, or the treatment of individuals with diagnosed medical conditions.
Term
Idiographic Approach
Definition
The approach that emphasizes individual differences over general behavioral principles. This approach is associated with subjectively oriented clinical practice.
Term
Internship
Definition
An intensive clinical experience required of all clinical psychology students and usually occurring at the very end of their graduate training. Typically last 1 year and involve full-time work at an independent facility.
Term
Master's Degree
Definition
An advanced degree, usually obtainable after 2 years of graduate work. Individuals with this training in clinical psychology work in a variety of service-delivery settings but may be less likely to gain professional independence than individuals with doctoral degrees.
Term
Nomothetic Approach
Definition
The approach that examines or attempts to identify general principles of behavior, deemphasizing individual differences. This approach is associated with empirically oriented clinical practice.
Term
Paraprofessionals
Definition
Individuals (e.g., crisis hotline workers) who have been trained to assist professional mental health workers.
Term
Professional Schools
Definition
Schools offering advanced training in psychology that emphasizes competence in assessment and psychotherapy over competence in research. Many are not affiliated with universities, and most award the Psy.D. degree. This differs from the training offered by traditional doctoral programs.
Term
Psychiatric Social Workers
Definition
Mental health professionals trained in psychiatric diagnosis and in individual and group psychotherapy. Compared to psychologists and psychiatrists, their training is relatively brief, limited to a 2-year master's degree. They are intensely involved in the day-to-day lives of their patients and focus more on the social and environmental factors contributing to their patients' difficulties.
Term
Psychiatrist
Definition
A physician with intensive training in the diagnosis and treatment of a variety of mental disorders. Because of their medical backgrounds, they may prescribe medications for the alleviation of problematic behavior or psychological distress.
Term
Psychological Clinic
Definition
A clinic operated by a clinical psychology training program and staffed by clinical students, faculty, and others. It provides a setting for clinical students to gain practical experience by offering assessment, therapy, and consultation services to the public.
Term
Qualifying Examination
Definition
An examination required of all clinical psychology students, usually in their third year of training. The function of this exam is to ensure the student's academic competence.
Term
Rehabilitation Psychologists
Definition
Psychologists whose practice focuses upon individuals with physical or cognitive disabilities. They most often work in general or rehabilitation hospitals, and they help individuals with disabilities deal with the psychological, social, and environmental ramifications of their conditions.
Term
School Psychologists
Definition
Psychologists who work with educators to promote the intellectual, social, and emotional growth of school-age children. Activities may include evaluating children with special needs, developing interventions or programs to address these needs, and consulting with teachers and administrators about issues of school policy.
Term
Scientist-Practitioner Model of Training
Definition
The principal model for clinical psychology training of the past 50 years (also referred to as the Boulder model). This model strives to produce professionals who can effectively integrate the roles of scientist and practitioner (i.e., who practice psychotherapy with skill and sensitivity and conduct research on the hypotheses they have generated from their clinical observations).
Term
Theoretical Orientation
Definition
The theoretical framework that a psychologist relies on to conceptualize and treat clients' problems. Examples of such orientations include psychodynamic, cognitive, behavioral, interpersonal, systems, and eclectic/integrative.
Term
American Psychological Society (APS)
Definition
The professional psychological organization formed in 1988 when an academic-scientific contingent broke off from the APA. Goals include advancing the discipline of psychology, preserving its scientific base, and promoting public understanding of the field and its applications.
Term
Behavior Therapy
Definition
A popular or learning framework for treating disorders that is based on the principles of conditioning. Usually focuses on observable behavior and is typically of relatively brief duration.
Term
Behavioral Assessment
Definition
An approach to understanding and changing behavior by identifying the context in which it occurs (the situations or stimuli that either precede it or follow from it).
Term
Brief (Time-Effective) Therapy
Definition
Generally speaking, therapy of 15 or fewer sessions' duration. It has gained popularity in recent years due to the financial constraints imposed by managed care, as well as studies demonstrating that its effectiveness is on par with that of traditional psychotherapy.
Term
Community Psychology
Definition
A psychological specialty that focuses on the prevention and treatment of mental health problems, particularly among people that are traditionally underserved.
Term
Eclectics
Definition
Clinicians that employ the techniques of more than one theoretical orientation. The nature of the presenting problem determines which orientation to use in a given case.
Term
Etiological
Definition
Causal.
Term
g
Definition
A term introduced by Charles Spearman to describe his concept of a general factor of intelligence.
Term
guidance clinics
Definition
Clinics devoted to the evaluation and treatment of children's intellectual and behavioral difficulties.
Term
health psychology
Definition
A psychological specialty that focuses on the prevention of illness, the promotion and maintenance of good health, and the psychological treatment of individuals with diagnosed medical conditions.
Term
manualized treatment
Definition
Treatment that is presented and described in a manual format (i.e., outlining the rationales, goals, and techniques that correspond to each phase of the treatment).
Term
measurement of intelligence
Definition
The use of tests to measure various mental capacities (e.g., the speed of mental processes, the ability to learn over trials).
Term
mental tests
Definition
The term coined by James McKeen Cattell to describe his measures of individual differences in reaction time. He believed that performance on these tests was associated with intelligence.
Term
neuropsychological assessments
Definition
An assessment approach--based on empirically established brain-behavior relationships--that evaluates a person's relative strengths and weaknesses across a number of areas (e.g., memory, speed of processing, and manual dexterity).
Term
objective measures
Definition
Psychological tests that draw conclusions about people's states or traits on the basis of their responses to unambiguous stimuli, such as rating scales or questionnaire items. Responses are often interpreted using a nomothetic approach.
Term
personality disorders
Definition
Enduring and maladaptive patterns of experience and behavior that emerge by adolescence or young adulthood and persist through much of adulthood.
Term
personality testing
Definition
The use of measures or techniques to provide insight into enduring characteristics or traits.
Term
play therapy
Definition
A technique, derived from traditional Freudian principles, that uses expressive play to help release anxiety or hostility. Proponents believe that such a release has a curative effect.
Term
projective techniques
Definition
Psychological testing techniques, such as the Rorschach or the Thematic Apperception Test, that use people's responses to ambiguous test stimuli to make judgments about their personality traits or their psychological state.
Term
psychoanalysis
Definition
A framework for understanding and treating mental illness based on the collaborative work of Breuer and Freud in the late 1800s.
Term
psychodiagnosis
Definition
The use and interpretation of psychological test scores for the purposes of diagnosis and treatment planning.
Term
psychotherapy research
Definition
Research that evaluates the effectiveness of therapy or certain therapy components. May be used to determine which intervention is more effective for treating a certain condition or which component of a particular therapy is most crucial for bringing about an observed change.
Term
radical behaviorism
Definition
A movement in psychology that began in the late 1950s and persisted through the 1960s. Proponents of this movement asserted that only overt behaviors could be measured and even questioned the existence of personality traits.
Term
structured diagnostic interviews
Definition
A class of assessment tools, all of which consist of questions keyed to diagnostic criteria. The interviewers ask all interviewees the same questions in the same order and score the answers in standard ways.
Term
systemic desensitization
Definition
A behavioral technique for the treatment of anxiety disorders in which patients practice relaxation while visualizing anxiety-provoking situations of increasing intensity.
Term
Academy of Psychological Clinical Science
Definition
An organization of clinical psychology programs and clinical psychology internship sites committed to the clinical scientist model of training. Affiliated with the American Psychological Society (APS).
Term
American Board of Professional Psychology (ABPP)
Definition
An organization that offers certification of professional competence in many psychology specialties. Certification may be sought after 5 years of postdoctoral experience and is granted on the basis of an oral examination, the observed handling of a case, and records from past cases.
Term
certification
Definition
A professional regulation that prohibits people from calling themselves psychologists while offering services to the public for a fee unless they have been certified by a state board of examiners.
Term
client welfare
Definition
An ethical principle that calls upon psychologists to respect the integrity of their clients and to guard the relationship from exploration. This principle encompasses ethical standards such as avoiding dual relationships with clients and discontinuing treatment when it is clearly no longer beneficial.
Term
clinical scientist model
Definition
A training model that encourages rigorous training in empirical research methods and the integration of scientific principles into clinical practice.
Term
combined professional-scientific training program
Definition
A training model that offers a combined specialty in clinical, counseling, and school psychology.
Term
competence
Definition
An ethical principle that calls upon psychologists to recognize the boundaries of their professional expertise and to keep up to date on information relevant to the services they provide.
Term
confidentiality
Definition
An ethical principle that calls upon psychologists to respect and protect the information shared with them by clients, disclosing this information only when they have obtained the client's consent (except in extraordinary cases in which failing to disclose the information would place the client or others at clear risk for harm). In research on human subjects, the principle of protecting individual participants' data from public scrutiny.
Term
cultural competence
Definition
A knowledge and appreciation of other cultural groups and the skills to be effective with members of these groups
Term
diversity
Definition
The presence of differences, or variety.
Term
ethical standards
Definition
As pertains to psychologists, enforceable rules of professional conduct identified by the APA.
Term
health maintenance organization (HMO)
Definition
A managed care system that employs a restricted number of providers to serve enrollees. Costs for all services are fixed.
Term
licensing
Definition
A professional regulation that is more stringent than certification. It specifies not only the nature of the title and training required, but also the professional activities that may be offered for a fee.
Term
managed care
Definition
A profit-driven, corporate approach to health (and mental health) care that attempts to contain costs by controlling the length and frequency of service utilization, restricting the types of service provided and requiring documentation of treatment necessity and efficacy.
Term
preferred provider organization (PPO)
Definition
A managed care system that contracts with outside providers to supply services to members. These outside providers are reimbursed for their services at a discounted rate in return for an increased number of member referrals.
Term
prescription privileges
Definition
The legal ability to prescribe medication. There is currently a heated debate among clinical psychologists as to the desirability of obtaining this privilege.
Term
Tarasoff case
Definition
A landmark 1976 case in which the California Supreme Court ruled that a therapist was legally remiss for not informing all appropriate parties of a client's intention to harm. This case legally established a therapist's "duty to warn."
Term
ABAB designs
Definition
Single-case designs that observe systematic changes in the participant's behavior as the treatment and no-treatment conditions alternate. The initial baseline period is followed by a treatment period, a treatment reversal period, and a second treatment period
Term
analog study
Definition
A study conducted in the laboratory under conditions that are purportedly analogous to real life.
Term
between-group designs
Definition
Designs in which two or more separate groups of participants each receive a different kind of treatment
Term
case study method
Definition
A research method consisting of the intensive description or study of one person (usually a client or patient who is in treatment).
Term
confound
Definition
A situation in which extraneous variables are not controlled or cannot be shown to exist equally in one experimental and control groups. One cannot attribute changes in the dependent variable to the manipulation of the independent variable.
Term
control group
Definition
The group in an experimental design that does not receive the treatment of interest. In the perfect experimental design, the groups are similar on all variables except the treatment variable.
Term
controlled observation
Definition
A research method similar to naturalistic observation in which carefully planned observations are made in real-life settings, except that the investigator exerts a degree of control over the events being observed.
Term
correlation coefficient
Definition
A statistic (usually symbolized by r) that describes the relationship between two variables. r ranges between -1.00 and +1.00; its sign indicates the direction of the association, and its absolute value indicates the strength.
Term
correlation matrix
Definition
An array that displays the correlations between all possible pairs of variables in the array.
Term
correlational methods
Definition
Statistical methods that allow us to determine whether one variable is related to another. In general, they do not allow us to draw inferences about cause and effect.
Term
cross-sectional design
Definition
A research design that compares different groups of individuals at one point in time.
Term
debriefing
Definition
In research on human subjects, the legal requirement that researchers explain to participants the purpose, importance, and results of the research following their participation.
Term
deception
Definition
Sometimes used in research when knowing the true purpose of a study would change the participants' responses or produce non-veridical data.
Term
dependent variable
Definition
The variable in an experimental design that is measured by the investigator.
Term
double-blind procedure
Definition
A procedure for circumventing the effects of experimenter or participant expectations. Neither the participant nor the experimenter knows what treatment the participant is receiving until the very end of the study.
Term
epidemiology
Definition
The study of the incidence, prevalence, and distribution of illness or disease in a given population.
Term
expectations
Definition
What the investigator or the research participant anticipates about the experimental outcome.
Term
experimental group
Definition
The group in an experimental design that receives the treatment of interest.
Term
experimental hypothesis
Definition
The theory or proposal on which an experimental study is based. Often, the hypothesis predicts the effects of the treatment administered.
Term
experimental method
Definition
A research strategy that allows the researcher to determine cause-and-effect relationships between variables or events.
Term
external validity
Definition
The results of an experiment are generalizable beyond the narrow conditions of the study.
Term
factor
Definition
The hypothesized dimension underlying an interrelated set of variables.
Term
factor analysis
Definition
A statistical method for examining the interrelationships among a number of variables at the same time. This method uses many separate correlations to determine which variables change together and thus may have some underlying dimension in common.
Term
fraudulent data
Definition
Data that are fabricated, altered, or otherwise falsified by the experimenter.
Term
incidence
Definition
The rate of new cases of a disease or disorder that develop within a given period of time. Allows us to determine whether the rate of new cases is stable or changing from one time period to the next.
Term
independent variable
Definition
The variable in an experimental design that is manipulated by the investigator.
Term
informed consent
Definition
In research on human subjects, the legal requirement that researchers inform potential participants about the general purpose of the study, the procedures that will be used, any risks, discomforts, or limitations on confidentiality, any compensation for participation, and their freedom to withdraw from the study at any point.
Term
internally valid
Definition
In an experiment's results, the change in the dependent variable is attributable to the manipulation of the independent variable.
Term
longitudinal design
Definition
A research design that compares the same group of individuals at two or more points in time.
Term
matching
Definition
A term used when research participants in the experimental and control groups are the same or similar on variables (e.g., age, sex) that may affect the outcome of the research.
Term
mixed designs
Definition
Research designs that combine both experimental and correlational methods. In this design, participants from naturally occurring groups of interest (e.g., people with panic disorder and people with social phobia) are assigned to each experimental treatment, allowing the experimenter to determine whether the effectiveness of the treatments varies by group classification.
Term
multiple baseline designs
Definition
Design used when it is not possible or ethical to employ a treatment reversal period. In this design, baselines are established for two (or more) behaviors, treatment is introduced for one behavior, and then treatment is introduced for the second behavior as well. By observing changes in each behavior from period to period, one may draw conclusions about the effectiveness of the treatments.
Term
naturalistic observation
Definition
A research method in which carefully planned observations are made in real-life settings.
Term
placebo effect
Definition
The case where the expectations for the experimental manipulation cause the outcome rather than (or in addition to) the manipulation itself.
Term
prevalence
Definition
The overall rate of cases (new or old) within a given period of time. Allows us to estimate what percentage of the target population is affected by the illness or disorder.
Term
retrospective data
Definition
Data based upon people's reports of past experiences and events.
Term
risk factor
Definition
A variable (e.g., demographic, environmental) that increases a person's risk of experiencing a particular disease or disorder over his or her lifetime.
Term
scatterplot
Definition
A visual representation of the relationship between two variables. Consists of an x-axis (labeled to reflect one variable), a y-axis (labeled to reflect the other variable), and a number of data points, each corresponding to one person's scores on both variables.
Term
single-case designs
Definition
Designs that focus on the responses of only one participant. Usually, an intervention is introduced after a reliable baseline is established, and the effects of the intervention are determined by comparing the baseline and postintervention levels of behavior.
Term
statistical significance
Definition
Statistical values that would not be expected to occur solely on the basis of chance. By convention, a value would be expected to occur by chance alone fewer than 5 times out of 100.
Term
third-variable problem
Definition
The possibility that a correlation between variables A and B is due to the influence of an unknown third variable rather than to a causal relationship between A and B.
Term
within-group designs
Definition
Designs in which the same group of participants is compared at different points in time (say, before and after a treatment is administered).
Term
Axis I
Definition
The diagnostic axis of the DSM-IV-TR that identifies all of the clinical disorders that are present, except for the personality disorders and mental retardation.
Term
Axis II
Definition
The diagnostic axis of the DSM-IV that indicates the presence of personality disorders or mental retardation.
Term
Axis III
Definition
The diagnostic axis of the DSM-IV that identifies current medical conditions that may be relevant to the conceptualization or treatment of the disorders diagnosed on Axes I and II.
Term
Axis IV
Definition
The diagnostic axis of the DSM-IV that specifies any psychosocial or environmental problems relevant to diagnosis, treatment, and prognosis.
Term
Axis V
Definition
The diagnostic axis of the DSM-IV that provides a numerical index of the individual's overall level of functioning.
Term
categories
Definition
Discrete classifications. Many of the mental disorders in the current diagnostic system are presented as categorical in nature, meaning that people are judged either to have the disorder or not have it.
Term
conformity to norms
Definition
One of the three major definitions of abnormal behavior, this definition labels behavior as abnormal if it violates cultural norms.
Term
cultural relativity
Definition
In the context of conformity-oriented definitions of abnormal behavior, the fact that judgments about the abnormality of a particular behavior may vary from culture to culture or subculture to subculture.
Term
cutoff points
Definition
In the context of conformity-oriented definitions of abnormal behavior, the numerical values on a test or inventory that differentiate normal from abnormal performance.
Term
diathesis
Definition
In the diathesis-stress model of psychopathology, a vulnerability (e.g., genetic, psychological) to develop a particular disorder.
Term
dimensions
Definition
Continua. In a dimensional classification system, individuals may be seen as falling on any point of a continuum ranging from total absence of a disorder to its most severe manifestation.
Term
disability or dysfunction
Definition
One of the three major definitions of abnormal behavior, this definition labels behavior as abnormal if it creates social or occupational problems for the individual.
Term
DSM-III
Definition
The third edition of the Diagnostic and Statistical Manual for Mental Disorders, published in 1980. Introduced revolutionary changes in the diagnostic system, including explicit, etiologically neutral diagnostic criteria and a multiaxial system of diagnosis.
Term
DSM-IV-TR
Definition
The current edition of the Diagnostic and Statistical Manual for Mental Disorders, published in 2000.
Term
environmental stress
Definition
In the diathesis-stress model of psychopathology, a stressor (e.g., biological, psychological) that acts together with a diathesis to produce a given mental disorder.
Term
etiological factors
Definition
Causal factors.
Term
etiological models of psychopathology
Definition
Causal models of abnormal behavior and mental illness that also have implications for assessment and treatment. For example, the biological, psychodynamic, learning, and cognitive models.
Term
Global Assessment of Functioning
Definition
The score provided on Axis V that serves as an index of the person's overall level of functioning.
Term
mental disorder
Definition
A syndrome (cluster of abnormal behaviors) occurring within an individual that is associated with distress, disability, or increased risk of problems.
Term
mental illness
Definition
A large class of frequently observed syndromes that comprise certain abnormal behaviors or features.
Term
multiaxial assessment
Definition
The evaluation of patients along multiple domains of information. The DSM-IV-TR calls for diagnosis along five separate axes, each of which aids in treatment planning and the prediction of outcome.
Term
principal diagnosis
Definition
The diagnosis that is chiefly responsible for a person's distress or disability and should be considered the focus of treatment.
Term
psychopathologist
Definition
A scientist who studies the causes of mental disorders as well as the factors that influence their development.
Term
reliability
Definition
In the context of diagnostic classification, the consistency of diagnostic judgments across raters.
Term
sex bias
Definition
In the context of diagnostic classification, this would be demonstrated if the same cluster of behaviors resulted in a diagnosis for members of one sex but not for the other. Although the current diagnostic criteria are not biased in and of themselves, clinicians may be biased in the way they apply these diagnoses to males and females.
Term
subjective distress
Definition
One of the three major definitions of abnormal behavior, this definition labels as psychologically abnormal those people with a poor sense of well-being.
Term
syndrome
Definition
A group of symptoms that tend to occur together.
Term
validity
Definition
In the context of diagnostic classification, the extent to which diagnoses correlate with meaningful variables such as etiology, prognosis, and treatment outcome.
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