Saturday, September 27, 2014

Examination of Clinical Psychology

The field of psychology focuses on the human mind and behavior to gain understanding of why people think, feel and behave certain ways.  In a continuous effort to gain understanding of human behavior psychologist observe individuals, administer questionnaires that are known as psychological testing and develop theories based off of results from experiments that are conducted.  The field of psychology has many sub-fields that include “human development, health, industry, law, and so on” ("Psychology," 2009).  This paper will examine the sub-field clinical psychology and discuss the history and evolving nature of that branch of psychology.  In addition to the examination of clinical psychology this paper will also explain the role of research and statistics in clinical psychology as well as discuss the differences between clinical psychology and other mental health professions, including social work, psychiatry, and social psychology. 
Clinical psychology is considered a major sub-field of psychology that involves “the scientific application of psychology with the purpose of evaluating, diagnosing, preventing, and treating psychological distress or dysfunctional behavior” ("Clinical psychology," 2009).  The basis of clinical psychology revolves around the notion that individuals have the ability to change therefore “clinical psychology focuses its efforts on the ways in which the human psyche interacts with the physical emotional and social aspects of health and dysfunction” (Plante, 2011 p. 5).  Clinical psychology applies psychological findings in relation to human behavior to help individuals manage issues that have developed due to unpleasant experiences that may occurred in their life.  Examples of issues that clinical psychology help individuals with include but are not limited to severe depression that may occur after a traumatic experience such as divorce or the loss of a loved one.  Substance abuse problems, “addictions, hallucinations, compulsive eating, sexual dysfunction, physical abuse, suicidal impulses and head injuries” (Plante, 2011 p. 6) just to name a few.
The field of clinical psychology concentration is on psychological assessment and treatment.  Psychological assessment “involves the use of intelligence, achievement, personality, and neuropsychological tests as well as clinical observations, to attain a better understanding of the individual’s psychological problem” ("Clinical psychology," 2009).  Psychological treatment happens “through psychotherapy that involves a relationship between a clinical psychologist and a patient, couple, family, or group, where the psychologists employs a series of techniques to relieve psychological distress or otherwise improve coping strategies” ("Clinical psychology," 2009).  Psychoanalysis, Psychodynamic therapy, behavioral therapy, cognitive behavioral therapy and humanistic therapy are different theoretical methods that clinical psychologist employ during treatment.
History
The field of psychology emerged as a science in 1879 when “Wilhelm Wundt, also known as the father of psychology, established the first laboratory dedicated to psychological research at Leipzig University in Germany” ("Psychology," 2009).   Soon after the establishment of the research laboratory, “William James published The Principles of Psychology, which laid the foundation for much of the stud of psychology that followed” ("Psychology," 2009) as well as Wundt’s publication of ‘The principles of Physiological Psychology and Theodor Fechner’s publication of The Elements of Psychophysics” (Plante, 2011).  These publications along with research laboratory prompted the establishment of the American Psychological Association in 1892.  The main agenda in psychology was to realistically measure human behavior through observation to gain an understanding of the connection between the human mind and behavior.
Lightner Witmer established the “first psychology clinic at the University of Pennsylvania in 1896” (Plante, 2011 p.32)  that created the term clinical psychology, however long before that development “several Greek thinkers were pivotal in the early development of integrative approaches to illness, and this, were precursors to a biopsychosocial perspective” (Plante, 2011 p. 33).   Ancient Greeks believed that there was a connection between mind and body in addition to their beliefs that God control health and illness.  Hippocrates was one of the first to provide a physiological explanation of disease and dysfunction by suggesting that disparities in the mixture and quantity of body fluids such as black bile, yellow bile, phlegm, and blood was the cause of quite a few emotions and psychological disturbances, such as sadness, irritability, and anger.
Evolving Nature
The American Psychological Association was reluctant to accept a practical approach to psychology; however that did not stop the field of clinical psychology from evolving into a major contributor to the field of psychology with the help of the “works and writings of Sigmund Freud and his colleagues” (Plante, 2011).  Sigmund Freud expanded on the Greeks notion of the connection between the mind and body in which he “proposed that unconscious conflicts and emotional influences could bring about mental and physical illness” (Plante, 2011).  It took some time before Freud’s work actually had direct influence on clinical psychology, however eventually his ideas on human psychology were substituted for humanism, cognitive-behaviorism, and family system approaches.
Prior to World War II, there was not much efforts put into clinical psychology, however after the war, “clinical psychology was newly supported by government funds and expanded enormously” ("History of clinical psychology," 2004).  Eventually the American Psychological Association began to establish “an official system for accrediting training in clinical psychology” which prompted the Boulder Conference to “set the pattern for such programs, which sought to train scientist practitioners” ("History of clinical psychology," 2004).   
The field of clinical psychology continues to evolve due to changes that occur as research is conducted and results differentiate from previous research as well as “the evolution of Western medicine from a non-scientific endeavor to today’s high-tech standard of practice is traced” (Plante, 2011).   As clinical psychology evolved it bought about changes in psychological assessments that lead to mental health facilities being established and the beginning of psychotropic drugs being used as treatment of abnormal psychology.  Although these developments in the field of clinical psychology provide an alternate to what was considered traditional treatment they did not give a full explanation of the behavior in question therefore prompting for research to be continuous.


The Role of Research and Statistics
Research is the foundation that clinical psychology developed from because “research conducted by psychologists or others in the behavioral sciences provides the basis and direction for all professional activities” (Plante, 2011).  Research programs have been developed to assist psychologist in making a determination on “which assessment or treatment approach might be most effective for a particular clinical problem such as depression, anxiety, eating disorders, or substance abuse problems” (Plante, 2011).  Statistics is also a part of the foundation that clinical psychology developed from because information gathered allows researchers to conclude whether or not it is that information provides significance and is relevant to a larger group of individuals. 
Clinical Psychology as it differs from other fields
Clinical Psychology differs from others fields such as mental health, social work, psychiatry, and social psychology because of the training that is needed and the educational requirements.  Clinical psychologist must complete Ph.D. or Doctor of Psychology program that consists of five years of graduate course work and studies that ends with a dissertations and a completion of one year supervised work in the field.  In addition to the educational requirements a clinical psychologist is required to obtain a license by the state before they can begin practice.  Social workers must have a minimum of a bachelor’s degree, pass a licensing examination and two years of clinical experience that is supervised by a licensed social worker.  Psychiatrist must attend medical school where they are required to study chemistry, physiology, and the science of medicine and also two years of applied clinical training.  After medical school psychiatric residency is also required as a part of continuing training.  Mental health requirements are a bachelors or master’s degree in psychology and clinical experience that they can be obtained on the job.  Social psychology requires a minimum of a master’s degree and typically works in settings where they are making observation on human interactions where they apply the knowledge they have on human behavior with scientific research methods which is similar to clinical psychology but it differs due to clinical psychology requiring that an individual have knowledge and skills with all psychology sub-fields.
Conclusion
The field of psychology emerged as a scientific discipline when the first laboratory was created for psychological research and soon after that clinical psychology emerged as a sub-field adding major contributions to the field of psychology. Several factors have contributed to the evolution of clinical psychology that dates back to the Greeks and Hippocrates theories that have allowed for psychologist to make continuous efforts to improve assessments and treatments of individuals using information gathered from research and statistics.  Clinical psychology differs from other disciplines because it’s focus is on applying the knowledge obtained from other disciplines and research to develop assessments and treatment for individuals. 

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