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THE CLINICALTHE CLINICAL
PSYCHOLOGISTPSYCHOLOGIST
Skills / ActivitiesSkills / Activities
Who is a Clinical Psychologist?Who is a Clinical Psychologist?
A clinical psychologist is a professionalA clinical psychologist is a professional
who applies principles and procedures towho applies principles and procedures to
understand, predict and alleviateunderstand, predict and alleviate
intellectual, emotional, psychological andintellectual, emotional, psychological and
behavioral problems”behavioral problems”
(American Psychological Association).(American Psychological Association).
Professional skills / Activities of aProfessional skills / Activities of a
Clinical Psychologist:Clinical Psychologist:
 The fundamental skill areas that are essential forThe fundamental skill areas that are essential for
competent functioning as a clinical psychologist within thecompetent functioning as a clinical psychologist within the
areas of mental health include the following:areas of mental health include the following:
1)1) Intervention & TherapyIntervention & Therapy
2)2) Assessment & DiagnosisAssessment & Diagnosis
3)3) TeachingTeaching
4)4) Clinical SupervisionClinical Supervision
5)5) ResearchResearch
6)6) ConsultationConsultation
7)7) Program DevelopmentProgram Development
8)8) AdministrationAdministration
1. Intervention & Therapy1. Intervention & Therapy
 A major activity of clinical psychologists is intervention orA major activity of clinical psychologists is intervention or
treatment.treatment.
 Many clinical psychologists work directly with people whoMany clinical psychologists work directly with people who
have a mental illness or psychological disorder.have a mental illness or psychological disorder.
 By choosing an appropriate treatment, clinicalBy choosing an appropriate treatment, clinical
psychologists can help such people overcome theirpsychologists can help such people overcome their
problem or, at minimum, manage their symptoms.problem or, at minimum, manage their symptoms.
 All psychological intervention rests on the ability toAll psychological intervention rests on the ability to
develop and maintain functional therapeutic relationshipsdevelop and maintain functional therapeutic relationships
with clients.with clients.
Intervention & Therapy (cont.)Intervention & Therapy (cont.)
 Intervention is an important skill, as clients seen by clinicalIntervention is an important skill, as clients seen by clinical
psychologists are often highly distressed and sensitive.psychologists are often highly distressed and sensitive.
 The major purpose of intervention is to empowerThe major purpose of intervention is to empower
individuals to make adaptive choices and to gain healthyindividuals to make adaptive choices and to gain healthy
control of their own lives.control of their own lives.
 All interventions require skill in the following tasks:All interventions require skill in the following tasks:
conceptualization of the problem; formulation of aconceptualization of the problem; formulation of a
treatment plan; implementation of the treatment plan; andtreatment plan; implementation of the treatment plan; and
evaluation of the accuracy and completeness of the aboveevaluation of the accuracy and completeness of the above
mentioned tasks, as well as outcome of the intervention.mentioned tasks, as well as outcome of the intervention.
Intervention & Therapy (cont.)Intervention & Therapy (cont.)
 Psychotherapy is the activity that most frequentlyPsychotherapy is the activity that most frequently
engages the typical clinician’s efforts and to which theengages the typical clinician’s efforts and to which the
most time is devoted.most time is devoted.
 The lay person often has an image of the therapyThe lay person often has an image of the therapy
situation as one in which the client lies on a couch whilesituation as one in which the client lies on a couch while
the therapist, bearded and mysterious, sits behind withthe therapist, bearded and mysterious, sits behind with
notepad and furrowed brow. Actually, therapy comes innotepad and furrowed brow. Actually, therapy comes in
many different sizes and shapes. A few therapists stillmany different sizes and shapes. A few therapists still
use a couch, but more often the client sits in a chairuse a couch, but more often the client sits in a chair
adjacent to the therapist’s desk.adjacent to the therapist’s desk.
Intervention & Therapy (cont.)Intervention & Therapy (cont.)
 Most often therapy involves a one- to- one relationship, butMost often therapy involves a one- to- one relationship, but
today couple’s therapy, family therapy and group therapytoday couple’s therapy, family therapy and group therapy
are also very common.are also very common.
 The therapist and client meet regularly, typically (but notThe therapist and client meet regularly, typically (but not
necessarily) in weekly sessions, to work out the solution ofnecessarily) in weekly sessions, to work out the solution of
the client's problems until both agree that the client hasthe client's problems until both agree that the client has
substantially improved and does not need further treatment.substantially improved and does not need further treatment.
 Therapy can be based on different theoretical approachesTherapy can be based on different theoretical approaches
like psychodynamic or cognitive behavioral.like psychodynamic or cognitive behavioral.
2. Assessment & Diagnosis2. Assessment & Diagnosis
Assessment:Assessment:
 Assessment has long been a critical part of the clinicalAssessment has long been a critical part of the clinical
psychologist’s role.psychologist’s role.
 Assessment, whether through observation, testing orAssessment, whether through observation, testing or
interviewing, is a way of gathering information so that aninterviewing, is a way of gathering information so that an
important question can be solved.important question can be solved.
 Assessment of an individual's development, behavior,Assessment of an individual's development, behavior,
intellect, interests, personality, cognitive processes,intellect, interests, personality, cognitive processes,
emotional functioning, and social functioning are performedemotional functioning, and social functioning are performed
by clinical psychologists, as are assessment activitiesby clinical psychologists, as are assessment activities
directed toward couples, families, and groups.directed toward couples, families, and groups.
Assessment & Diagnosis (cont.)Assessment & Diagnosis (cont.)
 Interpretation of assessment results, and integration of theseInterpretation of assessment results, and integration of these
results with other information available, in a way that isresults with other information available, in a way that is
sensitive to the client, is an essential skill of clinicalsensitive to the client, is an essential skill of clinical
psychologists.psychologists.
 The process of assessment is very important as it leads toThe process of assessment is very important as it leads to
the diagnosis of the client’s problem(s).the diagnosis of the client’s problem(s).
 All practicing clinicians engage in assessment of one formAll practicing clinicians engage in assessment of one form
or another. Take, for example, the following case:or another. Take, for example, the following case:
A child who is failing the fourth grade is administered anA child who is failing the fourth grade is administered an
intelligence test to check if there is an intellectual deficit.intelligence test to check if there is an intellectual deficit.
Assessment & Diagnosis (cont.)Assessment & Diagnosis (cont.)
Diagnosis:Diagnosis:
 Clinical psychologists are trained to assess, and makeClinical psychologists are trained to assess, and make
functional diagnoses regarding intellectual level, cognitive,functional diagnoses regarding intellectual level, cognitive,
emotional, social, and behavioral functioning, as well as mentalemotional, social, and behavioral functioning, as well as mental
and psychological disorders.and psychological disorders.
 Diagnoses may be made formally, using widely acceptedDiagnoses may be made formally, using widely accepted
criteria, such as the criteria for evaluating intellectual level orcriteria, such as the criteria for evaluating intellectual level or
psychiatric diagnosis (i.e., the American Psychiatricpsychiatric diagnosis (i.e., the American Psychiatric
Association's Diagnostic and Statistical Manual of MentalAssociation's Diagnostic and Statistical Manual of Mental
Disorders; also called DSM IV), or informally, such as diagnosisDisorders; also called DSM IV), or informally, such as diagnosis
of family dynamics using a particular theoretical model.of family dynamics using a particular theoretical model.
3. Teaching3. Teaching
 Clinical psychologist who have full or part- time academicClinical psychologist who have full or part- time academic
appointments obviously devote a considerable amount of timeappointments obviously devote a considerable amount of time
to teaching.to teaching.
 Those whose responsibilities are primarily in the area ofThose whose responsibilities are primarily in the area of
graduate education, teach courses in advancedgraduate education, teach courses in advanced
psychopathology, psychological testing, interviewing,psychopathology, psychological testing, interviewing,
intervention, personality theory and so on.intervention, personality theory and so on.
 Some also teach abnormal psychology, introduction to clinicalSome also teach abnormal psychology, introduction to clinical
psychology.psychology.
Teaching (cont.)Teaching (cont.)
 Much of this teaching is of the familiar class room lectureMuch of this teaching is of the familiar class room lecture
type. But a considerable amount of teaching is also donetype. But a considerable amount of teaching is also done
on a one- to- one, supervisory basis.on a one- to- one, supervisory basis.
 Clinical psychologists in clinical setting may also teachClinical psychologists in clinical setting may also teach
informal classes or do orientation work with other mentalinformal classes or do orientation work with other mental
health personnel, such as nurses, aides, social worker,health personnel, such as nurses, aides, social worker,
occupational therapist and so on.occupational therapist and so on.
 In some cases the clinician may go out into the communityIn some cases the clinician may go out into the community
and lead workshops on various topics for police officers,and lead workshops on various topics for police officers,
volunteers, ministers, probation officers and others.volunteers, ministers, probation officers and others.
4. Clinical supervision4. Clinical supervision
 This activity is another form of teaching. However, it typicallyThis activity is another form of teaching. However, it typically
involves more one- to- one teaching, small group approaches,involves more one- to- one teaching, small group approaches,
and other less formal, non class room varieties of instruction.and other less formal, non class room varieties of instruction.
 Clinical psychologists often spend significant portions of theirClinical psychologists often spend significant portions of their
time supervising students, interns and others.time supervising students, interns and others.
 Becoming skilled in the therapy and assessment techniquesBecoming skilled in the therapy and assessment techniques
requires more than just reading textbooks. It also involvesrequires more than just reading textbooks. It also involves
seeing clients and then discussing their cases with a moreseeing clients and then discussing their cases with a more
experienced supervisor.experienced supervisor.
 In short one learns by doing but under the controlled andIn short one learns by doing but under the controlled and
secure conditions of a trainee- supervisor relationship.secure conditions of a trainee- supervisor relationship.
5. Research5. Research
 Clinical psychology has grown out of an academic researchClinical psychology has grown out of an academic research
tradition. As a result, when clinical training programs weretradition. As a result, when clinical training programs were
first established after world war 2, the scientist- practitionerfirst established after world war 2, the scientist- practitioner
model was adopted.model was adopted.
 This meant that in contrast to other mental health workersThis meant that in contrast to other mental health workers
such as psychiatrist or social worker, all clinicians were tosuch as psychiatrist or social worker, all clinicians were to
be trained both as scientist and as practitioner.be trained both as scientist and as practitioner.
 Although this research emphasis may not be so prominentAlthough this research emphasis may not be so prominent
in some training programs as it once was, the fact remainsin some training programs as it once was, the fact remains
that clinical psychologists are in a unique position both tothat clinical psychologists are in a unique position both to
evaluate research conducted by others and to conduct theirevaluate research conducted by others and to conduct their
own research.own research.
Research (cont.)Research (cont.)
 Clinical psychology research can be both basic andClinical psychology research can be both basic and
applied.applied.
 Among the health care professions, clinical psychology isAmong the health care professions, clinical psychology is
one of the few to provide extensive research training.one of the few to provide extensive research training.
 Thus, clinical psychologists are well suited to design,Thus, clinical psychologists are well suited to design,
implement, and evaluate research and conduct programimplement, and evaluate research and conduct program
evaluation/quality assurance programs as part of theirevaluation/quality assurance programs as part of their
activities.activities.
 Research is an integral activity of clinical psychologistsResearch is an integral activity of clinical psychologists
working in academic and clinical settings.working in academic and clinical settings.
Research (cont.)Research (cont.)
 The range of research projects carried out by cliniciansThe range of research projects carried out by clinicians
is enormous.is enormous.
 Clinical studies include search for the causes of mentalClinical studies include search for the causes of mental
disorders, development and validation of assessmentdisorders, development and validation of assessment
devices, evaluation of therapy techniques and so on.devices, evaluation of therapy techniques and so on.
 By virtue of their training in research, clinicalBy virtue of their training in research, clinical
psychologists have the ability both to consume andpsychologists have the ability both to consume and
produce new knowledge.produce new knowledge.
6. Consultation6. Consultation
 Consultation, regardless of the setting in which it occurs, or theConsultation, regardless of the setting in which it occurs, or the
particular purpose it has, is a significant activity of many clinicalparticular purpose it has, is a significant activity of many clinical
psychologists. A growing number of clinical psychologists servepsychologists. A growing number of clinical psychologists serve
as consultants.as consultants.
 In consultation , the goal is to increase the effectiveness ofIn consultation , the goal is to increase the effectiveness of
those to whom one’s efforts are directed by imparting to themthose to whom one’s efforts are directed by imparting to them
some degree of expertise. It takes innumerable forms, in manysome degree of expertise. It takes innumerable forms, in many
different settings.different settings.
 Consultation can run the gamut from clinical cases to matter ofConsultation can run the gamut from clinical cases to matter of
business, personnel and profit. It can deal with individuals orbusiness, personnel and profit. It can deal with individuals or
entire organizations. Sometimes it is remedial, other times it isentire organizations. Sometimes it is remedial, other times it is
oriented toward prevention.oriented toward prevention.
7. Program Development7. Program Development
 Clinical psychologists are often asked to contribute to theClinical psychologists are often asked to contribute to the
development of treatment/evaluation programs, and shoulddevelopment of treatment/evaluation programs, and should
obtain appropriate supervised experience in such activitiesobtain appropriate supervised experience in such activities
during their training.during their training.
 Clinical psychologists typically work with other professionals,Clinical psychologists typically work with other professionals,
either directly or indirectly, who are also providingeither directly or indirectly, who are also providing
professional services to the client.professional services to the client.
 As such, clinical psychologists must be skilled in interactingAs such, clinical psychologists must be skilled in interacting
with other professionals in a respectful and helpful manner towith other professionals in a respectful and helpful manner to
develop successful programs.develop successful programs.
8. Administration8. Administration
 Nearly every clinical psychologist spends time onNearly every clinical psychologist spends time on
administrative tasks. For example, client records must beadministrative tasks. For example, client records must be
maintained , the infernal effort reports must be filled out eachmaintained , the infernal effort reports must be filled out each
month etc.month etc.
 Some clinicians become full- time administrators. It would beSome clinicians become full- time administrators. It would be
difficult to list all the sorts of administrative posts held bydifficult to list all the sorts of administrative posts held by
clinical psychologists. However, here are a few examples:clinical psychologists. However, here are a few examples:
Head of a university psychology department, director of aHead of a university psychology department, director of a
psychological clinic, vice president of a consulting firm,psychological clinic, vice president of a consulting firm,
director of the clinical training program, chief psychologist indirector of the clinical training program, chief psychologist in
the hospital etc.the hospital etc.
To Summarize,To Summarize,
We can say that,We can say that,
 CLINICAL PSYCHOLOGYCLINICAL PSYCHOLOGY is one of the largest andis one of the largest and
most popular fields in psychology.most popular fields in psychology.
 Clinical psychologists assess and treat a wide range ofClinical psychologists assess and treat a wide range of
psychological problems. These problems range frompsychological problems. These problems range from
short-term emotional crises, such as those due to familyshort-term emotional crises, such as those due to family
conflicts, to severe and chronic mental illnesses, suchconflicts, to severe and chronic mental illnesses, such
as schizophrenia.as schizophrenia.
 Some clinical psychologists specialize in treatingSome clinical psychologists specialize in treating
specific problems, such as phobias or depression.specific problems, such as phobias or depression.
Others specialize in treating specific populations, suchOthers specialize in treating specific populations, such
as children, the elderly.as children, the elderly.
 Clinical psychologists usually seek to treat emotional andClinical psychologists usually seek to treat emotional and
behavioral problems with psychotherapy, a form of interventionbehavioral problems with psychotherapy, a form of intervention
that relies primarily on verbal communication between therapistthat relies primarily on verbal communication between therapist
and client.and client.
 In addition, many clinical psychologists study the normal humanIn addition, many clinical psychologists study the normal human
personality and the ways in which individuals differ from onepersonality and the ways in which individuals differ from one
another in their patterns of thinking, feeling, behaving, andanother in their patterns of thinking, feeling, behaving, and
relating to others.relating to others.
 Still other clinical psychologists administer and interpret variousStill other clinical psychologists administer and interpret various
kinds of psychological tests. These include personality tests,kinds of psychological tests. These include personality tests,
intelligence tests, and aptitude tests. These tests are routinelyintelligence tests, and aptitude tests. These tests are routinely
given in schools and businesses to assess an individual's skills,given in schools and businesses to assess an individual's skills,
interests, and emotional functioning.interests, and emotional functioning.
 Clinical psychologists also use psychological tests to diagnoseClinical psychologists also use psychological tests to diagnose
possible mental disorders. By identifying early signs of distress orpossible mental disorders. By identifying early signs of distress or
mental disturbance, clinical psychologists work to promote mentalmental disturbance, clinical psychologists work to promote mental
health and to prevent mental disorders.health and to prevent mental disorders.
THE CLINICALTHE CLINICAL
PSYCHOLOGISTPSYCHOLOGIST
Education and TrainingEducation and Training
Education and Training of a ClinicalEducation and Training of a Clinical
PsychologistPsychologist
 The road to becoming a clinical psychologist is aThe road to becoming a clinical psychologist is a
long one divided by a number of distinct stageslong one divided by a number of distinct stages
and phases that includeand phases that include collegecollege ,, graduategraduate
schoolschool ,, clinical internshipclinical internship ,, post doctoralpost doctoral
fellowship,fellowship, and finallyand finally employmentemployment , continuing, continuing
education and advanced certification.education and advanced certification.
Education of a Clinical PsychologistEducation of a Clinical Psychologist
 Graduate WorkGraduate Work::
o The typical clinical psychology student in the UnitedThe typical clinical psychology student in the United
States completes a bachelor’s degree and then fiveStates completes a bachelor’s degree and then five
years of graduate work.years of graduate work.
o It typically includes training in assessment, research,It typically includes training in assessment, research,
diagnosis and therapeutic skills, along with an internship.diagnosis and therapeutic skills, along with an internship.
Education of a Clinical Psychologist (cont.)Education of a Clinical Psychologist (cont.)
 Masters degree Program:Masters degree Program:
o There are also clinical psychology programs that awardThere are also clinical psychology programs that award
the master’s degree.the master’s degree.
o Because of contemporary licensing laws that dictate whoBecause of contemporary licensing laws that dictate who
may practice independently as a psychologist, fewermay practice independently as a psychologist, fewer
individuals graduating from master’s programs canindividuals graduating from master’s programs can
achieve in the way of professional independence.achieve in the way of professional independence.
o Past evidence suggests that sub doctoral-level clinicians,Past evidence suggests that sub doctoral-level clinicians,
are paid less, and are not perceived fully licensed toare paid less, and are not perceived fully licensed to
practice independently. The American Psychologicalpractice independently. The American Psychological
Association also accepts the doctoral degree alone asAssociation also accepts the doctoral degree alone as
the key to work as an independent professional.the key to work as an independent professional.
Education of a Clinical Psychologist (cont.)Education of a Clinical Psychologist (cont.)
 PhD / Psy.D Program:PhD / Psy.D Program:
o A student interested in obtaining a doctorate degree in clinicalA student interested in obtaining a doctorate degree in clinical
psychology can choose between two types of degrees; thepsychology can choose between two types of degrees; the
traditional PhD (Doctorate of Philosophy) or Psy.D (Doctoratetraditional PhD (Doctorate of Philosophy) or Psy.D (Doctorate
of Psychology).of Psychology).
o Although the American Psychological AssociationAlthough the American Psychological Association
recommends a core curriculum of courses and activitiesrecommends a core curriculum of courses and activities
(APA 1987b), each program maintain its own unique(APA 1987b), each program maintain its own unique
orientation based on the faculty and the traditions of theorientation based on the faculty and the traditions of the
programs.programs.
o In researching graduate programs , one will find that eachIn researching graduate programs , one will find that each
program has its own unique balance on emphasizing theprogram has its own unique balance on emphasizing the
roles of biological , psychological and social factors in humanroles of biological , psychological and social factors in human
behavior.behavior.
Education of a Clinical Psychologist (cont.)Education of a Clinical Psychologist (cont.)
 Post Doctorate:Post Doctorate:
o It requires 1-2 years of post doctoral training andIt requires 1-2 years of post doctoral training and
supervision before one is eligible to take the nationalsupervision before one is eligible to take the national
licensing examination. It includes clinical work as well aslicensing examination. It includes clinical work as well as
research, teaching and other professional activities.research, teaching and other professional activities.
Education of a Clinical Psychologist (cont.)Education of a Clinical Psychologist (cont.)
 Overall students interested in becoming clinicalOverall students interested in becoming clinical
psychologists and gaining admission into qualitypsychologists and gaining admission into quality
graduate programs must take their college experiencegraduate programs must take their college experience
very seriously.very seriously.
 Completing courses in psychology , research design andCompleting courses in psychology , research design and
statistics as well as having excellent grades , GREstatistics as well as having excellent grades , GRE
scores and clinical experience during the college yearsscores and clinical experience during the college years
are very important.are very important.
Clinical Psychology Education in PakistanClinical Psychology Education in Pakistan
 To be a clinical psychologist, students have to completeTo be a clinical psychologist, students have to complete
Masters in Psychology (M.Sc. Psychology) from an HECMasters in Psychology (M.Sc. Psychology) from an HEC
recognized university. After that they must take arecognized university. After that they must take a
specialization course in clinical practice.specialization course in clinical practice.
 It is not necessary to take a GRE test to get admission to anyIt is not necessary to take a GRE test to get admission to any
of the specialized clinical training programs offered within theof the specialized clinical training programs offered within the
country. An excellent GPA and a good score in entry test andcountry. An excellent GPA and a good score in entry test and
interview, however, is a must.interview, however, is a must.
Clinical Psychology Education in Pakistan (cont.)Clinical Psychology Education in Pakistan (cont.)
 The following specializations are being offered inThe following specializations are being offered in
Pakistan:Pakistan:
 Advanced Diploma in Clinical Psychology (ADCP)Advanced Diploma in Clinical Psychology (ADCP)
duration: 18 months.duration: 18 months.
 Masters in Clinical Psychology (M.S. Clinical) duration: 2Masters in Clinical Psychology (M.S. Clinical) duration: 2
years.years.
 Doctorate in Clinical Psychology (D. Clinical) duration: 2Doctorate in Clinical Psychology (D. Clinical) duration: 2
years (after M.S. Clinical) or 3 years (after ADCP).years (after M.S. Clinical) or 3 years (after ADCP).
Training of a Clinical PsychologistTraining of a Clinical Psychologist
 The process of training of a clinical psychologist is very longThe process of training of a clinical psychologist is very long
and intensive. There are disagreements among clinicians as toand intensive. There are disagreements among clinicians as to
how to train the psychologists and in what direction the fieldhow to train the psychologists and in what direction the field
should move. However it is useful to remember that clinicalshould move. However it is useful to remember that clinical
psychology is but a specialized application of the more basicpsychology is but a specialized application of the more basic
core of psychology.core of psychology.
 Within the United States, two different models of training haveWithin the United States, two different models of training have
developed , one leading to the doctor of Philosophy (PhD).developed , one leading to the doctor of Philosophy (PhD).
The other is the doctor of Psychology (Psy.D) degree. TheThe other is the doctor of Psychology (Psy.D) degree. The
basic difference between the two lies in their relative emphasisbasic difference between the two lies in their relative emphasis
on the importance of psychological research in the training ofon the importance of psychological research in the training of
doctoral level clinical psychologists.doctoral level clinical psychologists.
 The predominant training philosophy in clinical psychologyThe predominant training philosophy in clinical psychology
today is the scientist-practitioner model (leading to PhD).today is the scientist-practitioner model (leading to PhD).
Training of a Clinical Psychologist (cont.)Training of a Clinical Psychologist (cont.)
 Coursework :Coursework :
• Clinical students normally must take a series of basic coursesClinical students normally must take a series of basic courses
such as statistics and research design, biological foundationssuch as statistics and research design, biological foundations
of behavior, social psychology, developmental psychology,of behavior, social psychology, developmental psychology,
and cognitive psychology.and cognitive psychology.
• The exact number and content of these course will varyThe exact number and content of these course will vary
somewhat from program to program. The intent is to give thesomewhat from program to program. The intent is to give the
student an understanding of the basics that underlie humanstudent an understanding of the basics that underlie human
behavior or that permit us to investigate that behavior.behavior or that permit us to investigate that behavior.
• These courses provide a strong scientific foundation for theThese courses provide a strong scientific foundation for the
student’s clinical training and give life to the scientist-student’s clinical training and give life to the scientist-
practitioner model in clinical psychology.practitioner model in clinical psychology.
Training of a Clinical Psychologist (cont.)Training of a Clinical Psychologist (cont.)
• Clinical students also enroll in several courses that teachClinical students also enroll in several courses that teach
the fundamentals of clinical practice or deal with clinicalthe fundamentals of clinical practice or deal with clinical
topics at an advanced level.topics at an advanced level.
• For example, there are often courses inFor example, there are often courses in psychopathologypsychopathology,,
theorytheory andand research in therapyresearch in therapy, or, or principles ofprinciples of
cognitive-behavioral interventionscognitive-behavioral interventions, or seminars in such, or seminars in such
topics astopics as schizophreniaschizophrenia, methods of, methods of family and groupfamily and group
therapytherapy,, community psychologycommunity psychology, or, or
neuropsychological assessmentneuropsychological assessment..
Training of a Clinical Psychologist (cont.)Training of a Clinical Psychologist (cont.)
 Practicum Work :Practicum Work :
• Books and coursework are fine, but ultimately one must learn byBooks and coursework are fine, but ultimately one must learn by
doing. As a result, all programs seek to build the student’s clinicaldoing. As a result, all programs seek to build the student’s clinical
skills through exposure to clinical practice.skills through exposure to clinical practice.
• The dictionary defines a practicum as “work done by an advancedThe dictionary defines a practicum as “work done by an advanced
student that involves the practical application of previously studiedstudent that involves the practical application of previously studied
theory”.theory”.
• Whatever the specific form or content of the practicum experience, itWhatever the specific form or content of the practicum experience, it
is a major vehicle for the acquisition of specific clinical skills.is a major vehicle for the acquisition of specific clinical skills.
• The student’s practicum work is supervised by clinical facultyThe student’s practicum work is supervised by clinical faculty
member or by clinicians in the community who have special skills.member or by clinicians in the community who have special skills.
Most psychology departments that have clinical training programsMost psychology departments that have clinical training programs
also operate a psychological clinic.also operate a psychological clinic.
Training of a Clinical Psychologist (cont.)Training of a Clinical Psychologist (cont.)
 Research:Research:
• The implementation of the scientist-practitioner model requiresThe implementation of the scientist-practitioner model requires
that the student develop research competency. This isthat the student develop research competency. This is
accomplished through courses in statistics, computer methods,accomplished through courses in statistics, computer methods,
and research methodology and also by active participation inand research methodology and also by active participation in
research projects.research projects.
• There are differences among schools as to the extent of theirThere are differences among schools as to the extent of their
commitment to the scientist-practitioner approach to training.commitment to the scientist-practitioner approach to training.
Programs that emphasize the research commitment usuallyPrograms that emphasize the research commitment usually
see to it that research experience is not confined to the thesissee to it that research experience is not confined to the thesis
and dissertation. In one department, for example, each clinicaland dissertation. In one department, for example, each clinical
student joins the research “team” of a faculty member.student joins the research “team” of a faculty member.
Training of a Clinical Psychologist (cont.)Training of a Clinical Psychologist (cont.)
 The Internship:The Internship:
• The internship is a vital part of any training program. It is theThe internship is a vital part of any training program. It is the
capstone of the student’s previous experience in clinical coursescapstone of the student’s previous experience in clinical courses
and practice and provides the experience that begins to consolidateand practice and provides the experience that begins to consolidate
the scientist-practitioner role.the scientist-practitioner role.
• It allows the student to work full-time in a professional setting, andIt allows the student to work full-time in a professional setting, and
also in acquiring new skills.also in acquiring new skills.
• An internship of one sort or another is required of all students inAn internship of one sort or another is required of all students in
clinical programs accredited by the APA.clinical programs accredited by the APA.
• The internship most often seems to come at the end of graduateThe internship most often seems to come at the end of graduate
training.training.
To Summarize,To Summarize,
 Clinical psychologist's training is an essentialClinical psychologist's training is an essential
factor to warrant professional competence. Suchfactor to warrant professional competence. Such
training is the starting point of psychologist'straining is the starting point of psychologist's
professional activity and has to be permanentlyprofessional activity and has to be permanently
updated.updated.
 Training has to be theoretical as well as practicalTraining has to be theoretical as well as practical
and must use appropriate methodologyand must use appropriate methodology
according to specific targets to be reached.according to specific targets to be reached.
THE ENDTHE END

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Lesson 02

  • 2. Who is a Clinical Psychologist?Who is a Clinical Psychologist? A clinical psychologist is a professionalA clinical psychologist is a professional who applies principles and procedures towho applies principles and procedures to understand, predict and alleviateunderstand, predict and alleviate intellectual, emotional, psychological andintellectual, emotional, psychological and behavioral problems”behavioral problems” (American Psychological Association).(American Psychological Association).
  • 3. Professional skills / Activities of aProfessional skills / Activities of a Clinical Psychologist:Clinical Psychologist:  The fundamental skill areas that are essential forThe fundamental skill areas that are essential for competent functioning as a clinical psychologist within thecompetent functioning as a clinical psychologist within the areas of mental health include the following:areas of mental health include the following: 1)1) Intervention & TherapyIntervention & Therapy 2)2) Assessment & DiagnosisAssessment & Diagnosis 3)3) TeachingTeaching 4)4) Clinical SupervisionClinical Supervision 5)5) ResearchResearch 6)6) ConsultationConsultation 7)7) Program DevelopmentProgram Development 8)8) AdministrationAdministration
  • 4. 1. Intervention & Therapy1. Intervention & Therapy  A major activity of clinical psychologists is intervention orA major activity of clinical psychologists is intervention or treatment.treatment.  Many clinical psychologists work directly with people whoMany clinical psychologists work directly with people who have a mental illness or psychological disorder.have a mental illness or psychological disorder.  By choosing an appropriate treatment, clinicalBy choosing an appropriate treatment, clinical psychologists can help such people overcome theirpsychologists can help such people overcome their problem or, at minimum, manage their symptoms.problem or, at minimum, manage their symptoms.  All psychological intervention rests on the ability toAll psychological intervention rests on the ability to develop and maintain functional therapeutic relationshipsdevelop and maintain functional therapeutic relationships with clients.with clients.
  • 5. Intervention & Therapy (cont.)Intervention & Therapy (cont.)  Intervention is an important skill, as clients seen by clinicalIntervention is an important skill, as clients seen by clinical psychologists are often highly distressed and sensitive.psychologists are often highly distressed and sensitive.  The major purpose of intervention is to empowerThe major purpose of intervention is to empower individuals to make adaptive choices and to gain healthyindividuals to make adaptive choices and to gain healthy control of their own lives.control of their own lives.  All interventions require skill in the following tasks:All interventions require skill in the following tasks: conceptualization of the problem; formulation of aconceptualization of the problem; formulation of a treatment plan; implementation of the treatment plan; andtreatment plan; implementation of the treatment plan; and evaluation of the accuracy and completeness of the aboveevaluation of the accuracy and completeness of the above mentioned tasks, as well as outcome of the intervention.mentioned tasks, as well as outcome of the intervention.
  • 6. Intervention & Therapy (cont.)Intervention & Therapy (cont.)  Psychotherapy is the activity that most frequentlyPsychotherapy is the activity that most frequently engages the typical clinician’s efforts and to which theengages the typical clinician’s efforts and to which the most time is devoted.most time is devoted.  The lay person often has an image of the therapyThe lay person often has an image of the therapy situation as one in which the client lies on a couch whilesituation as one in which the client lies on a couch while the therapist, bearded and mysterious, sits behind withthe therapist, bearded and mysterious, sits behind with notepad and furrowed brow. Actually, therapy comes innotepad and furrowed brow. Actually, therapy comes in many different sizes and shapes. A few therapists stillmany different sizes and shapes. A few therapists still use a couch, but more often the client sits in a chairuse a couch, but more often the client sits in a chair adjacent to the therapist’s desk.adjacent to the therapist’s desk.
  • 7. Intervention & Therapy (cont.)Intervention & Therapy (cont.)  Most often therapy involves a one- to- one relationship, butMost often therapy involves a one- to- one relationship, but today couple’s therapy, family therapy and group therapytoday couple’s therapy, family therapy and group therapy are also very common.are also very common.  The therapist and client meet regularly, typically (but notThe therapist and client meet regularly, typically (but not necessarily) in weekly sessions, to work out the solution ofnecessarily) in weekly sessions, to work out the solution of the client's problems until both agree that the client hasthe client's problems until both agree that the client has substantially improved and does not need further treatment.substantially improved and does not need further treatment.  Therapy can be based on different theoretical approachesTherapy can be based on different theoretical approaches like psychodynamic or cognitive behavioral.like psychodynamic or cognitive behavioral.
  • 8. 2. Assessment & Diagnosis2. Assessment & Diagnosis Assessment:Assessment:  Assessment has long been a critical part of the clinicalAssessment has long been a critical part of the clinical psychologist’s role.psychologist’s role.  Assessment, whether through observation, testing orAssessment, whether through observation, testing or interviewing, is a way of gathering information so that aninterviewing, is a way of gathering information so that an important question can be solved.important question can be solved.  Assessment of an individual's development, behavior,Assessment of an individual's development, behavior, intellect, interests, personality, cognitive processes,intellect, interests, personality, cognitive processes, emotional functioning, and social functioning are performedemotional functioning, and social functioning are performed by clinical psychologists, as are assessment activitiesby clinical psychologists, as are assessment activities directed toward couples, families, and groups.directed toward couples, families, and groups.
  • 9. Assessment & Diagnosis (cont.)Assessment & Diagnosis (cont.)  Interpretation of assessment results, and integration of theseInterpretation of assessment results, and integration of these results with other information available, in a way that isresults with other information available, in a way that is sensitive to the client, is an essential skill of clinicalsensitive to the client, is an essential skill of clinical psychologists.psychologists.  The process of assessment is very important as it leads toThe process of assessment is very important as it leads to the diagnosis of the client’s problem(s).the diagnosis of the client’s problem(s).  All practicing clinicians engage in assessment of one formAll practicing clinicians engage in assessment of one form or another. Take, for example, the following case:or another. Take, for example, the following case: A child who is failing the fourth grade is administered anA child who is failing the fourth grade is administered an intelligence test to check if there is an intellectual deficit.intelligence test to check if there is an intellectual deficit.
  • 10. Assessment & Diagnosis (cont.)Assessment & Diagnosis (cont.) Diagnosis:Diagnosis:  Clinical psychologists are trained to assess, and makeClinical psychologists are trained to assess, and make functional diagnoses regarding intellectual level, cognitive,functional diagnoses regarding intellectual level, cognitive, emotional, social, and behavioral functioning, as well as mentalemotional, social, and behavioral functioning, as well as mental and psychological disorders.and psychological disorders.  Diagnoses may be made formally, using widely acceptedDiagnoses may be made formally, using widely accepted criteria, such as the criteria for evaluating intellectual level orcriteria, such as the criteria for evaluating intellectual level or psychiatric diagnosis (i.e., the American Psychiatricpsychiatric diagnosis (i.e., the American Psychiatric Association's Diagnostic and Statistical Manual of MentalAssociation's Diagnostic and Statistical Manual of Mental Disorders; also called DSM IV), or informally, such as diagnosisDisorders; also called DSM IV), or informally, such as diagnosis of family dynamics using a particular theoretical model.of family dynamics using a particular theoretical model.
  • 11. 3. Teaching3. Teaching  Clinical psychologist who have full or part- time academicClinical psychologist who have full or part- time academic appointments obviously devote a considerable amount of timeappointments obviously devote a considerable amount of time to teaching.to teaching.  Those whose responsibilities are primarily in the area ofThose whose responsibilities are primarily in the area of graduate education, teach courses in advancedgraduate education, teach courses in advanced psychopathology, psychological testing, interviewing,psychopathology, psychological testing, interviewing, intervention, personality theory and so on.intervention, personality theory and so on.  Some also teach abnormal psychology, introduction to clinicalSome also teach abnormal psychology, introduction to clinical psychology.psychology.
  • 12. Teaching (cont.)Teaching (cont.)  Much of this teaching is of the familiar class room lectureMuch of this teaching is of the familiar class room lecture type. But a considerable amount of teaching is also donetype. But a considerable amount of teaching is also done on a one- to- one, supervisory basis.on a one- to- one, supervisory basis.  Clinical psychologists in clinical setting may also teachClinical psychologists in clinical setting may also teach informal classes or do orientation work with other mentalinformal classes or do orientation work with other mental health personnel, such as nurses, aides, social worker,health personnel, such as nurses, aides, social worker, occupational therapist and so on.occupational therapist and so on.  In some cases the clinician may go out into the communityIn some cases the clinician may go out into the community and lead workshops on various topics for police officers,and lead workshops on various topics for police officers, volunteers, ministers, probation officers and others.volunteers, ministers, probation officers and others.
  • 13. 4. Clinical supervision4. Clinical supervision  This activity is another form of teaching. However, it typicallyThis activity is another form of teaching. However, it typically involves more one- to- one teaching, small group approaches,involves more one- to- one teaching, small group approaches, and other less formal, non class room varieties of instruction.and other less formal, non class room varieties of instruction.  Clinical psychologists often spend significant portions of theirClinical psychologists often spend significant portions of their time supervising students, interns and others.time supervising students, interns and others.  Becoming skilled in the therapy and assessment techniquesBecoming skilled in the therapy and assessment techniques requires more than just reading textbooks. It also involvesrequires more than just reading textbooks. It also involves seeing clients and then discussing their cases with a moreseeing clients and then discussing their cases with a more experienced supervisor.experienced supervisor.  In short one learns by doing but under the controlled andIn short one learns by doing but under the controlled and secure conditions of a trainee- supervisor relationship.secure conditions of a trainee- supervisor relationship.
  • 14. 5. Research5. Research  Clinical psychology has grown out of an academic researchClinical psychology has grown out of an academic research tradition. As a result, when clinical training programs weretradition. As a result, when clinical training programs were first established after world war 2, the scientist- practitionerfirst established after world war 2, the scientist- practitioner model was adopted.model was adopted.  This meant that in contrast to other mental health workersThis meant that in contrast to other mental health workers such as psychiatrist or social worker, all clinicians were tosuch as psychiatrist or social worker, all clinicians were to be trained both as scientist and as practitioner.be trained both as scientist and as practitioner.  Although this research emphasis may not be so prominentAlthough this research emphasis may not be so prominent in some training programs as it once was, the fact remainsin some training programs as it once was, the fact remains that clinical psychologists are in a unique position both tothat clinical psychologists are in a unique position both to evaluate research conducted by others and to conduct theirevaluate research conducted by others and to conduct their own research.own research.
  • 15. Research (cont.)Research (cont.)  Clinical psychology research can be both basic andClinical psychology research can be both basic and applied.applied.  Among the health care professions, clinical psychology isAmong the health care professions, clinical psychology is one of the few to provide extensive research training.one of the few to provide extensive research training.  Thus, clinical psychologists are well suited to design,Thus, clinical psychologists are well suited to design, implement, and evaluate research and conduct programimplement, and evaluate research and conduct program evaluation/quality assurance programs as part of theirevaluation/quality assurance programs as part of their activities.activities.  Research is an integral activity of clinical psychologistsResearch is an integral activity of clinical psychologists working in academic and clinical settings.working in academic and clinical settings.
  • 16. Research (cont.)Research (cont.)  The range of research projects carried out by cliniciansThe range of research projects carried out by clinicians is enormous.is enormous.  Clinical studies include search for the causes of mentalClinical studies include search for the causes of mental disorders, development and validation of assessmentdisorders, development and validation of assessment devices, evaluation of therapy techniques and so on.devices, evaluation of therapy techniques and so on.  By virtue of their training in research, clinicalBy virtue of their training in research, clinical psychologists have the ability both to consume andpsychologists have the ability both to consume and produce new knowledge.produce new knowledge.
  • 17. 6. Consultation6. Consultation  Consultation, regardless of the setting in which it occurs, or theConsultation, regardless of the setting in which it occurs, or the particular purpose it has, is a significant activity of many clinicalparticular purpose it has, is a significant activity of many clinical psychologists. A growing number of clinical psychologists servepsychologists. A growing number of clinical psychologists serve as consultants.as consultants.  In consultation , the goal is to increase the effectiveness ofIn consultation , the goal is to increase the effectiveness of those to whom one’s efforts are directed by imparting to themthose to whom one’s efforts are directed by imparting to them some degree of expertise. It takes innumerable forms, in manysome degree of expertise. It takes innumerable forms, in many different settings.different settings.  Consultation can run the gamut from clinical cases to matter ofConsultation can run the gamut from clinical cases to matter of business, personnel and profit. It can deal with individuals orbusiness, personnel and profit. It can deal with individuals or entire organizations. Sometimes it is remedial, other times it isentire organizations. Sometimes it is remedial, other times it is oriented toward prevention.oriented toward prevention.
  • 18. 7. Program Development7. Program Development  Clinical psychologists are often asked to contribute to theClinical psychologists are often asked to contribute to the development of treatment/evaluation programs, and shoulddevelopment of treatment/evaluation programs, and should obtain appropriate supervised experience in such activitiesobtain appropriate supervised experience in such activities during their training.during their training.  Clinical psychologists typically work with other professionals,Clinical psychologists typically work with other professionals, either directly or indirectly, who are also providingeither directly or indirectly, who are also providing professional services to the client.professional services to the client.  As such, clinical psychologists must be skilled in interactingAs such, clinical psychologists must be skilled in interacting with other professionals in a respectful and helpful manner towith other professionals in a respectful and helpful manner to develop successful programs.develop successful programs.
  • 19. 8. Administration8. Administration  Nearly every clinical psychologist spends time onNearly every clinical psychologist spends time on administrative tasks. For example, client records must beadministrative tasks. For example, client records must be maintained , the infernal effort reports must be filled out eachmaintained , the infernal effort reports must be filled out each month etc.month etc.  Some clinicians become full- time administrators. It would beSome clinicians become full- time administrators. It would be difficult to list all the sorts of administrative posts held bydifficult to list all the sorts of administrative posts held by clinical psychologists. However, here are a few examples:clinical psychologists. However, here are a few examples: Head of a university psychology department, director of aHead of a university psychology department, director of a psychological clinic, vice president of a consulting firm,psychological clinic, vice president of a consulting firm, director of the clinical training program, chief psychologist indirector of the clinical training program, chief psychologist in the hospital etc.the hospital etc.
  • 20. To Summarize,To Summarize, We can say that,We can say that,
  • 21.  CLINICAL PSYCHOLOGYCLINICAL PSYCHOLOGY is one of the largest andis one of the largest and most popular fields in psychology.most popular fields in psychology.  Clinical psychologists assess and treat a wide range ofClinical psychologists assess and treat a wide range of psychological problems. These problems range frompsychological problems. These problems range from short-term emotional crises, such as those due to familyshort-term emotional crises, such as those due to family conflicts, to severe and chronic mental illnesses, suchconflicts, to severe and chronic mental illnesses, such as schizophrenia.as schizophrenia.  Some clinical psychologists specialize in treatingSome clinical psychologists specialize in treating specific problems, such as phobias or depression.specific problems, such as phobias or depression. Others specialize in treating specific populations, suchOthers specialize in treating specific populations, such as children, the elderly.as children, the elderly.
  • 22.  Clinical psychologists usually seek to treat emotional andClinical psychologists usually seek to treat emotional and behavioral problems with psychotherapy, a form of interventionbehavioral problems with psychotherapy, a form of intervention that relies primarily on verbal communication between therapistthat relies primarily on verbal communication between therapist and client.and client.  In addition, many clinical psychologists study the normal humanIn addition, many clinical psychologists study the normal human personality and the ways in which individuals differ from onepersonality and the ways in which individuals differ from one another in their patterns of thinking, feeling, behaving, andanother in their patterns of thinking, feeling, behaving, and relating to others.relating to others.  Still other clinical psychologists administer and interpret variousStill other clinical psychologists administer and interpret various kinds of psychological tests. These include personality tests,kinds of psychological tests. These include personality tests, intelligence tests, and aptitude tests. These tests are routinelyintelligence tests, and aptitude tests. These tests are routinely given in schools and businesses to assess an individual's skills,given in schools and businesses to assess an individual's skills, interests, and emotional functioning.interests, and emotional functioning.  Clinical psychologists also use psychological tests to diagnoseClinical psychologists also use psychological tests to diagnose possible mental disorders. By identifying early signs of distress orpossible mental disorders. By identifying early signs of distress or mental disturbance, clinical psychologists work to promote mentalmental disturbance, clinical psychologists work to promote mental health and to prevent mental disorders.health and to prevent mental disorders.
  • 24. Education and Training of a ClinicalEducation and Training of a Clinical PsychologistPsychologist  The road to becoming a clinical psychologist is aThe road to becoming a clinical psychologist is a long one divided by a number of distinct stageslong one divided by a number of distinct stages and phases that includeand phases that include collegecollege ,, graduategraduate schoolschool ,, clinical internshipclinical internship ,, post doctoralpost doctoral fellowship,fellowship, and finallyand finally employmentemployment , continuing, continuing education and advanced certification.education and advanced certification.
  • 25. Education of a Clinical PsychologistEducation of a Clinical Psychologist  Graduate WorkGraduate Work:: o The typical clinical psychology student in the UnitedThe typical clinical psychology student in the United States completes a bachelor’s degree and then fiveStates completes a bachelor’s degree and then five years of graduate work.years of graduate work. o It typically includes training in assessment, research,It typically includes training in assessment, research, diagnosis and therapeutic skills, along with an internship.diagnosis and therapeutic skills, along with an internship.
  • 26. Education of a Clinical Psychologist (cont.)Education of a Clinical Psychologist (cont.)  Masters degree Program:Masters degree Program: o There are also clinical psychology programs that awardThere are also clinical psychology programs that award the master’s degree.the master’s degree. o Because of contemporary licensing laws that dictate whoBecause of contemporary licensing laws that dictate who may practice independently as a psychologist, fewermay practice independently as a psychologist, fewer individuals graduating from master’s programs canindividuals graduating from master’s programs can achieve in the way of professional independence.achieve in the way of professional independence. o Past evidence suggests that sub doctoral-level clinicians,Past evidence suggests that sub doctoral-level clinicians, are paid less, and are not perceived fully licensed toare paid less, and are not perceived fully licensed to practice independently. The American Psychologicalpractice independently. The American Psychological Association also accepts the doctoral degree alone asAssociation also accepts the doctoral degree alone as the key to work as an independent professional.the key to work as an independent professional.
  • 27. Education of a Clinical Psychologist (cont.)Education of a Clinical Psychologist (cont.)  PhD / Psy.D Program:PhD / Psy.D Program: o A student interested in obtaining a doctorate degree in clinicalA student interested in obtaining a doctorate degree in clinical psychology can choose between two types of degrees; thepsychology can choose between two types of degrees; the traditional PhD (Doctorate of Philosophy) or Psy.D (Doctoratetraditional PhD (Doctorate of Philosophy) or Psy.D (Doctorate of Psychology).of Psychology). o Although the American Psychological AssociationAlthough the American Psychological Association recommends a core curriculum of courses and activitiesrecommends a core curriculum of courses and activities (APA 1987b), each program maintain its own unique(APA 1987b), each program maintain its own unique orientation based on the faculty and the traditions of theorientation based on the faculty and the traditions of the programs.programs. o In researching graduate programs , one will find that eachIn researching graduate programs , one will find that each program has its own unique balance on emphasizing theprogram has its own unique balance on emphasizing the roles of biological , psychological and social factors in humanroles of biological , psychological and social factors in human behavior.behavior.
  • 28. Education of a Clinical Psychologist (cont.)Education of a Clinical Psychologist (cont.)  Post Doctorate:Post Doctorate: o It requires 1-2 years of post doctoral training andIt requires 1-2 years of post doctoral training and supervision before one is eligible to take the nationalsupervision before one is eligible to take the national licensing examination. It includes clinical work as well aslicensing examination. It includes clinical work as well as research, teaching and other professional activities.research, teaching and other professional activities.
  • 29. Education of a Clinical Psychologist (cont.)Education of a Clinical Psychologist (cont.)  Overall students interested in becoming clinicalOverall students interested in becoming clinical psychologists and gaining admission into qualitypsychologists and gaining admission into quality graduate programs must take their college experiencegraduate programs must take their college experience very seriously.very seriously.  Completing courses in psychology , research design andCompleting courses in psychology , research design and statistics as well as having excellent grades , GREstatistics as well as having excellent grades , GRE scores and clinical experience during the college yearsscores and clinical experience during the college years are very important.are very important.
  • 30. Clinical Psychology Education in PakistanClinical Psychology Education in Pakistan  To be a clinical psychologist, students have to completeTo be a clinical psychologist, students have to complete Masters in Psychology (M.Sc. Psychology) from an HECMasters in Psychology (M.Sc. Psychology) from an HEC recognized university. After that they must take arecognized university. After that they must take a specialization course in clinical practice.specialization course in clinical practice.  It is not necessary to take a GRE test to get admission to anyIt is not necessary to take a GRE test to get admission to any of the specialized clinical training programs offered within theof the specialized clinical training programs offered within the country. An excellent GPA and a good score in entry test andcountry. An excellent GPA and a good score in entry test and interview, however, is a must.interview, however, is a must.
  • 31. Clinical Psychology Education in Pakistan (cont.)Clinical Psychology Education in Pakistan (cont.)  The following specializations are being offered inThe following specializations are being offered in Pakistan:Pakistan:  Advanced Diploma in Clinical Psychology (ADCP)Advanced Diploma in Clinical Psychology (ADCP) duration: 18 months.duration: 18 months.  Masters in Clinical Psychology (M.S. Clinical) duration: 2Masters in Clinical Psychology (M.S. Clinical) duration: 2 years.years.  Doctorate in Clinical Psychology (D. Clinical) duration: 2Doctorate in Clinical Psychology (D. Clinical) duration: 2 years (after M.S. Clinical) or 3 years (after ADCP).years (after M.S. Clinical) or 3 years (after ADCP).
  • 32. Training of a Clinical PsychologistTraining of a Clinical Psychologist  The process of training of a clinical psychologist is very longThe process of training of a clinical psychologist is very long and intensive. There are disagreements among clinicians as toand intensive. There are disagreements among clinicians as to how to train the psychologists and in what direction the fieldhow to train the psychologists and in what direction the field should move. However it is useful to remember that clinicalshould move. However it is useful to remember that clinical psychology is but a specialized application of the more basicpsychology is but a specialized application of the more basic core of psychology.core of psychology.  Within the United States, two different models of training haveWithin the United States, two different models of training have developed , one leading to the doctor of Philosophy (PhD).developed , one leading to the doctor of Philosophy (PhD). The other is the doctor of Psychology (Psy.D) degree. TheThe other is the doctor of Psychology (Psy.D) degree. The basic difference between the two lies in their relative emphasisbasic difference between the two lies in their relative emphasis on the importance of psychological research in the training ofon the importance of psychological research in the training of doctoral level clinical psychologists.doctoral level clinical psychologists.  The predominant training philosophy in clinical psychologyThe predominant training philosophy in clinical psychology today is the scientist-practitioner model (leading to PhD).today is the scientist-practitioner model (leading to PhD).
  • 33. Training of a Clinical Psychologist (cont.)Training of a Clinical Psychologist (cont.)  Coursework :Coursework : • Clinical students normally must take a series of basic coursesClinical students normally must take a series of basic courses such as statistics and research design, biological foundationssuch as statistics and research design, biological foundations of behavior, social psychology, developmental psychology,of behavior, social psychology, developmental psychology, and cognitive psychology.and cognitive psychology. • The exact number and content of these course will varyThe exact number and content of these course will vary somewhat from program to program. The intent is to give thesomewhat from program to program. The intent is to give the student an understanding of the basics that underlie humanstudent an understanding of the basics that underlie human behavior or that permit us to investigate that behavior.behavior or that permit us to investigate that behavior. • These courses provide a strong scientific foundation for theThese courses provide a strong scientific foundation for the student’s clinical training and give life to the scientist-student’s clinical training and give life to the scientist- practitioner model in clinical psychology.practitioner model in clinical psychology.
  • 34. Training of a Clinical Psychologist (cont.)Training of a Clinical Psychologist (cont.) • Clinical students also enroll in several courses that teachClinical students also enroll in several courses that teach the fundamentals of clinical practice or deal with clinicalthe fundamentals of clinical practice or deal with clinical topics at an advanced level.topics at an advanced level. • For example, there are often courses inFor example, there are often courses in psychopathologypsychopathology,, theorytheory andand research in therapyresearch in therapy, or, or principles ofprinciples of cognitive-behavioral interventionscognitive-behavioral interventions, or seminars in such, or seminars in such topics astopics as schizophreniaschizophrenia, methods of, methods of family and groupfamily and group therapytherapy,, community psychologycommunity psychology, or, or neuropsychological assessmentneuropsychological assessment..
  • 35. Training of a Clinical Psychologist (cont.)Training of a Clinical Psychologist (cont.)  Practicum Work :Practicum Work : • Books and coursework are fine, but ultimately one must learn byBooks and coursework are fine, but ultimately one must learn by doing. As a result, all programs seek to build the student’s clinicaldoing. As a result, all programs seek to build the student’s clinical skills through exposure to clinical practice.skills through exposure to clinical practice. • The dictionary defines a practicum as “work done by an advancedThe dictionary defines a practicum as “work done by an advanced student that involves the practical application of previously studiedstudent that involves the practical application of previously studied theory”.theory”. • Whatever the specific form or content of the practicum experience, itWhatever the specific form or content of the practicum experience, it is a major vehicle for the acquisition of specific clinical skills.is a major vehicle for the acquisition of specific clinical skills. • The student’s practicum work is supervised by clinical facultyThe student’s practicum work is supervised by clinical faculty member or by clinicians in the community who have special skills.member or by clinicians in the community who have special skills. Most psychology departments that have clinical training programsMost psychology departments that have clinical training programs also operate a psychological clinic.also operate a psychological clinic.
  • 36. Training of a Clinical Psychologist (cont.)Training of a Clinical Psychologist (cont.)  Research:Research: • The implementation of the scientist-practitioner model requiresThe implementation of the scientist-practitioner model requires that the student develop research competency. This isthat the student develop research competency. This is accomplished through courses in statistics, computer methods,accomplished through courses in statistics, computer methods, and research methodology and also by active participation inand research methodology and also by active participation in research projects.research projects. • There are differences among schools as to the extent of theirThere are differences among schools as to the extent of their commitment to the scientist-practitioner approach to training.commitment to the scientist-practitioner approach to training. Programs that emphasize the research commitment usuallyPrograms that emphasize the research commitment usually see to it that research experience is not confined to the thesissee to it that research experience is not confined to the thesis and dissertation. In one department, for example, each clinicaland dissertation. In one department, for example, each clinical student joins the research “team” of a faculty member.student joins the research “team” of a faculty member.
  • 37. Training of a Clinical Psychologist (cont.)Training of a Clinical Psychologist (cont.)  The Internship:The Internship: • The internship is a vital part of any training program. It is theThe internship is a vital part of any training program. It is the capstone of the student’s previous experience in clinical coursescapstone of the student’s previous experience in clinical courses and practice and provides the experience that begins to consolidateand practice and provides the experience that begins to consolidate the scientist-practitioner role.the scientist-practitioner role. • It allows the student to work full-time in a professional setting, andIt allows the student to work full-time in a professional setting, and also in acquiring new skills.also in acquiring new skills. • An internship of one sort or another is required of all students inAn internship of one sort or another is required of all students in clinical programs accredited by the APA.clinical programs accredited by the APA. • The internship most often seems to come at the end of graduateThe internship most often seems to come at the end of graduate training.training.
  • 38. To Summarize,To Summarize,  Clinical psychologist's training is an essentialClinical psychologist's training is an essential factor to warrant professional competence. Suchfactor to warrant professional competence. Such training is the starting point of psychologist'straining is the starting point of psychologist's professional activity and has to be permanentlyprofessional activity and has to be permanently updated.updated.  Training has to be theoretical as well as practicalTraining has to be theoretical as well as practical and must use appropriate methodologyand must use appropriate methodology according to specific targets to be reached.according to specific targets to be reached.