Introduction To Clinical And Couneslling Psychology 01

Introduction to Clinical and Counselling Psychology Zoltan Kovary PhD ELTE PPK Department of Clinical Psychology and Addictology 2015/16 Autumn Semester

Goals & Conditions of course completion 

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Take a general, comprehensive look into clinical & counselling psychology  as a scientific field  as a profession Completion  Mid term test (precondition) – lectures 1-6  Final test – all lectures  Lecture materials and given chapters of books

Content of the Course I. 

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The foundations of clinical psychology The history of clinical psychology Research methods in Clinical Psychology Diagnosis and Classification in clinical work

Content of the Course II. 

Clinical Assessment   

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Interviews Intelligence Assessment Behavioral and Personality Assessment The Clinical Judge

Psychological Interventions 

The Basics

Content of the Course III 

Psychological Interventions   

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Psychodynamic approach Individual therapies Group theories

Specialities in Clinical Psychology   

Community Psychology Health Psychology Forensic Psychology

Content of the Course IV. Counselling Psychology

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The Social and Historical Context of Counselling Psychology Existentialphenomenological Contributions to Counselling Psychology’s Relational Framework The practise of counselling Psychology

Books to Read

The Nature of Clinical Psychology 

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How do clinical psychologists differ from other professionals? What do clinical psychologist do? Where do they do it? How do they become clinicians?

What is Clinical Psychology?

The scientific and practical context of clinical psychology FIELDS OF PSYCHOLOGY

Medical science Psychiatry, neurololgy

Politics: health and family politics

Theology, pastoral psychology

General, personality, developmental, social

CLINICAL PSYCHOLOGY

Sociology: devaiance, criminality

Pedagogy: social work, education

Law: criminal law, family law

Sieland, 1994

Cultural differences: clinical psychology in Great Britain and Japan

The place of clinical psychology in health care systems

Educator Family caregiver Special education teacher Social educator Social worker Speech therapist

Physician, Social worker Social educator Rehabilitation experts

Tertiary prevention: rehabilitation Self-help organizations Selfempowerment Mutual supportive systems

Physician Psychiatrist Psychotherapist Paramedical staff Social work

SOCIAL NETWORK AND SUPPORTING SYSTEMS

World of the healthy

Secondary prevention: Re-educative, psychotherapy, patient managemnent and care

Organizing ones

Compromised ones

CLINICAL PSYCHOLOGIST

Primary prevention: non -medicative, educative, prevention, screening, health education, health culture, mental hygiene, self education, self-help, family care

Closely related mental health professionals 

Psychiatrist  Medical approach  

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Counselling psychologist   

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Subclinical cases Different employment settings Different methods

Health psychologist  

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Diagnostics Therapy

Physical illnesses Supporting healing process

Psychiatric social worker

The definition of psychiatry

Activities of the clinical psychologist

Where do clinical psychologists work?

Theoretical Orientations of Clinical Psychologists

The knowledge and skills of clinical psychologists

Models of clinical training 

The scientist-practional model  

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USA: 1950’s Europe: from 1960’s

Degrees  USA 

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BA + 5 years of graduate work can culminate in PhD Psy.D.

Hungary 

Postgraduate, no degrees

USA: 5 years of graduate work after BA that often culminates in PhD

Postgraduaal education for psychologists in Hungary 

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Adult and child clinical psychologist  Budapest, Pécs, Debrecen Counselling psychologist  Budapest Kindergarden and school psychologist  Budapest, Szeged Industry and organizational psychologist  Budapest Sexualpsychologist  Budapest Health promotion psychologist  Budapest Applied health psychology  Szeged

Training systems for clinical psychologists and psychotherapists in Hungary Psychologist

Physician

(Master)

150 hours of training therapy

Clinical psychologist (4 years)

+100 (=250) hours of training therapy

Specialist (not only psychiatrist)

Specific method training

Psychotherapist training

Psychotherapist exam

Introductory phase for nonpsychiatrists

The structure of clinical psychology training in Hungary Time

Theory and number of hours

Practise, number of hours

Skill developing practise, number of hours

I. Semester

Psychopatology I. Child psychiatry, 50

First interview Behavior diagnostics 40

Basic psychotherapic skills 50

II. Semester

Psychopatology II. Adult psychiatry, 50

Psychopathology Behavior diagnostics 40

Basic psychotherapic skills 50

III. Semester

Psychodiagnostics and research methodology 50

Projective tests Wechsler test MMPI

Case study supervision group 50

IV. Semester

Developmental clinical psychology 50

Projective tests Wechsler test MMPI

40 Case study supervision group 50 40

V. Semester

Psychotherapy I. General questions, system approach 50

Adult neuropsychology practise 40

Case study supervision group 50

VI. Semester

Psychotherapy II. Psychodynamic and cognitive – behavior approach 50

Exchange practises

Case study supervision group 50

VII. Semester

Mentalhygiene and health psychology 50

Psychiatry department practise 40

VIII. Semester

Fields of application 50

Practise in a chosen field of health care 40

40

The regulation of clinical work in Hungary  

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Registration number Hungarian Medical (!!!) Chamber  Mandatory membership Collecting credit points  Trainings  Conferences Private praxis 

Official license from the head of the local health office

Counselling Psychology  

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Partly overlapping with CP Normal and maladjusted people Individual and group counselling, education Assessment: interview Interventions: personcentered approach (Rogers) Colleges, universities

Major activities of counselling psychologists   

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Preventive treatments Consultation Development of outreach programs Vocational/career counselling Short-term counselling/therapy (1-15 occasions)

The specificities of consultation/counselling 

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The border of health and illness – but it might get worse! 1-5 sessions Focused problems Goals: to unfold his/her individual solution Situations  Because of relatives  Sent  Uncertainities of social roles Overlaps with psychotherapy(Rogers)

Differences between psychotherapy and counselling PSYCHOTHERAPY

COUNSELLING

Pathological states

Sine morbo, lifestyle problems

Clinical psychologist/ psychotherapist

Counselling psychologist

Clinical psychological knowledge

Knowledge about conflict management, crisis psychology, personality psychology

Goals: healing, symptom relief

Goals: Improving coping strategies, self-efficacy

Goals: recognize the underlying conflicts and motives in personality and regulate them

Goals: responsibility, increasing activities

Directed to unfold and working through conflicts

Focusing on understanding, insights

Limits of activities: the developmental potentials and the abilities of the patient

Limits of activities are determined by the focus of problem

Experimental learning, identification, selfreflexivity, introspective ways

Experimental learning, interpersonal and action learning, understanding, self-reflectivity

Effects: condition improved, self-understandin

Effects: increased decesion making ability and problem solving

Bagdy, 2009

Thank you for your attention!