摘要:

There is currently an expanded interest amongst clinical psychologists in extending their clinical service to other medical specialties in addition to psychiatry. The present paper considers the strategic and methodological implications of this trend. It is suggested that the efficient use of limited resources demands an expanded role, which involves the evaluation of service‐related problems in addition to traditional casework. A further departure from the traditional role involves the development and refinement of measures of psychological state in clinical research trials. Examples of the way in which involvement may be exhibited on a methodological level are offered by considering psychological aspects of medication. In order to establish the clinical utility of such collaboration, it is necessary to provide biomedical personnel with empirical documentation of the benefits of attending to the psychological aspects of their clinical practic

ISSN:0144-6657    

DOI:10.1111/j.2044-8260.1982.tb00535.x

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

摘要:

Structured interviews were carried out with 30 randomly selected general practitioners, to discover how they perceived and handled psychological problems in their patients. In addition, the doctors' perceptions and expectations of other professionals who might assist in the management of such problems were examined. Much of the previously published work was confirmed by the present investigation, but some new information was also uncovered. Thus, although almost all the GPs were sympathetic towards the wish of some clinical psychologists to work at the primary health care level, almost half the doctors would not want a psychologist within their practice, even if finance and accommodation were not problematic. Clinical psychologists were viewed, primarily, as therapists and, as such, were mostly expected to provide a regular part‐time service to the practice. Only a minority of GPs wished to acquire skills from clinical psychology, but a large majority were in favour of direct referrals. The results of this study are discussed in terms of their implications for clinical psychology service

ISSN:0144-6657    

DOI:10.1111/j.2044-8260.1982.tb00536.x

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

摘要:

Aspects of a revised version of the Picture Matching Test were evaluated in a sample of 33 elderly psychiatric patients. The new version of the test shared many defects of the older form, e.g. an uneven increase in levels of difficulty and a low ceiling. The derived speed of response measure was more closely related to the way in which the system responded to a subject's errors than to any of the other more direct measures of a subject's performance. Furthermore, there was no evidence to suggest that the method of controlling for practice effects, as suggested by the test's distributors, would be effective.

ISSN:0144-6657    

DOI:10.1111/j.2044-8260.1982.tb00537.x

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

摘要:

Thirty patients with hypomania (or mania) were studied using the Hostility and Direction of Hostility Questionnaire to establish by testing and retesting the same patients the changes that take place in hostility as a hypomanic illness remits. Highly significant decreases in total hostility, in extrapunitiveness, in criticism of others and in projected hostility were demonstrated. There was some evidence to suggest that acquiescent response set may be characteristic, not of the hypomanic state itself, but of individuals predisposed to develop such an illness. Hostility scores in recovered female hypomanics did not differ from those of control subjects once correction had been made for the effects of age and social class. As an exception to the rule, the case is described of a man with mild mental retardation where testing confirmed clinical and collateral observations of a massive increase in hostility on recovery from a hypomanic illness.

ISSN:0144-6657    

DOI:10.1111/j.2044-8260.1982.tb00538.x

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

摘要:

Previous research has shown that people who can voluntarily form vivid images are able to exert more control over some of their cognitive and affective functions than people who can voluntarily form only weak images. This study was designed to extend this line of research to the control of mood states. From a sample of first‐year psychology students four groups were formed: vivid imagery/elated, vivid imagery/depressed, weak imagery/elated, weak imagery/depressed. Mood change induction procedures were employed in an attempt to produce reversals in the initial mood states. It was found that greater changes occurred for the vivid imagers than for the weak imagers. These results were discussed in relation to the differential effectiveness of the mood induction procedures, the problem of measuring mood and the importance of taking into account individual differences in imagery abilities when planning imagery based treatmen

ISSN:0144-6657    

DOI:10.1111/j.2044-8260.1982.tb00539.x

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

摘要:

The design, and especially the sequential organization of psychotherapy research depends not only on the questions asked, but on the standards presented as values to clinician investigators as they get their training. This paper suggests that the socialization of these values has led to a misalignment of preferred design strategies with the questions that must be addressed for progress to be made in psychotherapy research. The author suggests alternative approaches using an ordering strategy from descriptive studies, through associational or correlational designs, before entering into contrast group studies.

ISSN:0144-6657    

DOI:10.1111/j.2044-8260.1982.tb00540.x

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

摘要:

Meta‐analysis is an increasingly popular, objective method for summarizing a body of empirical findings. The standard meta‐analysis package consists of methods for estimating the combined probability and average effect size for a set of studies, the stability of these results, and the factors associated with differential treatment outcomes. While meta‐analysis is a powerful analytic technique, the procedure has limitations that should be carefully evaluated when it is applied to the psychotherapy — or any other — literature. These limitations include biased selection of studies; reporting inaccuracies, poor quality data, various sources of invalidity (conceptual, methodological, and statistical), and lack of independence in the studies reviewed; and variability in outcome produced by the meta‐analytic techniques employed. Despite these potential problems, the advantages of meta‐analysis are so substantial that the techniques deserve routine use as an aid to summarizing treatmen

ISSN:0144-6657    

DOI:10.1111/j.2044-8260.1982.tb00541.x

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

摘要:

The voice characteristics measured by the Psychological Stress Evaluator (PSE) were investigated in patients taking widely prescribed tranquillizers. It was found that not only was the PSE affected by medication, but that the effects were different for two different benzodiazepines. Implications for the PSE as a psychophysiological measure are discussed.

ISSN:0144-6657    

DOI:10.1111/j.2044-8260.1982.tb00542.x

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

摘要:

A follow‐up is described of 116 couples attending a sexual problems clinic. Information was obtained concerning only 53 per cent of couples. Follow‐up data suggested that 42 per cent of treated couples improved during treatment and maintained these gains; and that 35 per cent of couples had separated or divorced during the follow‐up p

ISSN:0144-6657    

DOI:10.1111/j.2044-8260.1982.tb00543.x

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY

摘要:

Patterns of illness behaviour evident soon after myocardial infarction (MI) were examined in relation to psychosocial outcome eight months later. Significant associations, largely between illness behaviour reflecting affective distress and aspects of psychosocial outcome, hint at a causal relationship between the two. The importance of this is considered in terms of the clinical management of MI survivors.

ISSN:0144-6657    

DOI:10.1111/j.2044-8260.1982.tb00544.x

出版商:Blackwell Publishing Ltd    

年代:1982

数据来源: WILEY