1. INTRODUCTION TO CLINICAL PSYCHOLOGY, THIRD CANADIAN EDITION by John Hunsley and Catherine M. Lee
Chapter 1

2. Outline
Introduction to the course
Chapter 1 material

3. Introduction to the course
Introductions
Office hours and
Goals & objectives for course
Teaching & learning tools
Evaluation
For next class….

4. Introductions: Instructor
Research ….
Practice with …..
Undergraduate and graduate teaching on…..
Professional contributions: ….
Instructor to personalize

5. Introductions: Teaching assistant
Doctoral student in clinical psychology
Past research and clinical experiences include …...
Currently conducting research ….

6. Introductions: Students
In groups of 6 students discuss with one another:
Year in psychology program
What they hope to gain from this course
Career goals
Hoping to become a clinical psychologist
Deciding about clinical psychology
Planning other career

7. Office hours and email Office hours Email
To discuss evaluations or clarify material from course
Regular hours: XXXX
Please put course number in subject line
Will address within 2 working days

8. Goal for course
Learn about clinical psychology, not how to practice clinical psychology

9. Goals: Specific course objectives
Understand need
For psychological services that
are offered over lifespan
are tailored to diverse clientele
For psychological assessment that will help in
diagnosis
case formulation
treatment planning & monitoring
For prevention and treatment that is efficacious, effective & cost effective
For ethical service delivery

10. Teaching & learning tools
Textbook
On-line discussions
Lectures
Course notes
Class discussion
Discussion with guests
Assignments designed to put material into practice

11. Tools: On-line discussion forum
To allow you to comment on specific themes and propose questions for guests
An on-line discussion forum can be set up on the course web and students can receive marks for contributing material to the forum for each class or chapter.

12. Tools: Textbook Traditional copies available in bookstore
Electronic version

13. Tools: Lectures, notes & class discussion
Lectures will be used to expand on material presented in the textbook. Notes will be posted on-line the day before each class. Class discussion will be used extensively.

14. A number of clinical psychologists will attend classes.
Tools: Guests
A number of clinical psychologists will attend classes.
You are invited to submit questions in advance on-line to each of the guests.
List names and positions of any clinical psychologists who will attend as guests

15. Recommended learning strategy
Read chapter
Take time to think about material
Review and participate in on-line discussions
Participate in class discussion
Contact instructor via or in office hours for additional questions
Give feedback on what is helpful or not helpful

16. Evaluation 3 different types Spaced throughout the term
Focus on making material relevant
Exams xx%
Midterm 1
Midterm 2
Final
Discussions xx%
10 on-line posts
Papers XX%
Being a clinical psychologist
Finding the right intervention

17. Evaluation: Midterms and Exams
Midterm 1 multiple choice questions on all material covered in weeks Worth XX% of course grade.
Midterm 2 multiple choice questions on all material covered in weeks Worth XX of course grade.
Final: Exam period; multiple choice and short answer questions on material for the entire course. Worth XX% of course grade
Multiple choice questions submitted by students in discussion form may be included in exams
Instructor to adjust evaluation components as necessary

18. Evaluation: Discussion forums
Worth XX of course grade
For each week, a number of discussion questions are posted on-line.
Alternatively, you can generate a multiple choice question related to that week’s course material
Students are required to post 10 out of the 12 weeks of term.
All discussions are moderated by the teaching assistant.
1 point will be assigned to reasonable posts
1.5 points will be assigned to posts that are especially helpful
0 points will be assigned to posts that are trivial or offensive
Students can receive a grade for only one post per week

19. On-line discussion To be submitted by noon the day before class
Create thread
Subject: number of week
Comment or question

20. Evaluation: Reflection paper 1
A career in clinical psychology
Designed to help you think about what it is like to be a clinical psychologist
Pick any four profile boxes from textbook
What were the influences on these people choosing clinical psychology?
What are the characteristics of their work activities?
How do they integrate science and practice?
What are the challenges they face?

21. Evaluation: Reflection paper 2
Searching for evidence-based services for someone you care about
Pick a DSM/ICD disorder that interests you and is listed in Exhibits 12.2 or 13.1
Search for reviews of treatments for this disorder in both the Cochrane database and on PsycInfo
Explain how the disorder affects the person’s life
Specify your search strategy: keywords, etc…
Summarize what you found
Assess its relevance to the person you are thinking of
Give clear recommendations about the type of treatment that research has shown to be most helpful

22. Group Activity: What knowledge do you already have that is relevant to clinical psychology?
In groups of 5-6
Psychology courses?
Other courses?
Work experience?
Life experience?
General knowledge?

23. Chapter 1: The Evolution of Clinical Psychology
Introduction
Defining clinical psychology
Evidence-based practice in psychology
Mental health professions
Availability of mental health service providers
Brief history of clinical psychology

24. Why should you care about clinical psychology?
As a future clinical psychologist
As a future colleague of clinical psychologists
Counselling; social work; psychiatry; nursing; teaching
As a future manager of clinical psychologists
Health care administration
As a tax-payer
Are psychological services worth supporting?
As a consumer of psychological services
For yourself, your colleagues, or your friends and loved ones

25. Definitions of clinical psychology
Application of psychological knowledge to alleviate distress & promote well-being
Range of activities: assessment, diagnosis, consultation, treatment, program evaluation, administration, research
Guided by principles of:
Respect for dignity of persons
Responsible caring
Integrity in relationships
Responsibility to society

26. Evidence-based Practice in Psychology
To what extent should clinical practice be guided by scientific evidence?
McFall’s Manifesto for a science of clinical psychology (1991)
Essential to describe nature of service
Benefits must have been validated scientifically
Benefits must outweigh possible negative side effects

27. National Institute of Health and Care Excellence (NICE)
Psychological treatments are helpful in treatment of anxiety and depression
Psychological treatment at least as effective as medication
Fund access to psychological treatments delivered by trained mental health professionals

28. Why do we need mental health professionals?
More than 450,000,000 worldwide have mental disorders
Life style factors associated with risk of mental health and physical health problems
Cost of mental disorder in Canada: $63 billion a year (2013 estimate)
Absenteeism
Unemployment and underemployment
Disability costs
Health service costs
Premature death

29. Mental health professions
Psychology (approximately 16,000 in Canada)
Counselling psychology
School psychology
Clinical psychology
Health psychology
Forensic psychology
Clinical neuropsychology
Medicine
Psychiatry (approximately 4,100 in Canada)
Nursing
Psychiatric nurse (approximately 5,200 in Canada)
Social Work
Clinical social work (approximately 35,000 in Canada)
Counselling (numbers unknown as not consistently regulated across jurisdictions)

30. Availability of psychologists
World Health Organization
Canada is second only to Germany in numbers of psychologists per 100,000 of population
Disparities in rural versus urban areas
Variability in coverage of fees

31. History of Clinical Psychology
Hippocrates:
Origins of biopsychosocial view
Enlightenment period: Pinel, Tuke, Rush
European psychiatry: Charcot, Janet, Freud

32. History of Assessment First major activity in clinical psychology
Intelligence
Mental disorders and diagnostic systems
Personality

33. History of intervention
Development of various theoretical orientations
Importance of research in evaluating therapy outcomes
Evidence-based treatments

34. History of prevention To date, only a limited focus on prevention
Growing number of evidence-based programs focusing on disorders in children

35. The future… Role of science in clinical psychology
Use of technology to increase the reach of services
Biopsychosocial model
Attention to cost effectiveness

36. For next class:

37. Copyright Notice
Copyright © 2014 John Wiley & Sons Canada, Ltd. All rights reserved. Reproduction or translation of this work beyond that permitted by Access Copyright (The Canadian Copyright Licensing Agency) is unlawful. Requests for further information should be addressed to the Permissions Department, John Wiley & Sons Canada, Ltd. The purchaser may make back-up copies for his or her own use only and not for distribution or resale. The author and the publisher assume no responsibility for errors, omissions, or damages caused by the use of these programs or from the use of the information contained herein.
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