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Introduction To Clinical and Counselling Psychology 03

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The key takeaways are that clinical psychology involves research, diagnostics and assessment, interventions and applications. Some special fields include community psychology, health psychology, neuropsychology, forensic psychology and pediatric psychology.

Some special fields of application in clinical psychology include community psychology/mental hygiene, health psychology, neuropsychology, forensic psychology, and pediatric and clinical child psychology.

Some of the main research methods discussed in clinical psychology include observations, epidemiological research, correlational studies, experimental methods, and single case designs.

Research Methods in

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

The four basic questions in


clinical psychology

Research
Diagnostics and
assessment
Interventions
Applications

Special fields of application

Community
psychology
/mentalhygiene
Health psychology
Neuropschology
Forensic psychology
Pediatric and clinical
child psychology

The scientist-practioner
model

Why do clinicians need to have


research skills?
They participate inclininical
reasearches
Psychopathology
Therapy effectiveness
They participate in higher
education

Students PhD
Instructors

They have to use scientific


approach in evaluating and
choosing assessment and
intervention methods

The basic questions in


clinical research

The connections between


theory and research
The aims of research

Collecting data/evidences
Establishing relationships
Exploration of causality
Changing theories

Research fields

Studying psychopathology
Developing/designing
assessment methods
Studying effectiveness of
therapies

The connections between theory


and observation (research)

Research outcomes and theories


an example
Classic approach to
Borderline PD

Psychanalytic case studies


Early obeject relations and
self development
Conflicts and deficits in
early development
Fixation regression
hypothesis
The idea of isomorhism:
early (primitive) = adult
pathological formations

Current approch to
Borderline PD

Observations (traumas)
Empirical research (Occurance
of sexual abuse: 66%)
Early fixation is not necessary
New theory about coegsistent
senses of selves and their
possible injuries
The early (primitive) and the
adult pathologic formations
are not isomorhic

Self development according


to Kohut and D. Stern

The methods of clinical


research

Observation
Epidemological research
Correlational studies
Cross sectional vs
longitudinal approaches
Experimental method
Single case designs
(Mixed designs)

How do we choose a
research method?

The four most important questions/fields in


personality/clinical research

Runyan, 1997

Hard and soft traditions in


personality (clinical) research

Runyan, 1997

The three levels of personality


constructs (McAdams & Pals, 2007)

Kutatsi krdsek s mdszerek a


klnbz szinteken

McAdams, Pals,2007

Observations

Non systematic
observations
Naturalistic
observations
Controlled observations
Case studies

Case studies

Idiographic approach, using qaulitative


methods
In depth study of a particaular person
The borders of the phenomenon and its
context blurs
Social context
Life history context
Significant clinical traditions
Psychoanalysis
Existentialism
Humanistic psychology
Methods:
Interview
(Projective) tests
Presenting & interpreting therapeutic
process

Freuds famous case studies

Anna O (with J. Breuer, 1895)


Hysteria
Dora (1905)
Hysteria
Little Hans (1909)
Phobia
Schreber (1909)
Paranoia
Ratman (1909)
Obsessive-compulisve neurosis
Wolfman (1918)
Obsessive-compulisve neurosis (?)

Types of case studies

Protocol scetch of a case


study

A, INTRODUCTION

Aims, questions, hypotheses

The type of the study

Justification, theoretical background, literature


B, IDENTIFICATION OF THE CASE(S)

Data & location of the case(s)

Selection criteria

Contacts

Licenses
C, DATA COLLECTION PROCEDURES

Data collection methods (interviews, surveys,


exploration of enviroment)

Aspects of data systematization


D, ADVANCED DATA ANALYSIS

Theoretical analysis framework

Processing considerations

Specific processing procedures

Control by participants
E, FIELD REWORK, LETTERS OF THANKS
F, SCHEDULING RESEARCH

The process of interpretation


The hermeneutic
circle
Reflexivity

Self-reflection
Where am I affected in
this case?
Epistemological reflection
What are the limits of
my approach?
Educated subjectivity insted
of strained objectivity!!!

Case studies: fields of application,


advantages & disadvantages
Application
In natural
environment
Requires complex
multi-faceted
approach
Directed to one or
more defined areas

Advantages
Holistic approach
Detailed
Lifelike
Complex
interrealationships
Flexibility

Disadvantages
Requieres much time
and sources
Complicated to carry
out
Risky
Complicted data
management
Relatively
undeveloped
methodology

Epidemiological research

The study of the


Incidence (new cases)
Prevalence (what percentage of the
population is affected eg. In lifetime)
and distribution of illness or disease
in a given population
Examples
The relationship between
schizophrenia and socioeconomical
status
Lifetime prevalence of disorders
Filtering vulnerability
Research methods
Surveys

Interviews (structured)

Correlational studies

The linear relationship of


variables
Variable A
(eg: low self esteem)
Variable B
(eg:
depression)
Pearsons coefficient
Between +1.00 and -1.00
The question of causality
The question of a 3rd variable
beyond

Cross sectional vs longitudinal


approach

Cross-sectional study
design

In a given moment
Correlational studies
Very common
Example: How widespread is
drug use recently?

Longitudinal research

Over a period of time


More complex and complicated
to carry out
Example: the lifetime
prevalence of psychiatric
illnesses of people who
experienced war

Experimental method

Hypothesis
Variables

Independent
(treatment)
Dependent (mood)

Layouts

Between groups

Eg: therapeutic effect

In the group

Eg: before and after


treatment

Single case designs

Behaviorism, operant
conditioning
Experimental method
+ case study
ABAB research plan

Defining the basic level

Research and ethical issues

Research participants have rights,


and investigators have
responsibilities to them
Informed consent is needed
Participants individual data and
responses should be confidential and
guarded from public scrutiny
Deception should be used onlywhen
the research is important and there is
no alternative
A debriefing at the end of the
research is mandatory
Investigators are under the strictest
standards of honesty in reporting
their data

Thank you for your attention!

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