{"id":883,"date":"2019-08-13T19:05:05","date_gmt":"2019-08-13T19:05:05","guid":{"rendered":"https:\/\/opentextbc.ca\/researchmethods\/chapter\/science-and-clinical-practice\/"},"modified":"2019-09-19T18:09:24","modified_gmt":"2019-09-19T18:09:24","slug":"science-and-clinical-practice","status":"publish","type":"chapter","link":"https:\/\/opentextbc.ca\/researchmethods\/chapter\/science-and-clinical-practice\/","title":{"raw":"Science and Clinical Practice","rendered":"Science and Clinical Practice"},"content":{"raw":"<div class=\"textbox textbox--learning-objectives\"><header class=\"textbox__header\">\r\n<p class=\"textbox__title\">Learning Objectives<\/p>\r\n\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n<ol>\r\n \t<li>Define the clinical practice of psychology and distinguish it from the science of psychology.<\/li>\r\n \t<li>Explain how science is relevant to clinical practice.<\/li>\r\n \t<li>Define the concept of an empirically supported treatment and give some examples.<\/li>\r\n<\/ol>\r\n<\/div>\r\n<\/div>\r\nPsychology is the scientific study of behaviour and mental processes. But it is also the application of scientific research to \u201chelp people, organizations, and communities function better\u201d (American Psychological Association, 2011)[footnote]American Psychological Association. (2011). <em>About APA<\/em>. Retrieved from http:\/\/www.apa.org\/about[\/footnote]. By far the most common and widely known application is the [pb_glossary id=\"1308\"]clinical\u00a0practice\u00a0of\u00a0psychology[\/pb_glossary]\u2014the diagnosis and treatment of psychological disorders and related problems. Let us use the term\u00a0<em>clinical practice<\/em>\u00a0broadly to refer to the activities of clinical and counseling psychologists, school psychologists, marriage and family therapists, licensed clinical social workers, and others who work with people individually or in small groups to identify and help address their psychological problems. It is important to consider the relationship between scientific research and clinical practice because many students are especially interested in clinical practice, perhaps even as a career.\r\n\r\nThe main point is that psychological disorders and other behavioural problems are part of the natural world. This means that questions about their nature, causes, and consequences are empirically testable and therefore subject to scientific study. As with other questions about human behaviour, we cannot rely on our intuition or common sense for detailed and accurate answers. Consider, for example, that dozens of popular books and thousands of websites claim that adult children of alcoholics have a distinct personality profile, including low self-esteem, feelings of powerlessness, and difficulties with intimacy. Although this sounds plausible, scientific research has demonstrated that adult children of alcoholics are no more likely to have these problems than anybody else (Lilienfeld et al., 2010)[footnote]Lilienfeld, S. O., Lynn, S. J., Ruscio, J., &amp; Beyerstein, B. L. (2010). <em>50 great myths of popular psychology<\/em>. Malden, MA: Wiley-Blackwell.[\/footnote]. Similarly, questions about whether a particular psychotherapy is effective are empirically testable questions that can be answered by scientific research. If a new psychotherapy is an effective treatment for depression, then systematic observation should reveal that depressed people who receive this psychotherapy improve more than a similar group of depressed people who do not receive this psychotherapy (or who receive some alternative treatment). Treatments that have been shown to work in this way are called [pb_glossary id=\"1310\"]empirically\u00a0supported\u00a0treatments[\/pb_glossary].\r\n<div class=\"textbox textbox--examples\"><header class=\"textbox__header\">\r\n<p class=\"textbox__title\">Empirically Supported Treatments<\/p>\r\n\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n\r\nAn empirically supported treatment is one that has been studied scientifically and shown to result in greater improvement than no treatment, a placebo, or some alternative treatment. These include many forms of psychotherapy, which can be as effective as standard drug therapies. Among the forms of psychotherapy with strong empirical support are the following:\r\n<ul>\r\n \t<li>Cognitive behavioural therapy.\u00a0For depression, panic disorder, bulimia nervosa, and post-traumatic stress disorder.<\/li>\r\n \t<li>Exposure therapy.\u00a0For post-traumatic stress disorder.<\/li>\r\n \t<li>Behavioural therapy.\u00a0For depression.<\/li>\r\n \t<li>Behavioural couples therapy.\u00a0For alcoholism and substance abuse.<\/li>\r\n \t<li>Exposure therapy with response prevention.\u00a0For obsessive-compulsive disorder.<\/li>\r\n \t<li>Family therapy.\u00a0For schizophrenia.<\/li>\r\n<\/ul>\r\nFor a more complete list, see the following website, which is maintained by Division 12 of the American Psychological Association, the Society for Clinical Psychology: <a href=\"https:\/\/www.div12.org\/psychological-treatments\/\">Evidence-based practice in psychology<\/a>.\r\n\r\n<\/div>\r\n<\/div>\r\nMany in the clinical psychology community have argued that their field has not paid enough attention to scientific research\u2014for example, by failing to use empirically supported treatments\u2014and have suggested a variety of changes in the way clinicians are trained and treatments are evaluated and put into practice. Others believe that these claims are exaggerated and the suggested changes are unnecessary (Norcross, Beutler, &amp; Levant, 2005)[footnote]Norcross, J. C., Beutler, L. E., &amp; Levant, R. F. (Eds.). (2005). <em>Evidence-based practices in mental health: Debate and dialogue on the fundamental questions<\/em>. Washington, DC: American Psychological Association.[\/footnote]. On both sides of the debate, however, there is agreement that a scientific approach to clinical psychology is essential if the goal is to diagnose and treat psychological problems based on detailed and accurate knowledge about those problems and the most effective treatments for them. So not only is it important for scientific research in clinical psychology to continue, but it is also important for clinicians who never conduct a scientific study themselves to be scientifically literate so that they can read and evaluate new research and make treatment decisions based on the best available evidence.\r\n<div class=\"textbox textbox--key-takeaways\"><header class=\"textbox__header\">\r\n<p class=\"textbox__title\">Key Takeaways<\/p>\r\n\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n<ul>\r\n \t<li>The clinical practice of psychology\u2014the diagnosis and treatment of psychological problems\u2014is one important application of the scientific discipline of psychology.<\/li>\r\n \t<li>Scientific research is relevant to clinical practice because it provides detailed and accurate knowledge about psychological problems and establishes whether treatments are effective.<\/li>\r\n<\/ul>\r\n<\/div>\r\n<\/div>\r\n<div class=\"textbox textbox--exercises\"><header class=\"textbox__header\">\r\n<p class=\"textbox__title\">Exercises<\/p>\r\n\r\n<\/header>\r\n<div class=\"textbox__content\">\r\n<ol>\r\n \t<li>Discussion: Some clinicians argue that what they do is an \u201cart form\u201d based on intuition and personal experience and therefore cannot be evaluated scientifically. Write a paragraph about how satisfied you would be with such a clinician and why from each of three perspectives:\r\n<ol>\r\n \t<li>a potential client of the clinician<\/li>\r\n \t<li>a judge who must decide whether to allow the clinician to testify as an expert witness in a child abuse case<\/li>\r\n \t<li>an insurance company representative who must decide whether to reimburse the clinician for his or her services<\/li>\r\n<\/ol>\r\n<\/li>\r\n \t<li>Practice: Create a short list of questions that a client could ask a clinician to determine whether he or she pays sufficient attention to scientific research.<\/li>\r\n<\/ol>\r\n<\/div>\r\n<\/div>","rendered":"<div class=\"textbox textbox--learning-objectives\">\n<header class=\"textbox__header\">\n<p class=\"textbox__title\">Learning Objectives<\/p>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>Define the clinical practice of psychology and distinguish it from the science of psychology.<\/li>\n<li>Explain how science is relevant to clinical practice.<\/li>\n<li>Define the concept of an empirically supported treatment and give some examples.<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<p>Psychology is the scientific study of behaviour and mental processes. But it is also the application of scientific research to \u201chelp people, organizations, and communities function better\u201d (American Psychological Association, 2011)<a class=\"footnote\" title=\"American Psychological Association. (2011). About APA. Retrieved from http:\/\/www.apa.org\/about\" id=\"return-footnote-883-1\" href=\"#footnote-883-1\" aria-label=\"Footnote 1\"><sup class=\"footnote\">[1]<\/sup><\/a>. By far the most common and widely known application is the <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_883_1308\">clinical\u00a0practice\u00a0of\u00a0psychology<\/a>\u2014the diagnosis and treatment of psychological disorders and related problems. Let us use the term\u00a0<em>clinical practice<\/em>\u00a0broadly to refer to the activities of clinical and counseling psychologists, school psychologists, marriage and family therapists, licensed clinical social workers, and others who work with people individually or in small groups to identify and help address their psychological problems. It is important to consider the relationship between scientific research and clinical practice because many students are especially interested in clinical practice, perhaps even as a career.<\/p>\n<p>The main point is that psychological disorders and other behavioural problems are part of the natural world. This means that questions about their nature, causes, and consequences are empirically testable and therefore subject to scientific study. As with other questions about human behaviour, we cannot rely on our intuition or common sense for detailed and accurate answers. Consider, for example, that dozens of popular books and thousands of websites claim that adult children of alcoholics have a distinct personality profile, including low self-esteem, feelings of powerlessness, and difficulties with intimacy. Although this sounds plausible, scientific research has demonstrated that adult children of alcoholics are no more likely to have these problems than anybody else (Lilienfeld et al., 2010)<a class=\"footnote\" title=\"Lilienfeld, S. O., Lynn, S. J., Ruscio, J., &amp; Beyerstein, B. L. (2010). 50 great myths of popular psychology. Malden, MA: Wiley-Blackwell.\" id=\"return-footnote-883-2\" href=\"#footnote-883-2\" aria-label=\"Footnote 2\"><sup class=\"footnote\">[2]<\/sup><\/a>. Similarly, questions about whether a particular psychotherapy is effective are empirically testable questions that can be answered by scientific research. If a new psychotherapy is an effective treatment for depression, then systematic observation should reveal that depressed people who receive this psychotherapy improve more than a similar group of depressed people who do not receive this psychotherapy (or who receive some alternative treatment). Treatments that have been shown to work in this way are called <a class=\"glossary-term\" aria-haspopup=\"dialog\" aria-describedby=\"definition\" href=\"#term_883_1310\">empirically\u00a0supported\u00a0treatments<\/a>.<\/p>\n<div class=\"textbox textbox--examples\">\n<header class=\"textbox__header\">\n<p class=\"textbox__title\">Empirically Supported Treatments<\/p>\n<\/header>\n<div class=\"textbox__content\">\n<p>An empirically supported treatment is one that has been studied scientifically and shown to result in greater improvement than no treatment, a placebo, or some alternative treatment. These include many forms of psychotherapy, which can be as effective as standard drug therapies. Among the forms of psychotherapy with strong empirical support are the following:<\/p>\n<ul>\n<li>Cognitive behavioural therapy.\u00a0For depression, panic disorder, bulimia nervosa, and post-traumatic stress disorder.<\/li>\n<li>Exposure therapy.\u00a0For post-traumatic stress disorder.<\/li>\n<li>Behavioural therapy.\u00a0For depression.<\/li>\n<li>Behavioural couples therapy.\u00a0For alcoholism and substance abuse.<\/li>\n<li>Exposure therapy with response prevention.\u00a0For obsessive-compulsive disorder.<\/li>\n<li>Family therapy.\u00a0For schizophrenia.<\/li>\n<\/ul>\n<p>For a more complete list, see the following website, which is maintained by Division 12 of the American Psychological Association, the Society for Clinical Psychology: <a href=\"https:\/\/www.div12.org\/psychological-treatments\/\">Evidence-based practice in psychology<\/a>.<\/p>\n<\/div>\n<\/div>\n<p>Many in the clinical psychology community have argued that their field has not paid enough attention to scientific research\u2014for example, by failing to use empirically supported treatments\u2014and have suggested a variety of changes in the way clinicians are trained and treatments are evaluated and put into practice. Others believe that these claims are exaggerated and the suggested changes are unnecessary (Norcross, Beutler, &amp; Levant, 2005)<a class=\"footnote\" title=\"Norcross, J. C., Beutler, L. E., &amp; Levant, R. F. (Eds.). (2005). Evidence-based practices in mental health: Debate and dialogue on the fundamental questions. Washington, DC: American Psychological Association.\" id=\"return-footnote-883-3\" href=\"#footnote-883-3\" aria-label=\"Footnote 3\"><sup class=\"footnote\">[3]<\/sup><\/a>. On both sides of the debate, however, there is agreement that a scientific approach to clinical psychology is essential if the goal is to diagnose and treat psychological problems based on detailed and accurate knowledge about those problems and the most effective treatments for them. So not only is it important for scientific research in clinical psychology to continue, but it is also important for clinicians who never conduct a scientific study themselves to be scientifically literate so that they can read and evaluate new research and make treatment decisions based on the best available evidence.<\/p>\n<div class=\"textbox textbox--key-takeaways\">\n<header class=\"textbox__header\">\n<p class=\"textbox__title\">Key Takeaways<\/p>\n<\/header>\n<div class=\"textbox__content\">\n<ul>\n<li>The clinical practice of psychology\u2014the diagnosis and treatment of psychological problems\u2014is one important application of the scientific discipline of psychology.<\/li>\n<li>Scientific research is relevant to clinical practice because it provides detailed and accurate knowledge about psychological problems and establishes whether treatments are effective.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"textbox textbox--exercises\">\n<header class=\"textbox__header\">\n<p class=\"textbox__title\">Exercises<\/p>\n<\/header>\n<div class=\"textbox__content\">\n<ol>\n<li>Discussion: Some clinicians argue that what they do is an \u201cart form\u201d based on intuition and personal experience and therefore cannot be evaluated scientifically. Write a paragraph about how satisfied you would be with such a clinician and why from each of three perspectives:\n<ol>\n<li>a potential client of the clinician<\/li>\n<li>a judge who must decide whether to allow the clinician to testify as an expert witness in a child abuse case<\/li>\n<li>an insurance company representative who must decide whether to reimburse the clinician for his or her services<\/li>\n<\/ol>\n<\/li>\n<li>Practice: Create a short list of questions that a client could ask a clinician to determine whether he or she pays sufficient attention to scientific research.<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<hr class=\"before-footnotes clear\" \/><div class=\"footnotes\"><ol><li id=\"footnote-883-1\">American Psychological Association. (2011). <em>About APA<\/em>. Retrieved from http:\/\/www.apa.org\/about <a href=\"#return-footnote-883-1\" class=\"return-footnote\" aria-label=\"Return to footnote 1\">&crarr;<\/a><\/li><li id=\"footnote-883-2\">Lilienfeld, S. O., Lynn, S. J., Ruscio, J., &amp; Beyerstein, B. L. (2010). <em>50 great myths of popular psychology<\/em>. Malden, MA: Wiley-Blackwell. <a href=\"#return-footnote-883-2\" class=\"return-footnote\" aria-label=\"Return to footnote 2\">&crarr;<\/a><\/li><li id=\"footnote-883-3\">Norcross, J. C., Beutler, L. E., &amp; Levant, R. F. (Eds.). (2005). <em>Evidence-based practices in mental health: Debate and dialogue on the fundamental questions<\/em>. Washington, DC: American Psychological Association. <a href=\"#return-footnote-883-3\" class=\"return-footnote\" aria-label=\"Return to footnote 3\">&crarr;<\/a><\/li><\/ol><\/div><div class=\"glossary\"><span class=\"screen-reader-text\" id=\"definition\">definition<\/span><template id=\"term_883_1308\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_883_1308\"><div tabindex=\"-1\"><p>The diagnosis and treatment of psychological disorders and related problems.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><template id=\"term_883_1310\"><div class=\"glossary__definition\" role=\"dialog\" data-id=\"term_883_1310\"><div tabindex=\"-1\"><p>Treatments that have been shown to work through systematic observation.<\/p>\n<\/div><button><span aria-hidden=\"true\">&times;<\/span><span class=\"screen-reader-text\">Close definition<\/span><\/button><\/div><\/template><\/div>","protected":false},"author":123,"menu_order":4,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-883","chapter","type-chapter","status-publish","hentry"],"part":874,"_links":{"self":[{"href":"https:\/\/opentextbc.ca\/researchmethods\/wp-json\/pressbooks\/v2\/chapters\/883","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/opentextbc.ca\/researchmethods\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/opentextbc.ca\/researchmethods\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/opentextbc.ca\/researchmethods\/wp-json\/wp\/v2\/users\/123"}],"version-history":[{"count":3,"href":"https:\/\/opentextbc.ca\/researchmethods\/wp-json\/pressbooks\/v2\/chapters\/883\/revisions"}],"predecessor-version":[{"id":1387,"href":"https:\/\/opentextbc.ca\/researchmethods\/wp-json\/pressbooks\/v2\/chapters\/883\/revisions\/1387"}],"part":[{"href":"https:\/\/opentextbc.ca\/researchmethods\/wp-json\/pressbooks\/v2\/parts\/874"}],"metadata":[{"href":"https:\/\/opentextbc.ca\/researchmethods\/wp-json\/pressbooks\/v2\/chapters\/883\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/opentextbc.ca\/researchmethods\/wp-json\/wp\/v2\/media?parent=883"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/opentextbc.ca\/researchmethods\/wp-json\/pressbooks\/v2\/chapter-type?post=883"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/opentextbc.ca\/researchmethods\/wp-json\/wp\/v2\/contributor?post=883"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/opentextbc.ca\/researchmethods\/wp-json\/wp\/v2\/license?post=883"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}