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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

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.

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

Interviews
Intelligence Assessment
Behavioral and
Personality Assessment
The Clinical Judge

Psychological
Interventions

The Basics

Content of the Course III

Psychological
Interventions

Psychodynamic approach
Individual therapies
Group theories

Specialities in Clinical
Psychology

Community Psychology
Health Psychology
Forensic Psychology

Content of the Course IV.


Counselling Psychology

The Social and Historical


Context of Counselling
Psychology
Existentialphenomenological
Contributions to
Counselling Psychologys
Relational Framework
The practise of counselling
Psychology

Books to Read

The Nature of Clinical Psychology

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

Counselling psychologist

Subclinical cases
Different employment settings
Different methods

Health psychologist

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

USA: 1950s
Europe: from 1960s

Degrees
USA

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

Adult and child clinical psychologist


Budapest, Pcs, 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

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

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

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

The specificities of
consultation/counselling

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!

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