Clinical health psychology: A specialty for the 21st century.

Belar, Cynthia D.

doi:10.1037/0278-6133.16.5.411

Cited by 32 publications

(20 citation statements)

References 12 publications

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“…In Britain (Michie, 2001) and in a wider context (Marks et al, 1998), the development of professionalization in health psychology has closely followed that of clinical psychology, and in fact its main manifestation is referred to as clinical health psychology (Belar, 1997; see also Marks, 2002). This approach is ultimately derivative of the medical model (Pilgrim & Treacher, 1992) and is predominantly situated in the service of biomedicine.…”

Section: Professionalization and Critical Health Psychology Practicementioning

confidence: 98%

“…This approach is ultimately derivative of the medical model (Pilgrim & Treacher, 1992) and is predominantly situated in the service of biomedicine. In particular, the adoption of the scientist-practitioner model in health psychology (Belar, 1997;Marks et al, 1998) assumes a strongly positivist tradition within which the psychologist is positioned as expert using scientifically proven and qualityapproved technical solutions to social and individual problems. What this does, as Prilleltensky and Prilleltensky so ably illustrate, is reduce the adverse consequences of social relations to the properties and management of individuals (cf.…”

Section: Professionalization and Critical Health Psychology Practicementioning

confidence: 99%

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Professionalization and Reflexivity in Critical Health Psychology Practice

Bolam

Chamberlain

2003

J Health Psychol

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W E S U P P O RT the arguments advanced by Prilleltensky and Prilleltensky (this issue) regarding the development of a critical health psychology practice. We draw attention to the key issues their article raises for debate about the professionalization of health psychology, and argue that a critical approach to practice counters current drives towards professionalization and the unproblematic adoption of a scientist-practitoner model within health psychology. We maintain that reflexivity must occupy a central place in the development of critical health psychology practice.

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Section: Professionalization and Critical Health Psychology Practicementioning

confidence: 98%

Section: Professionalization and Critical Health Psychology Practicementioning

confidence: 99%

Professionalization and Reflexivity in Critical Health Psychology Practice

Bolam

Chamberlain

2003

J Health Psychol

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“…O primeiro presidente da American Psychological Association, Joseph Matarazzo, destacou que a Psicologia da Saúde tem o objetivo de estudar a etiologia das doenças orgânicas, desenvolver intervenções direcionadas para a promoção da saúde, prevenção e tratamento de doenças, buscando o diálogo com os representantes governamentais para aprimorar as políticas públicas (Matarazzo, 1980). De acordo com Belar (1997), os Psicólogos da Saúde investigam as manifestações físicas e psicológicas vivenciadas pelos indivíduos em uma situação de doença. Esse profissional também atua na prevenção de doenças e manutenção das condições saudáveis por meio de intervenções educativas.…”

Section: Estados Unidos Da Américaunclassified

A Psicologia no hospital geral: aspectos históricos, conceituais e práticos

Azevêdo

Crepaldi

2016

Estud. psicol. (Campinas)

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Resumo A atuação da Psicologia aplicada ao ambiente hospitalar é marcada por fatos históricos relevantes que contribuíram para a definição da área e delimitação da prática profissional. Este artigo objetivou apresentar os aspectos históricos, conceituais e práticos da Psicologia no hospital geral nos Estados Unidos da América e no Brasil. Esse tipo de atividade da Psicologia se iniciou na década de 1950 e, posteriormente, ocorreu o reconhecimento da especialidade Psicologia da Saúde. A prática ocorre por meio da avaliação e intervenção psicológica hospitalar com especificidades, dependendo da abordagem teórica utilizada. No que se refere aos aspectos conceituais, o acompanhamento psicológico hospitalar visa facilitar a adaptação e enfrentamento das situações vivenciadas pelo paciente hospitalizado, assim como prioriza a tríade: paciente, família e equipe de saúde.

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“…As I have noted elsewhere (Belar, 1997) there are two major concurrent trends in health care: the corporatization of private practice and the privatization of public services. Illustrative of the former is that membership in health maintenance organizations (HMOs) increased by 85% between 1990 and 1996 (36.5 to 67.5 million persons), whereas membership in Preferred Provider Organizations (PPOs) increased by 154% (American Association of Health Plans [AAHP], 1998).…”

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confidence: 97%

Ethical Issues in Managed Care

Belar

2000

The Counseling Psychologist

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Cooper and Gottlieb (2000 [this issue]) have provided an intensive and extensive analysis of ethical issues that can arise in conjunction with various policies promulgated by managed care organizations. They highlight dilemmas for practitioners and suggest methods of resolution that are immediately applicable. They also offer a number of recommendations for curriculum development and propose an ambitious research agenda to increase our knowledge of relevant issues. Yet, this is more than an article about ethical issues. It also provides a summary of changes in the health care delivery system, addresses implications for education and research in psychology, and promotes a forward-thinking perspective regarding education, research, and practice in the evolving health care system. I found their work to be thoughtful and, on the whole, balanced. It would significantly enhance the curriculum of any professional psychology education and training program. However, I do not agree with their opinion that "we do not expect managed care to survive over the long term" (p. 230), which is perhaps due to the definition that they adopt as the basis for their analysis.In their discussions, Cooper and Gottlieb (2000) tend to rely on mainstream psychology's definition and perceptions of managed care. For example, they cite Corcoran and Vandiver (1996) for the definition that "managed care refers to the administration of physical and mental health care services by a party other than the practitioner or client" (p. 183). This definition tends to focus on a particular methodology in managed care, and thus highlights problems related to confidentiality and utilization review procedures. However, this definition is more narrow than that found in the broader health care literature, and thus might lead us to (a) overgeneralize about managed care (despite the authors' acknowledgment of the diversity of models involved), (b) ignore the ethical dilemmas for psychology within a broader definition, and (c) underestimate the ethical problems associated with unmanaged care.Goldstein (1992) provides a definition of managed care that avoids describing a particular strategy of management, but instead focuses on the crucial elements of managed health care.

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Clinical health psychology: A specialty for the 21st century.

Cited by 32 publications

References 12 publications

Professionalization and Reflexivity in Critical Health Psychology Practice

Professionalization and Reflexivity in Critical Health Psychology Practice

A Psicologia no hospital geral: aspectos históricos, conceituais e práticos

Ethical Issues in Managed Care

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