The dawn of a revolution in mental health.

Pachman, Joseph S.

doi:10.1037/0003-066x.51.3.213

Cited by 13 publications

(16 citation statements)

References 10 publications

(38 reference statements)

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“…Sabotage was not an acceptable response then, and it should not be acceptable now. I support the opinion stated by Pachman (1996), a psychologist and a physician, that there is no objective data to support the arguments that RxP will lead to an abandonment of behavioral interventions.…”

Section: The Proof Is Not In the Datasupporting

confidence: 58%

Opposition to prescriptive authority: Is this a case of the tail wagging the dog?

Caccavale¹

2002

J Clin Psychol

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This essay proposes that opposition to prescriptive authority (RxP) is not grounded in or based on any objective data. Opposition arguments fall into the category of ideology, opinion, and inappropriate economic beliefs. Moreover, what scant data does exist with respect to prescribing psychologists, the data disputes the main arguments in opposition to RxP. Major themes expressed by RxP opponents are analyzed, and counter-arguments are presented concluding that RxP opposition is not precedent-setting but part of the historical tension between academic and applied psychologists. The only precedent may be in the way the controversy is resolved.

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Section: The Proof Is Not In the Datasupporting

confidence: 58%

Opposition to prescriptive authority: Is this a case of the tail wagging the dog?

Caccavale¹

2002

J Clin Psychol

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“…The nature of psychologists ' clinical practice is changing (Wiggins, 1994). Older psychotherapeuti c roles are increasingly seen as ill-tting to a world of managed health care (Cummings, 1996), and some within psychology are arguing that new roles must be found if the profession is to survive (Pachman, 1996;Troy & Shueman, 1996). The role proposed as best suited to the psychologis t of the future appears to be that of prescriber (DeLeon, Howell, Newman, & Brown, 1996;Resnick & Rozensky, 1996;VonKorff, Katon, Bush, Lin, Simon, & Saunders, 1998).…”

Section: Prescriptive Privilege: Who Should Prescribementioning

confidence: 97%

“…Clinical psychologist s are a threatened profession (Pachman, 1996). Much evidence can be found within the professional literature that those within psychology are discussing the very future of the profession and are worried by the major changes recently occuring in professional practice (Cypres, Landsberg, & Spellman, 1997;Summerall & Oehlert, 1997).…”

Section: Prescriptive Privilege: Who Should Prescribementioning

confidence: 98%

“…Based on an in-depth knowledge of development, personality, and the in uence of environment, clinical psychologist s have contributed in important and meaningful ways to the improved functioning and health of the mentally ill (Pachman, 1996). From psychotherapy to psychological testing to learning theory, psychology as a profession has provided understanding , insight, and a theoretical basis for care practices that have crossed discipline lines into nursing and medicine.…”

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confidence: 98%

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An Ethical Dilemma: Clinical Psychologists Prescribing Psychotropic Medications

Walker

2002

Issues in Mental Health Nursing

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The use of psychotropic medication to treat psychiatric disorders has surged in recent years, and while commonly prescribed, the question of who should be allowed to prescribe such medication has become an increasingly important issue to nurses. Psychologists have historically functioned in roles such as psychotherapy and psychological testing, but as standards of care for psychiatric disorders incorporate medication, reimbursement for psychotherapy is declining. Medication prescription and management have not been traditionally seen as the role of the psychologist, however, many clinical psychologists have begun to advocate for prescription authority as a legally sanctioned role for their profession. This article addresses the issues of clinical psychologists seeking prescriptive privilege. It will be argued that the current paradigm of psychology rejects the neurobiological basis of mental illness and that psychologists prescribing medication presents an ethical dilemma for nurses. It is the contention of the author that nurses have an ethical responsibility to advocate against the extension of the psychologist's role into the prescription of medications.

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“…Arguments often cited by proponents include the natural evolution of the field (Brentar & McNamara, 1991;Fox, 1988), improved mental health care for consumers (Adams, 1986;Fox, 1988;Pachman, 1996), and the need for psychology to protect its market (DeLeon, 1992). Opponents express concern about the redefinition of the profession (DeNelsky, 1991;Hayes & Heiby, 1996;Moyer, 1995), the difficulty associated with acquiring appropriate training (DeNelsky, 1996;Evans & Murphy, 1997;Riley, Elliot, & Thomas, 1992), and the substantial cost of acquiring these rights legally (Bell, Digman, & McKenna, 1995;DeNelsky, 1991DeNelsky, , 1996.…”

mentioning

confidence: 95%

Predictors of graduate student attitudes toward prescription privileges for psychologists

Luscher¹,

Corbin

Bernat³

et al. 2002

J Clin Psychol

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The issue of gaining prescription privileges and its potential impact on the field of clinical psychology has special relevance for graduate students. This study was designed to investigate clinical graduate students' attitudes toward prescription authority, identify salient variables that contribute to these attitudes, and ascertain preferred models of training. Only 42.5% of respondents personally desired to obtain prescription privilege, although 61.8% of respondents favored efforts of the American Psychological Association to acquire prescription authority. Proponents and opponents were compared on their ratings of positive and negative aspects of the debate. There was strong agreement that the training should not be predoctoral and that it should lead to board certification. The strongest predictors of graduate students' attitudes were concerns about fundamental change to the field, malpractice premiums, and whether they considered it a logical extension of the field. This study provides a framework for understanding important factors influencing the decision-making process among clinical psychology graduate students.

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The dawn of a revolution in mental health.

Cited by 13 publications

References 10 publications

Opposition to prescriptive authority: Is this a case of the tail wagging the dog?

Opposition to prescriptive authority: Is this a case of the tail wagging the dog?

An Ethical Dilemma: Clinical Psychologists Prescribing Psychotropic Medications

Predictors of graduate student attitudes toward prescription privileges for psychologists

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