The practice of psychology in hospital settings.

Enright, Michael F.; Resnick, Robert; DeLeon, Patrick H.; Sciara, Anthony D.; Tanney, Faith

doi:10.1037/0003-066x.45.9.1059

Cited by 25 publications

(30 citation statements)

References 21 publications

(26 reference statements)

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“…According to Sarason (1981, p. 833) clinical psychology has become, like psychiatry, &dquo;exclusive, money oriented, a lobbying force, supersensitive and super pious about upholding standards and monitoring credentials, and tolerant but not respectful of the research endeavor.&dquo; Increasingly, practice and marketing potential go hand in hand (Austad & Hoyt, 1992;Cummings, 1986). Managed care, advocacy for hospital, (Enright, Resnick, DeLeon, Sciara, & Tanney, 1990;Zaro, Batchelor, Ginsberg, & Pallack, 1982), and prescription privileges (Brentar & McNamara, 1991;DeLeon, Fox, & Graham, 1991) define a center around which practice increasingly collects (Schneider, 1990). Managed care shapes practice patterns through denial of coverage, forcing therapists to select, adapt, and/or create interventions compatible with the insurers' economic values (Applebaum, 1993;Austad & Hoyt, 1992), often with MBA types making the decisions (Graham, 1992).…”

Section: Opinionsmentioning

confidence: 98%

The Case Against Licensing Health Professionals

Gross

1998

Sex Abuse

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In the interest of full disclosure, I am a licensed psychologist. Yet I oppose licensing. I remain licensed because I wish to continue to practice my profession. My opposition to both general and specialty licensure is the subject of this paper.To understand my position requires knowing that state governments, under the umbrella of their police powers, grant licensing to a profession to protect the welfare of the public. The licensing act reserves either a title (i.e., psychologist) or a practice (i.e., psychotherapy) to persons who meet particular requirements approved by the state. Doing so creates a monopoly which in turn grants certain economic advantages to licensees. The history of licensure is replete with evidence that economics, not protection of the public, drives licensing. In fact, with rare exceptions (i.e., stockbrokers, detectives), professions have sought licensing-the public has not demanded it.My review of the empirical research shows no substantial relationship between licensing and quality of service measures. Evaluations of the work of licensing agencies also show they do not protect the public (Gross, 1984(Gross, , 1986:(a) Assessment of initial competence relies on invalid criteria, emphasizing credentials and cognitive skills over performance and person over context.(b) Monitoring of ongoing professional competence has not progressed beyond the questionable mandating of continuing education.

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Section: Opinionsmentioning

confidence: 98%

The Case Against Licensing Health Professionals

Gross

1998

Sex Abuse

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“…Isso possibilitou a integração do psicólogo nas equipes multiprofissionais de saúde. Em 1970, o programa federal dos EUA -The Civilian Health and Medical Program of the Uniformed Services -, reconheceu as atividades desse profissional na área da saúde, mas somente em 1977 a aprovação da ata oficializou as práticas para todo o país (Dorken, 1993;Enright, Resnick, DeLeon, Sciara, & Tanney, 1990).…”

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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“…Concomitant with the increased utilization of health care services by chronic pain patients has been the growing recognition of the need for psychologists in rehabilitation settings (Frank, Gluck & Buckelew, 1990). In fact, the rapid growth of treatment-oriented psychology services in medical hospital settings has been unparalleled in terms of increased training in clinical health psychology, medical center employment, and legislation governing the practice of psychology (Enright, Resnick, Deleon, Sciara & Tanney, 1990). With regard to the treatment of chronic pain problems, psychologists have taken an active role in the provision of multiple direct-care treatment services (Turk etal., 1983).…”

Section: University Of Virginiamentioning

confidence: 99%