Training psychologists for hospital practice: A proposal.

Ludwigsen, Kris R.; Albright, Daphne

doi:10.1037/0735-7028.25.3.241

Cited by 14 publications

(12 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Many aspects of an inpatient medical setting may be completely unfamiliar to trainees, such as the organization of a medical inpatient unit, a medical chart, medical abbreviations, and the hierarchy and roles of various personnel in the medical setting. Ludwigsen and Albright (1994) stated that "health psychologists should be acquainted with electrocardiograms, electromyograms, and various laboratory tests" (pp. 243-244).…”

mentioning

confidence: 99%

The utility of interdisciplinary training and service: Psychology training on a psychiatry consultation-liaison service.

Schmaling¹,

Giardino²,

Korslund³

et al. 2002

Professional Psychology: Research and Practice

View full text Add to dashboard Cite

Increasing numbers of psychologists work in medical settings because of the growing acceptance of a biopsychosocial approach to illness. Do training programs prepare sufficient numbers of graduates to function effectively in medical settings? The authors describe the process of adding an inpatient medical-surgical consultation-liaison (C-L) service to a psychology internship's training rotations, the learning objectives used, and issues in the preparation of trainees for work in medical settings. Psychology trainees added significant capacity to the C-L service. These data may help facilitate the development of C-L training experiences for other programs.Opportunities for psychologists to work in health care settings have increased in recent years. Approximately one third of all employed recipients of new psychology doctorates in health service fields in 1997 worked in health care settings such as medical schools, hospitals, or specialized health care facilities such as nursing homes or rehabilitation centers (American Psychological Association [APA] Research Office, 1997). These statistics may be compared with indications from earlier times to demonstrate the growth in psychologists working in health care settings. For example, about 20 years ago, Gabinet and Schubert (1981) stated, "Traditionally, psychologists have not provided primary psychological services to medical and surgical inpatients" (p. 85).The contemporary need for training in medical settings in general, and consultation-liaison (C-L) settings in particular, has been recognized widely. A general proposal for training psychologists for hospital practice by Ludwigsen and Albright (1994) includes the need for consultation skills. More specifically, Resnick and Kruczek (1996) stated, "As part of their internship or postdoctoral experience, psychologists need specialized training in consultation-liaison . . . whereby they learn to consult with the medical community about the emotional and behavioral sequelae of physical illness" (p. 194). To prepare students for the growing opportunities in health care settings, psychology training must be responsive with regard to the knowledge base and experiential requirements for effective work in health care settings.In accordance with APA doctoral program accreditation requirements, most doctoral students will obtain some background in physiology, and students in clinical or counseling programs also should receive training in interviewing, diagnosis, and psychotherapy. These skills certainly are prerequisites for adequate functioning in a health care setting. However, few preinternship doctoral students work in hospital settings or, more specifically, in medical-surgical hospital settings. A survey conducted in October 1999 by Division 38 (Health Psychology) of all APA-accredited training programs in clinical psychology revealed 34 programs (out of 211; i.e., 16%) with a health psychology focus (APA Division 38 Education and Training Committee, 1999). Sampling these programs' brochures revealed that not all prog...

show abstract

mentioning

confidence: 99%

The utility of interdisciplinary training and service: Psychology training on a psychiatry consultation-liaison service.

Schmaling¹,

Giardino²,

Korslund³

et al. 2002

Professional Psychology: Research and Practice

View full text Add to dashboard Cite

show abstract

“…Assinalamos que, de forma geral, a bibliografia estrangeira encontrada segue os moldes dos trabalhos iniciados no pós-guerra (década de quarenta), contemplando o psicodiagnóstico, treino de habilidades e comportamento, intervenção de crise, terapia suportiva e de aconselhamento, trabalho grupal e atendimento à família (Ludwiggen & Albright 1994, Johnson 1994, Enright & Resnick 1990). …”

Section: Psicologia Hospitalarunclassified

Escuta analítica no hospital geral: : implicações com o desejo do analista

Torezan

Rosa

2003

Psicol. cienc. prof.

View full text Add to dashboard Cite

Analytical listening in the General Hospital: some implications with the analyst's desireResumo:Partindo da experiência na enfermaria de um hospital-escola 1 , do confronto com o status-quo do trabalho dos psicólogos em hospitais e da avaliação da literatura sobre a clínica psicanalítica em hospital, esta pesquisa se propôs a buscar avanços frente a uma questão específica: a escuta psicanalítica no trabalho em enfermarias de hospital geral e as implicações dessa prática com o desejo do psicanalista. Foram entrevistados quinze psicólogos declaradamente de orientação psicanalítica, vinculados a unidades de internação e com experiência mínima de dois anos de trabalho em hospital geral. As entrevistas foram abertas e semi-estruturadas, com o intuito de contemplar de maneira uniforme a coleta de informações de cunho mais objetivo, assim como de facilitar a pertinência ao tema de estudo. A interpretação dos dados foi realizada à luz do referencial clínico psicanalítico (freud-lacaniano), sendo que tal interpretação nos permitiu identificar uma importante interação entre os impasses, presentes na instituição hospitalar, da prática clínica psicanalítica com questões pessoais e de formação do profissional, interação que se vincula à postura de trabalho adotada no hospital. Reafirmamos, através desta pesquisa, a possibilidade de fazer uso de uma escuta analítica no trabalho com pacientes internados, a qual está sempre voltada para as manifestações do inconsciente ao longo da fala, e na qual a direção do tratamento é a emergência do sujeito do inconsciente. Palavras-Chave: Psicologia no hospital geral, escuta psicanalítica no hospital geral, Psicanálise e hospital geral, Psicologia hospitalar. Abstract:Starting from the experience with infirmary patients in a school-hospital, from the status-quo of psychologist's work in general hospitals' infirmaries and from literature about psychoanalysis in hospitals, this work is focused in a specific question: the psychoanalytic hearing in infirmaries and the implication of its practice with the analyst's desire. We intervied fifteen hospital psychologists who declared psychoanalytic affiliation and had at least a two year experience in hospitals and work in infirmaries. We use psychoanalytic hearing to do "open", semi-structured interviews. The data were analyzed under a psichoanalytical (FreudianLacanian) framework, and we could identify a strong interaction between the supposed hospital environment difficulties to the psychoanalytical work and some personal and training aspects, and we find that these interactions are linked to the working attitude adopted in the hospital. Our research reinforces the possibility of making use of psychoanalytic hearing in the work with infirmary patients, which is linked to unconscious manifestations along patient's speech, and in which the therapy direction is the emergence of unconscious subject.

show abstract

“…Soon states were rapidly modifying their hospital rules and regulations to allow psychologists expanded practice and admitting and attending privileges in hospitals (Ludwigsen, 1992(Ludwigsen, , 1993. California, Horida, Georgia, Iowa, Louisiana, Maryland, North Carolina, Ohio, Wisconsin, and the District of Columbia were the first to establish statutory authority for psychologist practice (Ludwigsen, 1993;Ludwigsen & Albright, 1994). By October 1993,ll states and jurisdictions had enacted hospital privileges for psychologists (Cullen, 1993).…”

Section: Legal and Regulatory Changesmentioning

confidence: 99%

“…By the mid-1990s, changes in the health care system were causing psychologists to become affiliated with hospital syst e m in order to ensure inclusion on managed care panels and contracts (Ludwigsen & Albright, 1994). This trend was especially apparent in rural areas where most managed care organizations view the hospital, and its staff members, as the only essential ingredient in establishing a network.…”

Section: Rural Psychologists' Special Contributionsmentioning

confidence: 99%