Handbook of Clinical Psychology in Medical Settings

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Springer Science & Business Media, Apr 30, 1991 - Medical - 642 pages
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For two decades, I have been responding to questions about the nature of health psychology and how it differs from medical psychology, behavioral medicine, and clinical psychology. From the beginning, I have taken the position that any applica tion of psychological theory or practice to problems and issues of the health system is health psychology. I have repeatedly used an analogy to Newell and Simon's "General Problem Solver" program of the late 1950s and early 1960s, which had two major functional parts, in addition to the "executive" component. One was the "problem-solving core" (the procedural competence); the other was the representa tion of the "problem environment. " In the analogy, the concepts, knowledge, and techniques of psychology constitute the core competence; the health system in all its complexity is the problem environment. A health psychologist is one whose basic competence in psychology is augmented by a working knowledge of some aspect of the health system. Quite apparently, there are functionally distinct aspects of health psychology to the degree that there are meaningful subdivisions in psychological competence and significantly different microenvironments within the health system. I hesitate to refer to them as areas of specialization, as the man who gave health psychology its formal definition, Joseph Matarazzo, has said that there are no specialties in psychology (cited in the editors' preface to this book).
 

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Contents

Clinical Psychology in Medical Settings Past and Present
3
Psychology and the Health Care System Characteristics and Transactions
11
The Structure and Authority of Hospitals
27
PROFESSIONAL ISSUES
43
Educational Preparation and Clinical Training within a Medical Setting
45
Psychologists Politics and Hospitals
59
Professionalism in Medical Settings
81
PRACTICAL ISSUES PRACTICE MANAGEMENT
93
Toward Program Development An Integration of Science and Service in Medical Settings
285
Psychological Evaluation and Testing Services in Medical Settings
291
Development of an EatingDisorder Program
315
Integration of Clinical Psychology into Adult and Pediatric Oncology Programs
331
Cardiovascular Disorders Hypertension and Coronary Heart Disease
353
Psychological Components of Rehabilitation Programs for BrainInjured and SpinalCordInjured Patients
375
Chronic Pain Psychological Assessment and Treatment
401
Program for Behavioral and Learning Disorders in Children
421

Quality Assurance and the Clinical Health Psychologist A Programmatic Approach
95
Arguments for the Financial Efficacy of Psychological Services in Health Care Settings
113
Marketing Psychological Services in Hospitals
127
Computers in Psychological Practice Historical and Current Uses
139
PRACTICAL ISSUES GENERAL CLINICAL ISSUES
163
Critical Issues in Consultation and Liaison Pediatrics
165
Critical Issues in Consultation and Liaison Adults
187
Emerging Issues in Womens Health
201
Emerging Issues in the Care of the Elderly
223
Adherence to SelfCare Regimens The Patients Perspective
249
PRACTICAL ISSUES RESEARCH
267
Research in the Medical Setting Implementing the ScientistPractitioner Model
269
TEMPLATES FOR PROGRAM DEVELOPMENT
283
Development of a Program for Sleep Disorders
455
Diabetes Clinical Issues and Management
473
Psychological Theory Assessment and Interventions for Adult and Childhood Asthma
497
Psychological Characteristics and Treatment of Patients with Gastrointestinal Disorders
517
Programs for the Treatment of Dental Disorders Dental Anxiety and Temporomandibular Disorders
539
Integration of Clinical Psychology into Hemodialysis Programs
567
Psychosocial Services for Persons with Human Immunodeficiency Virus Disease
587
FUTURE DIRECTIONS
601
Challenge of the Future Psychologists in Medical Settings
603
Afterword
615
About the Contributors
619
Index
629
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About the author (1991)

Rozensky is Professor and Chair of the Department of Clinical and Health Psychology at the University of Florida.

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