Criticism of Clinical psychology

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Clinical psychology is a diverse field and there have been recurring tensions over the degree to which clinical practice should be limited to treatments supported by empirical research.[1] It is also unclear as to what exactly constitutes adequate evidence to qualify as "support". Despite some evidence showing that all the major therapeutic orientations are about of equal effectiveness,[2][3] there remains much debate about the efficacy of various forms treatment in use in clinical psychology.[4]

  • Clinical Psychology can be subject to similar criticisms leveled at psychiatry, for example by the anti-psychiatry movement, especially when more aligned with a biomedical model or using psychiatric diagnostic categories such as in the DSM. Others may view this positively. It has been reported that clinical psychology has rarely allied itself with client groups and tends to individualize problems to the neglect of wider economic, political and social inequality issues that may not be the responsibility of the client.[1] It has been argued that therapeutic practices are inevitably bound up with power inequalities, which can be used for good and bad.[5] A critical psychology movement has argued that clinical psychology, and other professions making up a "psy complex", often fail to consider or address inequalities and power differences and can play a part in the social and moral control of disadvantage, deviance and unrest.[6][7]

References

  1. ^ a b Pilgram, D. & Treacher, A. (1992) Clinical Psychology Observed. Routledge: London & USA/Canada. ISBN 0415046327
  2. ^ Leichsenring, Falk & Leibing, Eric. (2003). The effectiveness of psychodynamic therapy and cognitive behavior therapy in the treatment of personality disorders: A meta-analysis. The American Journal of Psychiatry, 160(7), 1223-1233.
  3. ^ Reisner, Andrew. (2005). The common factors, empirically validated treatments, and recovery models of therapeutic change. The Psychological Record, 55(3), 377-400.
  4. ^ Lilienfeld, Scott et al. (2002). Science and Pseudoscience in Clinical Psychology. New York : Guilford Press. ISBN 1572308281
  5. ^ Kyuken, W. (1999) Power and clinical psychology: a model for resolving power-related ethical dilemmas. Ethics Behav. 1999;9(1):21-37.
  6. ^ Smail, D. Power, Responsibility and Freedom. Internet Publication.
  7. ^ "International Society of Psychiatric-Mental Health Nurses. (2001). Response to Clinical Psychologists Prescribing Psychotropic Medications". http://www.ispn-psych.org/docs/11-01prescriptive-authority.pdf. Retrieved on 2007-03-03. 
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