Clinical psychology in a general hospital : conflicts and paradoxes

 

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dc.contributor.advisor Swartz, Leslie en_ZA
dc.contributor.author Miller, Tracey Deborah en_ZA
dc.date.accessioned 2015-10-14T12:33:33Z
dc.date.available 2015-10-14T12:33:33Z
dc.date.issued 1988 en_ZA
dc.identifier.citation Miller, T. 1988. Clinical psychology in a general hospital : conflicts and paradoxes. University of Cape Town. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/14239
dc.description Includes bibliography. en_ZA
dc.description.abstract Over the past decade clinical psychologists have increasingly begun to work in general hospital settings, but little published research has dealt in depth with the adjustments and negotiations that need to occur at the interface of clinical psychology and medicine. In this dissertation, the relationship of the psychosocial to medicine and the professional relationships of psychologists and doctors are discussed. Consultation- liaison psychiatry and multidisciplinary treatment teams are presented as two ways in which medicine has attempted to deal with the psychosocial, and which provide potentially useful models of practice for psychologists. Four cases that were referred to the author while working as an intern clinical psychologist in a Neurosurgery unit are discussed in terms of the insight they provide in understanding implicit assumptions about and expectations of psychology. In addition, the head of this Department of Neurosurgery and the two clinical psychologists working in this department were interviewed, and these interviews, together with the cases, provide the material for a discussion of various issues which face clinical psychologists in this unit. These include: the power structures and relationships in the unit; the use of consultation-liaison psychiatry and multidisciplinary treatment team models of practice; the inability of psychologists to fulfil present demands for their services; and the issue of reactive or proactive definition of psychological functions. Finally, some suggestions for enhancing the psychological contribution to patient care in Neurosurgery are made, based on the principles that arise out of the discussion. en_ZA
dc.language.iso eng en_ZA
dc.subject.other Clinical psychologists - South Africa en_ZA
dc.subject.other Clinical psychology - South Africa en_ZA
dc.subject.other Clinical psychologists en_ZA
dc.title Clinical psychology in a general hospital : conflicts and paradoxes en_ZA
dc.type Master Thesis
uct.type.publication Research en_ZA
uct.type.resource Thesis en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Humanities en_ZA
dc.publisher.department Department of Psychology en_ZA
dc.type.qualificationlevel Masters
dc.type.qualificationname MA en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Miller, T. D. (1988). <i>Clinical psychology in a general hospital : conflicts and paradoxes</i>. (Thesis). University of Cape Town ,Faculty of Humanities ,Department of Psychology. Retrieved from http://hdl.handle.net/11427/14239 en_ZA
dc.identifier.chicagocitation Miller, Tracey Deborah. <i>"Clinical psychology in a general hospital : conflicts and paradoxes."</i> Thesis., University of Cape Town ,Faculty of Humanities ,Department of Psychology, 1988. http://hdl.handle.net/11427/14239 en_ZA
dc.identifier.vancouvercitation Miller TD. Clinical psychology in a general hospital : conflicts and paradoxes. [Thesis]. University of Cape Town ,Faculty of Humanities ,Department of Psychology, 1988 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/14239 en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Miller, Tracey Deborah AB - Over the past decade clinical psychologists have increasingly begun to work in general hospital settings, but little published research has dealt in depth with the adjustments and negotiations that need to occur at the interface of clinical psychology and medicine. In this dissertation, the relationship of the psychosocial to medicine and the professional relationships of psychologists and doctors are discussed. Consultation- liaison psychiatry and multidisciplinary treatment teams are presented as two ways in which medicine has attempted to deal with the psychosocial, and which provide potentially useful models of practice for psychologists. Four cases that were referred to the author while working as an intern clinical psychologist in a Neurosurgery unit are discussed in terms of the insight they provide in understanding implicit assumptions about and expectations of psychology. In addition, the head of this Department of Neurosurgery and the two clinical psychologists working in this department were interviewed, and these interviews, together with the cases, provide the material for a discussion of various issues which face clinical psychologists in this unit. These include: the power structures and relationships in the unit; the use of consultation-liaison psychiatry and multidisciplinary treatment team models of practice; the inability of psychologists to fulfil present demands for their services; and the issue of reactive or proactive definition of psychological functions. Finally, some suggestions for enhancing the psychological contribution to patient care in Neurosurgery are made, based on the principles that arise out of the discussion. DA - 1988 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 1988 T1 - Clinical psychology in a general hospital : conflicts and paradoxes TI - Clinical psychology in a general hospital : conflicts and paradoxes UR - http://hdl.handle.net/11427/14239 ER - en_ZA


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