A clinical neuropsychologist's typical caseload may include people
with traumatic brain injury cerebrovascular accidents such as stroke
and aneurysm ruptures, brain tumours, epilepsy/seizure disoders,
dementias, mental and a wide range of developmental disorders, including
attention-deficit/hyperactivity disorderlearning disabilities, autism
and Tourette's syndrome.Clinical neuropsychologists, whose training
has included methods of psychotherapy and counselling, can also
provide therapeutic services to patients in need of education and
emotional support concerning their neurological injuries or illnss.Many
clinical neuroychologists are employed by medical schools and hospital
especially neurology, psychiatry and rehabilitation facilities,
and some work in private practice. They are frequently active in
teaching at the university level and conducting research into a
wide range of issues concerning human brain-behavior relationships.
Some clinical neuropsychologists are also employed by pharmaceutical
companies to help develop and test neuropsychological assessment
tools.The practice of cognitive neuropsychology and cognitive neuropsychiatry
involves studying the cognitive effects of injury or illness to
understand normal psychological function. Because of their day-to-day
contact with people with brain impairment, many clinical neuropsychologists
are active in these research fields.
Clinical psychology is the application of psychology
within a clinical ) setting. However, it is often taken to refer
primarily to the easing of psychological distress, mental illness
or mental health problems. The term was introduced in a paper by
the American psychologist Lightner Witmer Clinical psychologists
are involved in the diagnosis, assessment, and treatment of patients
with psychiatric disorders, as well as research about all of these
areas of clinical practice. Their clinical work may include the
use of 'talk thrapies' ,psychotherapy such as cognitive therapy
and psychoanalysis), or the use of psychological tests to assess
cerain aspects of psychological functioning.Some clinical psychologists
may specialize in understanding,assessing, and treating brain injury
and neurocognitive deficits to become clinical neuropsychologists.Prior
to the 20th century, there was little, if any, clinical help available
for sufferers of mental health problems. In the early 20th century,
Sigund Freud developed a therapy known as psychoanalysis. The practice
of psychoanalysis wasealth practitioners. Psychoanalytic training
is a lengthy endeavour, often taking the analytic candidate, who
is already a psychologist or psychiatrist, an additional five to
ten years to complete.Clinical psychology developed partly s a result
of a need for additional clinicians to treat mental healthproblems,
and partly as psychological science advanced to the stage where
the fruits of psychological research could be sccessfully applied
in clinical settings.
Psychoanalysis was first devised in Vienna in the
1890s by Sigmund Freud, a neurologist interested in finding an effective
treatment for patients with neurotic or hysterical symptoms. As
a result of talking with these patients, Freud came to believe that
their problems stemmed from culturally unacceptable, thus repressed
and unconscious, desires and ftasies of a sexual nature, and as
his theory developed, he included desires and fantasies of an aggressive
nature, as well. Freud considered these aspects of life instinctive
drives, libidinal energy/Eros and the death instinct/Thanatos. Freud's
description of Eros/Libido included all creative, life-furthering
instincts. The Death Instinct represented an instinctive drive to
return to a state of calm, or non-existence. Since Freud's day,
psychoanalysis has developed in many ways especially as a study
of the personal, interpersonal and intersubjective sense of self.
Prominent current schools of psychoanalysis include
ego psychology, which emphasizes defense mechanisms and unconscious
fantasies; self psychology, which emphasizes the development of
a stable sense of self through mutually empathic contacts with other
humans; Lacanian psychoanalysis, which integrates psychoanalysis
with semiotics and Hegelian philosophy; analytical psychology, which
has a more spiritual approach; object relations theory, which stresses
the dynamics of onerelationships with internal, fantasized, others;
nterpersonal psychoanalysis, which accents the nuances of interprsonal
interactions; and relational psychoanalysis, which combines interpersonal
psychoanalysis with object-relations theory. Although these schools
have dramatically different theories, most of them continue to stress
the strong influence of self-deception and the influence a person's
past has on their current mental life.A few of the most influential
psychoanalysts are Jacob Arlow, Charles Brenner, Erik Erikson, Ronald
Fairbairn, Sandor Ferenczi, Sigmund Freud, Andre Green, Heinz Hartmann,
Carl Jung, Otto Kernberg, Melanie Klein, Heinz Kohut, Julia Kristeva,
Jacques Lacan, Margaret Mahler, Stephen A. Mitchell, David Rapaport,
Roy Schafer, Daniel N. Stern, Donald Winnicott, Theodor Reik, Harry
Stack Sullivan, and Slavoj Zizek.
The economic model of the mind is rarely used today,
but is of historical importance. In the economic model,
the mind is pictured as an energy system. Mental energy
or "libido" may be distributed in a variety
of ways thoughout the system, "cathecting"
various activities or processes with energy. The vast
majority of analysts have abandoned the economic model
because it is somewhat vague and relies heavily on nineteenth
century ideas about hydraulics. Still, a small number
ofphilosophically minded analysts retain the econmic
model because they believe that its vagueness is helpful
in alluding to features of mental life that may lie
beyond scientific understanding
The conflict modelThe conflict model of the mind is designed to
help analysts understand specific mental conflicts. This model of
the mind divides the mind into basic units called comprmis-formations.
A compromise formation cnsists of a wish, an feeling of discomfort
about the wish, and a defense used to eliminate that feeling of
discomfort. For example, a patient might have an aggressive wish
to attack authority figures, fear tht if he or she were to do so
punishment might result, and defensively intellectualize about general
problems with authority rather than physically attacking them. The
product of the wish, discomfort, and defense takes shape as a compromise
between the three. Some influential analystshave argued that the
conflict model is the most important psychoanalytic model, distinguishing
psychoanalysis from other psychological theories such as humanistic
psychology that minimize or ignore mental conflict.
The object-relational model of the mind desribes
the mind as structured by internalized relationships
with others. This model has it that we all internalize
our childhood experiences with other people, and our
patterns of thinking, wishing, and feling are organized
by these experiences. Psychoanalysts often refer to
the internalized other as an "internal object."
An analyst might use the object-relational model to
understand, for example, a patient who seeks out abusive
relationships because of an abusive childhood which
has taught her that to be loved, he or she must tolerate
abuse. The object-relational model is perhaps the most
widely used theory among analysts today.
The intersubjective model.The most recently developed model listed
here, intersubjective model is closely related to the object-relational
model. Intersubjectivity theory tries to capture the complex ways
in which the subjective points of view of different people interact.
According to intersubjectivity theory, all of our experiences need
of education and emotional support concerning their neurological
injuries or illnss.Many clinical neuroychologists are employed by
medical schools and hospital especially neurology, psychiatry and
rehabilitation facilities, and some work in private practice. They
are frequently active in teaching at the university level and conducting
research into a wide range of issues concerning human brain-behavior
relationships. Some clinical neuropsychologists are also employed
by pharmaceutical companies to help develop and test neuropsychological
assessment tools.The practice of cognitive neuropsychology and cognitive
neuropsychiatry involves studying the cognitive effects of injury
or illness to understand normal psychological function. Because
of their day-to-day contact with people with brain impairment, many
clinical neuropsychologists are active in these research fields.Clinical
psychology is the application of psychology within a clinical )
setting. However, it is often taken to refer primarily to the easing
of psychological distress, mental illness or mental health problems.
The term was introduced in a paper by the American psychologist
Lightner Witmer Clinical psychologists are involved in the diagnosis,
assessment, and treatment of patients with psychiatric disorders,
as well as research about all of these areas of clinical practice.
Neuropsychologist doctor pharmacy drugs vitamin health care medicine
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