

Advanced Clinical Methods
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Course Introduction
Advanced Clinical Methods offers an in-depth exploration of sophisticated techniques and strategies used in clinical assessment, diagnosis, and intervention within healthcare and mental health settings. The course covers evidence-based approaches for diverse populations, emphasizing the integration of theoretical knowledge with practical application. Students gain proficiency in advanced interviewing, assessment tools, case conceptualization, treatment planning, and outcome evaluation, while also addressing ethical considerations, cultural competence, and the integration of technology in clinical practice. Through hands-on experiences, case studies, and critical analysis, participants will develop the advanced clinical reasoning and skills required for effective and ethical practice.
Recommended Textbook
Introduction to Clinical Psychology 4th Edition by John Hunsley
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Page 2

Chapter 1: The Evolution of Clinical Psychology
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Sample Questions
Q1) Increased attention to mental disorders in the 1800s led to the recognition that hysteria
A) was not explainable by purely biological causes.
B) could be effectively treated with traditional medicine.
C) was entirely explainable by mental causes.
D) could be treated with cognitive-behaviour therapy.
Answer: A
Q2) Psychiatrists currently receive training in
A) diagnosis and pharmacotherapy.
B) diagnosis and psychotherapy.
C) diagnosis, psychotherapy, and pharmacotherapy.
D) pharmacotherapy and psychotherapy.
Answer: C
Q3) Compared to counselling psychologists,clinical psychologists have more training in the treatment of
A) patients with more severe psychopathology.
B) a diverse clientele.
C) difficulties related to developmental transitions.
D) interpersonal problems.
Answer: A
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Chapter 2: Contemporary Clinical Psychology
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Sample Questions
Q1) A needs assessment functions to
A) determine the extent of training required for new employee psychologists.
B) determine the extent of an unmet health care need in an identified population.
C) determine whether programs have successfully achieved their goals.
D) to assess the extent to which the program was carried out as intended.
Answer: B
Q2) Define and briefly describe the scientist-practitioner model.
Answer: Suggested answer:
a.It is one of the three models that guide training in graduate studies in clinical psychology.Its guiding philosophy is that clinical psychologists should be capable of producing research and utilizing empirical evidence to guide their clinical services.
b.Students must develop and demonstrate competencies in research and psychological service provision.
c.Students undertake original research and defend research during a dissertation defence.
d.Clinical skills are learned through practicum placements.Students complete an internship supervised by licensed psychologists
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4

Chapter 3: Classification and Diagnosis
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Sample Questions
Q1) Describe the limitations of a polythetic approach to diagnosis.
Answer: Suggested answer:
a.The fact that such extensive symptom variability is permitted in the DSM-IV negatively affects inter-rater reliability.
b.Defining disorders this way leads to obscuring relationships between subtypes of a disorder and treatment/outcome.
c.Variability in response to treatment,whether psychological or pharmacological,could be related to variability in symptom profiles among treated patients.However,because research generally focuses on the relationship between diagnosis and outcome,the connection between different symptom profiles and treatment responsiveness is overlooked.
Q2) In determining whether or not behaviour is abnormal,one must consider
A) the context in which the behaviour occurs.
B) the age of the person exhibiting the behaviour.
C) the cultural heritage of the person exhibiting the behaviour.
D) all of the above.
Answer: D
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Chapter 4: Research Methods in Clinical Psychology
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Sample Questions
Q1) A __________ variable is one that influences the strength of the relation between a predictor variable and a criterion variable.
A) mediator
B) independent
C) dependent
D) moderator
Q2) Measurement unreliability,participant heterogeneity,and low statistical power are all threats to
A) internal reliability.
B) statistical conclusion validity.
C) Incremental validity.
D) inter-rater reliability.
Q3) Correlational designs use which of the following design features?
A) Experimental manipulation.
B) Random assignment to conditions.
C) Random sampling of a population.
D) None of the above.
Q4) Describe three threats to the internal validity of a study.
Q5) Describe the three kinds of reliability described in the text.
Q6) Describe three characteristics of correlational designs.
Page 6
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Chapter 5: Assessment: Overview
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Sample Questions
Q1) What is the difference between treatment monitoring and treatment evaluation?
Q2) Recent research has identified that internet samples are ______ and results found through internet responses are _______ to those obtained by traditional methods.
A) diverse ; similar
B) homogeneous ; different
C) homogeneous ; similar
D) diverse ; different
Q3) An assessment conducted as a first step in identifying an appropriate and effective service to meet an individual's unique needs is referred to as a(n)_________ service.
A) intervention-focused
B) assessment-focused
C) evaluative
D) prognostic
Q4) Provide an example of a specific assessment-focused service.What is the goal of the service?
Q5) Why is standardization necessary for psychological testing and how is it achieved?
Q6) Name and describe three of the purposes of psychological assessment.
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Page 7

Chapter 6: Assessment: Interviewing and Observation
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Sample Questions
Q1) Self-monitoring strategies can provide information on A) the baseline rate of a problem or behaviour.
B) conditions that may provoke or maintain problem behaviour.
C) behaviour that the psychologist cannot observe in session.
D) all of the above.
Q2) Why do clinical interviewers need to be especially sensitive when they are questioning and interpreting responses of clients who have been exposed to violence? Describe two reasons.
Q3) Describe two of the instances in which a psychologist is required to break confidentiality.
Q4) List two potential issues for psychologists to be mindful of when they are assessing or treating specifically older adults.
Q5) Closed questions often facilitate
A) long, tangential stories.
B) complex, ambiguous answers.
C) brief and rapid coverage of many topics.
D) elaborate and detailed responses.
Q6) List two different types of non-directive listening responses and provide a brief description of each.
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Chapter 7: Assessment: Intellectual and Cognitive Measures
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Sample Questions
Q1) Wechsler intelligence tests focus on the A) products of intelligence.
B) processes of intelligence.
C) cause of intelligence.
D) individual's approach in solving diverse problems.
Q2) MENSA is an organization that requires members to have an IQ in the __________ of the population.
A) top 10%
B) top 5%
C) top 2%
D) top 1%
Q3) What is the difference between "g" and "s"? How are they related and what type of models do they represent?
Q4) Wechsler translated raw scores into standard scores based on a ____________ distribution.
A) bimodal
B) normal
C) multimodal
D) positively skewed
Q5) List two limitations of the Wechsler scales.
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Chapter 8: Assessment: Self-Report and Projective Measures
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Sample Questions
Q1) The Millon Adolescent Clinical Inventory differs from the MCMI-IV in that it also assesses:
A) Expressed concerns, such a peer insecurity.
B) Personality styles and disorders.
C) Major clinical syndromes.
D) The suitability of the measure for adolescents not seeking mental health services.
Q2) Because of the concerns about the quality of the Comprehensive System (CS)norms,considerable efforts have been devoted to developing norms that meet the standards expected of psychological tests.To that end,a series of norms called _____________ has been published that draws on data from over 5,800 people from 16 countries.
A) Rorschach Performance Samples
B) The International Reference Samples
C) The Youth Self-Report
D) Symptom Checklist-90
Q3) Explain the three main types of self-presentation biases that validity scales of the major personality inventories attempt to investigate.
Q4) Name two benefits of the Personality Assessment Inventory (PAI).
Page 10
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Chapter 9: Assessment Integration and Clinical Decision-Making
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Sample Questions
Q1) Jonathan usually assumes that positive events have happened to him because of his hard-work and that negative events have happened because of bad luck.Jonathan's thinking reflects:
A)deluded thinking.
B)a self-serving attributional bias.
C)egocentricity.
D)a fundamental self-serving bias.
Q2) In assessing an older adult who is exhibiting symptoms of dementia,a clinical neuropsychologist ought to
A) obtain data from multiple informants to assess daily impact of cognitive decline. B) rely upon the client's description of the changes in his/her cognitive functioning.
C) observe the client in a naturalistic setting.
D) ask caregivers to complete rating scales.
Q3) What is retrospective recall,and what has research generally shown regarding people`s abilities to engage in retrospective recall? Under what circumstances are the worst results likely to occur?
Q4) What is a heuristic? How can a heuristic facilitate bias?
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Chapter 10: Prevention
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Sample Questions
Q1) What are risk factors and what are protective factors? Provide two examples of risk factors and two examples of protective factors for the development of psychopathology in children and youth.
Q2) The first level in the Triple P Parenting program suite of programs is a universal prevention program that provides parents with
A)individualized services by phone or face to face to address specific concerns.
B)evidence-based information about parenting strategies.
C)a group program to parents of children with mild to moderate problems.
D)a group program to parents of children with more severe problems.
Q3) Results of the meta-analysis conducted by Tobler and colleagues (2000)on the effectiveness of prevention programs for substance abuse indicate that
A)interactive programs were less effective than non-interactive programs.
B)interactive programs were more effective than non-interactive programs.
C)interactive and non-interactive programs were both equally effective.
D)interactive and non-interactive programs were both equally non-effective.
Q4) What is community psychology?
Q5) Which is Indicated preventive interventions?
Q6) What is the main difference between universal and selective preventive interventions?
Page 12
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Chapter 11: Intervention: Overview
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Sample Questions
Q1) Psychotherapy is practised by
A)psychologists.
B)nurses.
C)social workers.
D)all of the above.
Q2) Which of the following is the psychologist's first task in short-term psychodynamic psychotherapy? To:
A)develop a positive transference relationship.
B)analyze the transference relationship.
C)deal with loss.
D)challenge the client to recognize his/her defence mechanisms that may impede progress in therapy.
Q3) The increased number of people seeking treatments for psychological problems can largely be accounted for by
A)increased use of psychopharmacological treatments.
B)increased use of psychotherapy services.
C)the increase in the variety of psychotherapy options.
D)all of the above.
Q4) What is transference?
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Chapter 12: Intervention: Adults and Couples
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Sample Questions
Q1) Benchmarking can be used to
A)determine which intervention will be most effective for a specific mental health problem.
B)compare the results of controlled research studies with clinical practice research results.
C)compare various interventions for a mental health issue within a clinical setting.
D)determine the type of treatment for which a given patient is suited.
Q2) Clinical practice guidelines
A)provide recommendations based on best available evidence.
B)provide recommendations based on clinical experience.
C)were first introduced by psychologists.
D)are available only to trained healthcare professionals.
Q3) List two of Tolin et al's recommendations for the review process when determining empirically supported treatment.
Q4) In reference to psychotherapy research,what is an open trial?
Q5) Define benchmarking strategy.What is the main goal of this strategy?
Q6) List two of Tolin et al's recommendations to establish review panels when determining empirically supported treatment.
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Chapter 13: Intervention: Children and Adolescents
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Q1) Multisystemic therapists work ________ and treatment typically lasts for ____________.
A)individually; 6-8 sessions
B)individually; 3-5 months
C)in small teams; 6 -8 sessions
D)in small teams; 3-5 months
Q2) McLeod and Weisz (2004)found that unpublished dissertations studying child psychotherapy,compared with published studies,
A)were more methodologically sound,and obtained lower effect sizes.
B)were more methodologically sound,and obtained higher effect sizes.
C)were less methodologically sound,and obtained lower effect sizes. D)were less methodologically sound,and obtained higher effect sizes.
Q3) Research reviews in the 1950s and 1960s by Levitt concluded that there was ____________ evidence for the efficacy of child psychotherapy.
A)no
B)only some
C)a moderate amount of D)overwhelming
Q4) What are the NICE guidelines for treatment of depression in youth?
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Chapter 14: Intervention: Identifying Key Elements of Change
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Q1) Weinberger's (1995)review of the literature on common factors found that A)there was little agreement on what the common factors actually are.
B)all therapeutic success could be explained by these factors.
C)most proponents of the common factors theory had been misinformed.
D)there was very good agreement on particular common factors.
Q2) Which of the following therapist variables influences treatment outcome?
A)Gender.
B)Age.
C)Ethnicity.
D)Emotional well-being.
Q3) Bruce Wampold has been a vocal proponent
A)of the psychotherapy equivalence position.
B)against the psychotherapy equivalence position.
C)against psychotherapy.
D)both B and C.
Q4) Provide two examples of variables that could be examined in process research and two examples of variables that could be examined in process-outcome research.
Q5) Describe Jerome Frank's (1973,1982)model to explain all treatment effects.
Q6) Define "common factors" in psychotherapy:
Q7) What differentiates process research from process-outcome research? Page 16
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Page 17

Chapter 15: Health Psychology, Clinical Neuropsychology, and Forensic Psychology
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Sample Questions
Q1) Psychological approaches to treatment for chronic pain management involve A)problem-solving.
B)relaxation.
C)contingency management.
D)all of the above.
Q2) Based on expert opinion on tests for forensic evaluations,the most highly recommended tool for assessing the risk of violence is the
A)Violence Risk Appraisal Guide.
B)MCMI-II.
C)MMPI-2.
D)Psychopathy Checklist-Revised.
Q3) Data from the Canadian Disability Survey revealed that _____________was the most common disability in those aged over 65.
A)flexibility
B)mobility
C)pain
D)learning disability
Q4) Define the concept of quality-of-life,and explain why it is important to measure this (alongside measuring the extent of disability).
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