Clinical Psychology in the Mental Health Inpatient Setting : International Perspectives book cover
1st Edition

Clinical Psychology in the Mental Health Inpatient Setting
International Perspectives

ISBN 9781138612730
Published July 8, 2019 by Routledge
486 Pages 4 B/W Illustrations

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Book Description

This ground-breaking volume provides an encompassing and detailed account of clinical psychologists' highly varied work on the psychiatric ward in mental health inpatient settings. An international collection of clinical psychologists describe challenges and achievements inherent to their work, illustrating application of established, state-of-the-art, and cutting-edge methods and modes of intervention, assessment, therapeutic work, training, and leadership roles currently practiced in these settings.

Chapters present numerous examples of psychologists' ability to contribute in multiple ways, benefiting patients, staff, and the overall functioning of the ward. Each of the book’s four sections is dedicated to a specific domain of the clinical psychologist’s work within the psychiatric inpatient setting. These include systemic modes of intervention; psychotherapeutic interventions; assessment and psychodiagnosis; and internship and supervision.

From novice to experienced practitioners, psychologists will gain insight from the innovative and creative ideas this book brings to the practice of clinical psychology, as well as the practical suggestions that will enhance the varied interventions and therapeutic work they do in such settings.

Table of Contents

Foreword  Acknowledgments  About the Editors & Contributors  Introduction  Section 1: Systemic Multiple Modes and Levels of Intervention  Introduction to Section 1 Chapter 1: Therapy Beyond Walls: The Clinical Psychologist's Multi-level Work in the Psychiatric Ward  Chapter 2: The Clinical Psychologist in an Open Inpatient Setting: A Psychoanalytic Perspective  Chapter 3: Clinical Psychologists in Australian Inpatient Mental Health Units: Enhancing Effectiveness and Relevance with a Human Rights Focus  Chapter 4: Ethical Challenges for Psychologists Providing Inpatient Mental Health Care  Chapter 5: The Benefit of Behavior Support Plans in Psychiatric Inpatient Settings  Chapter 6: Three Dynamic Roles of the Clinical Psychologist on the Acute Closed Psychiatric Ward  Chapter 7: The Development of a Recovery-oriented Tool for Work with Patients in the Closed Forensic Ward  Chapter 8: On Trying to Stay Sane in Insane Places: A Personal Account of a Clinical Psychologist's Challenges on the Psychiatric Inpatient Ward  Chapter 9: A Path Taken: A Psychologist's Professional Journey within the Psychiatric Inpatient System  Section 2: Psychotherapeutic Interventions in the Mental Health Inpatient Setting  Introduction to Section 2  Chapter 10: All Brief Therapy is not Created Equal: The Contribution of Psychology to Short-stay Mental Health Inpatient Admissions  Chapter 11: Continuity Model of Care: Working Across Acute Inpatient to Community-based Clinical Psychology  Chapter 12: Cognitive Behavioral Therapy for Psychosis on the Inpatient Unit: The Role of the Clinical Psychologist  Chapter 13: Psychotherapy in an Inpatient Ward: A Clinical Psychologist’s Use of Psychoanalytic Informed Work with Adult Survivors of Childhood Trauma  Chapter 14: Mentalization and Psychotherapy: A Way to Understand Patient Violence on the Psychiatric Inpatient Unit  Chapter 15: The Clinical Psychologist’s Work in a Forensic Psychiatry Ward: Building a Transitional Space for Individuals with Mental Disorders who Committed Crimes  Section 3: Assessment and Psychodiagnosis in Mental Health Inpatient Settings  Introduction to Section 3  Chapter 16: Psychodynamic Psychological Testing in the Mental Health Inpatient Setting: A Way of Listening, Learning, and Holding Patients and Psychotherapists  Chapter 17: "Listening to the Music of the Mind": The Uses of Psychological Assessment in the Diagnosis of Psychotic Disorders in a State Psychiatric Center  Chapter 18: The Role of Psychological Testing in an Inpatient Psychiatric Setting: A Mentalizing Approach  Section 4: Clinical Psychology Internship and Supervision in the Mental Health Inpatient Setting  Introduction to Section 4  Chapter 19: A Clinical Psychology Intern's Experience of Training in an Inpatient Unit: No Training Wheels  Chapter 20: The Benefits and Challenges of Clinical Psychology Internships in Psychiatric Inpatient Settings  Chapter 21: The Most Difficult Lesson: The Impact of Patient Suicide on Training in an Inpatient Psychiatric Hospital  Chapter 22: An Intern's Experience on an Acute Closed Ward: "From a Shadow to a Bird": The Psychotherapeutic Process of Mr. B Editors’ Perspectives and Closing Remarks  Chapter 23: Weaving with a Relational Thread: The Clinical Psychologist’s Use of Empathy in Work in the Mental Health Inpatient Setting  Chapter 24: Concluding Thoughts: Past and Present Trends, Future Directions

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Meidan Turel, MA, is a licensed Clinical Psychologist in Israel and Director of psychological services in a public inpatient and outpatient mental health center.

Michael Siglag, PhD, is a Clinical Psychologist with over 30 years of experience working in inpatient civil psychiatric and forensic settings, both in direct service and leadership positions.

Alexander Grinshpoon, MD, PhD, MHA, is a specialist in psychiatry and the Director of a public mental health center in Israel, as well as the head of the psychiatry department in the Rappaport Faculty of Medicine, Technion, Israel Institute of Technology.


"In today’s world of managed care and psychiatric institutions, one wonders what the role of clinical psychologists is in inpatient settings. This much-needed book answers this question by bringing together a collection of chapters written by international experts with years of inpatient experience. We learn that psychologists bring their special understanding of the unconscious and their ability to navigate interdisciplinary teams and to help assuage the anxiety faced when working with serious mental illness. Psychological treatment, supervision, testing, and team work are all discussed in this book, which I recommend to beginners and experienced clinicians alike."

Danielle Knafo, Ph.D., Professor, Long Island University, and author of Living with Terror, Working with Trauma: A Clinician’s Handbook

"This book presents the many ways in which psychologists in inpatient settings serve as leaders in promoting recovery. The focus on developing rich, person-centered formulations and partnering with individuals served makes this text a useful resource for psychologists from all theoretical backgrounds. For the experienced CBT clinician, you’ll find familiar concepts of collaboration, empathy, and understanding as they present in the unique context of inpatient care, and you will also see where these approaches overlap in many ways with those of our psychodynamic and attachment-oriented colleagues. This book is written for those like me who have a passion for providing recovery-oriented and formulation-driven treatment."

Ellen Inverso, PsyD, co-author of the forthcoming book Recovery-Oriented Cognitive Therapy for Schizophrenia

"Thoughtful clinical psychologists, from six countries and a multitude of perspectives, offer their reflections and practical suggestions, all based on real experiences, and a clear commitment to humanizing an often dehumanizing setting. This will be invaluable for clinical psychologists all over the world."

Professor John Read, University of East London, editor of ‘Models of Madness’

"This book is something of a landmark, an international study of the role clinical psychologists play in inpatient settings, working mainly with people experiencing psychosis."

David Kennard, Retired Clinical Psychologist and Group Analyst, York, UK, in  Clinical psychology in the mental health inpatient setting: international perspectives, Psychosis.


"Clinical Psychology in the Mental Health Inpatient Setting is a welcomed text for practicing clinicians, regardless of their professional setting or experience with inpatient populations…Turel, Siglag, and Grinshpoon bring together a group of exemplary clinical scholars, each of whom makes a meaningful contribution to the text, just as they have to the lives of the most severely ill amongst us. As such, Clinical Psychology in the Inpatient Mental Health Setting is a worthwhile read."

Anthony F. Tasso, Fairleigh Dickinson University, book review in NJ Psychologist (Winter, 2021, vol 71).