Medical psychology

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Medical psychology (related to Clinical Health Psychology, Psychosomatic Medicine, and Behavioral Medicine) is a branch of clinical psychology in which clinicians have trained in the biological aspects of mental illness in relation to physical illness. It adopts the biopsychosocial approach to medicine, which revolves around the idea that both the body and mind are indivisible, and that disease and illness are not identical. Continuing with this line of thought, all diseases whether of the mind or of the physical body must be treated as if they have both been affected. The intent of Medical Psychology is to apply knowledge from all branches of social, psychological, and biological medicine in the prevention, assessment, and treatment of all forms of physical illness and the adaptation to illness; specific behavioral, psychotherapeutic, and pharmaceutical methods are used to help the person respond to illness and prevent further illness through matching coping and management skills to the person’s abilities, character, and personality style.

Medical psychology also refers to an emerging branch of clinical psychological practice in which psychologists, who have undergone additional specialized education and training, may prescribe medications in the care and management of patients. In the United States, New Mexico and Louisiana, and several branches of the military currently authorize these psychologists to prescribe medications. In Louisiana, the term of 'medical psychologist' refers, in statute, specifically to those psychologists authorized and licensed to prescribe medications, and mirrors precisely the terminology of the United States Drug Enforcement Administration (DEA).

The definition of "Medical psychology" by Division 55 of the American Psychological Association (APA), "is that branch of psychology that integrates somatic and psychotherapeutic modalities into the management of mental illness and emotional, cognitive, behavioral and substance use disorders. Medical psychologists may, where legally authorized, prescribe, order or consult regarding prescriptions of somatic treatment modalities, and monitor medications and/or other somatic treatment interventions, as well as order and interpret laboratory studies or other medical diagnostic studies such as might be consistent with enabling state statutes." (ASAP - Tablet 8.4, 2007)

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[edit] Background

Clinical practitioners and philosophers today believe that the Cartesian model that separates the biological from the mental aspects of the organism is incorrect. It is necessary to have a new and broader model for health and illness that integrates the biological, psychological and social factors.

[edit] Education

An important contribution of medical psychology is in the education of patients (psychoeducation) in disease processes. Frequently, such patient and family education insures a substantially better adherence to the treatment recommendations. Medical psychologists are particularly successful in the treatment of asthma, gastrointestinal illnesses, cardiac conditions, spinal cord and brain injuries, chronic pain, headaches, and addictions (drugs, smoking, eating disorders, alcohol, etc.).

This definition has expanded and today the medical psychologists obtain additional postdoctoral studies after they get their doctoral degree (Ph.D., or Psy.D.) in clinical psychology.

In 2006, the American Psychological Association (APA) recommended to integrate:

The following Clinical Competences: I. Basic Science: anatomy, & physiology, biochemistry; II. Neurosciences: neuroanatomy, neurophysiology, neurochemistry; III. Physical Assessment and Laboratory Exams: physical assessment, laboratory and radiological assessment, medical terminology and documentation and integration of this assessments and documentation; IV. Clinical Medicine and Pathophysiology: pathophysiology with emphasis on the principal physiological systems, clinical medicine, differential diagnosis, clinical correlation and case studies, chemical dependency and chronic pain management, integration of this topics; V. Clinical and Research Pharmacology and Psychopharmacology: pharmacology, clinical pharmacology, pharmacogenetics, psychopharmacology, developmental psychopharmacology, integration of this topics through supervised clinical or laboratory experience in Clinical Medicine and ongoing treatment monitoring and evaluation; VI. Clinical Pharmacotherapeutics: professional, ethical and legal issues, combined therapies and its interactions, computer-based aids to practice, pharmacoepidemiology, integration of this knowledge through supervised clinical experience or laboratory experience; VII. Research: methodology and design of psychopharmacology research, interpretation and evaluation, FDA drug development and other regulatory processes, and with the Supervised Clinical Experience while they applied their clinical knowledge, and were assessed in their practical skills and competencies.

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