OVERVIEW OF RESEARCH IN CLINICAL PSYCHOLOGY
1. What is science?
Freud as an example
Limitations of this approach
Objectivity
Falsificiation
2. Kinds of questions that clinical research can address:
Risk factorAssociated features
Nature and course of illness
Treatment outcome
Prevention
3. Usually studies address the above questions by looking at
Covariation ORComparison
4. What makes a good hypothesis?
Stated in declarative formProposes a relationship between the variables
Reflects a theory or body of knowledge
Brief and to the point
Testable
5. What is the place of research in clinical psychology?
Tension between research and practiceScientist-practitioner model
Different world views of scientists and practitioners
Contributes to a shared understanding about mental illness & treatment
Contributes to the development of theory
6. What makes good research?
Based on the work of others (theory, prior research, etc.)Can be replicated
Generalizable to other settings
Do-able
Generates new questions
Incremental
Apolitical activity for the betterment of society
MOST IMPORTANT: asks interesting questions
OPERATIONAL DEFINITIONS AND MEASUREMENT
1. Two main types of measures: quantitative & qualitative.
Most research in psychopathology is quantitative.Why? Numbers are useful:
They enable greater precision in measurement.They can be manipulated by statistics to summarize data & test predictions.
They allow for comparisons across individuals and across studies.
So this lecture focuses on quantitative methods.
But there is a long history of qualitative research in psychopathology.
Well talk more about that in our lecture on small-sample studies.
And you should review the info in your text on qualitative methods.
2. Process of translating psychological concepts into numbers is OPERATIONALIZATION.
Operational definitions: a description of how you will measure your psychological conceptsWhen you operationalize (measure) something, you create a variable.
See book (p. 50) for different domains of variables
But translating complex phenomena to numbers is very difficult.
3. Six main classes of variables
Dependent variable generally speaking, the outcome variableIndependent variable the factor that is expected to influence the dependent variable
Confound a third variable that is related to both the DV and IV, obscuring the relationship between the DV and IV. Confounds are not measured in the study.
Control potential confounds that are included in the design
Mediator a variable that accounts for the relationship between the DV and IV
Moderator a variable that changes the relationship between the DV and IV
4. Different types of measures in clinical research:
Observations
MEASUREMENT, contd
1. Continuing with different types of measures in clinical research:
Projective measuresClinical records (or archival data)
Self-report methods will be discussed in labs; see also your text
2. Taking a step back, how can we evaluate the quality of individual measures?
We examine their psychometric properties.Psychometrics = reliability and validity
Reliability refers to consistency of the measure
Validity refers to the measures accuracy
3. Different ways of measuring reliability
Test-retestEquivalent forms
Split-half
Internal consistency
Inter-rater reliability
4. Validity refers to the measures accuracy
Different types of validity:FaceContent
Criterion
Construct
5. Relationship between reliability and validity
Measures cant be valid unless theyre reliable.BUT they can be reliable without being valid!
DIAGNOSING PSYCHOPATHOLOGY
1. Review of reliability and validity
2. Reliability and validity are important issues with regards to diagnosing psychopathology.
Early studies used clinicians diagnoses.BUT Clinicians diagnoses not very reliable. WHY?
Problems with early diagnostic systemsLack of standardization among interviews
Differences among clinicians
2. Steps taken to resolve this problem:
Feighner criteriaResearch Diagnostic Criteria (Spitzer & colleagues) 1978
Structured interviews:
3. Structured diagnostic interviews
Very focused on symptomsReduce clinicians biases
Ensure that interviewers cover key points in DSM diagnostic system
Help ensure that diagnoses are consistent across studies
BUT they are time-intensive
AND they require extensive training to administer
AND they do not provide other information about clinical status
AND they encourage a focus on "pure" diagnoses
Comorbidity
FUNDAMENTALS OF RESEARCH DESIGN
Bring in any questions you have about the exam!You also will be getting a formal review in labs this week.
Note about the readings for this week: Chapter 7 is very dense!
Its not necessary to know all of the individual designs!
Refer to your lab review for more information about how to focus your reading for this week.
3. Ultimate goal of design: minimize the ambiguity of findings
4. Basic choices: Timing of the study
cross-sectionallongitudinal
retrospective
5. Basic choices: Setting of the study
Clinical vs. analogue researchWays that analogue research can deviate from clinical studies
Target problemSample
Treatment setting
6. Basic choices: Type of design
"experimental" versus "correlational"another way of saying this: "experimental" versus "quasi-experimental"
Correlational designs
examine relations among variablesBUT cant assign participants to groups
Experimental designs
Can exert more controlIn particular, can assign participants to groups
With control: a greater ability to make causal inferences
With control: more able to rule out alternate explanations for findings
7. Internal validity
Degree to which design rules out alternate explanationsDoes so by controlling for confounds
Ways of controlling for confounds:
Random assignmentBlocking
Control or comparison groups
Statistical controls
Good luck on the exam!