PSYCH527-20X (HAM)

Clinical Internship: Treatment-Focused

30 Points

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Division of Arts Law Psychology & Social Sciences
School of Psychology


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Paper Description

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Paper Numbers: PSYC526 is the assessment oriented part of the internship, which is typically completed in the first half of the year,
and concludes with the successful completion of the assessment oriented oral exam. PSYC527 is the treatment oriented
part of the internship, which is typically completed in the second half of the year, and concludes with the successful completion of the treatment oriented
exam, and is the final requirement to complete the PGDip (Clin) Psych.
The ability to work with other psychologists and with professionals from other disciplines is an important expectation, but not something
that is easily taught within an academic course. You will be expected to establish appropriate links with referring professionals (e.g.,
probation officers, GPs, and psychiatrists), to understand the workings of other relevant agencies (e.g., schools, family court), and to
maintain any links with kaupapa Maori and iwi-based services that you developed in previous years. It is important that you understand
the interface between clinical psychology and medicine: you will be responsible for learning about clients’ medications, medical
diagnoses, and parallel medical treatments. By the end of this internship year, it is expected that you will be able to talk confidently,
competently, and respectfully with other relevant professionals (and family/whanau) regarding your perspective on case or a problem,
your role, and what professional contribution you can make to a client’s welfare.
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Paper Structure

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The intern clinical concepts seminar is intended to provide an opportunity for interns to integrate the basic theoretical and practical
learning they have done over the last several years and apply it to clinical work. At times, this will mean reflecting on your current
clinical experiences, and at other times it will mean applying your skills and knowledge to cases and vignettes from a specialist area
presented by a guest speaker. No one learns to be a clinician in a classroom. You learn to be a clinical psychologist by taking the concepts, ideas, and skills you have learned into the room with a person, and applying them to the particulars of the client’s life, in the context of a relationship. Then,
you reflect on what happened, take it to supervision, think about what other information and skills you might need, try something else
out, and repeat as needed. The classroom is one place you can gather information and reflect, but it is by nature generic, and the
answers to your clinical questions will come from your thinking and reading, your supervisor, your colleagues. By the time you are an intern, you have had the opportunity to learn a lot of facts, theories, and skills. Before starting the programme, you had papers on psychopathology, assessment, culture, and theories of psychotherapy. In the first year, you learned about professional issues, bicultural practice, and participated in case conference and clinical skills and interviewing workshops. You then had a chance to apply these skills in your second year practica, and in the second year seminar, revisited principles of assessment and intervention with core population groups—children and adolescents, adults, and correctional clients.
In the intern year, we will spend the first semester (526) focusing mainly on topics that are cut across clinical groups, such as using
supervision, managing risk, and understanding the impact of trauma. In the second semester (527), we will have guest speakers bring
their experience in applying clinical principles to special populations and issues. This year we are trying a more structured approach to
try to incorporate more role playing and clinical case discussions. This is in response to student requests for a more applied, practical
orientation. It does place more responsibility on you, the students, to prepare for the class by doing the background reading provided,
and being ready to apply that as well as your previous knowledge about assessment, formulation, and treatment to the cases and
vignettes of the day.

Case Conference: A related professional activity is the weekly Case Conference. Attendance is mandatory, as we consider your contribution to these sessions, both as presenter and as collegial audience, to be an important part of your professional development. This is also the main opportunity for all members of the clinical programme to meet and exchange ideas and support each other’s progress. The Senior Tutor will provide details of the programme, and will coordinate the schedule of presenters. You will be expected to present one case presentation during the year, and provide an accompanying article related to the topic of your presentation. Presenters are responsible for preparing Powerpoint slides to structure their presentation, which may be organised in whatever way most suits the case and related the issues and concepts. You are welcome to consult clinical staff members in the process of preparing your presentation. You will receive written qualitative feedback from one of the clinical staff on your presentation.

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Learning Outcomes

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Students who successfully complete the paper should be able to:

  • Achieve these Learning outcomes
    integrate your psychological knowledge with the practical skills you are acquiring on your internship placement, expand your clinical professional skills to the point at which you can practice clinical psychology in a safe, competent, ethical, and
    culturally appropriate manner; discuss clinical problems from a cognitive behavioural basis. The development of a critical faculty is considered important during this year; you should be able to provide a psychological rationale for your actions and to be able to operationalise and define the explanatory constructs you use. Although innovative and creative clinical interventions are encouraged, and you are encouraged to become familiar with other theories and treatment approaches, you will be expected to be very familiar with CBT protocols and concepts, discuss, problem solve, and deliver empirically driven services in assessment and treatment for the entire spectrum of client needs that are considered to be the domain of clinical psychology. At the same time it is suggested that you begin to develop one or more special areas of interest and competence in which you are particularly well informed and up to date.
    Linked to the following assessments:
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Attendance is required at all classes, and if absence is unavoidable, the student must complete the assignment as outlined above.
Failure to complete assignments, or excessive absences (i.e., more than 3 per semester) may lead to a failing grade.

Four evaluative reports from the placement supervisors are required over the internship period. These will be due midway in the rotation and at the end of the rotation. Reports at the end of the first rotation will be passed on to your new supervisor at the beginning of the second rotation. It is your responsibility to ensure that these are presented to the programme by the due dates, which will be circulated in the programme calendar and posted on Moodle. All reports must affirm that there has been satisfactory progress (in relation to the competencies outlined in the placement report) during the immediate preceding period. Any deficits in the intern's performance evident in these reports must be rectified to the satisfaction of both University and placement supervisors before the intern will be allowed to proceed to the examination for that placement. Procedures and opportunities for discussing and correcting any unsatisfactory aspects of the intern's performance will be determined between placement and University supervisors and the intern. You should always be allowed to see these evaluations prior to their submission to the programme. Areas of disagreement or misunderstanding should be resolved with your internship supervisor if possible; in any event you are encouraged to add your own
written comment if you do not agree with the evaluation.

In order to successfully complete the two aspects (526 and 527) of the internship year, you must pass each of the two respective oral
examinations. The first (for 526) focuses mainly on assessment skills, and the second (for 527) mainly on treatment skills. You must
pass the first (526 assessment oriented) examination before moving on to the examination (527) on treatment. Ordinarily, the assessment examination follows your first internship placement, and the treatment examination follows your second internship placement. Although these are referred to as the ―Assessment Exam‖ and ―Treatment Exam,‖ this does not mean that the examiners are restricted to questions in just one of those areas—it does indicate that the emphasis of the exam, and particularly the clinical material you present, is in one area. Each student will be individually examined by a panel of examiners, on two consecutive days, including staff from the clinical programme and two external examiners (one an experienced local clinical psychologist, and the other representing clinical psychology at a national, academic level). The treatment exam (late November) consists of: Discussion of your treatment skills, based on examiners’ review of two video recordings of treatment sessions, as well as your written summaries of the context and goals of treatment; discussion of one or two of the two case studies prepared during the preceding internship placement; and discussion of two paper cases. Full details about the examination procedures are described in the clinical guide, and details of schedules and examiners will be provided closer to the time of the actual exam.
A clinical log is required as a record of all client contacts during your training. Further details on its completion and its assessment are

provided in the Guide for Students.

CASE STUDIES: Four case studies must be completed during the year. No more than two of the four may be exclusively assessment cases, unless this has been approved by the clinical team. Guidelines for writing case studies are in the Clinical Guide, and will be discussed in Clinical Concepts seminar. Please note that there is a word limit for the literature summary and discussion sections of the case studies. This word limit will be firmly enforced, and draft case studies submitted for feedback that are over this limit will not be reviewed.

All case studies, whether drafts or final versions must be anonymised. After you complete the case study or draft case study, and have changed any names and identifying information (remember that potentially identifying information such as country of origin and profession should be changed unless they are critical to the substance of the case), you need to submit the full version to your supervisor, whose job it is to check that it has been appropriately anonymised, and to certify that it represents an account of your own clinical work. It is not the job of your supervisor to give you substantive feedback on the case study; however, some supervisors take longer to check case studies than others, and it is incumbent on you to discuss the upcoming task of checking the case study, and to ensure that your supervisor has adequate opportunity to check your work before you need to submit it. When you submit the full, final copy or draft to your supervisor, please send Carol and the programme administrator an email notifying us that you have submitted the draft to your supervisor (not including the word file at this point, since it has not been authorised by the supervisor for release). You may submit your first case study of each semester for feedback from a clinical staff member; the deadlines for these are in the programme master calendar. You will receive feedback within two weeks. When you submit the final version for these case studies, you must also attach a copy of the comments provided to you. Finished case studies #1 (plus draft of #1 with staff feedback) and #2 for the mid year exam are due to the Psychology office by the date indicated in the programme master calendar. Finished case studies #3 (plus draft of #3 with staff feedback) and #4 for your end of year exam are due to the Psychology office the date indicated in the programme master calendar. These case studies, along with the other material submitted for the exam (video material, accompanying documentation, and supervisor report) will be submitted in electronic form on a single disk or memory device. You do not need to submit hard paper copies. Deadlines for submissions are built around the need to have time for staff to review drafts, and to prepare materials for examiners; they are not flexible. It is your responsibility to ensure that you are finished with your case studies, including all associated reports, well in advance of these deadlines, so that your supervisor can check them for anonymity, and so that the exigencies of life do not get in the way of your meeting your deadline.
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Assessment Components

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The internal assessment/exam ratio (as stated in the University Calendar) is 100:0. There is no final exam. The final exam makes up 0% of the overall mark.

The internal assessment/exam ratio (as stated in the University Calendar) is 100:0 or 0:0, whichever is more favourable for the student. The final exam makes up either 0% or 0% of the overall mark.

Component DescriptionDue Date TimePercentage of overall markSubmission MethodCompulsory
1. Class attendance
2. Internship reports
3. Clinical Log
4. Case studies
5. Oral Examination
Assessment Total:     100    
Failing to complete a compulsory assessment component of a paper will result in an IC grade
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Required and Recommended Readings

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Required Readings

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Any articles assigned by lecturers are considered required readings and are examinable during the oral exams.
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Recommended Readings

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Various articles or books will be referred to or distributed throughout the year. You are encouraged to read these articles or books and
incorporate this information into your clinical work.
In your readings, your literature compilation, and the literature summarised in your case studies, you should generally rely on leading
research journals in clinical psychology rather than journals from other disciplines, although there are some topics where it will be
important for you to read widely and use information from medical, psychiatric, social work, or nursing sources.
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Online Support

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Psychology Café: This is a Moodle space for all students and staff of the School of Psychology.
Use it to find out what is happening and what the School may provide for you. Think of it as our virtual notice board: it gives information
about events, seminars, resources and study options. But unlike a notice board, it is interactive. It has links to university policies and
G r a d u a t e V i r t u a l C o m m o n R o o m:
The Graduate Virtual Common Room has been designed to help you locate the resources you are likely to need as a graduate student,
to find out what is happening in the School and to network with other graduate students.
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Paper 527 is taken in addition to four days a week internship. Students need to plan their time allocation carefully. It is expected that
each week students will do reading related to class topics as well as their clinical internships experiences. Workloads for clinical
students are considerable and will require good organisation and time management skills. If you are finding yourself under time pressure, it is important that you discuss these with us as soon as possible and BEFORE you find yourself unable to complete requirements on time.
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Linkages to Other Papers

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526 is followed by 527; you must pass the exam for 526 before proceeding to 527. There are various versions of 526 and 527 to allow for
part time enrollment options. The most common, full time option is 527X.
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Prerequisite papers: PSYC523, PSYC524, PSYC526




Restricted papers: PSYC525, PSYC700

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