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Handbook of Clinical Psychology in Medical Settings (Hardcover, 1991 ed.)
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Handbook of Clinical Psychology in Medical Settings (Hardcover, 1991 ed.)
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For two decades, I have been responding to questions about the
nature of health psychology and how it differs from medical
psychology, behavioral medicine, and clinical psychology. From the
beginning, I have taken the position that any applica tion of
psychological theory or practice to problems and issues of the
health system is health psychology. I have repeatedly used an
analogy to Newell and Simon's "General Problem Solver" program of
the late 1950s and early 1960s, which had two major functional
parts, in addition to the "executive" component. One was the
"problem-solving core" (the procedural competence); the other was
the representa tion of the "problem environment. " In the analogy,
the concepts, knowledge, and techniques of psychology constitute
the core competence; the health system in all its complexity is the
problem environment. A health psychologist is one whose basic
competence in psychology is augmented by a working knowledge of
some aspect of the health system. Quite apparently, there are
functionally distinct aspects of health psychology to the degree
that there are meaningful subdivisions in psychological competence
and significantly different microenvironments within the health
system. I hesitate to refer to them as areas of specialization, as
the man who gave health psychology its formal definition, Joseph
Matarazzo, has said that there are no specialties in psychology
(cited in the editors' preface to this book)."
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