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lematic drinking among college students (O Connor & Colder, 2005) and of development of subsequent marijuana dependence among adolescents (Fergusson, Horwood, Lynskey, & Madden, 2003) Unmet treatment needs and low rates of help seeking have been noted among collegiate athletes, both historically (Pierce, 1969) and currently (P S Howland, personal communication, May 27, 2005; S N Moore, personal communication, May 27, 2005) It also has been suggested that there is a tendency among athletes to deny emotional problems and stigmatize help seeking-behavior (Schwenk, 2000) Martin (2005) similarly suggested that some athlete groups (eg, male athletes, younger athletes, and athletes socialized in sports involving physical contact) may have a stigma toward seeking sport psychology consultation Taken together, these findings underscore the need for secondary prevention in sport There is growing awareness of this need as well as emerging efforts to meet it.

Petrie (1993) described a disordered-eating continuum among female collegiate gymnasts: Higher levels were associated with a desire to weigh less, lower body satisfaction and self-esteem, and greater endorsement of cultural values related to women s attractiveness Similarly, Wright, Grogan, and Hunter (2001) found that steroid users were more positive than nonusers about steroid benefits and minimized negative side effects of the drugs These characteristics may serve as early warning signs for secondary prevention efforts Vinci (1998) described eating disorder prevention efforts at the University of Washington in the Husky Sport Nutrition Program, a component of an overarching program that provides life skills assistance to student athletes Iven (1998) noted the importance of preparticipation physical examinations for team physicians in establishing a sound relationship with athletes while emphasizing a thorough history, including an assessment of risk factors, family history, and personal tendencies toward substance abuse.

Pros and Cons of Being a Clinical Psychologist: Pros: The American public has readily espoused the expansion of clinical psychology into areas that have heretofore been the sole province of psychiatry, such as hospital privileges, forensic testimony, mental illness commitment, clinical directorships, health care management, primary care, media psychology, and a host of other widely diverse activities. The profession will inevitably expand in time into prescription authority, challenging the last remaining stronghold of psychiatry, and becoming an independent profession encompassing the entire range of mental health practice. The opportunities are limitless for those who can respond to the needs of our society. Cons: For clinical psychologists who are mired conceptually in traditional practice, such as performing routine psychotherapy, these are difficult economic times. Such colleagues must compete with a plethora of lesser trained practitioners, mostly on the masters level, who now perform most of the traditional services because they can do it cheaper than doctorallevel clinicians. The profession of clinical psychology must awaken to the reality that it justifiably competes only by performing services on a doctoral, not masters level. Future of Clinical Psychology: Clinical psychology is rapidly bridging the gap between psychological conditions and physical illness. There is a vast array of research that demonstrate 60% to 70% of patients visiting a primary care physician are somatizing stress, or have emotional problems of such severity that they are impeding treatment of such illnesses. The future of clinical psychology is in primary behavioral health, with behavioral care providers co-located in the primary care setting with primary care physicians. What do you think the biggest challenges facing clinical psychology are at the present time Among a host of issues, there are

The importance of an ongoing relationship between physician and athlete to promote early recognition and intervention with developing substance abuse problems is also highly relevant See Stainback (1997, chap 5) for a review of sport-related alcohol abuse and dependence prevention Treatment of Psychopathology The intent here is to provide general informational sources regarding treatment, to briefly discuss referral for treatment (more is covered in the ensuing section), and to refer the reader to the regrettably infrequent descriptions of.

FORMALIZATION AS A FIELD OF INQUIRY AND PRACTICE The more formalized eld of psychosomatic medicine emerged between 1920 and 1950, dominated by two major frameworks: psychodynamic and psychophysiologic. Major contributions of psychosomatic medicine were the recognition of the role of psychological and social factors in the etiology, course, maintenance, and treatment of disease (especially those that de ed biomedical explanations), and the promotion of behavioral health research.

the Timeline of the main movie. Graphic symbols operate in sync with the movie s Timeline. Interactive controls and sounds won t work in a graphic symbol s animation sequence.