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Struggling to build a practice Russian psychology fights to bring psychotherapy to a needy but wary public




PSYCHOLOGY AROUND THE WORLD

Clinical Psychology in Russia

UNIT 17

Choose one field of clinical psychology and detail the education, skills required, and qualities needed for a job that field.

Task 18. Use this New Free Association Technique to interpret your latest dreams.

A social worker and an elderly retired person.

A social worker and an abandoned spouse;

A social worker and a person who lost a job;

A social worker and a bereaved mother with children;

A social worker and a person who seriously suffered in an accident;

A social worker and a 12-year old child who skips school;

A social worker and a 5-year old physically abused son of drinking parents;

A social worker and a client who is poor;

· Write out your entire dream.

· Only Select the section or paragraph that is most emotionally charged if your dream is extraordinarily long. Otherwise you should work with the dream in full as sections you may have left out may be meaningful.

· List every word of that paragraph on the left side of the page. You may group words that are common phrases. For example:

Instead of writing "Stepped on my toes" as individual words, you can leave the phrase as a group or single line and interpret it as the phrase. Sometimes you may want to do it both ways to see the difference.
Write your association - whatever pops into your mind - on the right of each word.

· Rewrite the dream using only the associations.

Don't force associations; if an idea doesn't come readily, skip over it and return to it when you’ve finished the list.

By JENNIFER DAW

Monitor Staff

June 2002, Vol 33, No. 6

Before 1991, clinical psychology as we know it in the West didn't exist in Russia. Psychologists primarily conducted research or testing, and the field was merely considered "supplementary to psychiatry," according to Russian psychologist Alexander Maknach, PhD.

Now director of the Moscow Center for Psychology and Psychotherapy and a fellow of the Institute of Psychology of the Russian Academy of Sciences, Maknach says the clinical practice of psychology has emerged in the last decade and is making slow but steady progress addressing the nation's needs.

"Psychology is a very necessary profession," says Maknach, who says life has been bleak for many Russians since the breakup of the Soviet Union.

Areas that demand psychologists' intervention include:

· Divorce. The divorce rate in Russia is similar to that of the United States--about one in two marriages will end in divorce. But, say psychologists there, many divorced couples in Russia continue to live together because there is no other place to live; it's too expensive.

· Alcoholism and drug addiction. Drinking is a major part of the culture in Russia, and alcoholism a major problem. Since 1990, alcohol consumption among males has doubled. Alcoholics Anonymous programs are available, but there is nothing similar to Western inpatient treatment for alcoholism.

· Unemployment and poverty. In 1999, just under half the population of Russia lived below the poverty line.

· Gangs and school dropouts. Forced to deal with poverty and little chance of finding decent jobs, many youngsters in Russia choose gang life over education.




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