341-360 of 384 Results

Article

Strength training sessions are developed and overseen by strength and conditioning coaches, whose primary responsibilities are to maximize individuals’ athletic performance and minimize their injury risk. As the majority of education and certification for being a strength and conditioning coach focuses on physiology and physiological adaptations, biomechanics, and related scientific areas of study, there has been less emphasis on coaching behaviors, motivational techniques, pedagogical approaches, or psychological skills. These are important areas because to accomplish both long-term and short-term training goals, strength and conditioning coaches should use and train their athletes in the use of these techniques. Motivation of training session participants is essential to being an effective strength and conditioning coach. Coaches motivate their athletes through their behaviors, design and organization of the training sessions, teaching techniques, role modeling, relationships with the athletes, and the psychological skills they incorporate within and outside of the training sessions. Coaches also often teach athletes about psychological skills not to motivate the athlete but to assist the athlete in their performance, mental health, or general well-being. Some of these psychological skills are so ingrained in the strength and conditioning discipline that coaches do not recognize or categorize them as psychological skills. Because of the relationship built between strength coach and athlete, the strength and conditioning coach often provides informal knowledge of advice on topics regarding general life lessons or skills that can actually be categorized under psychological skills. However, the lack of formal education and training in sport psychology techniques also means that strength and conditioning coaches do not take full advantage of many behaviors, motivational techniques, and other psychological skills. These areas remain an area for further professional development and research within the strength and conditioning field.

Article

Agus Surachman and David M. Almeida

Stress is a broad and complex phenomenon characterized by environmental demands, internal psychological processes, and physical outcomes. The study of stress is multifaceted and commonly divided into three theoretical perspectives: social, psychological, and biological. The social stress perspective emphasizes how stressful life experiences are embedded into social structures and hierarchies. The psychological stress perspective highlights internal processes that occur during stressful situations, such as individual appraisals of the threat and harm of the stressors and of the ways of coping with such stressors. Finally, the biological stress perspective focuses on the acute and long-term physiological changes that result from stressors and their associated psychological appraisals. Stress and coping are inherently intertwined with adult development.

Article

Pablo Briñol, Richard E. Petty, and Maria Stavraki

Attitudes refer to general evaluations people have regarding people, places, objects, and issues. Attitudes serve a number of important functions such as guiding choices and actions and giving people a sense of identity and belonging. Attitudes can differ in the extent to which they come from affect, cognition, and behavior. These bases of attitudes can be appraised objectively and subjectively. Attitudes can also differ in their strength, with some attitudes being more impactful and predictive of behavior than others. Some indicators of attitude strength have been viewed as relatively objective in nature (e.g., stability, resistance, accessibility, spreading) whereas other strength indicators are more subjective in nature (e.g., attitude certainty, subjective ambivalence, perceived moral basis of attitudes). Attitudes can be stored in memory in different ways, including an attitude structure in which attitude objects are linked to both positivity and negatively separately, tagging these evaluations with varying degrees of validity. Finally, after a long tradition of assessing attitudes using people’s responses to self-report measures (explicit measures of attitudes), more recent work has also assessed attitude change with measures that tap into people’s more automatic evaluations (implicit measures of attitudes). Implicit and explicit measures can be useful in predicting behavior separately and also in combination.

Article

Ann Johnson and Elizabeth Johnston

During the mid-20th century, the study of human development in the United States underwent significant expansion as support for scientific approaches solidified and methods and research topics grew. Inside the field, tensions between contrasting theoretical approaches and differing views on what determines growth and change (e.g., the perennial nature vs. nurture debate), fueled a proliferation of studies on physical growth and motor development, IQ, and personality. Lois Barclay Murphy, for example, challenged the emphasis placed on aggression and conflict in personality studies to include evidence of the early appearance of empathy and altruism in the young child, contradicting the outlook popularized by behaviorist John Watson in the 1920s. While hereditarian views of intelligence were dominant in the early part of the century, research by Marie Skodak Crissey and others soon challenged that perspective and pushed the field to develop more interactive models of heredity and environment. Skodak Crissey, for example, documented the powerful impact of adoption versus institutional care on measures of intelligence, demonstrating the mutability of intelligence as a result of environmental changes. In addition, the field expanded during the mid-century period (which is here defined as approximately 1925 to 1960) from studies of the infant and child to adolescents and development over the lifespan, including longitudinal studies like the Berkeley Growth Study, initiated in 1928 and headed by Nancy Bayley, and Lewis Terman’s long term study of gifted children. While historical accounts emphasize the contributions of a small number of male psychologists (such as Watson, Arnold Gesell, and Terman), women entered the field in large numbers and made landmark contributions during this period, often challenging and undermining orthodoxies and motivating the more complex picture of development dominant today. Among the women making contributions were Marie Skodak Crissey (1910–2000), Nancy Bayley (1899–1994), and Lois Barclay Murphy (1902–2003).

Article

Gerben J. Westerhof and Susanne Wurm

Aging is often associated with inevitable biological decline. Yet research suggests that subjective aging—the views that people have about their own age and aging—contributes to how long and healthy lives they will have. Subjective age and self-perceptions of aging are the two most studied aspects of subjective aging. Both have somewhat different theoretical origins, but they can be measured reliably. A total of 41 studies have been conducted that examined the longitudinal health effects of subjective age and self-perceptions of aging. Across a wide range of health indicators, these studies provide evidence for the longitudinal relation of subjective aging with health and longevity. Three pathways might explain this relation: physiological, behavioral, and psychological pathways. The evidence for behavioral pathways, particularly for health behaviors, is strongest, whereas only a few studies have examined physiological pathways. Studies focusing on psychological pathways have included a variety of mechanisms, ranging from control and developmental regulation to mental health. Given the increase in the number of older people worldwide, even a small positive change in subjective aging might come with a considerable societal impact in terms of health gains.

Article

Stephen J. Bright

In the 21st century, we have seen a significant increase in the use of alcohol and other drugs (AODs) among older adults in most first world countries. In addition, people are living longer. Consequently, the number of older adults at risk of experiencing alcohol-related harm and substance use disorders (SUDs) is rising. Between 1992 and 2010, men in the United Kingdom aged 65 years or older had increased their drinking from an average 77.6 grams to 97.6 grams per week. Data from Australia show a 17% increase in risky drinking among those 60–69 between 2007 and 2016. Among Australians aged 60 or older, there was a 280% increase in recent cannabis use from 2001 to 2016. In the United States, rates of older people seeking treatment for cocaine, heroin, and methamphetamine have doubled in the past 10 years. This trend is expected to continue. Despite these alarming statistics, this population has been deemed “hidden,” as older adults often do not present to treatment with the SUD as a primary concern, and many healthcare professionals do not adequately screen for AOD use. With age, changes in physiology impact the way we metabolize alcohol and increase the subjective effects of alcohol. In addition, older adults are prone to increased use of medications and medical comorbidities. As such, drinking patterns that previously would have not been considered hazardous can become dangerous without any increase in alcohol consumption. This highlights the need for age-specific screening of all older patients within all healthcare settings. The etiology of AOD-related issues among older adults can be different from that of younger adults. For example, as a result of issues more common as one ages (e.g., loss and grief, identity crisis, and boredom), there is a distinct cohort of older adults who develop SUDs later in life despite no history of previous problematic AOD use. For some older adults who might have experimented with drugs in their youth, these age-specific issues precipitate the onset of a SUD. Meanwhile, there is a larger cohort of older adults with an extensive history of SUDs. Consequently, assessments need to be tailored to explore the issues that are unique to older adults who use AODs and can inform the development of age-specific formulations and treatment plans. In doing so, individualized treatments can be delivered to meet the needs of older adults. Such treatments must be tailored to address issues associated with aging (e.g., reduced mobility) and may require multidisciplinary input from medical practitioners and occupational therapists.

Article

John W. Rowe and Dawn C. Carr

While the factors that influence the well-being of individuals in late life have long been a major concern of research in aging, they have been a particularly active area of research and debate since the 1980s and continue to have a prominent role in gerontological research and debate. Early research on aging (from the 1920s to the 1960s) focused largely on examining typical problems that come with aging. The term successful aging was initially used to describe those who aged better than expected. In the 1980s, the MacArthur Network on Successful Aging, concerned that the field of gerontology had become preoccupied with disease and disability to the neglect of studies of the factors that fostered doing well in late life, conducted a series of studies of high-performing older persons and formulated the MacArthur theory of successful aging, which included three principal components: avoidance of disease, maintenance of physical and cognitive function, and engagement with society. Since its initial publication, the concept of successful aging has been applied to many subpopulations of older persons based on geography (East vs. West), socioeconomic status, race and ethnicity, religion, cognitive or physical function, and disease states.

Article

Kim Van Orden, Caroline Silva, and Yeates Conwell

Suicide in later life is a significant public health problem around the world—a problem that will increase in magnitude in the coming years with the impact of population aging. Adults age 70 and older have higher suicide rates than younger groups worldwide in both lower-income and higher-income countries. While suicide rates tend to increase with age, suicide in later life is not an expected or normative response to stressors that accompany the aging process. Instead, a constellation of risk factors places an older adult at elevated risk for suicide. These factors can be remembered as the Five D’s: psychiatric illness (primarily depression); functional impairment (also called disability, often associated with dependency on others); physical illness (particularly multiple comorbid diseases); social disconnectedness (including social isolation, loneliness, family conflict, and feeling like a burden); and access to lethal (deadly) means. The greatest risk occurs when multiple domains of risk converge in a given individual. Approaches to prevention can address the Five D’s. Given that older adults are reluctant to seek out mental healthcare and that standard primary care practice cannot easily provide it, models of primary care-based integrated care management for mental disorders, including in older adulthood, have been developed, rigorously tested, and widely disseminated. These models play an important role in suicide prevention by integrating treatment for physical and mental illness. Upstream, selective prevention strategies that target disconnectedness—such as engaging older adults as volunteers—may serve to reduce disconnectedness and thereby reduce suicide risk. Universal prevention strategies that involve growing the geriatric workforce may address disability by increasing older adults’ access to medical and social service providers with expertise in improving physical, cognitive, and social functioning, as well as improving quality of life. Addressing ageism and building age-friendly communities that use strategies to integrate older adults into society and promote social participation hold promise as universal prevention strategies. Ultimately, effective suicide prevention strategies for older adults must focus on improving quality of life as well as preventing suicide: strategies such as psychotherapy and medication for psychiatric disorders must be supplemented by prevention strategies for older adults give at all ages in addition to treating psychiatric disorders and suicidal thoughts is needed to address the problem of suicide in later life.

Article

Sam Zizzi and Jana L. Fogaca

The process of learning to be a licensed and competent service provider in psychology typically involves supervision by a seasoned professional. Quality supervision is the cornerstone of effective, ethical practice in psychology. This process of supervision can take on many structures and involves a series of informal and formal meetings between the student and the professional. Sometimes, this supervision will involve co-therapy where the supervisor leads a session with the client while the student watches, or vice versa. The supervisor will direct students in how to prepare for and conduct their work and how to document their sessions and give them specific feedback to improve their skills. As students build competence, the supervisor may decide to give them more independence so they can make their own decisions about treatment plans and take a leadership role with clients. In exercise settings, this supervision process is a little different from sport settings. The focus of most exercise consultations with clients will be on changing health behavior instead of improving sport performance. Also, instead of spending time at practice fields or athletic events in a sport consultation, the students would be expected to spend time in fitness and wellness centers around clients with myriad health issues. These experiences are designed to help students feel autonomous in their decision-making, and to reduce their anxiety working with clients. This process may take a few months to a couple of years depending on the skills and training of the student before supervision.

Article

Literature regarding supervision and related supervisory and training models applied within the field of sport, exercise, and performance psychology (SEPP) has grown exponentially as the field continues to define and redefine itself. A range of supervision models from mainstream psychology has been explored and applied within SEPP settings, with research indicating that regardless of the preferred model of supervision, a key component of effective supervision is the supervisor’s knowledge and skills related to the area of service delivery. Whilst the supervision of psychologists-in-training within performing arts settings presents similar challenges faced by those working in sport and exercise settings, the social, cultural, and artistic considerations embedded within these performance contexts necessitates a nuanced approach. The provision of supervision for psychologists within performing arts (e.g., dance, music, acting) requires scaffolded learning opportunities that assist the practitioner to gain an in-depth understanding of the context, including how to best tailor, translate, and communicate psychological concepts and skills to their clients that will address their unique challenges and meet their distinctive needs. Furthermore, clarity regarding the roles and responsibilities of the supervisee within the organizational context of an artistic setting is vital to ensuring that effective and ethical service delivery can be provided.

Article

Aidan Moran, Nick Sevdalis, and Lauren Wallace

At first glance, there are certain similarities between performance in surgery and that in competitive sports. Clearly, both require exceptional gross and fine motor ability and effective concentration skills, and both are routinely performed in dynamic environments, often under time constraints. On closer inspection, however, crucial differences emerge between these skilled domains. For example, surgery does not involve directly antagonistic opponents competing for victory. Nevertheless, analogies between surgery and sport have contributed to an upsurge of research interest in the psychological processes that underlie expertise in surgical performance. Of these processes, perhaps the most frequently investigated in recent years is that of motor imagery (MI) or the cognitive simulation skill that enables us to rehearse actions in our imagination without engaging in the physical movements involved. Research on motor imagery training (MIT; also called motor imagery practice, MIP) has important theoretical and practical implications. Specifically, at a theoretical level, hundreds of experimental studies in psychology have demonstrated the efficacy of MIT/MIP in improving skill learning and skilled performance in a variety of fields such as sport and music. The most widely accepted explanation of these effects comes from “simulation theory,” which postulates that executed and imagined actions share some common neural circuits and cognitive mechanisms. Put simply, imagining a skill activates some of the brain areas and neural circuits that are involved in its actual execution. Accordingly, systematic engagement in MI appears to “prime” the brain for optimal skilled performance. At the practical level, as surgical instruction has moved largely from an apprenticeship model (the so-called see one, do one, teach one approach) to one based on simulation technology and practice (e.g., the use of virtual reality equipment), there has been a corresponding growth of interest in the potential of cognitive training techniques (e.g., MIT/MIP) to improve and augment surgical skills and performance. Although these cognitive training techniques suffer both from certain conceptual confusion (e.g., with regard to the clarity of key terms) and inadequate empirical validation, they offer considerable promise in the quest for a cost-effective supplementary training tool in surgical education. Against this background, it is important for researchers and practitioners alike to explore the cognitive psychological factors (such as motor imagery) that underlie surgical skill learning and performance.

Article

Quincy J. J. Wong, Alison L. Calear, and Helen Christensen

Internet-based cognitive behavioral therapy (ICBT) is the provision of cognitive behavioral therapy (CBT) using the Internet as a platform for delivery. The advantage of ICBT is its ability to overcome barriers to treatment associated with traditional face-to-face CBT, such as poor access, remote locations, stigmas around help-seeking, the wish to handle the problem alone, the preference for anonymity, and costs (time and financial). A large number of randomized controlled trials (RCTs) have tested the acceptability, efficacy, and cost-effectiveness of ICBT for anxiety disorders, mood disorders, and associated suicidality. A meta-review was conducted by searching PsycINFO and PubMed for previous systematic reviews and meta-analyses of ICBT programs for anxiety, depression, and suicidality in children, adolescents, and adults. The results of the meta-review indicated that ICBT is effective in the treatment and prevention of mental health problems in adults and the treatment of these problems in youth. Issues of adherence and privacy have been raised. However, the major challenge for ICBT is implementation and uptake in the “real world.” The challenge is to find the best methods to embed, deliver, and implement ICBT routinely in complex health and education environments.

Article

Over the past 30 years, researchers studying group dynamics in sport have provided insight regarding the importance of considering a team’s environment, structure, and processes for its effective functioning. An emergent property resulting from activities within the group is cohesion. Cohesion is a dynamic property reflecting members’ perceptions of the unity and personal attractions to task and social objectives of the group. Generally speaking, cohesion remains a highly valued group property, and a strong body of evidence exists to support positive links to important individual and group outcomes such as adherence and team performance. Given the importance attached to cohesion and other group variables for sport teams, coaches and athletes often attempt to engage in activities that facilitate group functioning. Team building is a specific approach designed to facilitate team effectiveness and individual members’ perceptions of their group. Cohesion has been the primary target of team-building interventions in sport, although recent work on team-building outcomes suggested that the effects of these interventions on cohesion may be limited. The most effective team-building approaches include a goal setting protocol, last at least two weeks in duration, and target a variety of outcomes in addition to cohesion, including individual cognitions and team performance. There is a clear need to identify a team’s requirements prior to intervening (i.e., a targeted approach), consider a variety of approaches to team building, and investigate the effects of team building via more stringent research methods.

Article

Tiffany Bisbey and Eduardo Salas

Teams are complex, dynamic systems made up of interdependent members working toward a shared goal; but teamwork is more than working together as a group. Teamwork is a multifaceted phenomenon that allows a group of individuals to function effectively as a unit by using a set of interrelated knowledge, skills, and attitudes. Effective teamwork is marked by cooperation, communication, coordination, conflict management, coaching, and shared cognition among team members. The most effective teamwork leads to team performance gains that are greater than the sum of each individual member’s effort. These performance outcomes re-inform the teamwork process, thus creating a recursive feedback loop that drives team development and guides future performance. Along with performance outcomes, individual- and team-level changes incite learning and allow teams to adapt to the dynamic systems in which they exist. With each development cycle over time, teams learn how to maneuver their environment and allocate their resources to reach performance goals with more efficiency. There are many external factors that can influence this process, including organizational characteristics, situational demands, and team training interventions; as well as internal factors that emerge and evolve over the life of the team, such as shared mental models and psychological safety. Although teamwork is a complex phenomenon with many moving parts, a strong body of research guides practitioners in leveraging its influence on organizational effectiveness.

Article

Sara J. Czaja and Chin Chin Lee

The expanding power of computers and the growth of information technologies such as the Internet have made it possible for large numbers of people to have direct access to an increasingly wide array of information sources and services. Use of technology has become an integral component of work, education, communication, entertainment, and health care. Moreover, home appliances, security systems, and other communication devices are becoming more integrated with network resources providing faster and more powerful interactive services. Older adults represent an increasing large proportion of the population and will need to be active users of technology to function independently and receive the potential benefits of technology. Thus, it is critically important to understand how older adults respond to and adopt new information technologies. Technology offers many potential benefits for older people such as enhanced access to information and resources and health-care services, as well as opportunities for cognitive and social engagement. Unfortunately, because of a number of factors many older people confront challenges and barriers when attempting to access and use technology systems.

Article

Life is filled with goals or intentions that people hope to realize. Some of these are rather mundane (e.g., remembering to purchase a key ingredient for a recipe when stopping at the market), while others are more significant (e.g., remembering to pick up one’s child from school at the end of the day). Prospective memory represents the ability to form and then realize intentions at an appropriate time. A fundamental aspect of prospective memory is that one is engaged in one or more tasks (i.e., ongoing activities) between the formation of an intention and the opportunity to realize the goal. For instance, in the shopping example, one might form the intention at home and then travel to the market and collect several other items before walking past the desired ingredient. Considerable research has demonstrated that the efficiency of prospective memory declines with age, although age-related differences are not universal. The neurocognitive processes underpinning age-related differences in the formation and realization of delayed intentions have been investigated in studies using event-related brain potentials. This research reveals that age-related differences in prospective memory arise from the disruption of neural systems supporting the successful encoding of intentions, the detection of prospective memory cues, and possibly processes supporting the retrieval of intentions from memory when a cue is encountered or efficiently shifting from the ongoing activity to the prospective element of the task. Therefore, strategies designed to ameliorate age-related declines in prospective memory should target a variety of processes engaged during the encoding, retrieval, and enactment of delayed intentions.

Article

With roots that range from medicine to politics, to jurisdiction and historiography in ancient Greece, the concept of “crisis” played an eminent role in the founding years of Western academic psychology and continued to be relevant during its development in the 19th and 20th century. “Crisis” conveys the idea of an imminent danger of disintegration and breakdown, as well as a pivotal turning point with the chance of a new beginning. To this day, both levels of meaning are present in psychological discourses. Early diagnoses of a state of “crisis” of psychology date back to the end of the 19th century and focused on the question of the correct metaphysical foundation of psychology. During the interwar period, warnings of a disintegration of the discipline reached their first climax in German academia, when many eminent psychologists expressed their worries about the increasing fragmentation of the discipline. The rise of totalitarian systems in the 1930s brought an end to these debates, silencing the theoretical polyphony with physical violence. The 1960s saw a resurgence of “crisis literature” and the emergence of a more positive connotation of the concept in U.S.-American experimental psychology, when it was connected with Thomas Kuhn’s ideas of scientific “revolutions” and “paradigm shifts.” Since that time, psychological crisis literature has revolved around the question of unity, disunity, and the scientific status of the discipline. Although psychological crisis literature showed little success in solving the fundamental problems it addressed, it still provides one of the most theoretically rich and thought-provoking bodies of knowledge for theoretical and historical analyses of the discipline.

Article

Influential theorists of pre-adult phases of the development of the individual person (infancy, childhood, and adolescence) have articulated myriad versions of stage theories, varying in specificity, rigidity, and many other parameters. Some stage theories are concerned with capacities defined somewhat narrowly and operationally defined by behavior. Elsewhere on the spectrum, some of the most influential stage theories have purported to indicate capacities or modes of considerable generality, by positing deep, structural changes either in intellectual capacity or in terms of some other aspect of human functioning treated as fundamental to the affective and the rational life. Jean Piaget’s stage theory of intellectual (cognitive) development is the paradigm of a theory of structural changes in the capacity for logical thought. Bluntly put, Piaget’s theory takes for granted the key characteristics of the thinking of the emotionally balanced, rational adult and attempts to define the necessary steps by which that state is to be attained from the time one starts life as a baby. Sigmund Freud’s theory of psychosexual stages, especially as articulated by Karl Abraham, is the paradigm of a stage theory in which significant aspects of adult functioning are redefined, rather than taken for granted. The steps intervening from babyhood, as thereafter articulated, thereby take on an innovative character. In both cases the substantial internal consistency of the stage model, notwithstanding numerous empirical shortcomings, has generated a kind of validity. But even such qualified praise cannot now be offered to Stanley Hall’s stage theory of individual development, which seems with hindsight little more than a derivative popularization of the recapitulationary evolutionism of the latter part of the 19th century. From an historical perspective, Hall’s, Freud’s, and Piaget’s stage theories of development are all artefacts, products of the sociocultural and scientific environments of their times.

Article

Personnel and vocational testing has made a huge impact in public and private organizations by helping organizations choose the best employees for a particular job (personnel testing) and helping individuals choose occupations for which they are best suited (vocational testing). The history of personnel and vocational testing is one in which scientific advances were influenced by historical and technological developments. The first systematic efforts at personnel and vocational testing began during World War I when the US military needed techniques to sort through a large number of applicants in a short amount of time. Techniques of psychological testing had just begun to be developed at around the turn of the 20th century and those techniques were quickly applied to the US military effort. After the war, intelligence and personality tests were used by business organizations to help choose applicants most likely to succeed in their organizations. In addition, when the Great Depression occurred, vocational interest tests were used by government organizations to help the unemployed choose occupations that they might best succeed in. The development of personnel and vocational tests was greatly influenced by the developing techniques of psychometric theory as well as general statistical theory. From the 1930s onward, significant advances in reliability and validity theory provided a framework for test developers to be able to develop tests and validate them. In addition, the civil rights movement within the United States, and particularly the Civil Rights Act of 1964, forced test developers to develop standards and procedures to justify test usage. This legislation and subsequent court cases ensured that psychologists would need to be involved deeply in personnel testing. Finally, testing in the 1990s onward was greatly influenced by technological advances. Computerization helped standardize administration and scoring of tests as well as opening up the possibility for multimedia item formats. The introduction of the internet and web-based testing also provided additional challenges and opportunities.

Article

Two different but related developments played an important role in the history of psychologists in the fields of mental health care in Germany during the 20th century. The first development took place in the field of applied psychology, which saw psychological professionals perform mental testing, engage in counseling and increasingly, in psychotherapy in practical contexts. This process slowly began in the first decades of the 20th century and included approaches from different schools of psychotherapy. The second relevant development was the emergence of clinical psychology as an academic sub-discipline of psychology. Having become institutionalized in psychology departments at German universities during the 1960s and 1970s, clinical psychology often defines itself as a natural science and almost exclusively focuses on cognitive-behavioral approaches. There are four phases of the growing relationship between psychology and psychotherapy in Germany in which the two developments were increasingly linked: first, the entry of psychology into psychiatric and psychotherapeutic fields from approximately 1900 until 1945; second, the rise of psychological psychotherapy and the emergence of clinical psychology after World War II until 1972, when the diploma-regulations in West Germany were revised; third, a phase of consolidation and diversification from 1973 until the pivotal psychotherapy law of 1999; and fourth, the shifting equilibrium as established profession and discipline up to the reform of the psychotherapy law in 2019. Overall, the emergence of psychological psychotherapy has not one single trajectory but rather multiple origins in the different and competing academic and professional fields of mental health care.