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Critical Thinking in Clinical Practice: Improving the Quality of Judgments and Decisions Paperback – 13 April 2012

4.8 4.8 out of 5 stars 29 ratings

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Praise for Critical Thinking in Clinical Practice, Third Edition

"Eileen Gambrill is unparalleled in her ability to describe common flaws and biases in clinical decision making. The result in this revised edition is a steadfast call for change that also acknowledges the demands of practice. A must-read for clinicians and researchers alike."
Elizabeth K. Anthony, PhD, Assistant Professor, School of Social Work, Arizona State University

"This Third Edition builds upon the impressive strengths of Gambrill's prior treatments of the topic to support the notion that critical thinking is a teachable skill and one essential for contemporary practice in the human services. This book should be the default authority on the topic of critical thinking for human service professionals and would be an excellent textbook."
Bruce A. Thyer, PhD, LCSW, Professor and former Dean, Florida State University College of Social Work

"I was skeptical about how Critical Thinking in Clinical Practice could be improved, but Eileen Gambrill has succeeded! Her articulation of critical thinking skills for clinical decisions ultimately will benefit the people we serve."
Joanne Yaffe, PhD, ACSW, Associate Professor of Social Work and Adjunct Associate Professor of Psychiatry, University of Utah

A balanced and illustrative guide to incorporating critical-thinking values, knowledge, and skills into clinical education and practice

Now in a third edition, Critical Thinking in Clinical Practice is written for helping professionals who want to think more clearly about the decisions they make and the context in which they make them. It is a practical volume for clinicians who would like to expand their knowledge of common pitfalls and fallacies in clinical reasoning.

As in earlier editions, this Third Edition draws on research related to problem solving and decision making, illustrating the relevance of research findings to everyday clinical practice and policy.

Revised throughout, the new edition includes discussion of:

  • The influence of pharmaceutical companies on the helping professions, including disease mongering―the creation of bogus risks, problems, and needless worries
  • Different kinds of propaganda in the helping professions that compromise informed consent
  • Additional coverage of classification, pathology, reliance on authority, and hazards in data collection
  • The development of decision aids of value to both professionals and clients
  • The relative contribution of specific interventions compared to nonspecific factors to positive outcome
  • Factors related to decision making in multidisciplinary teams
  • New developments regarding intuitive and analytic reasoning
  • The pragmatic theory of fallacies

Designed to enhance the quality of services offered to clients, Critical Thinking in Clinical Practice, Third Edition is filled with insightful examples, useful lists, websites, and guidelines, presenting an essential resource for all helping professionals and students in the helping professions.

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From the Publisher

Product description

Review

"...she has produced an ambitious and impressively comprehensive book that belongs in the library of every clinician and in the backpack of every graduate student." (PsycCRITIQUES)

"The book does work best as a reference: each topic is a separate research area in its own right" (Evidence Based Medicine)

"Anyone seeking a succinct, well-written, easy-to-read survey of faculty reasoning and how to cure it should look no further. Gambrill's book should be the required text for any course in critical thinking for psychotherapists, a course urgently needed by every psychiatric, clinical psychology, and social work training program in existence today." (Skeptical Inquirer)

"Clinical training programs cannot discount the importance of critical thinking or the knowledge and skills that it requires. It is hard to justify the absence of a course focusing on the wide-ranging material woven together in Critical Thinking in Clinical Practice. By supplying a model textbook for such a course, Gambrill has made a valuable contribution." (Contemporary Psychology)

"[Critical Thinking in Clinical Practice] is essential reading for all who aspire to improve the quality of clinical practice. In some respects, this book might be called "the thinking social worker's guide to improved practice." The very questions that are raised by Gambrill are as important as the answers that she proposes." (Research in Social Work Practice)

"For the research instructor, this volume presents a potential bridge for the gap between research and practice. It would be an ideal text for a course that would focus on how critical thinking that employs research concepts and methods can improve clinical decision making. In addition, readers are provided with a variety of approaches to monitor and improve their decision making skills." (Social Work in Health Care)

Review

"...she has produced an ambitious and impressively comprehensive book that belongs in the library of every clinician and in the backpack of every graduate student." (PsycCRITIQUES)

"The book does work best as a reference: each topic is a separate research area in its own right" (Evidence Based Medicine)

"Anyone seeking a succinct, well-written, easy-to-read survey of faculty reasoning and how to cure it should look no further. Gambrill's book should be the required text for any course in critical thinking for psychotherapists, a course urgently needed by every psychiatric, clinical psychology, and social work training program in existence today." (Skeptical Inquirer)

"Clinical training programs cannot discount the importance of critical thinking or the knowledge and skills that it requires. It is hard to justify the absence of a course focusing on the wide-ranging material woven together in Critical Thinking in Clinical Practice. By supplying a model textbook for such a course, Gambrill has made a valuable contribution." (Contemporary Psychology)

"[Critical Thinking in Clinical Practice] is essential reading for all who aspire to improve the quality of clinical practice. In some respects, this book might be called "the thinking social worker's guide to improved practice." The very questions that are raised by Gambrill are as important as the answers that she proposes." (Research in Social Work Practice)

"For the research instructor, this volume presents a potential bridge for the gap between research and practice. It would be an ideal text for a course that would focus on how critical thinking that employs research concepts and methods can improve clinical decision making. In addition, readers are provided with a variety of approaches to monitor and improve their decision making skills." (Social Work in Health Care)

Product details

  • Publisher ‏ : ‎ Wiley; 3rd edition (13 April 2012)
  • Language ‏ : ‎ English
  • Paperback ‏ : ‎ 672 pages
  • ISBN-10 ‏ : ‎ 0470904380
  • ISBN-13 ‏ : ‎ 978-0470904381
  • Dimensions ‏ : ‎ 17.78 x 3.86 x 25.4 cm
  • Customer Reviews:
    4.8 4.8 out of 5 stars 29 ratings

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Eileen D. Gambrill
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4.8 out of 5 stars
4.8 out of 5
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Top review from Australia

Reviewed in Australia on 5 May 2016
Verified Purchase
Well written, easy to read, and uses examples and exemplars to illustrate the ideas

Top reviews from other countries

Henslow
5.0 out of 5 stars Much needed
Reviewed in the United States on 28 July 2018
Verified Purchase
Much needed text for a field ladden with pseudoscience and snake oil treatment modalities. Dr Gambrill’s work serves as beacon in murky seas.
Chastity
5.0 out of 5 stars -
Reviewed in the United States on 16 January 2021
Verified Purchase
jj
5.0 out of 5 stars excellent product
Reviewed in the United States on 22 March 2013
Verified Purchase
i congratulate the author for what must have been a relatively lone journey while researching for this book.this is a must read for anyone who claims to be a thinking doctor. although a lot many examples are form the world of psychology yet the concepts are universal.
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ThisGuy
2.0 out of 5 stars Great Idea, painful implementation
Reviewed in the United States on 25 November 2021
Verified Purchase
I wanted to like this text and was quite excited and motivated to read it after seeing it cited in the first chapter of the excellent collection: "Science and Pseudoscience in Clinical Psychology." The one thing I ended up finding impressive about this work is that the author could make an introduction go on for 550 pages.

This book reads like an intro to logic text for high school kids written by a self-help writer, with some clinical examples thrown in. I read a chapter and then began scanning forward, looking for content. I did not find any. What the reader gets instead is endless lists and definitions of concepts that are supposed to elucidate what clinicians should know. And in fact, I'm quite sure that they do know everything in this text. Clinicians did go to college, after all. The problems arise from the embedded contexts in which clinicians practice. The author even points to this. And yet, we never really gets to the "Improving the Quality of Judgments and Decisions" part, which certainly requires more than moralizing to the reader with 'shoulds.' If this review sounds unkind thus far, please note that this is in part my response to the thick tone of condescension in which this book was written, along with the author's not infrequent self-congratulating examples.

An author so concerned with what is evidence-based must know that for said concepts to be applied, there is more work to be done than creating an encyclopedia of basic applied logic, right? That an author of a work like this must think through practices and exercises to stimulate the reader to look at the contexts in which they live in a new way and so to change their behavior? That they must understand who their audience is and presume intellectual competence equivalent to their education level?

Here is an example, pretty deep into the book: "Do Not Take Things Personally - Assuming the best rather than the worst about other people's intentions can help us to identify and move beyond fallacies and stratagems without becoming overly emotional." (pg. 494). How about stimulating a reflection upon a situation that got heated for the reader, prompting them to examine their own attachments that lead to emotional arousal? How about some evidence-based practices for navigating said situations that the reader can do? Doesn't this approach reflect the very problems being pointed to about ineffective clinicians? This is how the whole book reads. Starting off on a soap box and never quite getting anywhere useful.

Here is a bonus example of how painful it gets: "The data you gather could be (1) relevant (help you and your clients select effective service plans), (2) irrelevant, or (3) misleading. Focus on relevant data. Irrelevant data may lead you astray." (pg. 444). Does anyone seek to focus on irrelevant data? Is this book going to help in any way toward correcting issues here? Where is the content?

If you find the book I'm looking for, please message me.
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