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Distribution of Clinical Activities
Employment Settings and Salaries for Clinical Psychologists
Diversity among Clinical Psychologists
Diversity Among Clients
CLINICAL PSYCHOLOGY IN THE 21ST CENTURY

Science and Practice
2
Copyright © 2014 Pearson Education, Inc., Upper Saddle River, NJ 07458. All rights reserved.
IDENTIFICATION / KEY TERMS
clinical psychology (p. 2) consultation (p. 10)

clinical attitude (p. 2) evidence-based practice (p. 15)
clinical approach (p. 2) Boulder model (p. 15)
mental health literacy (p. 5) Vail model (p. 16)
counseling psychology (p. 6) eclecticism (p. 16)
psychiatry (p. 7) psychotherapy integration (p. 16)
health service providers (p. 7) mental health parity (p. 16)
assessment (p. 8 ) managed care (p. 17)
DISCUSSION QUESTIONS / CLASS ACTIVITIES
AN OVERVIEW OF CLINICAL PSYCHOLOGY

1. Does clinical psychology belong in the category of “Health Professions”? Why or why
not?
2. Many programs for clinical psychologists require their students to engage in

psychotherapy themselves. Do you think this is worthwhile? Can you think of concerns
one might have about this requirement?
CLINICAL PSYCHOLOGISTS AT WORK

3. Why do you think that clinical psychology is the most popular subspecialty of
psychology?
4. Check your local psychological association website for job postings for psychologists.
Do these postings reflect the distribution of activities and salaries for clinical
psychologists as discussed in the text? Why or why not?
CLINICAL PSYCHOLOGY IN THE 21ST CENTURY

5. Find an article on an “evidence based” intervention that a clinical psychologist might
use. Evaluate the quality of the research and make a recommendation as to the potential
usefulness of the intervention.
6. Check with your own insurance company about your medical policy’s mental health
parity.
WEB EXERCISES
1. Access the APA website and one website from a different organization of clinicians as listed
below. Compare and contrast the descriptions of the purposes and missions of the organizations.
• American Psychological Association (APA): www.apa.org

• Division 12 of the APA, the Society for Clinical Psychology: www. apa.org/divisions/div12
• Division 16 of the APA, School Psychology: www.apa.org/about/division/div16
• Association for Psychological Science:www.psychologicalscience.org
• Division 17 of the APA, the Society for Counseling Psychology:www.APA.org
• American Psychiatric Association: www.psych.org
• National Association of Social Workers: www.socialworkers.org
3
• American Psychiatric Nurses Association: www.apna.org
2. Search your state Psychological Association website for activities, programs, and training
opportunities that they sponsor in your area. Inquire about their policies for student membership.
3. Gather information about the training received by psychologists and psychiatrists from the
website of a major university that has programs in both fields. What are the most striking
training differences for these two professions?
ADDITIONAL RESOURCES
• Castonguay, L. G., & Beutler, L. E. (Eds.). (2006). Principles of therapeutic change that work.
New York: Oxford University Press.
• Prochaska, J. O. & Norcross, J. C. (2007). Systems of psychotherapy: A transtheoretical

analysis. (6th ed.). Pacific Grove, CA: Brooks/Cole.
• Cummings, N. A., & O’Donohue, W. T. (2008). Eleven blunders that cripple psychotherapy in
America: A remedial unblundering. New York: Routledge.
• Video: Psychology: Scientific Problem Solvers; Careers for the 21st century. Hyattsville, MD:
American Psychological Association. (ISBN: 0-534-34293-0) Running time: 13 minutes. An
introduction to careers in psychology.
TEST BANK
Multiple Choice
1. Like all psychologists, clinical psychologists are
a. only interested in understanding abnormal behavior.

b. focused on providing assistance to individuals experiencing life difficulties.
c. interested in behavior and mental processes.
d. committed to a single theoretical orientation.
Answer: c Page: 2
4
2. The field of clinical psychology involves
a. understanding and predicting psychological distress and disability.

b. research and teaching.
c. providing services for alleviating behavioral maladjustment.
d. all of the above
Answer: d Page: 2
3. Among the personality variables considered most important for applicants to clinical psychology
programs are
a. integrity, emotional stability, interest in people, and intellectual curiosity.

b. an ability to contain all emotional reactions.
c. very high intelligence as evidenced by high scores on standardized tests.
d. good social skills and an ability to “sell” particular services.
Answer: a Page: 3
4. The Ethical Code of conduct for psychologists
a. is now outdated and useless for modern practitioners.

b. provides guidelines for many areas of professional practice.
c. covers only a few areas of concern to clinical psychologists.
d. is only relevant to psychologists actively involved in providing direct services to clients.
Answer: b Page: 5
5. The American Psychological Association (APA)
a. is an association specifically for clinical psychologists.

b. primarily represents psychologists who are doing academic work and/or research.
c. is the largest association of psychologists in the United States.
d. regulates the licensing of clinical psychologists.
Answer: c Page: 6
6. The term "mental health literacy" refers to
a. the ability to read carefully about issues of mental health and illness.
b. an accurate understanding of psychological disorders and their treatment.
c. the many publications supported by the American Psychological Association.
d. the information conveyed via the media about mental health concerns.
Answer: b Page: 6
5
7. Professionals in the categories of clinical, counseling and school psychology, social work,
psychiatry, and psychiatric nursing, among others, are considered
a. medical adjuncts.
b. health service providers.
c. assistive clinical professionals.
d. non-academic practitioners.
Answer: b Pages: 5-6
8. All of the following are major differences between clinical and counseling psychologists except
a. only clinical psychologists can be licensed.

b. counseling psychology programs are often housed in departments of education, rather than
psychology departments.
c. clinical psychologists often deal with more severe pathological issues that do counseling
psychologists.
d. counseling psychologists deal mainly with normal life transitions.
Answer: a Page: 6
9. The mental health practitioner who is a specialist within the medical profession is a
a. psychiatrist.
b. licensed marriage and family counselor.
c. social worker.
d. none of the above
Answer: a Page: 7
10. Which of the following are considered "alternative treatments?"
a. health psychology interventions

b. rehabilitative services
c. aromatherapy, reflexology, and homeopathy
d. pastoral counseling
Answer: c Page: 7
11. In which of the following areas do licensed psychologists spend the greatest percentage of their
time?
a. individual psychotherapy
b. assessment
c. teaching
d. research
Answer: a Pages: 8-9
6
12. What recent additions have been added to the array of assessments available to psychologists?
a. projective measures
b. intelligence tests
c. neurobiological and computer-based assessments
d. personality questionnaires
Answer: c Page: 9
13. Which of the following is NOT a reason that most clinical psychology programs emphasize
statistics and research courses and activities?
a. Clinical psychologists inevitably end up involved in research and focusing on publishing their
work.
b. It is essential that psychologists know how to critically evaluate published research.
c. Clinical psychologists often supervise and evaluate research projects.
d. Often clinical psychologists need to evaluate the effectiveness of interventions for themselves
or the agencies for which they work.
Answer: a Page: 10
14. It could be said that teaching is a primary activity engaged in by many clinical psychologists
because
a. almost all clinical psychologists are also full-time faculty members.

b. most clinical psychologists are involved in developing research projects and supervising
student research.
c. there are many opportunities for clinical psychologists to teach including college classrooms,
research supervision, in-service trainings, and even during psychotherapy.
d. clinical psychologists need to teach to earn enough to support themselves.
Answer: c Page: 10
15. According to the text, two types of consultation in which it is common for clinical psychologists
to participate are
a. private and group.

b. case and program/administration.
c. preventative and remedial.
d. paid and unpaid.
Answer: b Page: 10
7
16. Women outnumber men
a. in clinical psychology practice, especially at the higher income levels.

b. in clinical psychology practice, but not in clinical psychology training programs.
c. in clinical psychology training programs, but not in clinical psychology practice.
d. in neither training programs nor practice.
Answer: c Page: 13
17. According to the text, the imbalance in the diversity of clinical psychologists
a. has changed dramatically in recent years.

b. has remained stagnant for the past decade.
c. must be addressed by quota systems in educational programs.
d. is rarely addressed through institutional recruitment plans.
Answer: b Page: 13
18. Interest in understanding the importance of diversity and cultural variations is related to the
understanding that
a. the willingness to seek treatment can vary by culture and ethnic background.
b. there are some cultural variations in symptom patterns.
c. there can be differing responses to treatments and interventions related to cultural and ethnic
differences.
d. all of the above
Answer: d Page: 14
19. “Evidence-Based Practices” are
a. interventions based on the best research currently available.

b. yet to be developed, however research is being planned.
c. theoretically possible, but not currently in use.
d. clinics whose programs are aimed at developing empirically supported treatments.
Answer: a Page: 15
20. Some groups that have been quick to create lists of evidence-based psychological
interventions are
a. insurance companies.
b. specific groups within the APA.
c. colleges, universities, and other educational institutions.
d. drug companies.
Answer: a Page: 15
8
21. The training program style that is often referred to as the scientist-practitioner model is called
the
a. Boulder model.
b. Vail model.
c. Aspen model.
d. Denver model.
Answer: a Page: 15
22. The Vail model established the foundation for offering
a. the PsyD degree.

b. students additional training in research and program development.
c. psychology graduate training only through university-based programs.
d. more master’s level training programs.
Answer: a Page: 16
23. One of the most striking aspects about training programs for clinical psychologists is
a. how similar they are to each other.

b. how they all rely on the university setting.
c. the considerable variation that exists across training approaches.
d. how they all value research equally.
Answer: c Page: 16
24. Laws that require health insurers to provide the same level of coverage for mental health care as
for physical care are
a. referred to as mental health parity laws..

b. already on the books in all 50 states and Canada.
c. will undoubtedly increase insurance costs to employers.
d. have been tried and shown to be ineffective in containing health care costs.
Answer: d Page: 16
25. Managed care
a. uses business models and not just clinical judgments in making decisions about treatment.
b. often contributes to a decrease in income for practitioners.
c. has stimulated research on the efficacy of certain treatments.
d. all of the above
Answer: d Page: 17
9
TRUE/FALSE
26. Licensing requirements for clinical psychologists in the United States are established at the
national level.
Answer: False Page: 3
27. Clinical psychology is a legally regulated profession.
Answer: True Page: 3
28. Most states require continuing education for maintaining clinical psychology licensure.
29. Social workers are the nation’s largest group of mental health service providers.
30. Paraprofessionals are often licensed and generally work as part of a treatment team.
31. Psychological assessment is currently considered a rather stagnant area of clinical psychology
practice.
32. The importance of an orientation towards research in clinical practice is evidenced by admissions
criteria for graduate programs in clinical psychology.
33. Working in administration has become an increasingly common professional activity for clinical
psychologists as they progress through their careers.
34. The salaries of clinical psychologists vary widely with the work setting and the number of years
of experience.
35. There is a clear consensus on the research that should be used in developing evidence-based
practices.
ESSAY
10
36. Discuss the importance of mental health literacy. (Page: 5)
39. Describe three major differences between clinical psychologists and psychiatrists. (Page: 7)
38. Describe the differences between the Boulder model and Vail model of clinical training. (Pages:
15-16
40. Discuss the concept of mental health parity and the pros and cons of such laws. (Page: 16)
40. How has managed care impacted the practice of psychotherapy for clinical psychologists? (Page:
17)
11
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The Project Gutenberg eBook of Nellie
Arundel
This ebook is for the use of anyone anywhere in the United States
and most other parts of the world at no cost and with almost no
restrictions whatsoever. You may copy it, give it away or re-use it
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Title: Nellie Arundel

A tale of home life
Author: Catharine Shaw
Release date: June 2, 2024 [eBook #73754]
Language: English
Original publication: London: John F. Shaw and Co, 1900
*** START OF THE PROJECT GUTENBERG EBOOK NELLIE ARUNDEL

***
Transcriber's note: Unusual and inconsistent spelling is
as printed.
How intently they gazed at the corner of the rocks round
which Wilmot must come.
[The Arundel Family series]
NELLIE ARUNDEL.
A Tale of Home Life.
BY
C. S.
[CATHARINE SHAW]
AUTHOR OF "THE GABLED FARM."

Not thankful when it pleaseth
me,
As if Thy blessings had spare
days,
But such a heart, whose pulse
may be
Thy praise.
New Edition.
LONDON:
JOHN F. SHAW AND CO.
48, PATERNOSTER ROW, E.C.
All rights reserved.
DEDICATED
TO
The Memory
OF
My beloved Father.
CONTENTS.
CHAPTER
I. FIRELIGHT
II. A PEEP AT CHRISTINA
III. HOME-SICK
IV. A VISIT TO FAIRLEIGH
V. AUNT RUTH
VI. CAUGHT BY THE TIDE
VII. WHERE?
VIII. FLOATING OUT TO SEA
IX. ADA'S FRIEND
X. SISTER AND BROTHER
XI. TEMPTED
XII. SOWING AND REAPING
XIII. CALLED HOME

XIV. REST
XV. SUNRISE
XVI. "THINE EYES SHALL SEE THE KING"
XVII. IN THE NIGHT
XVIII. "THAT WHICH WAS LOST"
XIX. ADA'S STORY
XX. CROSSES
XXI. AN UNEXPECTED ANSWER
XXII. A LETTER
XXIII. GUESSING
XXIV. WAITING
XXV. HASTY
XXVI. CONCLUSION
NELLIE ARUNDEL.
A Tale of Home Life.
CHAPTER I.
FIRELIGHT.
"ADA, my dear, you will spoil your eyes if you attempt

to read by firelight."
The girl addressed looked up from her book into her

mother's face, but answered absently, without moving:
"This fire gives such a good light, mamma! And it is so

comfortable sitting here."
"It is, dear; but you will find, when you have to rouse
yourself at tea-time, that you are cold and cross, and not at
all fit to take your part in everything cheerfully."
Ada looked incredulous, but yielded to her mother's

wish, and drew nearer the table, where a shaded lamp was
casting a bright and pleasant light.
"It is so much nicer to do as one likes," she said,

drawing her shoulders together and shivering slightly.
"Yes, at the time," answered Mrs. Arundel, quietly.
"People always forget," continued Ada, "that they used

to like such things when they were young."
Her mamma gave her an arch smile, and Ada continued
—
"I don't mean you do exactly; but people want us to

grow wise all at once; now don't they, mamma?"
"Yes, dear, I dare say we do. We want to save you a

number of vexations which we had to bear ourselves; but I
am afraid you will not let us."
As Mrs. Arundel finished speaking, a bright girl of about

twenty entered, followed by two little maidens of nearly
seven and eight years respectively.
"Here you are!" exclaimed Ada, starting up. "I have

been longing for you so; but this last hour I had forgotten
all about you, I have been so busy reading."
"Yes, here we are," answered Nellie, coming forward

and kissing her step-mamma. "We have had such a nice
time; but how are all at home?"
"Oh, pretty well, dear. We missed you sadly though."
Nellie shook her head, and bent down to warm her

hands, while the little girls began to throw off their wraps,
and were drawing their chairs close to the warm blaze,
when Nellie interposed—
"We must go up and take off our things, dears. It is of

no use to settle down for a chat till we have got ready for
tea. Come along."
Netta and Isabel gathered up their hats and jackets and

hastened after their half-sister, only anxious to get back
again as quickly as possible to their mamma and the fire.
"Now," said Ada, resuming her semi-grumble, "would
you not say, mamma, that that was rather exasperating, if
you didn't know that it really was the best to do?"
"That? What do you mean?"
"Why, Nellie walking those children off, and not saying a

word. Don't you think we should all have enjoyed ourselves
infinitely more if we had settled down to a chat then and
there?"
"Perhaps—" said Mrs. Arundel, hesitating. "Only, you

see, Ada, I know so well that it is the right thing, that I am
not a fair judge."
"So do I," said Ada, half smiling. "Of course I know it;
for instead of sitting and spoiling their hats, and rumpling
their jackets, and scorching their best boots, and having
after all to turn out and go upstairs, and dreading all the
time that you would tell them to go, they will now come
down warm and tidy and fresh, and they will sit here for
ever so long, and be quite happy, and tell you all their
doings without a break, and will feel besides that they had
done right; and yet, mamma, I'd have sat here all the
same, if I had been allowed, and faced the disagreeable for
the sake of the luxury!"
Mrs. Arundel looked rather pained, and Ada leant over

and gave her a warm kiss.
"You're a dear, good, sweet mother. And now I've done

grumbling, and will be a good girl."
She closed her tempting book precipitately, drew from

her pocket some tatting, and pushing her chair a little to
one side to make room for the others when they came
down, she commenced working.
Some readers are already acquainted with the Arundels;
but to those who do not yet know them, it may be
explained that they were a large family, living in a square in
the middle of London, round which their father's practice as
a physician lay among both rich and poor.
There were many who knew Dr. Arundel, not only as the
clever and successful doctor, but as the friend who in dark
hours of anxiety truly sympathized, while reminding them of
One above, ruling and watching, waiting to be gracious, and
to bless those who would call upon Him in their sorrow.
There were nine children—Walter and Nellie by the first

wife, and seven since, the two youngest of whom, a baby
boy of two years, and a little pet girl of four, were happily at
tea in the nursery on this cold day in January.
Very soon the three sisters came down looking, as Ada

had said, warm and tidy and fresh, or if they were not
warm, they soon would be.
"Now tell us all your doings," exclaimed Ada.
"How did you leave Christina?" asked Mrs. Arundel.
"She was very well, and very happy; and we really had
so much to do, and were so busy over the Christmas tree,
that the time flew by in an extraordinary way," answered
Nellie.
"Did they have a Christmas tree?" said Ada rather

regretfully.
"Yes, last night; just a very simple one. We did so want

you, Ada! But papa had said so distinctly that you were
needed at home, that Christina did not like to write."
Ada's colour came fast, and she went on with her
tatting in silence, her eyes filling in spite of all her efforts
when she remembered the delights she had missed, and
pictured to herself how intensely she would have enjoyed it
all. She knew, however, that it had not been "her turn" to
go, and acquiesced in its being right; but still "how she
would have enjoyed it!"
Nellie knew this well enough, and had offered to come

home and send Ada instead; but Christina Arbuthnot, at
whose house at Hampstead they had been staying,
understood Dr. and Mrs. Arundel's wise decision, and would
not allow Nellie to write and make the proposal.
"And did it go off well?" asked Mrs. Arundel.
"Oh, lovely!" said Isabel. "It was so pretty; and such a

lot of candles; you could not have counted them, mamma,
if you had tried ever so, not when they were all alight."
Ada stealthily brushed away her gathered tears, and

said, without looking up, "Did they have presents on the
tree?"
"Yes, lots," replied Netta emphatically; "little toys, bags

of sweetmeats, pincushions, boxes, and fruit."
"Who made the things?" said Ada.
"We did, a great many," answered Isabel; "but of course

the toys were bought. We made little bags of net, and the
sweetmeats looked so pretty, showing through them."
"Then we made some net into the shape of sailor boys,

and pushed pink and white lozenges into their legs and
arms, and, oh, they did look so funny hanging by cottons
dangling about!"
Netta and Isabel laughed gleefully, and Ada smiled too
at the thought.
"The little ones did stare so," said Nellie, "when they
were introduced into the room; and the baby gave quite a
crow of delight."
"What did you give the baby?" asked Ada.
"A soft dog," answered Netta, "that would squeak."
"And what did Alfy have?"
"A little horse and cart for his very own."
"Was he pleased?"
"Oh, yes; he walked away with it, and began playing at

once; and every time anyone came near, he hugged it tight,
and said, 'This is for my own, own self now.'"
"Poor little man," said Mrs. Arundel.
"Mamma always is full of pity," said Ada; "but I do not

see why Alfy is poor at all."
Mrs. Arundel did not answer, but stroked Netta's head

thoughtfully.
"Dear mamma," said she, looking up and appreciating

the soft touch; then turning to Ada, "I know why mamma
thinks Alfy 'poor;' and so he is, because he has no mother."
"But Christina makes him as happy as can be in her

Orphanage," said Ada.
"Yes," said Mrs. Arundel; "and it is infinitely better than

his running wild at the farm; and yet, Ada—"
Ada's eyes turned round the room, and a thought
flashed across her; but she put it away hastily and almost
angrily. "Another time," she said to herself; "not now on any
account."
Just at this moment, the door was opened to admit the

entrance of an invalid boy, who lay at full length on a light
frame, so arranged that it could be carried up and down
stairs easily, and placed upon an ordinary sofa without
disturbing him.
Mrs. Arundel sometimes wondered what they would do

when the now slender form should be too heavy to be
carried, but she checked the thought; for, after all, did it not
belong to the cares of to-morrow? And are we not told over
and over that these are not to harass us?
Carrying one end of the couch was Simmons, the

housemaid, and the other, little Tom's brother Arthur, a
well-grown boy of fifteen. Mrs. Arundel rose, and made way
for them to place him on the sofa, and then, when he was
comfortable, the little girls greeted him, while Nellie sat
down by him and took his hand.
"I have missed you so, Nellie," he said, looking up in

her face.
"I have brought something for you off the Christmas

tree," answered Nellie.
"Have you really? How kind of you."
"It is from Christina. It was her tree, you know."
"What is it?" asked Tom, looking curiously at Nellie's

hand, which was disappearing into her pocket.
"It is a very wonderful knife," answered she, producing
it; and while his thin little fingers explored its mysteries, all
the others drew near to watch, Arthur holding the lamp
above Netta's head that they might all see as well as
possible.
There was a large blade and a small blade; there was a

little saw, a gimlet, a bradawl, a tiny screwdriver, and a little
pair of pincers.
Tom's eyes sparkled, and even Arthur would not have

disdained the pretty present.
"Shall I ever be able to use any of them?" asked Tom.
"Yes, we think you will. Christina has sent you some

light wood, and directions how to make various little things;
and she thought, Tom, you might perhaps like to do
something for the missionaries."
"I should very much, if I could."
"We will see then some morning when you are extra
well."
"All right," answered Tom, shutting up the different

parts of his knife with great pride, and then it lay in his
hand, while he turned a little to refresh himself with a sight
of his sisters and his dear Nellie. He thought how nice they
all looked in their plain, warm winter dresses, and then his
eyes wandered to his mother.
She was the very light of Tom's eyes. How he loved to

see her come in and out. There were times, seeming long
ago now to little Tom, but not much more than a year really,
when he had been fretful and impatient to this loved
mother, adding greatly to her cares by repining at his
helpless state, and grumbling at his deprivations. He had
perhaps loved her then as much as he did now; but how
different was the whole of his life!
The children sometimes said, "We think Tom is getting

better;" but Tom knew it was not so.
No, there was just this difference: before, he had tried

to bear his affliction as well as he knew how, while secretly
chafing against the accident which had deprived him of
every pleasure in life, and unable to help venting his misery
on his tender mother.
Now he had learnt a different lesson. He found one

beautiful summer day, that there was another life beyond
this one, that these short years are but as a drop in the
ocean of eternity. He found that God had allowed him to be
a sufferer; and the same God who had sent him such pain
and weariness had given him also an assurance that He
loved him.
Loved him! Was it possible this could be love? Could the

bitterest trial that could enter little Tom's imagination be
sent in love?
He found out that it was, it must be. He who had sent

this blow to Tom had also given up His own Son to die for
him. Greater love could not be; and he believed that love,
and rested in it, and found peace.
So from that time, little Tom had been a different boy. If

ever the old repining feeling came over him, he would
remember words which had often comforted him, and would
again repeat them over to himself.
One day he gave Nellie a shilling, and asked her in a

whisper to buy him a little set of scales. She did so,
wondering what he could want them for. He did not explain;
but a few days afterwards, she found him busy covering two
match-boxes with white paper, and painting them to imitate
corded packages.
She examined one, and saw painted on the side "L. A.";
and turning to the other, took it up, and found to her
surprise, it was quite heavy.
"What are you making, Tom dear?" she asked.
He smiled slightly, and leaning over to a little box on his

table, produced the scales, and placing one package in one
side, and the other package in the other side, asked her to
hang them up for him somewhere where he could see them.
"But what for, Tom dear?" she said, rising to get a nail.
"What is the meaning of the letters on the parcels?"
"'L. A.' is my luggage now," said Tom, "and 'W. G.' is my

luggage by-and-by."
Nellie looked at him enquiringly, and Tom said, though

his lips quivered a little, "They are to remind me—Light
Affliction now, Weight of Glory afterwards."
Nellie buried her head on his pillow, and clasped her

arms round him. "Oh, Tom! Poor little Tom! Dear little Tom!"
And then he whispered tenderly, though with a sob in

his voice—
"'These light afflictions, which are but for a moment,

work for us a far more exceeding and eternal weight of
glory.' For, Nellie darling, the things that we see are but for
a time, but the things we do not see are for ever."
* * * * * *
On this evening of their return from Hampstead, Tom

lay looking at them all, and when Dr. Arundel came in, they
all gathered round the tea-table.
Then they told their little histories over again, with

some new ones in addition; and the evening flew away so
fast that Netta and Isabel were astonished when their
mamma said, "It is eight o'clock, my dears; and you must
go to bed."
Tom generally was glad to retire soon after tea; the

days were long enough for him; but on rare occasions,
when his mother saw he was interested, she did not break
in on his happiness, but let him enjoy as much as he could.
When Ada laid her head on her pillow that night, after
she had said good-night to Nellie, the thought which she
had banished so peremptorily would force itself unbidden
upon her.
This was the thought, and it made her shiver, "What

would home be without mamma?"
Her mind went round and round the corners of the

house—the sitting-rooms, the bedrooms, the nursery; and
for once in her life, Ada Arundel was thoroughly frightened
at the desolation her imagination had conjured up.
A soft footstep entered the dark room, a footstep she

knew and loved.
"Is either of you awake, dears?" said a gentle voice.
"I am, mamma," answered Ada, starting up with such

an overpowering sense of relief that she burst into tears.
"I was only afraid of frightening you," answered Mrs.
Arundel. "I came up for the glycerine."
"Oh, mamma, do kiss me!" said Ada in a broken voice.
Mrs. Arundel made her way to the side of the bed, and,
feeling for her eldest daughter, folded her in her arms.
"Oh, mamma," said Ada again, "I did not know I loved
you so much!"
"My dear," questioned Mrs. Arundel, while she kissed

the wet face fondly.
"Oh, don't leave us, mamma!" sobbed Ada.
"Not if it is God's will," gently answered her mother. "It

would be hard to think of you without me; but, Ada, my
child, do not cry about it now; tell it all to God. He knows
best, my dear."
Kissing her again, Mrs. Arundel tucked her up smoothed

her hair, wiped away her tears, and turned to the dressing-
table.
Ada jumped out of bed, and gave her the glycerine, and
with one more kiss jumped in again, and buried her head
far beneath the clothes.
If she fought a hard battle there with her anxious fears,

there was One knew it; and if she came off victorious and at
rest, there was One who proved Himself, as He has so often
done before, "a refuge from the storm; a shadow from the
heat, when the blast of the terrible ones is as a storm
against the wall."
CHAPTER II.
A PEEP AT CHRISTINA.
IT may be remembered that Christina Arbuthnot was an

orphan. She had met the Arundels rather more than a year
before this at the sea-side, and had become very intimate
with them; and eventually she had accepted Dr. Arundel's
eldest son, who was now in India.
She had been left by her father in comfortable

circumstances, and had intended to devote her life to
bringing up little friendless orphans to usefulness and
happiness.
Then Walter Arundel had come upon the scene, and had
fixed all his life's hopes on winning her.
Christina had hesitated; at first she had felt it to be

impossible to yield to his wishes; for there was a grave far
away where a great part of her heart lay buried. But after a
time, thinking more of Walter than of herself, she had
consented, and had settled down at Hampstead with her
orphan children quietly content, full more of the present,
perhaps, than of the future.
Her house, with its large garden, pleasant rooms, and

glorious sunshine, was a home in which any one far less
cheerfully constituted might have been happy; and Christina
was happy. She loved her aunt, who lived with her; she
loved her little orphan children; and the days passed away
in her care for both.
There was one little child, "the baby," who had grown
very dear to Christina; for her story had been a sad one,
and she had been sent to Hampstead under peculiar
circumstances. She was at this time a toddling little mite of
eighteen months old, with fair hair and white cheeks, in
which a tender little colour was beginning to be visible,
which was watched by all the inmates of Sunnyside with
great interest.
Whether Margaret Fenton, the nurse, or Margaret's own

little daughter, Maggie, or Christina herself, loved baby Alice
best, was a problem that little Maggie often tried to solve,
and she generally ended it satisfactorily by saying in an
assured little tone to her mother, "At any rate, God loves
her best of all!"
There was, however, no doubt as to which of her

devoted admirers baby loved best. Dearly as she liked nurse
Margaret, happily as she played with Maggie, her smile of
sweetest welcome was reserved for Christina, and it was to
her she would go in preference to anyone else.
It was generally understood in the household that,

when the young mistress was married, little Alice Forbes
was not to be parted from her.
One morning early in January, the nursery door opened,

after a slight tap, and Ada Arundel, dressed in hat and
jacket, walked into the room.
"Miss Ada, you quite startled me!" said Margaret,

looking up pleasantly in the bright young face. "It seems a
long time since you were here."
"Yes, I've been dutiful at home, and so I couldn't come.

Where's Miss Arbuthnot?"
"She has gone out into the town to get a few things, I
believe, miss."
"Is she alone?" asked Ada, glancing round the nearly

empty nursery.
"Oh, no! Alfy and Maggie are with her."
"I think I shall wander down the town too, presently,

when I am warm, and see if I can find her. I wonder I did
not meet her as I came."
"She might be in a shop," suggested Margaret.
"Yes, I daresay she was. And how is 'baby Alice,'

Margaret?"
Their eyes turned towards the hearthrug where the little
maid was seated. Her warm winter frock was covered by a
snowy pinafore, and her flaxen hair was neatly parted, with
an attempt at two or three soft little curls.
"She looks pretty well?" said Ada, half questioningly.
"Yes," said Margaret, also with a slight hesitation in her

voice, "but she wants a great deal of care, Miss Ada; I
doubt if she will ever be strong."
Ada took her up on her lap, and began to talk to her in

baby language, Alice staring at her with grave eyes for
some moments, and then holding out her arms, with
quivering lips, to her nurse.
"She is so shy," said Margaret apologetically, "we have

quite a trouble with her sometimes; but we do love her so
dearly!" And she fondly kissed the fair little neck, and held
her close to her.
"I suppose I am warm now," said Ada, rising; "but your

heath is bitterly cold at the open part there, Margaret."
"But very healthy," added Margaret.
Ada made her way once more over the top of the heath
—"the abode of the zephyrs," she told Christina it ought to
be called—and soon found herself in the midst of the shops.
After walking up and down for a few minutes, she was

touched on the hand by a little girl, and was quickly drawn
into a draper's shop, where she found Christina seated,
while close to her, with very stolid countenance, Alfy Ross
was perched, watching the proceedings gravely and without
surprise.
"Here you are," exclaimed Ada; "I began to think I
should miss you after all."
"It was Maggie spied you; she always knows what is

going on, don't you, Maggie?"
Maggie answered by a little smile; then Christina

counted her change, and they all turned homewards.
When they entered the hall at Sunnyside, Christina told

the children to go at once to the play-room.
"I don't want to," said Alfy, making towards the dining-
room.
"Come along, Alfy," said Maggie; "I've got something to

show you."
Alfy, still persisted that "he didn't want to," and walked
straight into the other room.
"Alfy," said Christina firmly, "come at once, as I told

you."
Alfy held on by the table, and looked determined not to

give in.
Christina took no more notice, but closing the door upon

him, went up with Ada to take off their things.
"Do you often have him troublesome?" asked Ada,

noticing a shade upon Christina's usually calm face.
"Yes; he is very difficult to manage; but I have found

out now what to do when he is naughty. I take no notice of
him at all."
"Does he care for that?" asked Ada.

"Oh, dear, yes, in the end. But it always makes me
sorrowful when they are naughty, so you must not mind,
Ada."
"Is Maggie ever tiresome?"
"Never to me. She is the sweetest little thing, and so

well brought up. Oh, if all were like Maggie, there would be
no trouble. But sometimes Margaret fears whether she has
will enough of her own."
"Oh, dear!" said Ada. "One has too much, and one too
little. Why, Christina, I am always struggling because I have
too much."
Christina smiled sympathizingly. "Yes, Ada; so it is."
"Now at home," pursued Ada, "I do dislike to give in to

Nellie, dearly as I love her. She is so methodical, and nice,
and wise; and I am 'harum-scarum,' and full of spirits, and
when I am wild to do some outlandish thing, she advises
me not—almost commands me—says mamma would not
wish it; and then up rises my will, and I can't give in."
"But Nellie does not do it to destroy your pleasure, dear

Ada, I am sure. Can you not try to consider whether it
would be your mamma's wish?"
"I do, Christina; but don't you think it is a little hard to

be ruled by elder sisters?"
"I daresay it is," answered Christina; "but I often wish I

had one."
"Well, I am afraid I'm not a good temper, and that

makes me so annoyed over little things."
"So you feel it is like a sore place that you have just got
to bear."
Ada looked up at the tone in which Christina said this,

and found there was a glimmer of a smile in her eyes.
"Well, what else can I do?" she asked, a little nettled.
"When we have sore places, what do we do?"
"Bear them."
"Nothing else?"
"Not that I know of."
"Do we not seek a cure?"
"There's no cure for bad temper."
"Is there not? Is there no balm that can be applied? No

touch that can soothe and heal?"
"Oh, well," said Ada, softening, "I daresay there is in

that way. But do you really think now, Christina, that if I felt
a bad temper coming, I could get it cured before it got
beyond me?"
"Yes; if you were willing to have it cured, most certainly.

Try it, Ada.
"'Come unto Me, all ye that are weary and

heavy laden, and I will give you rest. Take My
yoke upon you, and learn of Me; for I am meek
and lowly in heart: and ye shall find rest unto
your souls. For My yoke is easy and My burden
is light.'"
"I'll remember that," said Ada, with that tenderness in

her face which Christina loved to see in the proud young
girl. So she kissed her lovingly, and they went down stairs.
Christina went through the dining-room purposely, and

entered the play-room from that way. Margaret was at
work, baby Alice slept in a crib in the corner, and Maggie
was seated at the table doing her lessons.
Christina showed Margaret her purchases, and after

glancing at the baby, she and Ada went into the drawing
room.
Christina stirred up the fire and drew a chair close, and

telling Ada to sit there, pushed one forward for herself.
"It will soon be dinner-time, but we can have a chat

first. Must you be home by dark?"
"Yes; I am to leave at three o'clock."
"Ada, I believe I have found another little child!"
"Have you? Where?"
"You know I have not increased the numbers as much

as I at first intended. Somehow, as I knew more about it,
the responsibility seemed very great, and I thought it would
be wiser to wait till—"
"Till Walter comes to share it, I suppose?" said Ada

archly.
"Partly, but not wholly, Ada. I do not think it would be
right to take more children than I could provide for out of
my own funds, if circumstances did not permit of my taking
care of them myself."
"I see," said Ada.
"But, however," continued Christina, "I have found a

fourth child, and I am to fetch him this afternoon."
"Are you? Oh, do tell me."
"It is a very sad case, Ada; a drunken mother. I was

travelling home from a short visit to some relations in the
North last week, as you know, and when the bustle of
settling ourselves in our carriage was over, and everyone
subsided into quiescence, I looked round me, as I generally
do, trying to fancy what homes my fellow-travellers come
from, and where they are going to."
"Do you?" said Ada. "How funny."
"At the other end of the carriage was a man in shabby-

genteel clothes, holding on his knee a baby of about
eighteen months old. Oh, his face, Ada! I said to myself—for
I saw he was alone, and the child had been dressed by no
careful, loving hands—I said to myself, 'You have lost your
wife, and are obliged to take your baby somewhere to be
looked after.' The child sat very still; it seemed as if want of
love and cherishing had pressed the life out of its little
nature, and my heart ached for it."
"What a loving heart you have," said Ada, as she gazed

at the beautiful face, with its eyes full of tears.
"By-and-by, the man began talking to the person next

him, and I caught the words, 'It's the last of eight. I'm

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CLINICAL PSYCHOLOGY IN THE 21ST CENTURY

clinical psychology (p. 2) consultation (p. 10)

DISCUSSION QUESTIONS / CLASS ACTIVITIES

AN OVERVIEW OF CLINICAL PSYCHOLOGY

2. Many programs for clinical psychologists require their students to engage in

CLINICAL PSYCHOLOGISTS AT WORK

CLINICAL PSYCHOLOGY IN THE 21ST CENTURY

• American Psychological Association (APA): www.apa.org

• Prochaska, J. O. & Norcross, J. C. (2007). Systems of psychotherapy: A transtheoretical

1. Like all psychologists, clinical psychologists are

a. only interested in understanding abnormal behavior.

a. understanding and predicting psychological distress and disability.

a. integrity, emotional stability, interest in people, and intellectual curiosity.

4. The Ethical Code of conduct for psychologists

a. is now outdated and useless for modern practitioners.

5. The American Psychological Association (APA)

a. is an association specifically for clinical psychologists.

6. The term "mental health literacy" refers to

Answer: b Pages: 5-6

a. only clinical psychologists can be licensed.

10. Which of the following are considered "alternative treatments?"

a. health psychology interventions

Answer: a Pages: 8-9

a. almost all clinical psychologists are also full-time faculty members.

a. private and group.

a. in clinical psychology practice, especially at the higher income levels.

a. has changed dramatically in recent years.

19. “Evidence-Based Practices” are

a. interventions based on the best research currently available.

22. The Vail model established the foundation for offering

a. the PsyD degree.

a. how similar they are to each other.

a. referred to as mental health parity laws..

25. Managed care

Answer: False Page: 3

27. Clinical psychology is a legally regulated profession.

Answer: True Page: 3

Answer: True Page: 3

Answer: True Page: 6

Answer: True Page: 7

Answer: False Page: 9

Answer: True Page: 9

Answer: True Page: 10

Answer: True Page: 12

Answer: False Page: 15

Title: Nellie Arundel

Author: Catharine Shaw

Release date: June 2, 2024 [eBook #73754]

Original publication: London: John F. Shaw and Co, 1900