Becoming a clinical psychologist in the United Kingdom.

The process by which one becomes a qualified clinical psychologist in the United Kingdom (U.K.) is described so that American (United States) clinical psychologists visiting the U.K. may better understand the context in which their British counterparts work. The process begins with the admissions criteria of training programs and ends with one's acceptance as a fully qualified, independent clinical psychologist. Educational and health care issues are described as factors relevant in shaping the structure of clinical psychology programs. Advantages and disadvantages of the British system are discussed in the light of continuing political changes, and some suggestions for improvements are made. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychology and the mental health movement.

The following points are elaborated: "1. Among many other things, mental health is a vast social movement which, for better or for worse, will carry us all along with it. 2. Psychologists, for a number of reasons, have not been enthusiastic participators in this social movement. 3. Psychologists have a great deal to contribute to the mental health movement, and they can contribute mightily without loss of identity." Mental health as a social movement seems due to three factors: (a) The tendency to conceive human behavior in naturalistic terms. (b) The American belief in the almost infinite improvability of almost anything. (c) The rising level of aspiration for health and well-being. The scientific humility of the psychologist "can become maladaptive diffidence, and diffidence sometimes becomes irresponsibility." 6 suggestions for dealing with diffidence are indicated. The psychologists perceptions of mental health, the orientation of the movement toward the "pathological," and the focus on the clinical may have discouraged the interests of psychologists in mental health. The unique contribution of the psychologist to mental health is discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Clinical psychology in Britain: A laboratory for the American psychologist.

"The present status of the clinical psychologist in Britain may permit perspectives on problems relating to standards and curricula of graduate training in university departments and the question of legal, and therefore public, status for the practicing psychologist—chiefly the clinician." In Britain: "Conditions of appointment, standards of training, and promotion for clinical psychologists have been outlined in a series of official memoranda dating from 1951." A number of problems for the psychologist in Britain are considered. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Length of graduate training for experimental and clinical psychologists.

Tabulations of data on Division 3 (experimental) and Division 12 (clinical) members listed in the 1959 "American Psychological Association Directory" are reported. It "takes the average experimental psychologist slightly over 2 years to receive the MA after he receives the BA, but over 3.25 years are spent by the average clinical psychologist… . It also takes the average clinical psychologist much longer to progress from the MA to the PhD degree"—about 3.5 years for the experimental psychologist and over 6 years for the clinical psychologist. From Psyc Abstracts 36:02:2AM78V. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Behavioral "Medicine" and the Collaboration Model of Knapp and Vandecreek.

Knapp and Vandecreek's (1981) article provided a helpful outline of some ethical and legal considerations of the health psychologist. Their recommendations regarding "physician collaboration" (p. 679) in the psychological management of physiological health concerns lead to practical problems that require further ethical and legal inquiry. Some concerns arising from efforts to apply the collaboration model are considered here: interaction with physicians who are minimally sophisticated about the psychological aspects of illness; collaboration with physicians who routinely equate patient's health psychology concerns only with emotional disorder and consign these individuals to the psychologist; and whether health psychologists can select an accurate diagnosis for conditions that are not psychological in nature. Health psychologists may ultimately resolve these issues as the professional identity of behavioral "medicine" and its practitioners develops. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Community mental health practice and the elderly.

Discusses some of the working knowledge necessary for a professional psychologist to provide effective mental health services for elderly community residents. The relevance of branches of psychology such as life-span developmental and health and community psychology, which can augment traditional clinical skills, are presented as critical to a psychologist's understanding and management of psychological disorders in older community residents. Also emphasized are the mobility of the psychologist and the provision of services in familiar settings. (25 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Application of the competency model to clinical health psychology.

In response to the growing emphasis on defining professional competence within applied psychology (e.g., clinical, neuropsychology, counseling, school), in 2007 American Psychological Association Division 38 (Health Psychology) sponsored a summit meeting with a specific focus on revisiting the standards of graduate curricula and training in clinical health psychology. Using the cube model of core competency domains of professional psychology as a framework, summit participants were charged with identifying the foundational and functional competencies expected of a well-trained, entry-level clinical health psychologist. As a product of these discussions, the present article is presented as an initial effort to identify the competencies and begin the discussion in clinical health psychology. As such it is likely to be of interest to a wide audience, including clinical training programs with an existing or planned emphasis in clinical health psychology, practitioners interested in acquiring the competencies required to practice as a clinical health psychologist, and students evaluating potential graduate and postgraduate training options in clinical health psychology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Public attitudes toward mental health professions.

"The study reported here involves the application of opinion sampling methods to public attitudes toward mental health professions." The following titles were employed: doctor, physician, nurse, psychiatrist, psychoanalyst, psychologist, clinical psychologist, research psychologist, mental hospital attendant, social worker. The Semantic Differential was used. The sample of respondents was obtained from the Opinion Panel of the Institute of Communications Research; 207 of 239 panel members returned questionnaires on time. "A very high, positive, public attitude was found for the professions as a whole." Virtually no distinction is made between the concepts doctor and physician. "No distinction is made… among the concepts Psychiatrist, Psychoanalyst, Clinical Psychologist, and Research Psychologist on the Semantic Differential… . There are large and significant differences between the concept Doctor and Physician and the cluster of concepts whose titles start with the morpheme 'Psych-.' " The mental hospital attendant is held in relatively high esteem. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Psychologist in community mental health.

It is "our belief that the field of community mental health is a challenging and stimulating field for research oriented psychologists. We feel strongly that the identity of the psychologist may be best maintained through a scientist-professional model." Recommendations are made for the future training of psychologists in this field. The individual psychologist "must be assisted by adequate post-doctoral interdisciplinary training in a university setting." Major sections are: Maintenance of an Identity, Scientist and Professional, and Training the Scientist-Professional. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The rural psychologist as generalist: A challenge for professional identity.

Discusses how the psychologist who practices in a rural mental health facility performs many tasks identical to those done by other mental health professionals. While a nonpluralistic and financially constrained mental health system is best served by flexible professionals with a wide range of skills, psychologists in such a setting must utilize their unique training to establish their identity among the service providers. The unique identity of the psychologist is found in the heritage, perspective, and methodology of psychology and not just in clinical activity. Psychologists should begin to develop their methodology by using the larger university context in which they were trained and thereby establish themselves also as researchers and community psychology practitioners. (17 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A study of human behavior: The clinical psychologist.

The psychologist "has derived some benefit by the mixture of being a doctor but not being identified with the mentally ill person." By reviewing personal and cultural forces the attempt was made to establish the variety of emphases current in clinical psychology. "Nearly every adjustment pattern observed among clinicians has occurred as a result of training and experience in some university, school or clinic. As yet, no completely satisfying or dominant component of needs has been discovered for the training and role of the clinical psychologist… . But it is a backward step to discard special curricular requirements for clinical psychologists." A prime requirement for a profession is "a disciplined and recognizable training program." The public that supports us will demand "a real and inexorable service contribution that we have implicitly promised… . We evolved on the impetus of service need." A number of current conflicts of the clinical psychologist are indicated. "The only way professional psychologists can hold to a responsible place is by partial separation from the academic, basic science psychologists." Leaders in clinical psychology should "be more than 80% in real clinical work with ill patients." (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Community psychology, networks, and Mr. Everyman.

Proposes and defends the separation of community psychology from clinical psychology and community mental health. The proposal is not intended to assert the superiority of one field over another but rather to demonstrate that they require different conceptual rationales to achieve their different purposes. Clinical psychology and the community mental health movement rest on theories and practices that cannot provide an understanding of a community; indeed, they stand in the way of coming to grips with the complexity of a community. The need for a "divorce" is illustrated in several ways, with particular attention paid to the potential productiveness of the concept of a network as a way of looking at and studying a community. The characteristics of a community psychologist are defined, and their similarities to the "Mr. Everyman" of historian C. Becker (1935) are stressed. (17 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

On the manpower problem and graduate training in clinical psychology.

Discusses the problems of manpower shortage and the nature of clinical graduate education and proposes strategies for dealing with them. It is suggested that there be (1) movement away from the scientist-professional or V. C. Raimy's Boulder model still often considered the most appropriate for clinical psychology to more emphasis on a professional psychologist model, and (2) development of specialist-oriented subdoctoral programs in clinical psychology. The 1st priority in the development of professionally oriented masters programs would be extensive analyses of the needs of various agencies utilizing psychologists, and the resources of present masters programs, i.e., requiring the high standards of performance for the MA and subjecting MA programs to accreditation by the American Psychological Association. Such an MA program is exemplified. The recommended approach "offers no nirvana" for the PhD clinical psychologist. 5 major benefits from the approach are presented. The greatest problem involved in the approach would be "convincing the agencies concerned of the competency of the MA-level people. It is concluded that the problems and pressures have resulted in tolerance of the ideas that the MA programs should be professionally oriented." (17 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Rehabilitation Psychologist as Health Care Executive: A Platform for Professional Diversification.

These are the best and worst of times in health care. Technological advances are offset by critical staff and cash shortages. Strong leadership is needed to navigate these challenges, yet the industry faces a widening leadership void. The effective psychologist possesses 5 specific competencies ("planks") that are well matched for success as a health care executive: clinical, relational, analytical, methodological, and ethical. By applying these competencies, rehabilitation psychologists can enhance their organizations and open new pathways for personal and professional growth. A 6th competency, financial, represents a unique "give and take" position that is portrayed through a replication and extension of J. G. Wiggins's (1994) analysis of careers in psychology. It is concluded that advocacy for our clients, our field, and ourselves is served by rehabilitation psychologists' achieving health care executive positions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Telehealth: A clinical application model for rural consultation.

This article describes how a child psychologist in a rural community provides the necessary comprehensive consultation and clinical services using a video telephone and the services of Kentucky Telecare. The authors present a clinical consultation model of health care for underserved populations where professional consultation with a team of professionals may benefit service providers in rural communities. The article examines an innovative model of telehealth care delivery through a university-based telehealth system to an underserved regional school system. A number of applications within a broad spectrum of services using telehealth technology are offered. Finally, shifts in administrative paradigms, clinical models, and information technology prevention services through telehealth are addressed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Postdoctoral training in primary care health psychology: Duties, observations, and recommendations.

The need for postdoctoral training in health psychology has taken on added importance following transformations of the U.S. health care delivery system toward primary care models of delivery. This transformation provides psychologists with the opportunity to work as primary care practitioners, educators, and researchers, and it suggests the need for postdoctoral training that prepares students for those opportunities. The author addresses issues relevant to postdoctoral training from the perspective of a former participant in a postdoctoral fellowship training program in primary care health psychology. The duties and contributions of a primary care health psychologist are described. These include the provision of graduate medical education and clinical services tailored to primary care. The author also offers recommendations regarding postdoctoral health psychology training in order to enhance psychologists' ability to collaborate with medical professionals. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relationship between Psychology and Psychiatry.

In a recent issue of this journal (February 1956), some pertinent factors underlying the relationship between psychiatry and (clinical) psychology were discussed. The principle of "one-way locomotion" can be used to describe the present situation. This freedom to trespass with impunity is a sore spot to many psychologists since there are no legal restraints prohibiting a psychiatrist (or any physician) from performing the recognized functions of a clinical psychologist. The concept of the clinical team, with the hierarchical arrangement of psychiatrist, psychologist, and social worker, deserves further scrutiny. Whether the bulk of psychiatry is willing to support research which might threaten medical pre-eminence remains to be seen. Much depends upon how sincere we all are in the common goals expressed by Brody (Amer. Psychologist, 1956, 11, 105-112): "understanding and helping emotionally and intellectually disturbed people." (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Clinically and Statistically Oriented Psychologists Split Our Profession.

Year after year articles appear presenting evidence that the well-known tools of the clinical psychologist fail to measure up to the statistical respectability which rigorous science demands. What is their impact on our profession? The data offered in these articles are viewed by the psychologist steeped in diagnosis and therapy with an indifference that borders on disdain. These same articles elicit a quite different reaction from the statistically oriented psychologist. He is furious that people who are called "psychologists" are discrediting his profession by their complacent indifference to objective evidence. To understand these reactions, factors are examined that include the personalities of the psychologists and the nature of evidence itself. However, the author notes that the time has come for psychologists to realize that they cannot forever remain a divided profession. Perhaps it would help if psychologists could admit that "truth has many faces." (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Artificial intelligence or artificial psychologist? Conceptual issues in clinical microcomputer use.

The benefits and boundaries of microcomputer use within clinical psychology are discussed. Psychological software is conceptualized along a continuum of how completely the duties of the clinician are assumed. Record keeping, test scoring, interviewing, test interpretation, integrated report writing, and expert decision-making functions are reviewed for their utility and limitations in the present generation of microcomputer hardware and software. Advantages of personal computer use are most clear in those applications that save time for the psychologist. Other applications that are supposed to substitute for the psychologist in a decision-making, diagnostic, or therapeutic capacity may be more advanced in appearance than in actuality. Software simulation of the expert psychologist remains rudimentary; serious information processing and conceptual obstacles impede future development. Proposed guidelines would increase programmer and provider accountability for the consequences of computer use and would limit the domain of current psychological software to adjunctive capacities. An argument is made for "visible" software in which diagnostic logic and decision rules are explicitly displayed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Graduate training for community clinical psychology.

"In this paper we will review some of the basic principles which seem to underlie the training of psychologists for professional careers in the field of mental health, examine these principles in relation to the developments that have occurred in this field since World War II, explore the implications of these factors for graduate training in psychology in general and clinical psychology in particular, and describe a training program in which we are attempting to apply these principles." The program at the University of Nebraska "has developed over the last 13 years." In it there has been a shift from "teaching psychological tests to teaching the use of psychologist tests as an aid to understanding people's problems." (PsycINFO Database Record (c) 2010 APA, all rights reserved)