The utility of empirically supported treatments.

How does a psychotherapist decide what treatment approach is most appropriate for a client? This issue has been addressed by the Division 12 Task Force on Promotion and Dissemination of Psychological Procedures (1995) and has stimulated considerable debate among psychologists about the importance of identifying, teaching, and practicing empirically supported treatments (ESTs). This article examines recent literature supporting both sides of this issue in an attempt to identify and understand the arguments in favor of and against the movement to identify and implement ESTs and their treatment manuals. On the basis of current research related to ESTs, recommendations are offered pertaining to practice, research, and training. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychology graduate school training on interventions for child maltreatment.

This current study surveyed psychology programs' use of empirically supported treatments (ESTs) for children and their families with a history of child maltreatment. In May 2009, there were 599 graduate school programs listed by the Graduate Study in Psychology Online of the American Psychological Association (APA). Psychology graduate school department heads or directors of training were asked to complete an online survey about training offered in treatments for this population. Of the 599 psychology graduate school programs contacted, 201 (34%) responded. Of the 201 programs that responded, 140 provided training in treatments for children and their families with a history of child maltreatment. Results indicated that training in at least 1 EST was provided by 89% of the programs that provided training in treatments for this population. However, training in the treatment rated as meeting the highest standard of evidence, Trauma-focused cognitive–behavioral therapy, was provided in only 45% of the programs. Training in treatments that have been rated as not yet having sufficient research evidence to be labeled as supported were more likely to occur in non-APA accredited and non-PhD programs (i.e., terminal Master's, EdS, PsyD). As an important vehicle for the dissemination of ESTs in child maltreatment, considerable progress is needed to improve the training provided by psychology graduate programs. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

What we know about predoctoral internship training: A 10-year update.

Ten years ago (Stedman, 1997), I published a review of the extensive body of work related to all facets of the internship enterprise. The current review highlights many positive accomplishments of the last 10 years, including establishing the match, the uniform internship application format, the quantification of selection variables, and a deeper understanding of the training pathway. However, serious problems have surfaced, including the shortfall of internship slots and the impact of economic forces leading some to question the continuing relevance of internship as it currently exists. These issues call for deliberation and decision making by the profession, guided by research, both current and yet to be conducted. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A survey of group psychotherapy training during predoctoral psychology internship.

Do psychologists receive sufficient training in group psychotherapy? Existing literature indicates that comprehensive training standards have not been universally or rigorously followed within the field of psychology. Results of this study indicate that, much like graduate school programs, predoctoral clinical psychology internships also do not routinely provide adequate group therapy training. This deficit in training undermines the proficiency and competency of psychologists who will increasingly be called upon to lead psychotherapy groups in clinical practice. Specific recommendations are provided to training directors who are interested in expanding their group therapy training opportunities. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A framework for half-time internship training in psychology.

In the past 50 years, psychology has so heavily emphasized the full-time internship as the preeminent training model that it has often overlooked the benefits of half-time internships for educators, students, the profession, and the populations that psychologists serve. This article makes a case for the nearly forgotten half-time predoctoral internship. The history and context of the half-time internship, culminating in a recent national conference, is presented. The benefits to students, doctoral programs, and the community are described, as well as obstacles and solutions for their implementation. Implications for developing more half-time internships for psychology stakeholders are also discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Are all cognitive therapies alike? A comparison of cognitive and noncognitive therapy process and implications for the application of empirically supported treatments.

The definition of an empirically supported treatment (EST) arguably embodies 2 untested assumptions: (a) that different manualized renditions of the same therapy are functionally equivalent and (b) that therapies can be reliably applied independently of therapist, setting, and format. These assumptions were tested as applied to cognitive therapy (CT), using process data from a large multisite study (N=235) that included 3 cognitive and 6 alternative therapies. Although the non-CTs were more variable than the CTs on 2 of 4 dimensions studied (directiveness and emotional arousal), there was considerable variation among the 3 CTs, even when implemented in the current context of rigorous training, manualization, and adherence checks. Results are discussed as related to the assumptions underlying EST criteria. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Putting empirically supported treatment into practice: Lessons learned in a children's mental health center.

With the increasing focus on service accountability, there is an urgent need to identify empirically supported treatments (ESTs) and disseminate their use in the daily practice of mental health organizations. This article describes the authors' experiences of implementing an EST at a children's mental health center by involving the collaboration of clinicians, administrators, and innovator(s). Initially, a small group of clinicians voluntarily commit to pilot test the EST, with the intention of evaluating the adoption and integration of the treatment model into the organization's full-service delivery system. Using E. A Rogers's (1995) work on the diffusion of innovations, the current case study example suggests that ESTs can be flexibly and successfully implemented with integrity. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Improved treatment outcome associated with the shift to empirically supported treatments in an outpatient clinic is maintained over a ten-year period.

Recent years have seen an increase in emphasis on the use of psychological treatments that are supported by empirical data, as advocates have argued these treatments lead to better patient outcomes. We have previously shown that a shift to use of empirically supported treatments in a training clinic led to significant improvement in patient outcomes over four years (Cukrowicz et al., 2005). In the current study, we examined whether average patient outcomes at termination continued to be favorable over the six-year period following the initial shift. We examined data from 549 patients (M age = 25.78, SD = 10.08; 322 females and 227 males) treated prior to and after the shift to empirically supported treatments, all of whom were rated after termination using the Clinical Global Impression rating scale to track their improvement during treatment. The current study found that improvements in patient outcomes continued over the six-year follow-up period. Patients treated during the follow-up period had superior outcomes when compared to those treated following the initial shift to empirically supported treatments (effect size = .28, p     

Supplement to listing of APA-approved doctoral and internship training programs.

Announces changes in the list of APA-Approved Doctoral Programs in Professional (Clinical, Counseling, and School) Psychology and Predoctoral Internship Programs in Psychology. These changes update the listings published in the December 1980 American Psychologist (pp. 1111- 1118). (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Supplement to listing of APA-approved doctoral and internship training programs.

This article provides a supplement to the listing of APA-approved doctoral and internship training programs. A number of changes in the list of APA-Approved Doctoral Programs in Professional (Clinical, Counseling, and School) Psychology and in the list of APA-Approved Internship Programs in Professional Psychology are announced by the Committee on Accreditation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Historically grounding the practice of psychology: Implications for professional training.

The author explores 3 ways the history of psychology can be made relevant to professional training in clinical psychology. Focusing on the practitioner-scholar model of clinical professional training, he argues that 3 central facets of historical understanding can be wedded to existing goals of professional training: (a) providing an interdisciplinary context for psychology, (b) addressing concerns about humans in the field, and (c) mediating theory-practice tensions that often exist in professional training. Suggestions are also made for encouraging historical understanding as essential to fostering critical self-reflection among students preparing for careers in professional psychology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Applying for the predoctoral internship: Training program strategies to help students prepare.

The predoctoral internship signifies the culmination of applied training in professional psychology. With the increasing supply and demand gap, securing an internship has become competitive and has resulted in many students employing a wide variety of steps in an attempt to ensure a successful internship application. However, little is known about how academic training programs assist students in applying for an internship. The purpose of this study was to describe what activities training programs engage in to prepare their students for the internship application process, and to better understand students' perception of their preparedness to apply as well as to understand their experience applying. The results suggested that training programs prepared students well for general aspects of the process but did not adequately prepare them for the more specific tasks related to the application process. Results also suggested that while the students didn't find the application process confusing or difficult they found it stressful and anxiety provoking. Suggestions for programs to inform and assist their students in preparing for applying are presented as well as recommendations for future research. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Unique internship structures that expand training opportunities.

Internship is a vital component of professional psychology training. This article describes a variety of internship structures that have developed outside the more traditional ones. Complex relationships with the academic program, specific elements of philosophy of training, emphasis on diversity and social responsibility, and responsiveness to changing demography in clients and students are noted. The authors suggest implications for the viability of a variety of internship structures, the content and methods of quality assurance within the context of competency evaluation, tailoring internships to the needs of students, and the issue of stipends and resources. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Current treatments for bipolar disorder: A review and update for psychologists.

Practicing psychologists are likely to be confronted with the diagnostic and treatment challenges associated with bipolar disorder, particularly the various classes of medication currently used in pharmacotherapy for the disorder. Although lithium remains a valuable resource, limitations associated with its use have prompted clinicians and researchers to explore the application of several different classes of agents, including anticonvulsants, calcium channel blockers, atypical antipsychotics, benzodiazepines and antidepressants, to the acute and long-term management of bipolar disorder. A review of these agents, as well as a summary of various psychotherapeutic modalities that can serve as adjunctive interventions to pharmacotherapy, is provided for psychologists. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Evidence-Based Practice: Beyond Empirically Supported Treatments.

Must the clinician choose between a practice that is strictly objective and data based and one that is purely subjective and experience based? Optimally, practitioners need to follow a model of evidence-based psychotherapy practice, such as the disciplined inquiry or local clinical scientist model, that encompasses a theoretical formulation, empirically supported treatments (ESTs), empirically supported therapy relationships, clinicians' accumulated practical experience, and their clinical judgment about the case at hand. Some shortcomings of ESTs are reviewed, and a form of evidence for psychotherapy practice is presented that entails the accumulation of systematic case studies published online. Practitioners can contribute to such a database and be guided in their practice by those cases most relevant to their clients' problems. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Supplement to listing of APA-accredited doctoral and predoctoral internship training programs in psychology.

The Committee on Accreditation announces the changes presented here to the list of APA-Accredited Doctoral Programs in Professional (Clinical, Counseling, School) Psychology and Predoctoral Internship Programs in Professional Psychology. The original date of accreditation, listed for each program, is the day on which the program's accredited status became effective. Please note that there is an additional "captive" internship training program at the end of this list. These changes update the listing published in the December 1985 American Psychologist (pp. 1380-1398). Complete lists are available on request from the APA Accreditation Office. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Comment: The evidence-based treatment debate: Toward a dialectical rapprochement.

In this commentary on Zeldow's (2009) “In Defense of Clinical Judgment, Credentialed Clinicians, and Reflective Practice,” the dialectical method is presented as a conceptual model and strategy for reconciling the division between clinical practitioners and clinical scientists in their acceptance of the need for empirically based psychological treatments and practices. Recommendations are made for (a) better integrating practitioners in the conduct of science, (b) confronting unhelpful attitudes of scientific chauvinism and imperialism, and (c) recognizing the contributions of both microlevel (process) and macrolevel (outcome) phenomena in psychotherapeutic practice and its scientific investigation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Accredited internship and postdoctoral programs for training in psychology: 2008.

This article provides an official listing of accredited internship and postdoctoral residency programs. It reflects all Commission on Accreditation decisions through July 20, 2008. The Commission on Accreditation has accredited the predoctoral internship and postdoctoral residency training programs in psychology offered by the agencies listed. The accreditation status listed for each program reflects that program's current status. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Supplement to listing of APA-accredited doctoral and internship training programs.

The Committee on Accreditation announces the changes presented here to the list of APA-Accredited Doctoral Programs in Professional (Clinical, Counseling, and Combined Professional-Scientific) Psychology and Predoctoral Internship Programs in Professional Psychology. These changes update the listing published in the December 1984 American Psychologist (pp. 1455-1472). (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Clinical and counseling supervision references: Trends and needs.

W. N. Robiner and W. Schofield (1990) presented an article compiling the then current literature on supervision in clinical and counseling psychology. As the arena of health-care delivery has changed, so have training and supervision practices. Supervision had been one of the top 5 activities of psychologists (W. N. Robiner & W. Schofield, 1990), and an important change occurred when the American Psychological Association's Committee on Accreditation (APA, 1996, 2000) included supervision as one of the central domains of training. In this article, the authors address updated issues in supervision such as the call for empirically supported treatments, brief therapy models, and changing ethics in an environment influenced by cost containment. The references listed in the Appendix are from the literature between 1990 and 2000. (PsycINFO Database Record (c) 2010 APA, all rights reserved)