Role functions of pediatric and health psychologists in health care settings.

686 pediatric and health psychologists completed questionnaires requesting background information concerning years of experience, current work settings, graduate training, and professional identification. Ss were also asked to describe services and functions they performed, difficulties they encountered, and general consultation goals. Results suggest that both groups are involved in a wide range of diagnostic, treatment, and consultative activities in health care settings and that there are many similarities in the ways they conceptualize their roles and how they function. However, pediatric psychologists were especially involved in clinical assessment activities, whereas research was a high priority for health psychologists. Other aspects of the roles, functions, and activities of these 2 groups are described. (15 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychologists and rehabilitation: New roles and old training models.

The role of psychologists in physical rehabilitation settings has expanded considerably over the past decades. Unfortunately, the lack of clarity regarding roles, functions, and research of psychologists in inpatient and outpatient rehabilitation settings has hampered efforts to establish guidelines for training graduate students to work in rehabilitative settings. Despite ongoing debate since the Princeton Conference in 1958, no guidelines have been recommended by Division 22 of the American Psychological Association (Division of Rehabilitation Psychology) for training doctoral students in clinical and counseling psychology programs for work in rehabilitation. This article asserts that psychology graduate students who want to work in physical rehabilitation settings should (a) have core training in psychology and (b) receive coursework and practica in working with persons who have chronic illnesses and injuries. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The education and training of clinical psychologists in the Netherlands.

With the reduction of the doctorandus program in the Netherlands to 4 yrs, a graduate program has been created that is significant to clinical psychology because it separates the research and applied orientations. The research orientation leads to the PhD, the applied orientation to a certificate of professional registration. This distinction has effectively ended the scientist–practitioner model underlying the training of clinical psychologists. In moving clinical psychology from its scientific research base, psychology has become more fragmented, and in a way that has far-reaching implications for the discipline and the profession in the Netherlands. These developments are of interest due to the debate in the US and elsewhere on training and licensure of clinical psychologists and concern about the unity of psychology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

"Graduate training...in Canada": Comment.

Comments on the original article by Dr. Park O. Davidson (see record 2007-02137-003) on "Graduate training and research funding for clinical psychology in Canada." Davidson has made some excellent recommendations regarding the nature of graduate training and research funding in psychology, and then has negated the effectiveness of such recommendations for social relevancy in community services by ignoring the spectrum of psychological services required and by restricting himself to a rather sterile Eysenckian model. Dr. Davidson's general recommendations regarding graduate training in clinical psychology are sensible and long overdue--less extreme specialization in Ph.D. programs, greater knowledge of problems of applied settings for research, more interdisciplinary training, broader methodology, more effective internship and practicum training, a community psychology program, and more effective bridging research. However when the needed spectrum of services for people is considered, there is an obvious need for psychologists who can share in the assessment and treatment of problems in human functioning beyond the technician level. Manpower needs will never be adequately met until service personnel and University personnel can share in the what, why and how of professional training. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

On Setting for Clinical Training.

Comments on "A postdoctoral residency program in clinical psychology" by J. Matarazzo (see record 1965-13326-001). Matarazzo describes an interesting postdoctoral training program in clinical psychology in a medical school setting. A major feature of this program is the intent to train young psychologists to assume "full professional responsibility for patients and clients." The assumption of "full professional responsibility" is incompatible with an extension of the professional's formal training period into the postdoctoral years. The multiple-consultant and highly institutionalized approach characteristic of the medical setting actually attenuates the degree of responsibility that any one professional is required and able to assume, rather than to intensify it. A final objection could be directed at the basic concept of the desirability of one person's assuming "full responsibility" for another. It would seem to me that the use of this concept in Matarazzo's report may in itself be an indication of how a medically based idea can inadvertently infiltrate the thinking of those who had been exposed for years to such a setting. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Integrating the real and academic worlds: An experienced-based research training model.

Notes that a shift toward more applied settings of employment among research psychologists has focused attention on the need to develop training models to prepare psychologists for careers in applied/evaluative research. A research practicum course sequence is suggested as a training device for developing applied skills during graduate training. The research practica in a doctoral program in applied research and evaluation are described. (4 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attitudes of psychiatry residents toward psychology.

Discusses how the development of health psychology will facilitate the trend for psychologists' continued involvement in medical settings, principally in departments of psychiatry. With the shortage of psychiatrists, it is anticipated that today's residents will assume major administrative roles in departments of psychiatry relatively early in their careers. The attitudes of 201 psychiatric residents with regard to organizational issues involving psychologists and the role of psychology in assessment, treatment, research, and training were assessed via a questionnaire. The majority of Ss felt that psychologists should not hold senior administrative roles in departments of psychiatry, and 47% felt that the medical model should be basic to both research and practice. There was substantial support for maintaining divisions of psychology within (rather than separate from) departments of psychiatry. (10 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Workshop.

If the article by Kahn and Santostefano in the April issue of the American Psychologist (1962, 17, 185-189) can be taken as an indication, clinical psychologists are still very much interested and concerned with their professional role image or images. Discussions of this topic invariably get around to a discussion of training programs for clinical students and the pros and cons of various types of curricula and educational experience. Partially because of the lack of agreement among faculty and practicum personnel, discussions of professional identity by clinical graduate students are filled with uncertainty, confusion, and conflict surpassing even that which is evident in the discussions of their professional fathers. Questions concerning "professionalism," academic versus clinical training, and the relationships of clinical psychology to other professions are representative of the omnipresent topics of conservation. As a matter of fact, the workshop was so well received that we plan to hold a second workshop next year. But we thought that those individuals who live too far from us to be easily able to attend our meeting might want to try something similar in their areas. We are preparing a more thorough summary and commentary concerning the recent meeting and would be glad to forward a copy to interested individuals. A group of graduate students in the clinical program at the University of Oklahoma decided that it might, be quite worthwhile if they could assemble a number of students from other training settings and attempt to exchange ideas concerning their future roles as professional people. It was the contention of these students that graduate students in psychology, and particularly clinical students, seldom have an opportunity to freely exchange ideas about these problems in an atmosphere which is specifically designed for this purpose. Thus, what we think is quite a unique idea was born: that we might be able to provide graduate students from various training programs in clinical psychology with the opportunity to get together to discuss training, role conflicts, identity, and other professional problems. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Training in medical psychology: A survey of graduate and internship training programs.

Surveyed American Psychological Association-approved doctoral and internship programs in clinical and counseling psychology regarding training opportunities in medical psychology. 42 graduate and 65 internship programs responded. Results indicate that the majority of both types of programs offered didactic and experiential training, including diagnostic and therapeutic activities with a wide variety of medical/surgical patients. There appears to be a sufficient number of faculty psychologists with special interest and/or expertise in this area to adequately prepare new psychologists for employment in medical centers and other types of medical settings. (9 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Opportunities for psychologists in health maintenance organizations: Implications for graduate education and training.

This article highlights current roles and functions for psychologists in health maintenance organizations in the areas of teaching, research, and clinical service. Implications for graduate education and training are detailed. The author focuses on strengths and weaknesses of current models with respect to program content, role models, and the socialization process. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

On the Path to Excitement.

In the early days of the "scientist-practitioner" (Boulder Model) orientation to the education of professional psychologists, clinical graduate students studied in a climate that was both exhilarating and troubled. Students were challenged to blend two strikingly different and conflictual world views, albeit without guidance from previous generations of scientist-practitioners. Accordingly, the development of a methodologically sound, and clinically relevant, research program was a heavy burden. This paper reviews the author's effort to find a research question that would recognize clinical service, achieve scholarly goals, and also satisfy yearnings for a personally exciting topic. The search led to the study of aberrations in affective (excitement) modulation that are found in schizophrenic-spectrum disorder, and thoughts about therapeutic interaction with this population. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Clinical psychologists reflect on the usefulness of various components of graduate training.

Graduates of clinical training programs were surveyed to determine the degree to which they have found various graduate school experiences useful in their professional work. Samples of academic clinical psychologists and practicing clinical psychologists reported time allocation and preference for various professional activities, perceived usefulness of various theoretical orientations, and the influence on their current professional work of 19 different graduate training topics. Results suggest that where differences exist, academic clinical psychologists are generally more satisfied with Boulder-model-inspired scientific training than are clinical practitioners. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Beyond the mental health clinic: New settings and activities for clinical psychology internships.

Is the current internship system sufficiently diverse to prepare psychologists for the many professional roles they will take on in the post-managed care future? Creating internships in new settings may help clinical psychology become a stronger presence in diverse areas of intervention and expand work with populations less commonly reached in the clinical psychotherapy model. The author presents initial suggestions for creating training programs in which interns could develop and apply their knowledge in prevention, public policy, and community action. The potential benefits and challenges of such innovative internships are also discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Predictors of Psychological Help Seeking in Clinical and Counseling Psychology Graduate Students.

Psychologists are often called upon to provide supervision, mentorship, and training to graduate student therapists-in-training. In these roles, psychologists may influence whether graduate students enter personal therapy during their training. This study investigated variables (including perceived faculty attitudes about students in personal therapy) that predict psychotherapy help seeking in clinical and counseling psychology graduate students (N = 262). The findings indicated that confidentiality issues, general attitudes about therapy, and perceptions of the importance of personal therapy for professional development were important predictors of graduate student help seeking. The implications for faculty, supervisors, and mentors of therapists-in-training are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A behavioral pain-management program: Expanding the psychologist's role in a medical setting.

Describes the development of a psychologist-operated pain management program carried out within the context of a pain control clinic in a general medical hospital. The techniques used by the program are presented along with some preliminary outcome data. Additionally, the normal clinical and research skills of most professional psychologists, which are of use in the pain clinic setting, are discussed, as are some of the unique training needs of psychologists working in such a setting. (17 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A symposium on family therapy training for psychologists.

Presents 5 articles on family therapy (FT) training. R. J. Green generally describes the lack of formal training and the abundance of informal training programs in FT. A curriculum for the family-centered clinical psychologist is outlined. Green and the 4 other participants in the symposium then discuss different settings: an interdisciplinary university family studies clinic (L. R. Ferguson), an academic department of psychology (J. L. Framo), an independent family institute (K. La Perriere), a department of psychiatry in a medical school (R. J. Shapiro), and an independent graduate school of FT and marital therapy (Green). Interrelated issues in training are also examined, including teaching and supervision methods, personal and countertransference aspects of acquiring a family orientation to treatment, the influence of the professional-organizational context of FT training, and the place of family systems theory, therapy, and research in training professional psychologists. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Counseling psychology in clinical health psychology: The impact of specialty perspective.

Not all clinical health psychologists are trained as clinical psychologists. A significant minority is trained and identifies as counseling psychologists. As a field, it is important to understand how the specialty-specific values, training context, scholarship, and parameters of practice of counseling psychology contribute to clinical health psychology. In this article, we (a) identify the core values and training context of counseling psychology, (b) review the scholarly history of clinical health psychology by counseling psychologists, (c) present the parameters of practice of clinical health psychology as identified from the extant counseling psychology literature, and (d) examine American Psychological Association membership status to investigate joint membership in the Division of Health Psychology and the Society of Counseling Psychology. Conclusions indicate that (a) an identifiable set of core values guides the training of counseling psychologists, (b) scholarly literature by counseling psychologists has contributed to the growth and development of clinical health psychology, and (c) parameters of practice reflect the specialty-specific perspective of counseling psychology. As professional psychology continues to grow as a health care profession, clinical health psychology will benefit from the knowledge, values, attitudes, competencies, and practice parameters of counseling psychology, and counseling psychology will benefit from recognizing what it brings to the practice of clinical health psychology. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

The Implications of 'Psychological Injuries' for Clinical Psychology Training Programs.

This paper uses the psychological and legal concept of "psychological injury" as an illustration of the evolving market for psychological knowledge and of necessary changes in the graduate and internship training of clinical psychologists. Our current graduate and internship training fails many of our students through neglecting important areas of knowledge and experience. In this paper, I discuss the importance of exposing graduate students to: a) the economics of mental health; b) professional roles involving knowledge dissemination outside traditional academia; c) information needs of direct and indirect consumers of psychological knowledge; and, d) communication skills necessary when interacting with nonpsychologists. Suggestions are made for the improvement of our graduate training programs, including more explicit acknowledgement of the likely career paths of most of our graduates. (PsycINFO Database Record (c) 2010 APA, all rights reserved)