Basic science training in psychopharmacology: How much is enough?

Training psychologists to administer psychotropic medication will require acquisition of a unique knowledge base and set of skills that are generally not components of graduate education in psychology. Nevertheless, the current level of basic science training in graduate education in psychology is substantial and should, with minor modification, allow adequate preparation for students to enter into specialized training to prescribe. The direct provision of psychopharmacology requires psychologists to demonstrate competencies in addition to those required in the general provision of psychological services. Such competencies are perhaps best taught at the postdoctoral level. The authors argue that all curricula training professional psychologists should be able to train psychologists capable of practicing as independent, full-fledged health care providers. (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)     

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 ambiguous nature of clinical training and its impact on the development of student clinicians.

This article, written from the perspective of a graduate-level clinician, examines the ambiguous nature of clinical work with particular focus on the anxiety it creates for psychology graduate students and the role it plays in fostering the development of critical thinking skills and confidence in clinical decision making. This article also addresses the ambiguous nature of clinical psychology training programs, in general, especially during the first year of training. Experiences that increased and decreased the level of ambiguity in the author's own training program are described as well as suggestions for making the process of becoming a professional psychologist one that is clearer and easier to handle. (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)     

Variations of doctoral training programs in clinical health psychology: Lessons learned at the box office.

Using the metaphor of viewing a movie premiere, characteristics of doctoral programs in clinical health psychology are outlined. Common elements of training include: uniform training competencies, graduated sequence of training, emphasis upon broad and general training, reliance on the biopsychosocial model, and integration of scientific and practical competencies. Exclusive programs, in which all students are being trained in one area of concentration, are differentiated from programs embedded within general training in clinical or counseling psychology. Elucidation of these program characteristics assists prospective students, faculty members who develop these programs, and those developing educational and training guidelines within clinical health psychology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The National Conference on Internship Training in Psychology.

The 1987 National Conference on Internship Training in Psychology was the first conference in the history of psychology to examine broad policy issues related to internship training in professional psychology. Delegates adopted a policy statement, which is printed here in its entirety. Core requirements for internship training were delineated, and implications of these policy statements are discussed. Perhaps most notably, the model of the one-year internship as the capstone of graduate education and training was considered to be outdated. A two-year supervised training experience was deemed necessary to produce an autonomously functioning professional psychologist. The need for another nomenclature was recognized. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reconsidering assumptions: Half-time internships in their historical context.

The historical assumptions that have influenced internships in professional psychology need to be reconsidered to articulate what actually happens in current training programs and what the graduate students gain. Beginning with the historical and intellectual context, the authors discuss internship models and pedagogies along with competencies and the cultures of programs. The differing emphases on the production of science are seen as less important than stated in current regulations. Internship politics, prejudices, and economics are critically evaluated from various perspectives. The 5 current types of internships are described. Conclusions, implications, and practical next steps are offered with an emphasis on the development of innovative internship models, including half-time internships, which may better suit the needs of many current graduate students. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Life-long competency development in clinical health psychology.

A model for defining competencies in clinical health psychology has recently been proposed (France et al., 2008), focusing on the core foundational and functional competency domains outlined by the Cube Model (Rodolfa, Bent, Eisman, Nelson, Rehm, & Richie, 2005). The model characterizes competencies expected of graduates of doctoral training programs with emerging interests and expertise in clinical health psychology. The current paper extends the model by specifically considering the third dimension of the cube model, namely the developmental perspective, with an emphasis beyond the parameters of doctoral training to the predoctoral internship, postdoctoral residency, and postlicensure continuum. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A survey of clinical psychology training in Canadian federal corrections: Implications for psychologist recruitment and retention.

Although survey results seem to indicate an abundant interest among Canadian psychology graduate students in pursuing training in criminal justice psychology, the recruitment and retention of psychologists in the Correctional Service of Canada (CSC) has been of some concern. The present study is a 2008 survey of sites within CSC that provide opportunities for clinical psychology training with offender clientele. Survey findings demonstrated that a broad range of clinical psychology training opportunities were available across 16 sites. The most frequently cited barrier to providing training was lack of time by prospective trainers, and sites reported retaining relatively few of their trainees for subsequent psychologist positions. Information was also obtained regarding vacant psychologist positions across CSC regions. In light of survey findings, substantive discussion is devoted toward the issues of psychologist recruitment and retention in Canadian federal corrections, including a discussion of both potential and existing training initiatives. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Sport psychology training within a clinical psychology program and a department of intercollegiate athletics.

Many applicants to clinical and counseling psychology programs are interested in receiving the training needed to practice competently in the professional specialty area of sport psychology. In this article, the authors describe a collaborative training and service relationship between an APA-accredited clinical psychology program and an intercollegiate athletics department. Sport Psychology Services provides performance enhancement, program evaluation, and mental health services to the athletic department. In return, graduate students receive applied training, financial support, and opportunities to conduct research. The authors present program evaluation data and offer practical guidelines to graduate programs wishing to establish similar training opportunities. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychologists and Hurricane Katrina: Natural disaster response through training, public education, and research.

The purpose of this article was to describe a model of clinical/disaster psychology and illustrate how one psychologist applied training in the aftermath of Hurricane Katrina. The primary focus of the article relates to training graduate students of clinical psychology and assisting evacuees, public education and dissemination, and research. Psychologists may find themselves in similar positions when disasters occur in the future, and the linkage of research and theory with anecdotal accounts may provide mental health professionals with ideas regarding avenues of training to pursue and the various roles that may be served in times of disaster. Recommendations are offered to training programs with regard to infusing tenets of clinical/disaster psychology into their curriculum. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The competency movement within psychology: An historical perspective.

The authors provide a recitation of events in recent years that document an increased focus on competency-based models of education, training, and assessment in professional psychology, particularly clinical, counseling, and school psychology, based on the work of the American Psychological Association's (APA's) Task Force on Assessment of Competence in Professional Psychology. The article begins with the inclusion of competencies as part of the "Ethical Principles of Psychologists and Code of Conduct" (APA, 2002). Next, accreditation practices in the United States and Canada are summarized. Competency-based education, training, and credentialing efforts in professional psychology are reviewed, including graduate, practicum, internship, and postdoctoral levels; licensure; postlicensure certifications; and board certification. General and specialty credentialing efforts both in North America and internationally follow. The Competencies Conference: Education and Credentialing in Professional Psychology and work on developing competencies for the profession are discussed. Then initiatives focused specifically on the assessment of competence are delineated. Implications for continued progress toward a culture of the assessment of competence are discussed in light of the historical origins within the profession of the competency-based movement. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Proposals for state department of education certification of school psychologists.

"School psychologists are dually oriented professionals who need to be well educated in both psychology and education… . The development of competencies needed by a fully qualified school psychologist requires at least the education represented by a doctoral degree or 3 years of graduate training." Suggested standards for full ceritfication and for provisional certification are outlined. The requirements for a certified psychological assistant are also specified. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

School psychology: A specialty of professional psychology with distinct competencies and complexities.

School psychology at the doctoral level is recognized as a specialty of professional psychology by the American Psychological Association, with corresponding licensure as a psychologist granted by state boards of psychology. School psychology also is regulated by state boards of education; they set the credentialing standards for professional practice in public schools. The intent of this article is to enhance the understanding of this distinct and multiply influenced specialty. The need for psychological services in schools is highlighted, followed by a discussion of multiple influences and licensing/credentialing issues. Next, the specialty is delineated, its distinctiveness highlighted, and competencies for practice in the public schools elaborated. Finally, education/training models and mechanisms for program accreditation are described, as are the major professional organizations in school psychology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Wanted: A well-rounded specialist.

To be a psychologist first and a specialist second is a dictum not always, not even frequently, perhaps only rarely, followed in the training of graduate students today. Specializing, necessary and useful as it may be, does exact a price, especially where it is carried to the point of considerable concentration on one or two subspecialties within a particular field of psychology. What constructive proposals can be made to maximize the advantages of specialization and minimize the disadvantages? One suggestion is to resume the traditional approach and devote the entire period of graduate study to making the student a general psychologist. Another suggestion is to lengthen graduate training in order to turn out a psychologist who has a sure grasp of general psychology as well as considerable competency in one particular field. A final suggestion is to strengthen the undergraduate psychology program. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Examining multicultural counseling competencies of graduate students in psychology.

This investigation examined the multicultural counseling competencies of graduate students in counseling and clinical psychology programs. A national sample of 344 students participated. The participants completed the Multicultural Counseling Inventory (G. R. Sodowsky, R. C. Taffe, T. B. Gutkin, & S. L. Wise, 1994) and a demographic questionnaire. Results indicated that counseling psychology students rated themselves as more multiculturally competent than clinical psychology students in three of the four multicultural competency areas. Different educational and clinical variables were predictive of multicultural counseling competencies for the two groups. Findings are discussed in terms of education and training in graduate psychology programs. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Clinical psychology training: A British perspective.

As a result of a 5-mo visit to America by a British clinical psychologist, a comparison was made of clinical psychology training in both countries. Similarities and differences are discussed in light of recent developments. Topics of interest include professional orientations, accreditation, program content, and activities of professional organizations. (15 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The role of the master's degree in doctoral training.

The committee "would attempt to produce a scholarly psychologist well grounded in scientific method, theory, knowledge, and critique, as these pertain to the pursuit of a career in either scientific or applied psychology." They believe that "psychology can serve society best by reducing the amount of specialization at the predoctoral level and by training the PhD… . A psychologist so trained will be able to adapt to the changing situation in a dynamic society." Major sections are: Implications for Psychology, Articulation of Nondoctoral and Doctoral Graduate Programs, and Recommendations. The APA Education and Training Board should have an annual article in the "American Psychologist" providing pertinent information on graduate training programs, graduate selection standards, and philosophy of graduate training. (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)