Levels of training to address religion in clincal practice.

Psychologists routinely work with clients who hold religious beliefs and values, yet there is often the question of whether psychologists are trained and competent to address religion as an aspect of diversity. How do training programs prepare psychologists to address this specific diversity issue? Do training programs equip psychologists to work effectively with religious clients? It is useful for psychologists to consider a 3-tier training system in religion and religious diversity that reflects a commitment to seeing religion as a meaningful expression of diversity. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Religious and spiritual issues in psychotherapy practice: Training the trainer.

Psychology's interest in religion and spirituality has greatly increased over the past few decades, and it has inspired the development of substantial scholarship in these areas. However, there continues to be a paucity of efforts to integrate this emerging scholarship into training programs. The author explores the historical and ideological context of psychotherapists' reluctance to address religious and spiritual issues in their academic programs and clinical practices. The article also offers seasoned psychotherapists concrete suggestions regarding how to enhance their religious and spiritual competencies with the aim of facilitating both the training of emerging psychotherapists and the treatment of religious and spiritual clients. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Guidelines on multicultural education, training, research, practice, and organizational change for Psychologists.

Presents the Guidelines on Multicultural Education, Training, Research, Practice, and Organizational Change for Psychologists. These guidelines reflect the continuing evolution of the study of psychology, changes in society at large, and emerging data about the different needs of particular individuals and groups historically marginalized or disenfranchised within and by psychology based on their ethnic/racial heritage and social group identity or membership. These guidelines reflect knowledge and skills needed for the profession in the midst of dramatic historic sociopolitical changes in US society, as well as needs of new constituencies, markets, and clients. The specific goals of these guidelines are to provide psychologists with (a) the rationale and needs for addressing multiculturalism and diversity in education, training, research, practice, and organizational change; (b) basic information, relevant terminology, current empirical research from psychology and related disciplines, and other data that support the proposed guidelines and underscore their importance; (c) references to enhance ongoing education, training, research, practice, and organizational change methodologies; and (d) paradigms that broaden the purview of psychology as a profession. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Training and education in religion/spirituality within APA-accredited clinical psychology programs.

Future, and current psychologists may find themselves baffled when confronted with the diversity of religious and spiritual backgrounds of their clients. Few psychologists have received professional training with regard to religion and spirituality, despite the public's overwhelming interest. Currently, the topic of religion/spirituality is being covered to some degree in most accredited clinical programs. However, a distinct minority of these programs approach this education and training in a systematic fashion, whereas other programs report no educational or training opportunities in this area. Several recommendations are made for training programs, which are encouraged to increase their sensitivity to this topic, provide more opportunities for student growth in this area, and incorporate religious and spiritual issues into course work. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Training in religion/spirituality within APA-accredited psychology predoctoral internships.

With the vast majority of the U.S. population reporting allegiance to a particular faith tradition, it is important that psychologists have the experience and training to work with clients from a wide variety of religious/spiritual perspectives. In order to assess the current level of training in religion/spirituality for predoctoral interns, 139 American Psychological Association (APA)-accredited predoctoral internship sites completed a Web-based survey. Religion/spirituality is most often addressed in internship training when clients bring it up, and religion/spirituality is processed further in the context of supervision. Relatively few internship sites provide more formal training in religion/spirituality. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Sacred adolescence: Practical suggestions for psychologists working with adolescents' religious and spiritual identity.

This article explores the relevance of adolescents' spiritual, religious, atheist, and agnostic identity development in the therapy process and the potential difficulties that psychologists face in effectively working with adolescents around spiritual/religious issues. Psychologists' limited personal and professional opportunities for increasing their self-awareness around their spirituality and religion may impact their ability to adequately address issues related to the spiritual/religious identity development of their adolescent clients. Psychologists' limited knowledge, awareness, and skills in reference to the process of adolescents' spiritual/religious/nonreligious identity may result in their neglect of spiritual/religious issues in psychotherapy. In such cases, adolescent clients may feel unsure if therapy is a safe place to discuss spiritual, religious, atheist, agnostic questions or issues that arise for them. The article concludes with practical suggestions that are framed around six critical concerns that are relevant for adolescents: (a) the relationship between spirituality/religion and health and coping, (b) negotiating multiple social identities, (c) religious cults, (d) religious conversion experiences, (e) anti-religious sentiment or religious discrimination, and (f) ethical considerations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

American psychology's struggles with its curriculum: Should a thousand flowers bloom?

Although discussions of a core curriculum in doctoral training in psychology can be heard in contemporary psychology, there is no such common core, nor has one ever existed in American psychology's history. Advocates of a core curriculum argue that it ensures breadth of training, an outcome made even more important by growing specialization in psychology, and that it provides psychologists with a needed common identity as members of a recognized professional discipline. Opponents argue that a core curriculum places unwanted constraints on a program of study, prohibiting the kind of diversity needed to keep abreast of changes in psychology and related fields of study. The author reviews the history of this struggle within American psychology and discusses its implications for the science and practice of psychology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Graduate training for managed care: A national survey of psychology and social work programs.

Although there is much discussion within the professional literature about the training needs of graduate students in response to managed care, little empirical research exists that assesses the extent to which graduate programs provide training opportunities in this field. The present study surveyed graduate program training directors in clinical psychology, counseling psychology, and social work about the training opportunities available for their graduate students. Almost 60% of the respondents indicated that they provide some type of training related to managed care. Implications and applications of these results are addressed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Diversity training: Conceptual issues and practices for Canadian clinical psychology programs.

Conducted a systematic survey of Canadian clinical psychology programs to examine the extent and nature of diversity. Diversity was defined broadly as reflecting the vast number of possible individual differences (e.g., culture, nationality, ethnicity, colour, race, gender, religion, sexual preference, disability, economic disadvantage) that can affect clinical psychology knowledge, research, and practice. 20 Directors of Clinical Training (DCTs) at Canadian clinical psychology programs were asked about the extent to which various aspects of diversity training were deemed important or essential to their program, what training activities were required, and how effective different methods of training were viewed. The results revealed that DCTs varied widely in their opinion of how important diversity materials were, and that few programs require many different methods of training related to diversity. Further, the training methods more commonly adopted did not generally relate well with those that were seen as being most effective. Implications of the survey for training in clinical psychology are provided. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The relevance of a psychoanalytic perspective in exploring religious and spiritual identity in psychotherapy.

The attempt to make meaning of the soul is inherent to psychoanalytic inquiry, despite its historical diminution of religion and spirituality. Feminist ideology and multicultural psychology have played a critical role in challenging traditional psychoanalytic conceptions of the practice of religion and spirituality as pathological and/or regressive. Contemporary psychoanalysis that emphasizes two-person psychology, and the intersubjective aspects of the analytic space has also allowed for more open inquiry into the spiritual lives of clients and therapists. Both psychoanalysis and spirituality share the goal of a search for particular aspects of one's identity. This search for one's real or true self becomes particularly poignant for both the therapist and the client, as it is highly reliant on the therapist's and the client's specific religious and spiritual contexts. This paper examines the development of identity as influenced by religious and spiritual beliefs. The author discusses a clinical case to illustrate the complex interaction between religious traditions and individual experiences of religion and spirituality, and related implications of a contemporary psychoanalytic approach to psychotherapy. (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)     

Sustaining the Commitment to Multiculturalism: A Longitudinal Study in a Graduate Psychology Program.

Those committed to the multicultural transformation of the psychology profession must become familiar with ways to initiate and maintain this challenging process. The efforts of a graduate training program to sustain its multicultural evolution are presented along with longitudinal outcome data. Over time, diversity interventions were seen as more effective while differences in the success ratings among students of color and their White peers decreased. Reports of having heard about, seen, or experienced prejudicial behavior, however, remained unchanged. The institutionalization of multicultural change procedures, the revision of assessment instruments for long-term use, and the potential benefits of comparative diversity research are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A training framework and follow-up observations for multiculturally inclusive teaching: Is believing that we are emphasizing diversity enough?

The authors present a theoretically and empirically grounded training for multiculturally inclusive teaching for new instructors. After implementing this training, qualitative data were gathered from instructors to identify their experience of the training and concerns related to incorporating issues of diversity into their classrooms (Study 1). At the end of the semester immediately following the training, quantitative data were gathered from instructors and their students to examine the interaction between students’ and instructors’ perceived diversity emphasis (Study 2). When allowed to choose the extent to which they incorporated issues of diversity in their classes, the instructors differentially reported emphasizing diversity in class. In addition, results from multilevel linear modeling analyses demonstrated that instructors’ reported emphasis on diversity in the classroom did not predict students’ perceptions of the inclusion of issues of diversity. The authors discuss implications for the development of multiculturally supportive programs of learning at universities. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

First impressions: A multicultural content analysis of professional psychology program Web sites.

With the ascension of the Internet as an information resource, Web sites are likely to be the first exposure applicants have to specific programs. The authors evaluated professional psychology program Web sites for ethnic and sexual orientation minority content, discovering that diversity content of Web sites was considerably less than in previously examined paper application materials. Clinical psychology programs were more likely to state a commitment to diversity training while counseling psychology programs were more likely to state a diversity minor/track. School psychology programs had the lowest diversity content on their Web pages. This article explores how graduate psychology program Web sites communicate multicultural information and offers recommendations on using the World Wide Web as a cost-effective tool to attract a diverse student body. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The next generation: How are clinical child psychologists being trained?

A survey of doctoral programs in psychology examined the extent to which 17 key program components, derived from Roberts et al. (1998), are integrated into graduate training programs in clinical child psychology. Results from 29 programs indicate that training is comprehensive and addresses a variety of components related to development, assessment, intervention, context and community, diversity, and ethical and legal issues. In addition, 93% of the programs require exposure to, experience with, or expertise in evidence-based interventions, suggesting a robust focus on this issue. Programs vary in number of students admitted, number of faculty, and number of child-oriented practicum placements available; more than 80% offer practicum at program-administered clinics or centers. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychological care for persons of diverse religions: A collaborative continuum.

The purpose of this paper is to describe to psychologists and other clinicians a continuum of mental health care for persons of diverse religions. The continuum delineates boundaries between clinical care provided by mental health professionals and religious care provided by clergy, as well as describes pathways of collaboration across these boundaries. A prevention science based model of Clergy Outreach and Professional Engagement (COPE) is offered to guide this collaboration. The model describes a continuum that moves from the care already present in religious communities, through professional clinical care provided in response to dysfunction and returns persons to their own spiritual communities. One challenge for clinicians is that in addition to a wide diversity of beliefs and practices across religions, there is great ethnic diversity within religions. These diversities are reflected in varied correlations with mental health outcomes. Therefore, we recommend that clinicians assess religious beliefs and their cultural variations when designing religious inclusive psychotherapy specific to the client. There are ethical concerns as to the place of religion in clinical care. The “Resolution on Religious, Religion-Based and/or Religion-Derived Prejudice” adopted by the American Psychological Association has stated that it is not the role of professional psychologists to be spiritual guides. Through spiritual assessment of clients and strategic collaboration with religious leaders via COPE, mental health professionals can focus their efforts on clinical care that respects and incorporates the religious views of clients and does not attempt to recreate the lived religions of the clients' communities. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Spirituality, religion, and health: An emerging research field.

The investigation of spiritual/religious factors in health is clearly warranted and clinically relevant. This special section explores the persistent predictive relationship between religious variables and health, and its implications for future research and practice. The section reviews epidemiological evidence linking religiousness to morbidity and mortality, possible biological pathways linking spirituality/religiousness to health, and advances in the assessment of spiritual/religious variables in research and practice. This introduction provides an overview of this field of research and addresses 3 related methodological issues: definitions of terms, approaches to statistical control, and criteria used to judge the level of supporting evidence for specific hypotheses. The study of spirituality and health is a true frontier for psychology and one with high public interest. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Clinical psychologists' religious and spiritual orientations and their practice of psychotherapy.

Examined the nature of 107 female and 299 male clinical psychologists' (aged 29–88 yrs) religiousness and spirituality, attitudes toward religiousness, use of interventions of a religious nature in psychotherapy, and training regarding religious and spiritual issues. Findings suggest that religious and spiritual orientation affects clinical psychologists' attitudes as well as their therapeutic interventions, which may in turn impact on the process and outcome of psychotherapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Geropsychology training in Canada: A survey of doctoral and internship programs.

The Canadian Psychological Association emphasises the importance of diversity training for doctoral and internship programs, and age is an important aspect of diversity. Yet, little is known about training capacity in clinical geropsychology in Canada. To address this issue, the authors surveyed directors of clinical training in all accredited clinical and counselling psychology doctoral and internship programs in Canada. Responses from 92% (n = 43) of these programs indicated that there are no doctoral programs in Canada with a formal concentration in geropsychology; however, 40% of internships offer a major rotation in geropsychology and a further 48% offer a minor rotation. Training activities are largely focused on the diagnosis and assessment of mental health problems, with relatively less attention to therapeutic interventions. Data are presented on the availability of geropsychology resources (e.g., faculty/clinical supervisors, courses, practicum, research opportunities) and the perceived need for geropsychology training. Recommendations for enhancing geropsychology training capacity in Canada are reviewed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)