Clinicians' theoretical orientations: Selection, utilization, and efficacy.

479 clinical psychologists were surveyed regarding their use of and satisfaction with their theoretical orientations, reasons for the selection of their orientations, and the relative influence of their chosen orientations on psychotherapy practice. Contrary to suggestions that clinicians select an orientation largely on inexplicable or accidental grounds, adoption of an orientation was attributed to personal, deliberate choices primarily predicated on clinical experience, personal values, and graduate training. Of 18 possible influences on therapeutic practice, theoretical orientation was rated the most influential and theory of pathology/personality the 2nd most influential, which suggests that clinical psychologists perceive their orientations as pervasive and efficacious therapeutic variables. (37 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)