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Case Conceptualization Strategies: The Relationship Between Psychologists' Experience Levels, Academic Training, and Mode of Clinical Inquiry

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Abstract

Psychologists and psychology students (n = 138) were provided an artificial-intelligence program that simulated a date rape client's responses to typed questions. Participants were asked to conduct a “clinical interview” by typing in their questions. Clinical experience was unrelated to participants' levels of confidence, perceived expertise, and efficiency in generating or analyzing questions. Both experience and academic level of training, however, affected participant's mode of questioning.

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REFERENCES

  • Anderson, J. R. (1981). Cognitive Skills and Their Acquisition, Erlbaum, Hillside, NJ.

    Google Scholar 

  • Arnold, R. C. (1993). Effects of Experience, Attitude, and Response Cost on Clinician Diagnostic Sensitivity, Response Bias, and Confidence. Doctoral dissertation, Brigham Young University, 1990. Dissert. Abst. Int. 54(2-B): 1086.

  • Ben, D. S., and Silfen, P. (1993). Rape death and resurrection: Male reaction after disclosure of the secret of being a rape victim. Med. Law 12: 181–189.

    Google Scholar 

  • Berman, J. S., and Norton, N. C. (1985). Does professional training make a therapist more effective? Psychol. Bull. 98: 401–407.

    Google Scholar 

  • Beutler, L. E. (1989). The misplaced role of theory in psychotherapy integration. J. Integr. Eclect. Psychother. 8: 17–22.

    Google Scholar 

  • Bloom, B. S. (ed.) (1985). Developing Talent in Young People, Ballantine Books, New York.

    Google Scholar 

  • Clark, R. E. (1992). Human performance interventions for Irish organizations. Irish J. Psychol. 13(1): 1–16

    Google Scholar 

  • Clinard, H. (1985). Listen for the difference. Train. Devel. J. 39(10): 39.

    Google Scholar 

  • Cooke, N. J. (1992). Modeling human expertise in expert systems. In Hoffman, R. R. (ed.), The Psychology of Expertise: Cognitive Research and Empirical AI, Springer-Verlag, New York, pp. 29–60.

    Google Scholar 

  • Dawes, R. M. (1986). Representative thinking in clinical judgment. Clin. Psychol. Rev. 6: 425–441.

    Google Scholar 

  • Dawes, R. M. (1989). Experience and validity of clinical judgment: The illusory correlation. Behav. Sci. Law 7: 457–467.

    Google Scholar 

  • Dawes, R. M. (1994). House of Cards: Psychology and Psychotherapy Built on Myth, The Free Press, New York.

    Google Scholar 

  • de Groot, A. (1978). Thought and Choice in Chess, Netherlands, Mouton, The Hague, (Original work published 1946).

  • Dreyfus, H. L., and Dreyfus, S. E. (1986). Mind over Machine: The Power of Human Intuition and Expertise in the Era of the Computer, The Free Press, New York.

    Google Scholar 

  • Dumont, F. (1991). Expertise in psychotherapy: Inherent liabilities of becoming experienced. Psychotherapy 28: 422–428.

    Google Scholar 

  • Dumont, F. (1993). Inferential heuristics in clinical problem formulation: Selective review of their strengths and weaknesses. Profess. Psychol.: Res. Pract. 24: 196–205.

    Google Scholar 

  • Dunning, D., Griffin, D. W., Milojkovic, J. D., and Ross, L. (1990). The overconfidence effect in social Rationale. J. Person. Soc. Psychol. 58: 568–581.

    Google Scholar 

  • Ericsson, K. A., and Charness, N. (1994). Expert performance: Its structure and acquisition. Am. Psychol. 48: 725–747.

    Google Scholar 

  • Ericsson, K. A., and Crutcher, R. J. (1990). The nature of exceptional performance. In Baltes, P. B., Featherman, D. L., and Learner, R. M. (eds.), Life-Span Development and Behavior (Vol. 10), Erlbaum, Hillsdale, NJ, pp. 187–217.

    Google Scholar 

  • Ericsson, K. A., and Smith, J. (1991). Prospect and limits of the empirical study of expertise: An introduction. In Ericsson, K. A., and Smith, J. (eds.), Toward a General Theory of Expertise: Prospect and Limits, Cambridge University Press, Cambridge, pp. 1–38.

    Google Scholar 

  • Ericsson, K. A., Krampe, R. T., and Tesch-Römer, C. (1993). The role of deliberate practice in the acquisition of expert performance. Psychol. Rev. 100: 363–406.

    Google Scholar 

  • Etringer, B. D., Hillerbrand, E., and Claiborn, C. D. (1995). The transition from novice to expert counselor. Counsel. Educ. Supervis. 35: 4–17.

    Google Scholar 

  • Flower, L. S. (1979). Writer-based prose: A cognitive basis for problems in writing. Coll. Engl. 41: 19–37.

    Google Scholar 

  • Garb, H. N. (1986). The appropriateness of confidence ratings in clinical judgment. J. Clin. Psychol. 42: 190–197.

    Google Scholar 

  • Garb, H. N. (1989). Clinical judgment, clinical training, and professional experience. Psychol. Bull. 105: 387–396.

    Google Scholar 

  • Garmer, K., Dahlman, S., and Sperling, L. (1995). Ergonomic development work: Co-education as a support for user participation at a car assembly plant: A case study. Appl. Ergon. 26: 417–423.

    Google Scholar 

  • Gelso, C. J., and Fretz, B. R. (1992). Counseling Psychology, Harcourt Brace Jovanovich College Publishers, Fort Worth.

    Google Scholar 

  • Glidewell, J. C., and Livert, D. E. (1992). Confidence in the practice of clinical psychology. Profess. Psychol.: Res. Pract. 25: 362–368.

    Google Scholar 

  • Goldberg, L. R. (1959). The effectiveness of clinicians' judgments: The diagnosis of organic brain damage from the Bender-Gestalt test. J. Consult. Psychol. 23: 25–33.

    Google Scholar 

  • Goldberg, L. R. (1968). Simple or simple processes: Some research on clinical judgments. Am. Psychol. 23: 483–496.

    Google Scholar 

  • Goldin, S. E. (1978). Memory for the ordinary: Typicality effects in chess positions. J. Exp. Psychol. Hum. Learn. Mem. 4: 605–616.

    Google Scholar 

  • Goodyear, R. K. (1997). Psychological expertise and the role of individual differences: An exploration of issues. Educ. Psychol. Rev. 9: 251–265.

    Google Scholar 

  • Hattie, J. A., Sharpley, C. F., and Rogers, H. J. (1984). Comparative effectiveness of professional and paraprofessional helpers. Psychol. Bull. 92: 534–541.

    Google Scholar 

  • Hayes, J. R. (1981). The Complete Problem Solver, Franklin Institute Press, Philadelphia.

    Google Scholar 

  • Hayes, S. C., and Wolf, M. R. (1984). Cues, consequences and therapeutic talk: Effects of social context and coping statements on pain. Behav. Res. Ther. 22: 385–392.

    Google Scholar 

  • Hillerbrand, E. (1989). Cognitive differences between experts and novices: Implications for group supervision. J. Counsel. Devel. 67: 293–296.

    Google Scholar 

  • Hunt, E. (1989). Cognitive science: Definition, status, and questions. Annu. Rev. Psychol. 40: 603–629.

    Google Scholar 

  • Kilpatrick, D. G. (1985). Mental health correlates of criminal victimization: A random community survey. J. Consult. Clin. Psychol. 53: 866–873.

    Google Scholar 

  • Koester, G. A. (1954). A study of the diagnostic process. Educ. Psychol. Measure. 14: 473–486.

    Google Scholar 

  • Koupernik, C. (1995). Psychiatric clinics and medical clinics. Ann. Med. Psychol. 153: 212–216.

    Google Scholar 

  • Light, R. J., Singer, J. D., and Willett, J. B. (1990). By Design: Planning Research on Higher Education, Harvard University Press, Cambridge, MA.

    Google Scholar 

  • McArthur, C. (1954). Analyzing the clinical process. J. Counsel. Psychol. 1: 203–208.

    Google Scholar 

  • McGill, A. R., Johnson, M. D., and Bantel, K. A. (1994). Cognitive complexity and conformity: Effects on performance in a turbulent environment. Psychol. Rep. 73: 1451–1472.

    Google Scholar 

  • Mitchell, R. K., and Chesteen, S. A. (1995). Enhancing entrepreneurial expertise: Experiential pedagogy and the new venture expert script. Simul. Gaming 26: 288–306.

    Google Scholar 

  • O'Byrne, K. (1993). The Relationship Between Psychological Expertise and Clinical Assessment: A Comparison of Novice and Expert Performance. Unpublished doctoral dissertation, University of Southern California.

  • O'Byrne, K. R., and Goodyear, R. K. (1993). Expert and Novice Psychologists' Client Assessment: A Comparison of Strategies. Paper presented at the Annual Meeting of the American Educational Research Association, Atlanta, GA.

  • Oskamp, S. (1982). Overconfidence in case-study judgments. In Kahneman, D., Slovic, P., and Tversky, A. (eds.), Judgment Under Uncertainty: Heuristics and Biases, Cambridge University Press, New York, pp. 287–293.

    Google Scholar 

  • Pain, M. D., and Sharpley, C. F. (1989). Varying the order in which positive and negative information is presented: Effects on counselors' judgments of clients' mental health. J. Counsel. Psychol. 36: 3–7.

    Google Scholar 

  • Patel, V. L., and Groen, G. J. (1986). Knowledge-based solutions in medical reasoning. Cognit. Sci. 10: 91–116.

    Google Scholar 

  • Patel, V. L., and Groen, G. J. (1988). Biomedical knowledge in clinical reasoning. In Evans, D. and Patel, V. (eds.), Cognitive Science in Medicine: Biomedical Modeling, MIT Press, Cambridge, MA, pp. 207–251.

    Google Scholar 

  • Patel, V. L., and Groen, G. J. (1991). The nature of medical expertise: A critical look. In Ericsson, K. A., and Smith, J. (eds.), Toward a General Theory of Expertise: Prospect and Limits, Cambridge University Press, Cambridge, pp. 93–125.

    Google Scholar 

  • Polkinghorne, D. E. (1992). Postmodern epistemology of practice. In Kvale, S. (ed.), Psychology and Postmodernism, Sage, London, pp. 146–165.

    Google Scholar 

  • Popal, H. E. (1982). Heuristic methods for imposing structure on ill-structured problems: The structuring of medical diagnostics. In Szolovits, P. (ed.), Artificial Intelligence in Medicine, Westview Press, Boulder, CO, pp. 100–121.

    Google Scholar 

  • Pugach, M. C., and Johnson, L. J. (1995). Unlocking expertise among classroom teachers through structured dialogue: Extending research on peer collaboration. Except. Childr. 62: 101–110.

    Google Scholar 

  • Radhakrishnan, P., Arrow, H., and Sniezek, J. (1996). Hoping, performing, learning, and predicting: Changes in the accuracy of self-evaluations of performance. Hum. Perform. 9: 23–49.

    Google Scholar 

  • Rosenbloom, P. S., and Newell, A. (1986). The chunking of goal hierarchies: A generalized model of practice. In Michalski, R. S., Carbonell, J. G., and Mitchell, T. M. (eds.), Machine Learning: An Artificial Intelligence Approach (Vol. 2), Morgan Kaufmann, Los Altos, CA, pp. 247–288.

    Google Scholar 

  • Smith, M. L., and Glass, G. V. (1977). Meta-analysis of psychotherapy outcome studies. Am. Psychol., 32: 752–760.

    Google Scholar 

  • Stein, D. M., and Lambert, M. J. (1995). Graduate training in psychotherapy: Are therapy outcomes enhanced? J. Consult. Clin. Psychol. 63: 182–196.

    Google Scholar 

  • Tabachnick, B. G., and Fidell, L. S. (1983). Using Multivariate Statistics, Harper and Row, New York.

    Google Scholar 

  • Vallone, R. P., Griffin, D. W., Lin, S., and Ross, L. (1990). Overconfident predication of future actions and outcomes by self and others. J. Person. Soc. Psychol. 52: 582–592.

    Google Scholar 

  • Vargo, J. W., and McFarlane, L. H. (1994). Why didn't I say that? Techniques for counseling clients and their families. J. Speech-Lang. Patholol. Audiol. 18: 157–162.

    Google Scholar 

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Brammer, R. Case Conceptualization Strategies: The Relationship Between Psychologists' Experience Levels, Academic Training, and Mode of Clinical Inquiry. Educational Psychology Review 9, 333–351 (1997). https://doi.org/10.1023/A:1024794522386

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