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Competencies in Adult Clinical Psychology

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Handbook of Clinical Psychology Competencies

Abstract:

This chapter addressed the following background issues: evidence-based medicine, the empirically supported treatment debate, what constitutes evidence, and competency. The National Council of Schools and Programs in Professional Psychology (NCSPP) educational model was discussed including the following components: relationship, assessment, intervention, consultation and education, management and supervision plus research and evaluation. Six specific foundational competencies were considered including their essential components, behavioral anchors, and assessment methods that indicate readiness for practicum, internship, and practice. These foundational competencies include: reflective practice and self-assessment, scientific knowledge and methods, relationships, individual and cultural diversity, knowledge of ethical and legal standards and policies and interdisciplinary systems. The following six functional competencies were discussed: assessment-diagnosis-case conceptualization, intervention, consultation, research and evaluation, supervision and teaching, plus management and administration. Essential components with behavioral anchors and assessment methods that indicate readiness for practicum, internship, and practice were identified. What being expert entails was briefly discussed.

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References

  • American Educational Research Association, American Psychological Association, & National Council on Measurement in Education. (1999). Standards for educational and psychological testing (2nd ed.). Washington, DC: American Educational Research Association.

    Google Scholar 

  • American Psychological Association. (2002). Ethical principles of psychologists and code of conduct. American Psychologist, 57, 1060–1073.

    Google Scholar 

  • American Psychological Association Presidential Task Force on Evidence-Based Practice. (2006). Evidence-based practice. American Psychologist, 61, 271–285.

    Google Scholar 

  • Andrusyna, T. P., Tang, T. Z., DeRubeis, R. J., & Luborsky, L. (2001). The factor structure of the working alliance inventory in cognitive-behavioral therapy. Journal of Psychotherapy Practice and Research, 10, 173–178.

    PubMed  Google Scholar 

  • Baker, J., Horton, S., Robertson-Wilson, Wall, M. (2003). Nurturing sport expertise: Factors influencing the development of elite athlete. Journal of Sports Science and Medicine, 2, 1–9. (http://www.jssm.org/vol2/n1/1/v2n1–1text.php)

  • Barber, J. P., Sharpless, B. A., Klostermann, S., & McCarthy, K. S. (2007). Assessing intervention competence and its relation to therapy outcome: A selected review derived from the outcome literature. Professional Psychology, 38, 493–500.

    Article  Google Scholar 

  • Benner, P. (1984). From novice to expert: Excellence and power in clinical nursing practice. Menlo Park, CA: Addison Wesley.

    Google Scholar 

  • Bent, R. J., & Cannon, W. G. (1987). Key functional skills of professional psychologists. In Bourg, E. T., Bent, R. J., Callan, J. E., Jones, N. F., McHolland, J., & Strieker, G. (Eds.), Standards and evaluation in the education and training of professional psychologists. Norman, OK: Transcript Press.

    Google Scholar 

  • Beutler, L. E. (2004). The empirically supported treatments movement: A scientist-practitioner’s response. Clinical Psychology: Science and Practice, 11, 225–229.

    Article  Google Scholar 

  • Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research and Practice, 16, 252–260.

    Article  Google Scholar 

  • Bourg, E. F., Bent, R. J., Callan, J. E., Jones, & N. F., McHolland, J., Stricker, G. (Eds.). (1987). Standards and evaluation in the education and training of professional psychologists: Knowledge, attitudes, and skills. Norman, OK: Transcript Press.

    Google Scholar 

  • Bourg, E. F., Bent, R. J., McHolland, J. D., & Stricker, G. (1989). Standards and evaluation in the education and training of professional psychologists: The National Council of Schools of Professional Psychology Mission Bay Conference. American Psychologist, 44, 66–72.

    Article  Google Scholar 

  • Brown, G. S., Lambert, M. J., Jones, E. R., & Minami, T. (2005). Identifying highly effective therapists in a managed care environment. American Journal of Managed Care, 11, 513–520.

    PubMed  Google Scholar 

  • Cabana, M. D., Rand, C. S., Powe, N. R., Wu, A. W., Wilson, M. H., Abbound, P. A., et al. (1999). Why don’t physicians follow clinical practice guidelines? A framework for improvement. Journal of the American Medical Association, 282, 1458–1465.

    Article  PubMed  Google Scholar 

  • Callan, J. E., Peterson, D. R., & Stricker, G. (Eds.). (1986). Quality in professional psychology training: A national conference and self-study. Norman, OK: Transcript Press.

    Google Scholar 

  • Chapman, L. J. (1967). Illusory correlation in observational report. Journal of Verbal Learning and Verbal Behavior, 6, 151–155.

    Article  Google Scholar 

  • Chapman, L. J., & Chapman, J. P. (1967). Genesis of popular but erroneous psychodiagnostic observations. Journal of Abnormal Psychology, 72, 193–204.

    Article  PubMed  Google Scholar 

  • Drake, R., E., Dixon, L., Burns, B. J., Flynn, L., Rush, A. J., Clark, R. E., et al. (2001). Implementing evidence-based practices for persons with severe mental illnesses. Psychiatric Services, 52, 45–50.

    Article  PubMed  Google Scholar 

  • Dreyfus, H. L., & Dreyfus, S. E. (1986). Mind over machine: The power of human intuition and expertise in the era of the computer. New York: The Free Press.

    Google Scholar 

  • Eagle, K. A., Montoye, C. K., Riba, A. L., DeFranco, A. C., Parrish, R., Skorcz, S., et al. (2005). Guideline-based standardized care is associated with substantially lower mortality in medicare patients with acute myocardial infarction. Journal of the American College of Cardiology, 46, 1242–1248.

    Article  PubMed  Google Scholar 

  • Eddy, D. M. (1990). Practice policies: Where do they come from? Journal of the American Medical Association, 263, 1265, 1269, 1272, 1275.

    Article  PubMed  Google Scholar 

  • Eddy, D. M. (2005). Evidence-based medicine: A unified approach. Health Affairs, 24, 9–17.

    Article  PubMed  Google Scholar 

  • Elman, N. S., & Forrest, L. (2007). From trainee impairment to professional competence problems: Seeking new terminology that facilitates effective action. Professional Psychology, 38, 501–509.

    Article  Google Scholar 

  • Epstein, R. M., & Hundert, E. M. (2002). Defining and assessing professional competence. Journal of the American Medical Association, 287, 226–235.

    Article  PubMed  Google Scholar 

  • Eysenck, H. J. (1952). The effects of psychotherapy: An evaluation. Journal of Consulting Psychology, 16, 319–324.

    Article  PubMed  Google Scholar 

  • Fisher, C. B. (2003). Decoding the ethics code: A practical guide for psychologists. Thousand Oaks, CA: Sage.

    Google Scholar 

  • Greenhalgh, T. (2002). Intuition and evidence – uneasy bedfellows? British Journal of General Practice, 52, 395–400.

    PubMed  Google Scholar 

  • Guyatt, G. H., & Rennie, D. (1993). Users’ guides to the medical literature. Journal of the American Medical Association, 270, 2096–2097.

    Article  PubMed  Google Scholar 

  • Guyatt, G. H., Haynes, R. B., Jaeschke, R. Z., Cook, D. J., Green, L., Naylor, C. D., et al. (2000). Users’ guides to the medical literature: XXV. Evidence-Based Medicine: Principles for Applying the Users’ Guides to Patient Care. Journal of the American Medical Association, 284, 1290–1296.

    Article  PubMed  Google Scholar 

  • Hatcher, R. L., & Lassiter, K. D. (2007). Initial training in professional psychology: The practicum competencies outline. Training and Education in Professional Psychology, 1, 49–63.

    Article  Google Scholar 

  • Herbert, J. D. (2003). The science and practice of empirically supported treatments. Behavior Modification, 27, 412–430.

    Article  PubMed  Google Scholar 

  • Horvath, A. O., & Greenberg, L. S. (1989). Development and validation of the working alliance inventory. Journal of Counseling Psychology, 36, 223–233.

    Article  Google Scholar 

  • Horvath, A. O., & Symonds, B. D. (1991). Relation bet-ween working alliance and outcome in psychotherapy: A meta-analysis. Journal of Counseling Psychology, 38, 139–149.

    Article  Google Scholar 

  • Jacobson, N. S., Dobson, K. S., Truax, P. A., Addis, M. E., Koerner, K., Gollan, J. K., et al. (1996). A component analysis of cognitive-behavioral treatment for depression. Journal of Consulting and Clinical Psychology, 64, 295–304.

    Article  PubMed  Google Scholar 

  • Kaslow, N. J. (2004). Competencies in professional psychology. American Psychologist, 59, 774–781.

    Article  PubMed  Google Scholar 

  • Kaslow, N. J., Rubin, N. J., Bebeau, M. J., Leigh, I. W., Lichtenberg, J. W., Nelson, P. D., et al. (2007). Guiding principles and recommendations for the assessment of competence. Professional Psychology, 38, 441–451.

    Article  Google Scholar 

  • Kaslow, N. J., Rubin, N. J., Forrest, L., Elman, N. S., Van Horne, B. A., Jacobs, S. C., et al. (2007). Recognizing, assessing, and intervening with problems of professional competence. Professional Psychology, 38, 479–492.

    Article  Google Scholar 

  • Kettlewell, P. W. (2004). Development, dissemination, and implementation of evidence-based treatments: Commentary. Clinical Psychology: Science and Practice, 11, 190–195.

    Article  Google Scholar 

  • Koocher, G. P., & Keith-Spiegel, P. (2008). Ethics in psychology: Professional standards and cases (3rd ed.). New York: Oxford University Press.

    Google Scholar 

  • Kunda, Z. (1990). The case for motivated reasoning. Psychological Bulletin, 108, 480–498.

    Article  PubMed  Google Scholar 

  • Lambert, M. J., & Bergin, A. E. (1994). The effectiveness of psychotherapy. In Bergin, A. E., & Garfield, S. L. Handbook of psychotherapy and behavior change (pp. 143–189). New York: Wiley.

    Google Scholar 

  • Lambert, M. J., Shapiro, D. A., & Bergin, A. E. (1986). The effectiveness of psychotherapy. In Garfield, S. L. & Bergin, A. E. Handbook of psychotherapy and behavior change (3rd ed., pp. 157–212). New York: Wiley.

    Google Scholar 

  • Leigh, I. W., Smith, I. L., Bebeau, M. J., Lichtenberg, J. W., Nelson, P. D., Portnoy, S., et al. (2007). Competency assessment models. Professional Psychology, 38, 463–473.

    Article  Google Scholar 

  • Lichtenberg, J. W., Portnoy, S. M., Bebeau, M. J., Leigh, I. W., Nelson, P. D., Rubin, N. J., et al. (2007). Challenges to the assessment of competence and competencies. Professional Psychology, 38, 474–478.

    Article  Google Scholar 

  • Lilienfeld, S. O., Lynn, S. J., & Lohr, J. M. (2003). Science and pseudoscience in clinical psychology. NewYork: Guilford.

    Google Scholar 

  • Manring, J., Beitman, B. D., & Dewan, M. J. (2003). Evaluating competence in psychotherapy. Academic Psychiatry, 27, 136–144.

    Article  PubMed  Google Scholar 

  • Martin, D. J., Garske, J. P., & Davis, M. K. (2000). Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review. Journal of Consulting and Clinical Psychology, 68, 438–450.

    Article  PubMed  Google Scholar 

  • Mays, D. T., & Franks, C. M. (Eds.). (1985). Negative outcome in psychotherapy and what to do about it. New York: Springer.

    Google Scholar 

  • McFall, R. M. (1996). Manifesto for a science of clinical psychology. The Clinical Psychologist, 44, 75–88.

    Google Scholar 

  • Meehl, P. E. (1954). Clinical versus statistical prediction. Minneapolis: University of Minnesota Press.

    Book  Google Scholar 

  • Meehl, P. E. (1997). Credentialed persons, credentialed knowledge. Clinical Psychology: Science and Practice, 4, 91–98.

    Article  Google Scholar 

  • Meehl, P. E., & Rosen, A. (1955). Antecedent probability and the efficiency of psychometric signs, patterns, or cutting scores. Psychological Bulletin, 52, 194–216.

    Article  PubMed  Google Scholar 

  • Nathan, P. E., & Gorman, J. M. (2002). A guide to treatments that work (2nd ed.). New York: Oxford University Press.

    Google Scholar 

  • Nathan, P. E., & Gorman, J. M. (2002). Efficacy, effectiveness, and the clinical utility of psychotherapy research. In Nathan, P. E., & Gorman, J. M. (Eds.), A guide to treatments that work (2nd ed., pp. 643–654). New York: Oxford University Press.

    Google Scholar 

  • Nelson, P. D. (2007). Striving for competence in the as-sessment of competence: Psychology’s professional education and credentialing journey of public accountability. Training and Education in Professional Psychology, 1, 3–12.

    Article  Google Scholar 

  • Newell, A., & Rosenbloom, P. S. (1981). Mechanisms of skill acquisition and the law of practice. In Anderson, J. R. (Ed.), Cognitive skills and their acquisition (pp. 1–55). Hillsdale, NJ: Erlbaum.

    Google Scholar 

  • Overholser, J. C., & Fine, M. A. (1990). Defining the boundaries of professional competence: Managing the subtle cases of clinical incompetence. Professional Psychology: Research and Practice, 21, 462–469.

    Article  Google Scholar 

  • Peterson, R. L. (1991). The social, relational, and intellectual context of the core curriculum and the San Antonio conference. In Peterson, R. L., McHolland, J. D., Bent, R. J., Davis-Russell, E., Edwall, G. E., Polite, K., et al. (Eds.) The core curriculum in professional psychology (pp. 3–12). Washington, DC: American Psychological Association.

    Google Scholar 

  • Peterson, R. L., McHolland, J. D., Bent, R. J., Davis-Russell, E., Edwall, G. E., Polite, K. et al. (Eds.) (1991). The core curriculum in professional psychology. Washington, DC: American Psychological Association. (Individual chapters or the entire book can be obtained electronically from http://www.ncspp.info/core.htm)

  • Peterson, R. L., Peterson, D. R., Abrams, J. C., & Stricker, G. (1997). The National Council of Schools and Programs of Professional Psychology educational model. Professional Psychology: Research and Practice, 28, 373–386.

    Article  Google Scholar 

  • Rello, J., Lorente, C., Bodf, M., Diaz, E., Ricart, M., & Kollef, M. H. (2002). Why do physicians not follow evidence-based guidelines for preventing ventilator-associated pneumonia? A survey based on the opinions of an international panel of intensivists. Chest, 122, 656–661.

    Article  PubMed  Google Scholar 

  • Rodolfa, E. R., Bent, R. J., Eisman, E., Nelson, P. D., Rehm, L., & Ritchie, P. (2005). A cube model for competency development: Implications for psychology educators and regulators. Professional Psychology: Research and Practice, 36, 347–354.

    Article  Google Scholar 

  • Rogers, C. R. (1942). Counseling and psychotherapy. Boston: Houghton Mifflin Co.

    Google Scholar 

  • Rogers, C. R. (1951). Client-centered therapy. Boston: Houghton Mifflin Co.

    Google Scholar 

  • Rosen, G. M., & Davison, G. C. (2003). Psychology should list empirically supported principles of change (ESPs) and not credential trademarked therapies or other treatment packages. Behavior Modification, 27, 300–312.

    Article  PubMed  Google Scholar 

  • Ross, P. E. (2006, August). The expert mind. Scientific American, 295, 64–71.

    Article  PubMed  Google Scholar 

  • Rubin, N. J., Bebeau, M., Leigh, I. W., Lichtenberg, J. W., Nelson, P. D., Portnoy, S., et al. (2007). The competency movement within psychology: An historical perspective. Professional Psychology, 38, 452–562.

    Article  Google Scholar 

  • Sackett, D. L., Rosenberg, W. M. C., Gray, J. A. M., Haynes, R. B., & Richardson, W. S. (1999). Evidence based medicine: what it is and what it isn’t: It’s about integrating individual clinical expertise and the best external evidence. British Medical Journal, 312, 71–72.

    Article  Google Scholar 

  • Simon, H. A., & Chase, W. G. (1973). Skill in chess. American Scientist, 61, 394–403.

    Google Scholar 

  • Stricker, G., Davis-Russell, E., Bourg, E., Duran, E., Hammond, W. R., McHolland, J., et al. (Eds.). (1990). Toward ethnic diversification in psychology education and training. Washington, DC: American Psychological Association.

    Google Scholar 

  • Tichenor, V., & Hill, C. E. (1989). A comparison of six measures of working alliance. Psychotherapy, 26, 195–199.

    Article  Google Scholar 

  • Tracey, T. J., & Kokotovic, A. M. (1989). Factor structure of the working alliance inventory. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 1, 207–210.

    Article  Google Scholar 

  • Tryon, W. W. (2005). Possible mechanisms for why desensitization and exposure therapy work. Clinical Psychology Review, 25, 67–95.

    Article  PubMed  Google Scholar 

  • Tryon W. W. (2008a). History and theoretical foundations. In Hersen, M., & Gross, A. M. Handbook of clinical psychology: Vol. 1. Adults. New York: Wiley.

    Google Scholar 

  • Tryon, W. W. (2008b). Whatever happened to symptom substitution? Clinical Psychology Review, 28, 963–968.

    Article  PubMed  Google Scholar 

  • Tryon, W. W., & Misurell, J. R. (2008). Dissonance induction and reduction: A possible principle and connectionist mechanism for why therapies are effective. Clinical Psychology Review, 28, 1297–1309. (http://dx.doi.org/10.1016/j.cpr.2008.06.003)

  • Tversky, A., & Kahneman, D. (1971). Belief in the law of small numbers. Psychological Bulletin, 76, 105–110.

    Article  Google Scholar 

  • Tversky, A., & Kahneman, D. (1983). Extensional versus intuitive reasoning: The conjunction fallacy in probability judgment. Psychological Review, 90, 293–315.

    Article  Google Scholar 

  • Wampold, B. E., Mondin, G. W., Moody, M., Stich, F., Benson, K., & Ahn, H. (1997). A meta-analysis of outcome studies comparing bonafide psychotherapies: Empirically, “All must have prizes.” Psychological Bulletin, 122, 203–215.

    Article  Google Scholar 

  • Webbe, F. M., Farber, P. D., Edwall, G. E., & Edwards, K, J. (1990). Academic-scientific core curriculum. In Peterson, R. L. McHolland, J. D., Bent, R. J., Davis-Russell, E., Edwall, G. E., Polite, K. et al. (Eds.), The core curriculum in professional psychology (pp. 37–42). Washington, DC: American Psycholog-ical Association.

    Google Scholar 

  • Weiss, B. J. (1991). Toward a competency-based core curriculum in professional psychology: A critical history. In Peterson, R. L., McHolland, J. D., Bent, R. J., Davis-Russell, E., Edwall, G. E., Polite, K., D. L., et al. (Eds.), The core curriculum in professional psychology (pp. 13–22). Washington, DC: American Psychological Association.

    Google Scholar 

  • Wennberg, J. E., & Gittelsohn, A. (1973). Small area variations in health care delivery. Science, 117, 1102–1108.

    Article  Google Scholar 

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Tryon, W.W. (2010). Competencies in Adult Clinical Psychology. In: Thomas, J.C., Hersen, M. (eds) Handbook of Clinical Psychology Competencies. Springer, New York, NY. https://doi.org/10.1007/978-0-387-09757-2_1

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