Evidence-Based Practice in Psychology: An Ethical Framework for Graduate Education,Clinical Training,and Maintaining Professional Competence

Evidence-based practice is often acknowledged as the future state of psychology, yet those graduate students who will soon be applying such practices tend to hold several misconceptions about the major components within this framework. This review highlights implications for graduate education, clinical training, and professional competence in light of the movement toward evidence-based practice in psychology. These implications are discussed in relation to the close parallel between the major components of the evidence-based framework and the current Ethical Principles of Psychologists and Code of Conduct. The evidence-based framework is discussed as an ideology that promotes lifelong learning and best prepares graduate students for ethical clinical practice throughout their careers as psychologists.     

The current status of psychological assessment training in graduate and professional schools.

Test-based psychological assessment is threatened by the policies of managed care organizations; however, research has demonstrated that test-based psychological assessment is quite valuable and economically justified when conducted by well-trained psychologists. This surfaces the question of the current status of graduate training in test-based psychological assessment. Results of this study indicate that clinical and counseling students currently receive almost equivalent training in test-based assessment. However, in a larger context, results indicate a lack of sound preparation in test-based assessment training for a large proportion of clinical and counseling students. These findings are discussed in terms of their implications for the field and, more specifically, for graduate and internship training.     

Personality assessment and counseling psychology

This article examines the place of personality assessment in counseling psychology. Three areas are considered: (a) the types of tests counseling psychologists use, (b) the perspective counseling psychologists apply to the use of tests, and (c) projective techniques and counseling psychology. Each area is examined, and the issues it raises for counseling psychology are presented. Some conclusions about personality assessment practices in counseling psychology are made, and several directions for future training are identified.     

Personality Assessment and Counseling Psychology

This article examines the place of personality assessment in counseling psychology. Three areas are considered: (a) the types of tests counseling psychologists use, (b) the perspective counseling psychologists apply to the use of tests, and (c) projective techniques and counseling psychology. Each area is examined, and the issues it raises for counseling psychology are presented. Some conclusions about personality assessment practices in counseling psychology are made, and several directions for future training are identified.     

Does psychopathology predict counseling duration?

Many university counseling centers have adopted case management policies in an effort to conserve limited resources. Fearing that students with more severe problems will consume too many clinical resources, many counseling centers have decided to refer such students to external agencies or providers for mental health services. However, this fear might be unwarranted because empirical research has not shown a substantial relationship between psychopathology and counseling duration. This investigation examined whether a new treatment-planning inventory, the Butcher Treatment Planning Inventory, might be useful for better understanding the relationships between various problem areas and counseling duration. Participants were new clients (students and staff members) at a university counseling center in the southeastern USA. Professional staff members and graduate students in counselor education, clinical psychology, and clinical social work provided counseling services to the participants. Lower scores on several scales predicted counseling duration. In other words, clients with lower scores on these scales (representing less psychopathology) attended more counseling sessions than clients with greater psychopathology. Therapists' background also predicted counseling duration; clients who worked with either a professional staff member or graduate student in counselor education attended more sessions than clients who worked with a graduate student in clinical psychology. The results of this study, combined with previous research, suggest that measures of psychopathology are not very useful for identifying which clients will complete long-term counseling. Until better information becomes available, actuarial tables remain the most efficient means for predicting counseling duration.     

Maintaining the viability of counseling psychology: The role of research training

Data and trends affecting the future of counseling psychology are discussed. It h concluded that the future existence of the specialty is largely influenced by the research productivity of counseling psychologists. A major factor affecting that productivity is the quality and effectiveness of research training provided to graduate students. The empirical literature on research training is reviewed with respect to procedures for increasing research productivity. Suggestions for modifying graduate research training are discussed.     

The MMPI: Does It Have a Place in Counseling Psychology Training?

Although a number of surveys have examined psychological assessment training in clinical psychology programs, studies about assessment training in counseling psychology programs have been all too few. This survey gathered information about the place of the Minnesota Multiphasic Personality Inventory (MMPI) in the training of counseling psychology students. A 3-page questionnaire was mailed to alt directors of APA-approved counseling psychology programs for completion by the individual primarily responsible for teaching the MMPI. Forty (85%) of the 47 questionnaires were returned, it was found that the MMPI (a) was taught in one or more courses in virtually all programs; (b) was viewed as useful by most respondents: and (c) was included, with same variability, in practicum training and on doctoral qualifying examinations. As in clinical psychology programs, the MMPI appeared to occupy a place of importance in the assessment training of counseling psychologists.     

How special are the specialties? Workplace settings in counseling and clinical psychology in the United States

How special are the specialties? Although clinical and counseling psychology each have distinctive origins, past research suggests their potential convergence across time. In a survey of 5666 clinical and counseling psychologists, the similarities and differences between their workplace settings were examined during early-, mid-, and late-career phases to explore the distinctiveness of the two specialties. Overall, clinical and counseling psychologists reported markedly similar workplace settings. However, some significant differences remained; a greater proportion of counseling psychologists reported working in counseling centers, while a greater proportion of clinical psychologists reported working in medical settings. In addition, during late-career, substantially more counseling and clinical psychologists worked in independent practice contexts than in community mental health centers, medical settings, academia, or university counseling centers. Findings are discussed in relation to the ongoing distinctiveness of the two specialties and the implications of this for training and service in the field of professional psychology.     

Students' perceptions of their future professional behavior

Doctoral students from university-based clinical, counseling, and school psychology programs responded to items that asked how willing they would be to engage in various professional activities and the reasons for their choices. The data were factor analyzed; five subscales resulted that were analyzed in a one-way MANOVA. Results indicated similarities between clinical and counseling for therapy and medically related disorders (Subscale 1) and specialized assessments and techniques (Subscale 4); and similarities among all three specialties on academic activities (Subscale 5). Traditional differences were also found: school students were more likely to endorse activities related to children and schools (Subscale 2); whereas counseling students were more likely to endorse activities related to consultation, educational—vocational counseling, and evaluation (Subscale 3). The results support current similarities and historical differences among the specialties and raise questions regarding education of and future career opportunities for psychologists.     

Is vocational assessment training in counseling psychology programs too restricted?

To gather information about vocational assessment training in counseling psychology programs, we surveyed the 64 programs that comprised the Council of Counseling Psychology Training Programs. A total of 56 (88%) directors returned their questionnaires. The survey data suggest that the Strong Interest Inventory (SII), in comparison to other vocational assessment methods, is taught in far more graduate programs and seemingly is accorded a relatively exclusive place in vocational assessment training. In discussing the results, we acknowledge the psychometric soundness and usability of the SII, lament the fact that students appear to receive limited exposure to other valuable vocational assessment tools during their training, and recommend that greater diversity be incorporated into the vocational assessment training of counseling psychology students.     

Comparison of counseling and clinical psychology graduates on the examination for professional practice in psychology

Doctoral recipients in clinical psychology scored higher than doctoral recipients in counseling psychology on the national licensing exam, the Examination for Professional Practice in Psychology. The largest discrepancies between the 2 groups were on Subtest I (diagnosis), Subtest II (intervention), and Subtest III (research). The differences were less large for Subtest IV (professional/ethical/legal issues) and for Subtest V (social application). The authors recommend that both counseling and clinical psychology graduate students take more course work in the department of the other discipline.     

A SURVEY OF EXECUTIVE COACHING PRACTICES

Despite the ubiquity of executive coaching interventions in business organizations, there is little uniformity in the practices (e.g., assessment tools, scientific or philosophical approaches, activities, goals, and outcome evaluation methods) of executive coaches. Addressing the ongoing debate about the role of psychology in executive coaching, we compare the practices of psychologist and nonpsychologist coaches, as well as the practices of coaches from various psychological disciplines (e.g., counseling, clinical, and industrial/organizational). Results of surveys completed by 428 coaches (256 nonpsychologists, 172 psychologists) revealed as many differences between psychologists of differing disciplines as were found between psychologist and nonpsychologist coaches. Moreover, differences between psychologists and nonpsychologists were generally small (average d = .26). Our survey also revealed some differences in the key competencies identified by psychologist and nonpsychologist coaches.     

Assessment of ADHD: differences across psychology specialty areas

Child psychologists are frequently involved in the assessment of ADHD symptoms among school-aged youth. There is limited information regarding the extent to which psychologists adhere to recommended assessment practices and whether differences exist in assessment strategies among psychologists from different specialty areas (clinical, counseling, and school) and/or who practice in different settings (university, school, or outpatient clinic). A 3 (specialty area) x 3 (employment setting) between-groups design is used wherein 230 child psychologists completed surveys regarding diagnostic practice. Psychologists differ in adherence with Diagnostic and Statistical Manual of Mental Disorders (4th ed., text revision) diagnostic criteria, use of clinical interviews, and type of behavior observation. Only 15% of psychologists report using multiple methods consistent with recommended standards of best practice. Differences between groups of psychologists indicate that the diagnosis of ADHD in children is influenced by the type of psychologist conducting the evaluation and the setting in which the evaluation is conducted.     

Students' Perceptions of Multicultural Training in Counseling Psychology Programs

The Multicultural Competency Checklist (Ponterotto, Alexander, & Grieger, 1995) was used to assess counseling psychology students' perceptions of multicultural training in their programs. Results revealed that most students perceived their programs to (a) have a required multicultural counseling course, (b) employ diverse teaching strategies and procedures, (c) use varied methods of evaluating performance, and (d) have faculty members whose primary research interest was in multicultural issues. Alternatively, many students reported that their programs did not (a) have appropriate representation of bilingual individuals on the faculty, (b) demonstrate adequate leadership and support with regard to multicultural issues, (c) use assessment instruments in evaluating their level of multicultural competency, and (d) make available a “multicultural resource center” for their use. The importance of integrating multicultural issues throughout academic programs is also discussed.     

Administrator Perceptions of Actual and Desired Time Spent by School Psychologists in Different Roles and Satisfaction with School Psychologists

Abstract

A total of 512 elementary and secondary administrators in Ohio were surveyed regarding their perceptions of the time spent by school psychologists in 15 role functions, the percentage of time they desired school psychologists to spend in these 15 roles, and their satisfaction with their school psychologist. Results indicated that administrators desired school psychologists to spend less time in assessment and administrative activities than they were perceived to be spending in these areas, and desired school psychologists to spend more time than they were perceived to be spending in all other roles surveyed. Six variables were found to be significant predictors of administrator satisfaction: discrepancy between actual and desired time spent administering and interpreting psychoeducational tests (negatively related), discrepancy between actual and desired time spent providing services to prevent student problems (negatively related), percentage of time spent working with parents and families (positively related), discrepancy between actual and desired time spent performing administrative duties (negatively related), discrepancy between actual and desired time spent conducting inservice activities (positively related), and discrepancy between actual and desired time spent counseling for career/vocational issues (negatively related). Results are discussed in terms of their implication for role expansion in school psychology.     

Role Function Differences Between School Psychologists Employed by School Districts and Regional Educational Agencies

ABSTRACT

This study investigated differences in role functioning of school psychologists employed by school districts and regional educational agencies (intermediate units). A total of 636 full time school psychologist practitioners in Pennsylvania were surveyed and asked to estimate the actual percentage of time they spent in assessment, counseling, consultation, research, clerical tasks, and administration, and the amount of time they desired to spend in each of these roles. Results indicated that school psychologists employed by districts spent more time in administrative tasks than school psychologists employed by intermediate units. No other statistically significant differences in roles between school psychologists employed by these two entities were identified. However, differences in the actual time spent in assessment (in favor of intermediate units) and desired time spent in administrative tasks (in favor of districts) approached statistical significance.     

Psychological assessment on internship: a survey of training directors and their expectations for students

We used a survey of internship training directors to examine the nature of assessment use and assessment skills training at 382 internship settings in professional psychology across the United States and Canada. For the purposes of this study, we created a questionnaire that inquired about the types of assessment instruments used at each internship setting, the amount and type of training offered at internship sites, and the type of assessment experience desired of interns before beginning their rotations. The results revealed several differences across type of internship facility surveyed as well as several trends in the current use of assessment in applied settings. The findings further demonstrate the important role of projective assessment in the training of graduate students and lead to the conclusion that major discrepancies may exist between what is being taught in graduate school and what students are expected to know on entering their internship positions.     

Learning Experiences Contributing to Service-Delivery Competence in Applied Psychologists: Lessons for Sport Psychologists

The purpose of the present study was to compare learning experiences perceived to contribute to service-delivery competence in sport, clinical, and counseling psychologists. Twenty psychologists (11 female, 9 male; 28–70 years of age) participated in semistructured interviews. All participants emphasized the role of client interactions in learning service-delivery processes. In addition, clinical and counseling participants reported personal therapy and supervision as influential experiences. Applied implications for training include (a) regional supervision networks comprising peers and elders, (b) university-based sport psychology clinics, and (c) personal and professional development groups.     

Teaching Psychological Assessment: Training issues and Teaching Approaches

Clinical psychology graduate programs need to pay attention to important issues involved in teaching psychological assessment, if graduate students are to be adequately prepared. Recent studies have suggested a gap between academic training in psychological assessment and internship expectations. Graduate students are not as well prepared as many internship settings would like. In addition to learning the fundamentals, students need help in dealing with issues of categorizing individuals, using tests in helpful ways, taking responsibility for decision-making, and developing a balance between critical evaluation of tests and appreciation of their usefulness. Teaching approaches for dealing with these issues are discussed. The importance of academic and clinical agencies working together is stressed. Goals for graduate training in assessment are suggested.     

Teaching psychological assessment: training issues and teaching approaches

Clinical psychology graduate programs need to pay attention to important issues involved in teaching psychological assessment, if graduate students are to be adequately prepared. Recent studies have suggested a gap between academic training in psychological assessment and internship expectations. Graduate students are not as well prepared as many internship settings would like. In addition to learning the fundamentals, students need help in dealing with issues of categorizing individuals, using tests in helpful ways, taking responsibility for decision-making, and developing a balance between critical evaluation of tests and appreciation of their usefulness. Teaching approaches for dealing with these issues are discussed. The importance of academic and clinical agencies working together is stressed. Goals for graduate training in assessment are suggested.