Monday, September 2, 2013

Clinical Psychologists

Prof Judy Hyde recently wrote to the Minister of Health advising that all psychologists who do not have a Clinical Masters degree should not be able to provide clinical services. The first problem with this idea is that there are many who have Master's degrees in Clinical Psychology who have never delivered psychological services (eg. academics and administrators), or who are not temperamentally suited to the role, who would not be competent to effectively treat psychological problems. Other psychologist who are known by their colleagues and clients to be highly effective may not have attained post graduate qualifications for one reason or another. In other words having a degree does not always equate to competence. I should also point out that there are quite a number of prominent Clinical Psychologists such as a former President of the APS, who are no doubt very good psychologists, who do not have the Masters Degree, but achieved the title of Clinical Psychologist through grandfathering provisions. Should they be excluded from using the title and treating psychological problems? On the issue of differentiating between Clinical Health Psychologists and Health Psychologist who don't engage in clinical practice and who work in public health spheres such as the promotion of healthy lifestyles and prevention programs I would have thought this was important and legitimate and does not imply the person is a Clinical Psychologist just as Clinical Neuropsychologists don't pretend to be. Anther person who calls herself a Clinical Psychologist is Dr Lizbeth Tong (-Norris), who never had a psychology qualification except a Diploma of Psychology, no doubt because she didn't make it into the Honours class. She has a Bachelor of Arts and Masters of Arts (Pass) and a PhD in sociology. She is listed as having General Registration and not even specialist endorsement. She is a member of the Psychology Tribunal. Another is Ms Margaret Crowley who also does not have a qualification in Psychology apart from a Grad Dip in Counselling Psychology. She has a Bachelor of Applied Science and no Masters degree. She is also listed as having Generalist Registration. According to Prof Hyde's analysis it seems unreasonable that these people sit in judgement of other Psychologists and raises serious questions about the competence of these people to properly carry out these duties. It seems that in her estimation, at the very least, their qualifications and experience should be on par with those they judge.

9 comments:

  1. Hi Ross, this is a very interesting post and glad you posted it. Been wondering if I should go and do a Clinical Masters but i would need to do it full time and that would mean I can't work full time doing Clinical work with NSW Health and in Private Practise and would be repeating everything I already know and doing placements in some places I have actually worked. I'm not sure what the major difference is between Gereralist Psychologists and Clinical Psychologists besides completing a long thesis and maybe some more in depth research practices. I think it is pretty well acknowledged in the Psychology field that the success of therapy is largely due to the relationship between therapist and client and as you state not everybody is temperamentally suited to being an effective therapist.

    ReplyDelete
  2. In addition to clinical coursework and a research thesis, anyone who obtains an APAC-accredited postgraduate degree in clinical psychology (Masters or Doctorate) is required to complete a certain amount of supervised clinical training. I personally completed five supervised placements, each comprising 48 days over six months. During these placements, students deliver psychological services including evidence-based psychological treatment and psychometric assessments. Importantly, students are assessed at the end of each placement by their clinical supervisors and pass only if they meet a standardised set of competencies. If they do not pass then they have not completed these placement hours and must undertake another placement. If students continue to fail placements they are asked to leave the training program, and even if they refuse they cannot obtain the degree unless they pass all required placement hours. This ensures that only students who are temperamentally suited to the role and competent to effectively treat psychological problems graduate to become clinical psychologists.

    In contrast, since generalist psychologists have not undergone similar standardised training in the assessment, diagnosis and treatment of psychological problems, nor standardised evaluation in these areas, their temperament and competency is less assured. Whilst some may indeed be highly skilled therapists, others may be incompetent but nevertheless continue to practice as they have not been exposed to the same level of scrutiny during their two years of supervised practice compared to students undertaking a clinical psychology postgraduate degree.

    ReplyDelete
    Replies
    1. This comment has been removed by the author.

      Delete
    2. Jason, You are misinformed. The provisional registration program requires the completion of a standardized set of competencies that covers assessment, diagnosis including differential diagnosis, diagnostic report writing, use of evidence based therapies and more all under supervision. If you don't complete these successfully you can't get registered. It's a heavy load of course work and closely scrutinised by board trained supervisors. Am while working in clinical practice.

      Delete
    3. @Jason Tan

      Let’s face check your comments that generalist psychs don’t undergo standardised training, which is wrong.
      The 4+2 program contains 3000 placement hours over 2 years. That is significantly more than the 48 days clin psych students undertake.
      Gen reg psychs undergo training for diagnosis and treatment, having to submit 3 case studies based on their placement which are then assessed by AHPRA/PsyBA.
      We also had to submit recorded sessions through to our supervisor for feedback.
      Prior to reg, we had to take a national exam that you need to score 70% or over to pass.
      Based on your account you clearly don't have adequate knowledge and your flawed opinion is based off parroting others. Such a shame your degree’s emphasis on research and evidence has taught you nothing as demonstrated by your comment.

      Delete
  3. I would like to say thanks for your sharing this useful information. Nice post keep it up. Hope to see you next post again soon.
    With Regards,
    Clinical Psychologist | Clinical Psychologist in Sydney

    ReplyDelete
  4. This comment has been removed by the author.

    ReplyDelete
  5. Oh really perhaps we didn’t go the couple of days training at uni but did our training privately and undertook the supervised hours to become competent in our jobs. We choose to take the training in our preferred areas of work and also meet all the hours and supervision requirements. I can attest to working with some incredibly incompetent clinical psychs who have quite obviously not maintained any standards since getting their lecturers tick in the box. We were all assessed by apac and our approved clinical supervisors to be competent Is our training and competency considered less when our supervisors are considered appropriately qualified as psychological supervisors by our apparent peak body.

    I think you need to rethink your lack of recognition of skills gained outside the narrow lenses of university academic only based education and training as many of us have spent many thousands of dollars in ‘private’ education to avoid the narrow views of career educators to develop stronger therapeutic skill sets.

    ReplyDelete
  6. {Hay|Existe} {definitivamente|ciertamente} {mucho|demasiado} para {conocer|aprender|averiguar} sobre este {tema|tópico|asunto}. {Me gustan|Amo|Realmente me gustan} todos los puntos que {hiciste|elaboraste}. Terapia de pareja malaga

    ReplyDelete