Raise admissions standards? Seems there's always more demand for than supply of positions in every round of admissions, and even the so-called shoe ins can get passed over. Yet I wonder -- are the admissions standards prevailing in the university PhD model adequate for all FSPSs? FSPSs recruit students they believe have demonstrated an aptitude to be healers and leaders in the communities which depend on the schools for services. As with larger issues of diversity, diversity of belief may not be a positive in and of itself, but I truly find it troubling that folks here believe a one size fits all standard of recruitment will keep psychology relevant in a diverse world.
Students they believe can be healers/leaders, or students they believe will make all their tuition payments? I say that somewhat tongue-in-cheek, but I think there is a great deal of truth to that. We agree there is variability in programs, but the students I have met from these programs are generally ill-equipped to be leaders (and in many cases, expressly shouldn't be leading) and it certainly doesn't seem like the majority of these programs are preparing them to take on such a role. We can debate the nuances of admissions decisions, but seeing the output (graduates) from these programs is pretty damning and raises obvious questions about the input side.
Greater control over practica? That seems to entail costs that could be shared by all schools in a given region, as, for example, in the Bay Area's BAPIC program.
Not entirely certain I understand your point here. I suppose developing and monitoring such a system could be shared among schools, but I'm doubtful the universities would be very happy about this. My point was that many FSPSs allow students to do practica in settings that university programs deemed unfit to provide appropriate training. Having students do the paperwork for someone's private practice for a semester is not exactly a grand contribution to the underserved...but it is a way to make sure you have enough practica for the 200 doctoral students you admit each year. Even putting that (rather extreme) example aside, there is tremendous variability in the quality of treatment provider out there. We are not allowed to work with the many providers here providing wacky, borderline unethical, entirely non-evidence-based treatments. The FSPS students are. That needs to stop.
Enhance research standards? Some FSPS have their own clinics, and those should be thought of as potential research settings.
Indeed. It is at many university settings, and many student projects are run on patient populations recruited through the school clinic or their mentor's laboratory with great success.
Agreed, but you seem to be confusing this argument with the argument that only people who are trained in the design and implementation of said studies are capable of having intellectual discussions about the validity of the conclusions. I hope you will agree that would be absurd.
I actually do disagree to some extent. I don't think one needs be prepared to implement the study themselves to discuss the validity of the conclusions. However, I strongly believe one needs training in design. I'm not sure how one can have an intelligent discussion about the validity of a study without a solid understanding of research design.
In this area there are a handful of university based clinical psych programs. Out in the field, I and my fellow students simply never cross paths with the students from these universities. Superficially, it comes down to numbers. The unis don't have the numbers to meet the needs of their surrounding communities, because, outside of their social work departments, if they have them, they haven't developed the tools to do so -- and they haven't done so because their missions are different, their definitions of the problems to be solved are different, and their outreach to the community is as close to coming from a different discipline as possible. In effect, they are ceding community stewardship to other disciplines. FSPSs are not.
This is actually where I start to disagree. Now let me start off by saying I'm not making the argument they are inherently bad or universally bad. I don't know them all in detail and cannot answer that. However, it sounds like you are actually making my point for me. Universities are training psychologists. FSPSs are training social workers and labeling them psychologists because it sounds cooler and they'll get to be called doctor, which helps their marketing department. That doesn't mean I think social workers are evil and useless. It does mean I think psychology training is different and that I see few advantages to attending a FSPS psychology program over a solid master's level program.
Cool, so...you cede this is an area where science might not be able to police itself?
No argument there. I would simply add that some FSPSs believe they should be more than scientists, as well.
No doubt science isn't perfect and isn't able to answer all questions. I'd actually argue in the specific case I brought up (therapy outcomes across providers) it could offer a great deal on, it just hasn't done so because it is costly/expensive, difficult and funding for behavioral research is disappointing on a good day. That's another matter though.
To me, what questions science can answer is a very interesting question itself. That said, there is no doubt that it can answer a great many questions. Including many questions with tremendous relevance to appropriate psychological practice. That doesn't mean training as a scientist is sufficient to be a clinical psychologist, but even the most research-intensive universities don't operate that way. They train people for both science and practice (and I'd argue do a better job at the latter than most professional schools). Yet many of the professional schools seem to be providing "therapist-only" training. That's really my point - they are offering less (and charging more). Less is not the same, less is less. We can argue it does some good for the communities. I think there are more viable alternatives that offer the same (or greater) benefit to those communities that don't entail slapping a doctor sticker on a master's degree.