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Pluralistic Professional Education:
A Modular Curriculum in Clinical
Psychology

Revised August, 1998

Stiles, W. B.; Schilling, K. M.; Rorer, L. G.; Knudson, R. M.; Paternite, C. E.; Leitner, L. M.; Wright, M. O.; & Biran, M. W. (1992). Pluralistic professional education: A modular curriculum in clinical psychology. Teaching of Psychology. 19(4), 211-216.

Abstract

We describe a pluralistic curriculum for doctoral education in clinical psychology. Two successful curricular innovations are highlighted. First, the usual courses in psychopathology, psychological assessment, and intervention are offered as 5-week modules. Each module covers a subtopic within the broader area (e.g., Introduction to the MMPI as an assessment module; Depression as a psychopathology module). Second, students are introduced to alternative psychotherapeutic approaches in practicum courses that integrate didactic material with supervised practice in a particular approach. Students select the modules and practica that meet their career goals. All students acquire a core, but not necessarily the same core.
 
 

Pluralistic Professional Education:
A Modular Curriculum in Clinical Psychology

Since 1976, the graduate program in clinical psychology at Miami University has practiced a pluralistic philosophy that recognizes a diversity of approaches to the central topics of clinical psychology. The program is designed to present major approaches in the field as coherent, plausible alternatives. The program is intended to ensure that graduate students attain competence in a range of approaches so that they can function professionally in their chosen career paths, while fostering their critical facility and allowing them the latitude to make their own fully informed selections. This article describes some distinctive features of our program.

Pluralistic Trends in Clinical Psychology

Any original consensus about the specific content of clinical psychology's core disappeared long ago. During the 1940s and 1950s the field's early focus on hospital-based, psychodynamically-oriented diagnostic assessment was challenged by a broadened definition of professional training (Derner, 1965; Raimy, 1950; Shakow, 1945), by behavioral and humanistic approaches, and by the debate over clinical versus statistical prediction (Meehl, 1954). These and successive controversies, along with the independent development of hundreds of alternative psychotherapeutic approaches (e.g., Herink, 1980; Karasu, 1986), proliferation of assessment techniques (Goldstein & Hersen, 1990; Matarazzo, 1990; Sattler, 1990), and efforts toward integration among alternative clinical psychologies (e.g., Norcross, 1986) and with sociology and biology (e.g., biopsychosocial and psychoneuroimmunologic approaches; Engel, 1980; Schwartz, 1982) have left the field littered with conflicting positions. Although some of these approaches may be dismissed as frivolous, many of them offer distinctive and internally coherent epistemologies and views of personhood, as well as assessment and intervention techniques, and they cannot be so easily disregarded on conceptual grounds. Empirically, the Dodo verdict, used repeatedly to describe the state of comparative psychotherapy outcome research, "Everybody has won and all must have prizes" (Carroll, 1865/1946, p. 28; Frank, 1973, p. 1; Grencavage & Norcross, 1990, p. 372; Luborsky, Singer, & Luborsky, 1975, p. 995; Rosenzweig, 1936, p. 412; Stiles, Shapiro, & Elliott, 1986, p. 165), strikes a note that resonates throughout the field. Students and professionals are confronted with choices at many levels: schools of therapy (e.g., psychoanalytic, rational-emotive, interpersonal, personal construct), techniques of assessment (e.g., personality inventories, projective tests, behavioral assessment), levels of intervention (individual, family, school, group), populations (adult, child; inpatient, outpatient), problems (schizophrenia, depression, attention deficit). These choices are not independent; for example, adopting a psychoanalytic perspective is likely to entail an interest in projective assessment techniques and individual outpatient treatment. Some may choose integrative or eclectic approaches -- holding that seemingly diverse clinical psychologies can be combined or used selectively -- but these approaches can, in turn, be criticized for not acknowledging incompatibilities of some basic assumptions of the varied approaches (e.g., Messer, 1986). Faced with this diversity, some clinical psychology graduate programs have adopted a nearly exclusive emphasis on one approach (e.g., behavioral and cognitive, psychoanalytic). Some others have gradually accumulated an unsystematic amalgam of approaches, illustrated by clinical programs whose faculty have moved far from their psychodynamic roots but still teach projective testing to all students. National conferences on graduate education in psychology have debated whether students, clinical psychology, or the field of psychology as a whole are better served by a model emphasizing a common core or one acknowledging the disparities (e.g., Bickman & Ellis, 1990). Typically, however, such discussions have addressed these issues at a level more abstract than the practical implications for implementing a curriculum. Whether clinical psychology's diversity represents a stage in development toward a broader consensus or a reflection of diversity in the human condition is itself a matter of controversy. There are positive elements in the diversity of approaches, and some people argue that the current pluralistic, dynamic nature of clinical psychology is central to the field's character, not a temporary aberration.

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Environment and History of the Program

 

Miami University, established as a state-assisted university in 1809, has about 16,000 students and is located in Oxford, a town of about 10,000 people (excluding Miami students) in southwestern Ohio. Miami's psychology department offers PhD specializations in social and experimental (with emphases in developmental, physiological, cognitive, and perception) as well as in clinical psychology. Students are admitted to the PhD program only, but MA degree requirements are normally met as part of the program. In recent years, the department, which has about 25 full-time faculty, has admitted about 14 new graduate students each year, about half of them to the clinical program. A small Psychology Clinic, operated in conjunction with the clinical graduate program, accepts clients from both the university and the surrounding community at nominal fees. Miami University's graduate program in clinical psychology was inaugurated in 1968 and has been accredited by the American Psychological Association (APA) since 1972. During 1975 and 1976, five clinical faculty left the program for various reasons, and by the end of the 1975-76 academic year, no one who had been involved in organizing the program remained. Because new faculty found it difficult to reconstruct the organization and rationale of the original program, we decided to begin anew. Between 1976 and 1981, we developed an entirely new curriculum. This curriculum has been stable in its essentials for more than 10 years, and we have confidence in its feasibility.

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Rationale and Goals

The Miami clinical program's philosophy holds that although professionals must have competence in each of the broad areas of assessment, psychopathology, intervention, and research, there is no particular technique or approach that everyone must have. The program recognizes no sacred canon within clinical psychology, no single core that all students must know. It considers that few students are ready to commit themselves to one theoretical position (even eclecticism) at the beginning of their graduate work (cf. Vyse, 1990), and confronts them with multiple psychologies rather than one psychology. There is a programmatic skepticism about orthodoxy in clinical psychology. Our model holds that a critical appraisal of competing approaches requires a clear articulation of the alternatives, of the complexity of theoretical stances, and of the differential implications for action (e.g., assessment and intervention techniques). Skill development is placed in a context of clinical problem solving within divergent theoretical traditions. The model views the appropriate goal of doctoral education as learning how to learn, rather than providing definitive strategies. As one way of implementing this philosophy, new faculty have been recruited for offering an approach that complements, but is different from, those already offered. Thus, the program embodies the pluralism that characterizes the field generally. The resulting diversity of theoretical orientations among the faculty means that we keep one another from falling into easy cliches, a danger in narrowly specialized groups in which everyone espouses the same approach. However, our collective pluralistic philosophy is not necessarily shared by individual faculty members, who may practice and teach relatively pure versions of their preferred approach. One goal of the program is to foster respect for diversity as reasoned and real. Far from advocating an "everything goes" position, our pluralism is structured to show that all positions, including those taught within the program, are subject to question and may be rejected by competent, reasonable professionals. Students are exposed to the differing points of view, and, we believe, stimulated to think through the issues more critically than they would if given a single, "correct" formulation. On the other hand, this criticism is not nihilistic because it derives from a constructive alternative position; that is, each critic is also an advocate for some alternative. Facing the differences on a day-to-day basis encourages synthesis, balance, and reconciliation. Thus, the program facilitates mutual understanding and integration, and it does not rule out eclecticism, which is also a viable position represented in the program. On the other hand, eclecticism is subject to criticism by those who see deep incompatibilities among the alternatives. Not all students or faculty members aim for synthesis, and some find value in ongoing mutually respectful debate. The program recognizes that graduate students have different prior preparation, interests, and career goals and may find different approaches and techniques congenial. It seeks a balance between exposing students to a range of ideas and allowing them to pursue their specialized interests. The program does not offer "tracks" but encourages each student to develop his or her own track in consultation with an adviser. Ultimately, students must choose among or integrate the diverse approaches. Faculty are committed to informing and facilitating, but not predetermining, students' construction of their own position. We systematically provide opportunities for students to sort out their impressions, but we do not promote an official synthesis.

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Program Components

In this article, we highlight two curricular innovations: (a) a system of modules for teaching the principal content areas of psychopathology, psychological assessment, and psychological intervention, and (b) didactic/practical practicum courses for introducing psychotherapeutic approaches. These two components comprise the bulk of professional course work in the program. Each module or practicum is designed to present an internally consistent system of thought or practice. Recognizing that the systems often conflict with each other, the program also provides opportunities for alternative systems to be presented and discussed in the same forum. These include (a) a first-year "fundamentals" course in clinical psychology, (b) a weekly Clinic case conference, (c) a required course associated with students' work in half-time clinical traineeship placements, and (d) a doctoral comprehensive examination that is individually tailored by the student in consultation with his or her adviser. Our curricular adaptations to pluralism take place in a context of other, more traditional components of PhD programs. The latter include departmental requirements for courses in research methods and statistics, and for a distribution of seminars on topics in social and experimental as well as clinical psychology. The seminar requirements help meet the APA accreditation criteria (American Psychological Association, 1986) for competence within the content areas of biological, cognitive-affective, social, and individual bases of behavior. All graduate students are required to be involved continuously in research and to complete a master's thesis and a doctoral dissertation. Although research is a central part of the program, we do not emphasize it in this article because it is organized along familiar lines.

Modules


Modules in our program are one-credit courses that meet for 5 weeks within a 15-week semester. The traditional content areas of psychopathology, theory and methods of psychological assessment, and psychological intervention are taught as modules. Students are required to take at least a minimum number of credits within each area (currently 3 in psychopathology, 2 in theory of assessment, 6 in assessment techniques, 3 in intervention), but within each area they may select those modules that are consistent with their individual career goals. The specific topics of module offerings vary from year to year, but several from each content area are offered every year. Instructors may specify prerequisites or offer sequences of modules that build on each other. The clinical faculty reviews module offerings annually to ensure that a broad distribution is available and that offerings are publicized well in advance to enable planning. The flexibility of the module system can be illustrated by listing representative titles of modules.

Psychopathology modules have usually been organized by diagnostic category (Depression, Schizophrenia, Anxiety Disorders and Phobias, Psychopathy), by problem (Suicide, Child Abuse), by theoretical approach (Humanistic Concepts of Psychopathology, Cognitive Theories of Psychopathology), or by the intersection of these (Family Theories of Schizophrenia, Eating Disorders: Archetypal Perspectives, Alcoholism: Disease Model and Family Dynamics). Although most psychopathology modules have been relatively focused, some have taken a survey approach. For example, one offering surveyed the DSM-III-R diagnostic system and another has considered the DSM-III-R axis II conceptualization. A sequence of modules, Issues in Child Psychopathology I and II, created, in effect, a 10-week survey course.

Theory of assessment modules represent a new addition to the module system and will replace a single required course. Expected module titles include Correlations, Bayesian Analysis, Human Judgment and Decision Making, Theory of Test Construction, and History of Major Assessment Projects. These modules are aimed at providing a conceptual basis for psychological assessment -- explicating the fundamental means of describing relations among things, examining what assessors do and how assessment information is used, evaluating the quality of information provided by particular assessment techniques, and reviewing historical uses and misuses of psychological assessment.

Methods of assessment modules have often been organized by assessment instrument (e.g., focusing on administration and interpretation of the WAIS-R, the WISC-III, the MMPI, the Rorschach, or the TAT). Instructors have often offered two- or three-module sequences (Introduction, Intermediate, Advanced) on the use of these instruments, with students able to enroll in one, two, or all three modules. Other assessment modules have been organized by theoretical approach (Cognitive Assessment, Behavioral Assessment, Humanistic/Existential Approaches to Assessment, Family Systems: Use of the Genogram, Personal Construct Approaches to Assessment) or by target group (Family Evaluation, Behavioral Assessment of Children, Assessment of Social Phobias, Use of the Playroom in Evaluating Children, Neuropsychological Assessment). Still others have dealt with more general issues (Psychological Report Writing, Normative Assessment Procedures, Legal Contexts).

Most assessment modules have a significant practical component. Cases are found through the Psychology Clinic, community agencies, schools, or medical facilities in which students are placed, or by other arrangements made by the instructor. In some cases, the instructor is also the clinical supervisor for the assessment work, but in other instances the assessment is done in conjunction with cases supervised by others (e.g., in practicum courses or on placements, as described later).

To provide predictability of offerings in widely used types of assessment techniques, at least one module (typically more than one) in (a) intellectual assessment, (b) projective testing, and (c) personality inventories is offered every year, although the specific offerings vary (e.g., Rorschach one year, TAT in another year). Some other categories are offered at least every 2 years. Although students are not required to take any particular modules, offerings in these standard techniques are usually well enrolled by students who want to be prepared for assessment tasks at traineeship placements and internship agencies.

Intervention modules focus on conceptual issues in psychotherapy and other psychological interventions. They generally do not involve practical experience, which is provided by the practicum courses, although there have been exceptions (e.g., a module on School Consultation). Some intervention modules have been organized around theoretical positions (Experiential Psychotherapy, Strategic Therapy, Humanistic Concepts of the Therapeutic Relationship), but, perhaps because most practicum courses are organized in this way, intervention modules have more often been framed in other ways. Sample titles include Women and Psychotherapy, Ethnicity and Psychotherapy, Treatment of Substance Abuse, Couples Therapy, Treatment of Borderline Disorders, Use of Clinical Hypnosis with Children, Clinical Use of Dreams, Private Practice of Clinical Psychology, Manualized Therapies for Depression, Psychotherapy and Schizophrenia, Psychotherapy Outcome and Process Research, and Metaphor in Psychotherapy.

The module system accommodates the varied and changing talents and interests of faculty members. For example, each of us has different interests and uses different approaches to assessment. Teaching all approaches in a single course or sequence would not allow students to benefit from faculty members' interest in new or evolving approaches as well as their established expertise in particular techniques. Further, the system offers a flexible way to bring in outside experts. Adjunct faculty and professionals in the community can be hired to teach modules in specific areas of expertise, and these brief courses are automatically integrated into the program (i.e., they help meet requirements). Module offerings are responsive to student interests in several ways. Highly enrolled topics are offered more often. Faculty frequently poll students before deciding which module to offer, and new modules are created in response to student interest. Traineeship placements' and internship agencies' preference for students acquainted with standard instruments and procedures place a conservative pressure on the module system by augmenting student demand for training in traditional skills. On the other hand, shifting interests within the field and within society create demand for new topics. The module system's capacity to respond flexibly to both sorts of demands -- offering extended training in classical projective testing for students seeking preparation for particular placements, for example, or new modules in bulimia or in posttraumatic stress disorder as such topics loom large in the popular and professional literature -- represents a strength of the system's pluralistic construction.

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Practicum


Students are introduced to psychotherapeutic approaches in a course officially titled Advanced Clinical Techniques but known within the program as practicum. We distinguish practicum (i.e., this course) from placement, which has its more usual meaning of a traineeship involving supervised practical experience in a service agency. Practica are 2- to 4-credit, semester-long courses; students are required to take at least 12 credits from at least three different instructors. Each practicum involves a combination of didactic and practical training centered around some theme, most often a theoretical approach to psychotherapy (Interpersonal Psychotherapy, Personal Construct Approaches, Rational Emotive Therapy, Client-Centered Therapy, Family Systems Approaches, Object Relations Approaches). Typically, students are assigned readings on the approach, and some class time spent discussing the theories. There may be required papers integrating theory with clinical material. In addition, students practice the approach in the Psychology Clinic, supervised by the course instructor. Thus, a large portion of class time (and, frequently, additional individually-scheduled time) is devoted to supervision of cases. Clinic intake interviews are done by practicum student therapists, supervised by their practicum instructor. Thus, within the limits of basic administrative procedures in the Clinic, intake and referral philosophies and practices may differ across practica. If the presenting problem is considered appropriate for the practicum, the client is offered treatment within that practicum; otherwise, the client may be assigned to a student therapist in another practicum or referred to another agency. Clients whose treatment extends beyond the end of the semester may continue with the same student therapist and supervisor (a course catalogue number is provided for this purpose), though sometimes supervisory responsibility is transferred to the instructor of the student's next practicum. (Such decisions are made on a case-by-case basis through consultation among the student therapists and supervisors involved.) Practicum instructors are clinical faculty members, all of whom are licensed for the practice and supervision of clinical work in Ohio. Practicum teaching is rotated among the full-time faculty members (N = 7 plus one vacancy at this writing), with occasional offerings by adjunct faculty. Two different practica are normally offered each semester; thus, students can choose among offerings by every member of the faculty and still complete the required 12 hours (three 4-hour practica or the equivalent) during their second and third years (as is typical). Class size usually ranges from about 2 to 7. Students typically begin taking practica in their second year, although students with prior clinical experience occasionally begin in the second semester of their first year. In contrast to the more usual arrangements for teaching psychotherapy (e.g., assigning each student to a continuing supervisor, to a supervisory team, or to different supervisors for different cases), our practicum system promotes integration of theory with practice. The simultaneous discussion of theoretical readings and Clinic cases encourages an emphasis on theoretical coherence in such clinical decisions as case selection, initial arrangements, case planning and conceptualization, and moment-by-moment interventions in treatment. The experience students receive in practicum is only the beginning of their training in psychotherapy. They receive further training and clinical supervision in clinical traineeship placements and on internship.

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Structured Opportunities for Comparison and Integration


Fundamentals of Clinical Psychology. A "fundamentals" course, which we recently expanded from one semester to two, is required of all clinical graduate students in their first year. It is a 3-credit course each semester. (Normal full academic load for graduate students is 10 to 13 credits per semester.) It is intended to orient students to the program, the department, and the profession, and to teach basic interviewing skills, an overview of psychopathology, ethical and legal issues, and issues in professional development. It is also intended as a forum for clinical students to discuss and integrate diverse viewpoints they encounter in other parts of the program during their first year. These viewpoints include not only those presented in clinical courses, but also those encountered in required courses in research methods and statistics. The latter demand a lot of time in the first year and often present students with epistemologies that seem to conflict with those used in clinical settings.

Case conference. Another opportunity for comparison and synthesis is the Psychology Clinic's weekly case conference, which is open to all clinical faculty and students in the program. The presenter is usually a student in one of the practicum courses or on clinical placement, although faculty and visitors present occasionally. Case conference provides a forum for exposure to alternative systems (i.e., systems used in practica being taken by other students) and for discussion and debate among faculty and students on the merits of alternative approaches to assessment and intervention in particular cases. In addition, because case conference is attended by faculty and students at all levels, it helps to foster a sense of community within the program.

Clinical traineeship placement. As in many programs, beginning usually in their third year, students take half-time paid placements in agencies (clinics and hospitals) in surrounding communities. Placement assignments must be approved by the clinical faculty and are negotiated among the agency, the student, and the program. The agencies provide supervision, so students are exposed to viewpoints beyond those of the core faculty. In association with their first year on placement, students take two semesters of a 2-credit course called Graduate Placement, which can serve, among other things, as another forum for comparison and integration.

Comprehensive examinations. Doctoral comprehensive examinations are individually tailored. Students write a summary of their education and career goals and, with their adviser, develop a list of topics and associated readings that advance those goals. When they feel ready, they are examined on those topics and readings by a committee they choose in consultation with their adviser. The examination includes a written portion, in which students spend 2 days answering individualized questions submitted by their committee, and an oral portion, which typically follows up the written questions, but may range widely. In constructing their reading lists and studying for "comps," students often systematically explore theoretical and technical alternatives introduced earlier in their program.

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Evaluations and Administrative Advantages

It seems safe to say that the program's pluralistic philosophy and practice are viewed as clear strengths not only by applicants to the program, incoming and advanced graduate students, and graduates, but by such external evaluators as placement traineeship and internship supervisors, employers, and APA accreditation site visit teams. For example, the most recent (1991) APA accreditation site visit team's report said, "The program appears to offer good breadth [and] meet all the requirements for exposure to multiple model and approaches, while at the same time allowing for specialty skill development and identity with a particular approach or set of approaches to psychopathology, assessment, and treatment. . . . Students report being attracted to the program by its eclectic clinical orientation and flexibility in program options to meet individual interests. . . . The quality and diversity of the combined department clinic training and off-campus [placement] is a definite strength of the program. . . . The MU clinical students have been competitive at the internship level and go to well recognized APA Approved internships. From the reports in the files, the students are viewed by the internship supervisors as well trained and successful interns. Most students appear to obtain one of their top choice internships." Modules and practica are compatible with conventional university institutional structures and procedures, and they offer some distinct administrative advantages. Denominated in 1-credit, 5-week units, modules allow a more flexible adjustment of teaching loads than do conventional 3-credit courses, yet they fit smoothly into the semester/course system and the rest of the university's operations (advising, committee work, etc.). As noted earlier, they make it convenient to hire outside experts to teach brief courses in their specialty. They make it administratively feasible to provide small amounts of release time from teaching for significant administrative responsibilities. For example, the clinical graduate admissions director can be given a 1-credit release during the middle 5 weeks of spring semester when the responsibilities of monitoring receipt of credentials, arranging interviews, telephoning, and so forth, are heaviest. Faculty members can schedule a lighter load during a particular 5-week period when research or conferences may call them out of town and compensate by teaching two modules in a different 5-week period. Because several instructors offer modules in any one semester, scheduling can be balanced so that offerings are spread more or less evenly across the academic year. The practicum course format for offering clinical supervision within the usual 2- to 4-credit, one-semester course forestalls debates about the appropriate teaching credit for clinical activities. The practicum course's combined didactic-practical emphasis is consistent with the values of many nonclinical academicians.

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Some Potential Pitfalls

Even when faculty individually and the program collectively stress respect for the potential value in alternative approaches, students, particularly beginning students, often seem uneasy at not finding an agreed-upon position. They may either have the impression that one approach must be right and thus the others must be wrong or that any approach is as good as any other and none of them is really very good. It is not clear whether the confusion many students experience in the early part of their practicum training is a distinctive effect of our pluralistic program or more generally characteristic of entry into the field of clinical psychology (or reflective of common stages of intellectual development; Belenky, Clinchy, Goldberger, & Tarnule, 1986; Perry, 1970). Despite assurances that they have the right to their own synthesis, and structured opportunities for comparison and integration, novices may view presentations of alternatives as conflicting orders. Our practicum system sharpens the contrast by emphasizing the internal consistency of theoretical systems and, hence, their sometimes conflicting implications for clinical action. Despite the initial, sometimes painful confusion, however, reports from placement supervisors, from advanced students, and from graduates indicate to us that this pluralistic education has its intended effect of giving students a sophistication and a broad perspective on the diversity of the field. The program's pluralism sometimes seems to work against faculty consensus on matters of student evaluation, because definitions of what constitutes success or excellence may differ across theoretical traditions. Perhaps the greatest risk in a pluralistic program, as in our diverse discipline generally (Fowler, 1990; Staats, 1991), is loss of mutual respect, leading to factionalism, competition for students' loyalties, and isolation. As Kessen said, "It's perfectly all right for people to till their own garden, but once in a while they are going to have to talk over the fence" (Bronfenbrenner, Kessel, Kessen, & White, 1986, p. 1224). Structural arrangements (e.g., case conferences, regular faculty meetings, more extended faculty-student retreats) can improve the chances for dialogue, but, like democracy, pluralism has a price -- eternal vigilance by all concerned, so that open communication and mutual respect are maintained. Participation in such dialogue may be the best education we can provide students as they prepare for professional life in an increasingly pluralistic postmodern (Gergen, 1991) world.

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References

 

American Psychological Association (1986). American Psychological Association accreditation handbook. Washington DC: Author

Belenky, M. F., Clinchy, B. M., Goldberger, N. R., & Tarnule, J. M. (1986). Women's ways of knowing. New York: Basic Books.

Bickman, L., & Ellis, H. (1990). (Eds.). Preparing psychologists for the 21st century: Proceedings of the National Conference on Graduate Education in Psychology. Hillsdale, NJ: Erlbaum.

Bronfenbrenner, U., Kessel, F., Kessen, W., & White, S. (1986). Toward a critical social history of developmental psychology: A propaedeutic discussion. American Psychologist, 41, 1218-1230.

Carroll, L. (1946). Alice's adventures in wonderland. New York: Random House. (Original work published 1865)

Derner, G. F. (1965). Graduate education in clinical psychology. In B. B. Wolman (Ed.), Handbook of clinical psychology (pp. 1403-1414). New York: McGraw-Hill.

Engel, G. L. (1980). The clinical application of the biopsychosocial model. American Journal of Psychiatry, 137, 535-544.

Fowler, R. D. (1990). Psychology: The core discipline. American Psychologist, 45, 1-6.

Frank, J. D. (1973). Persuasion and healing: A comparative study of psychotherapy (rev. ed.). Baltimore, MD: Johns Hopkins University Press.

Gergen, K. J. (1991). The saturated self: Dilemmas of identity in contemporary life. New York: Basic Books.

Goldstein, G., & Hersen, M. (1990). Handbook of psychological assessment (2nd ed.). New York: Pergamon.

Grencavage, L. M., & Norcross, J. C. (1990). Where are the commonalities among the therapeutic common factors? Professional Psychology: Research and Practice, 21, 372-378.

Herink, R. (Ed.). (1980). The psychotherapy handbook. New York: Meridian.

Karasu, T. B. (1986). The specificity versus nonspecificity dilemma: Toward identifying therapeutic change agents. American Journal of Psychiatry, 143, 687-695.

Luborsky, L., Singer, B., & Luborsky, L. (1975). Comparative studies of psychotherapies: Is it true that "Everyone has won and all must have prizes"? Archives of General Psychiatry, 32, 995-1008.

Matarazzo, J. D. (1990). Psychological assessment versus psychological testing. American Psychologist, 45, 999-1017.

Meehl, P. E. (1954). Clinical versus statistical prediction: A theoretical analysis and a review of the evidence. Minneapolis: University of Minnesota Press.

Messer, S. B. (1986). Eclecticism in psychotherapy: Underlying assumptions, problems, and trade-offs. In J. C. Norcross (Ed.), Handbook of eclectic psychotherapy (pp. 379-397). New York: Bruner/Mazel.

Norcross, J. C. (Ed.). (1986). Handbook of eclectic psychotherapy New York: Bruner/Mazel.

Perry, W. (1970). Forms of intellectual and ethical development in the college years. New York: Holt, Rinehart, & Winston.

Raimy, V. C. (Ed.). (1950). Training in clinical psychology (Boulder conference). Englewood Cliffs, NJ: Prentice-Hall.

Rosenzweig, S. (1936). Some implicit common factors in diverse methods of psychotherapy. American Journal of Orthopsychiatry, 6, 412-415.

Sattler, J. M. (1990). Assessment of children (3rd ed.). San Diego, CA: Jerome M. Sattler.

Schwartz, G. E. (1982). Testing the biopsychosocial model: The ultimate challenge facing behavioral medicine? Journal of Consulting and Clinical Psychology, 50, 1040-1053.

Shakow, D. (1945). Training in clinical psychology: A note on trends. Journal of Consulting Psychology, 9, 240-242.

Staats, A. W. (1991). Unified positivism and unification of psychology: Fad or new field? American Psychologist, 46, 899-912.

Stiles, W. B., Shapiro, D. A., & Elliott, R. (1986). "Are all psychotherapies equivalent?" American Psychologist, 41, 165-180.

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Author Note

Requests for reprints should be sent to:

William B. Stiles, Department of Psychology, Miami University, Oxford, OH 45056.


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ARTICLE OVERVIEW

Abstract

Pluralistic Professional Education:
A Modular Curriculum in Clinical Psychology

I. Pluralistic Trends in Clinical Psychology

II. Environment and History of the Program

III. Rationale and Goals

IV. Program Components

A. Modules
1. Psychopathology modules

2. Theory of assessment modules

3. Methods of assessment modules

4. Intervention modules

B. Practicum

C. Structured Opportunities for Comparison and Integration

1. Fundamentals of Clinical Psychology

2. Case conference.

3. Clinical traineeship placement.

4. Comprehensive examinations.

V. Evaluations and Administrative Advantages

VI. Some Potential Pitfalls

VII. References

VIII. Author Note