We propose a prototype for a scientist-practitioner model of psychological assessment that is a reformulation of the Pepinskys's model of the counselor-as-scientist. We integrate with the Pepinskys's model theory and research on human inference, judgment, and decision making, research on threats to accurate clinical prediction (e.g., confirmatory hypothesis testing), and findings about counselor characteristics associated with effective judgment processes (e.g., cognitive complexity). Issues related to counseling psychologists' application of research findings and use of scientific reasoning in counseling practice are explored, including implications for training, research, and practice.
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References
1.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
2.
Argyris, C. (1976). Theories of action that inhibit individual learning. American Psychologist, 31, 638-654.
3.
Arkes, H. R. (1981). Impediments to accurate clinical judgment and possible ways to minimize their impact. Journal of Consulting and Clinical Psychology, 49, 323-330.
4.
Arkes, H. R. (1991). Costs and benefits of judgment errors: Implications for debiasing. Psychological Bulletin, 110, 486-498.
5.
Barkham, M. , & Shapiro, D. A. (1990). Brief psychotherapeutic interventions for job-related distress: A pilot study of prescriptive and exploratory therapy. Counseling Psychology Quarterly, 3, 133-147.
6.
Barlow, D. H. , Hayes, S. C., & Nelson, R. O. (1984). The scientist practitioner: Research and accountability in clinical and educational settings. Elmsford, NY: Pergamon.
7.
Belar, C. D. , & Perry, N. W. (1992). National conference on scientist-practitioner education and training for the professional practice of psychology. American Psychologist, 47, 71-75.
8.
Bieri, J. , Atidns, A. L., Briar, S., Leaman, R. L., Miller, H., & Tripodi, T. (1966). Clinical and social judgment: The discrimination of behavioral information. New York: Wiley.
9.
Blocher, D. H. (1987). The professional counselor. New York: Macmillan.
10.
Bongar, B. M. (1991). The suicidal patient: Clinical and legal standards of care. Washington, DC: American Psychological Association.
11.
Breland, K. , & Breland, M. (1961). The misbehavior of organisms. American Psychologist, 16, 681-684.
12.
Brown, S. D. , & Lent, R. W. (1984). Handbook of counseling psychology. New York: Wiley.
13.
Bryer, J. B. , Nelson, B. A., Miller, J. B., & Krol, P. A. (1987). Childhood sexual abuse and physical abuse as factors in adult psychiatric illness. American Journal of Psychiatry, 144, 1426-1430.
14.
Chamberlin, T. C. (1897). Studies for students: The method of multiple working hypotheses. Journal of Geology, 5, 837-848.
15.
Chapman, L. J. , & Chapman, J. P. (1967). Genesis of popular but erroneous psycho-diagnostic observations. Journal of Abnormal Psychology, 72, 193-204.
16.
Cognitive-behavior therapy effective for panic disorder. (1991, November). APS Observer, p. 8.
17.
Cohen, L. H. , Sargent, M. M., & Sechrest, L. B. (1986). Use of psychotherapy research by professional psychologists. American Psychologist, 41, 198-206.
18.
Crits-Christoph, P. , Cooper, A., & Luborsky, L. (1988). The accuracy of therapists' interpretations and the outcome of dynamic psychotherapy. Journal of Consulting and Clinical Psychology, 56, 490-495.
19.
Davidson, C. , & Abramowitz, S. (1980). Sex bias in clinical judgment: Later empirical returns. Psychology of Women Quarterly, 4, 377-395.
20.
Dawes, R. M. (1986). Representative thinking in clinical judgment. Clinical Psychology Review, 6, 425-441.
21.
Dewey, J. (1934). How we think A restatement of the relation of reflective thinking to the educative process. Boston: D. C. Heath.
22.
Duke, M. P. , & Nowicki, S., Jr. (1993, September). The 1993 Boulder model: A different view of the scientist-practitioner. APS Observer, pp. 2, 6-9.
23.
Einhorn, H. J. , & Hogarth, R. M. (1978). Confidence in judgment: Persistence in the illusion of validity. Psychological Review, 85, 395-416.
24.
Elstein, A. S. , Shulman, A. S., & Sprafka, S. A. (1978). Medical problem solving: An analysis of clinical reasoning. Cambridge, MA: Harvard University Press.
25.
Ericsson, K. A. , & Simon, H. A. (1993). Protocol analysis: Verbal reports as data. London: MIT Press.
26.
Faust, D. (1984). The limits of scientific reasoning. Minneapolis, MN: University of Minnesota Press.
27.
Faust, D. (1986). Research on human judgment and its application to clinical practice. Professional Psychology: Research and Practice, 17, 420-430.
28.
Finkelhor, D. (1984). Child sexual abuse: New theory and research. New York: Free Press.
29.
Fitzgerald, L. M. , & Osipow, S. H. (1986). Occupational analysis of counseling psychology: How special is the specialty?American Psychologist, 41, 535-544.
30.
Ford, D. H. , & Urban, H. B. (1967). Systems of psychotherapy: A comparative study. New York: Wiley.
31.
Friedlander, M. L. , & Stockman, S. J. (1983). Anchoring and publicity effects in clinical judgment. Journal of Consulting and Clinical Psychology, 39, 637-643.
32.
Goldstein, K. M. , & Blackman, S. (1978). Cognitive style. New York: Wiley.
33.
Greenberg, L. S. (1983). Change process research. Journal of Consulting and Clinical Psychology, 54, 4-9.
34.
Haverkamp, B. E. (1993). Confirmatory bias in hypothesis testing for client-identified and counselor self-generated hypotheses. Journal of Counseling Psychology, 40, 303-315.
35.
Herzog, J. D. (1985). Eliminating a judgment error: Ignoring false positive information. Unpublished doctoral dissertation, University of Mississippi.
36.
Hill, C. E. (1990). Exploratory in-session process research in individual psychotherapy: A review. Journal of Consulting and Clinical Psychology, 58, 288-294.
37.
Holt, R. R. (1970). Yet another look at clinical and statistical prediction: Or, is clinical psychology worthwhile?American Psychologist, 25, 337-349.
38.
Hosford, R. E. , Burnett, G. F., & Mills, M. E. (1984). Toward prescription in counseling: Problems and prospects. In S. D. Brown & R. W. Lent (Eds.), Handbook of counseling psychology (pp. 283-333). New York: Wiley.
39.
Kahneman D. , Slovic, P., & Tversky, A. (1982). Judgment under uncertainty: Heuristics and biases. London: Cambridge Press.
40.
Kell, B. L. , & Mueller, W. J. (1966). Impact and change: A study of counseling relationships. Englewood Cliffs, NJ: Prentice-Hall.
41.
Kleinmuntz, B. (1963). MMPI decision rules for the identification of college maladjustment: A digital computer approach. Psychological Monographs, 77 (14, Whole No. 577).
42.
Kurpius, D. J. , Benjamin, D., & Morran, D. K. (1985). Effects of teaching a cognitive strategy on counselor trainee internal dialogue and clinical hypothesis formulation. Journal of Counseling Psychology, 32, 263-271.
43.
Langer, E. J. , & Abelson, R. P. (1974). A patient by any other name...: Clinician group difference in labeling bias. Journal of Consulting and Clinical Psychology, 42, 4-9.
44.
Larsen, R. W. (1985). Conceptual level, hypothesis formation training and clinical judgment. Unpublished doctoral dissertation, University of North Dakota.
45.
Lewinsohn, P. M. , & Hoberman, H. M. (1982). Depression. In A. S. Bellack, M. Hersen, & A. E. Kazdin (Eds.), International handbook of behavior modification and therapy. New York: Plenum.
46.
Lopez, S. R. (1989). Patient variable biases in clinical judgment: Conceptual overview and methodological considerations. Psychological Bulletin, 106, 184-203.
47.
Lord, C. G. , Lepper, M. R., & Preston, E. (1984). Considering the opposite: A corrective strategy for social judgment. Journal of Personality and Social Psychology, 47, 1231-1243.
48.
Luborsky, L. (1984). Principles of psychoanalytic psychotherapy: A manual for supportive-expressive (SE) treatment. New York: Basic Books.
49.
Lyddon, W. J. (1989). Personal epistemology and preference for counseling. Journal of Counseling Psychology, 36, 423-429.
50.
Mahoney, M. J. (1976). Scientist as subject: The psychological imperative. Cambridge, MA: Balinger.
51.
Meara, N. M. , Schmidt, L. D., Carrington, C. H., Davis, K. L., Dixon, D. N., Fretz, B. R., Myers, R. A., Ridley, C. R., & Suinn, R. M. (1988). Training and accreditation in counseling psychology. The Counseling Psychologist, 16, 366-384.
52.
Merluzzi, T. V. , Glass, C. R., & Genest, M. (1981). Cognitive assessment. New York: Guilford.
53.
Morran, D. K. , Kurpius, D. J., Brack, G., & Rozecki, T. G. (in press). Relationship between counselors' clinical hypotheses and client ratings of counselor effectiveness. Journal of Counseling and Development.
54.
Nisbett, R. , & Ross, L. (1980). Human inference: Strategies and shortcomings of human judgment. Englewood Cliffs, NJ: Prentice-Hall.
55.
Norcross, J. C. (1991). Prescriptive matching in psychotherapy: An introduction. Psychotherapy, 28, 439-443.
56.
Nurcombe, B. , & Fitzhenry-Coor, I. (1987). Diagnostic reasoning and treatment planning: I. Diagnosis. Australian and New Zealand Journal of Psychiatry, 21, 477-499.
57.
O'Donohue, W. , Fisher, J. E., Plaud, J. J., & Link, W. (1989). What is a good treatment decision? The client's perspective. Professional Psychology: Research and Practice, 20, 404-407.
58.
Paul, G. L. (1967). Outcome research in psychotherapy. Journal of Consulting Psychology, 31, 109-118.
59.
Pepinsky, H. B. , & Pepinsky, N. (1954). Counseling theory and practice. New York: Ronald Press.
60.
Persons, J. B. (1991). Psychotherapy outcome studies do not accurately represent current models of psychotherapy. American Psychologist, 46, 99-106.
61.
Regier, D. A. , Hirschfeld, R.M.A., Goodwin, F. K., Burke, J. D., Lazar, J. B., & Judd, L. L. (1988). The NIMH Depression Awareness, Recognition, and Treatment Program: Structure, aims, and scientific basis. American Journal of Psychiatry, 145, 1351-1357.
62.
Reiss, S. , Levitan, G. W., & Szysko, J. (1982). Emotional disturbance and mental retardation: Diagnostic overshadowing. American Journal on Mental Retardation, 86, 567-574.
63.
Sampson, H. , Weiss, J. (1986). Testing hypotheses: The approach of the Mount Zion psychotherapy research group. In L. S. Greenberg & W.M. Pinsof, (Eds.), The psychotherapeutic process: A research handbook (pp. 591-613). New York: Guilford.
64.
Schulberg, H. C. , & Rush, A. J. (1994). Clinical practice guidelines for managing major depression in primary care practice: Implications for psychologists. American Psychologist, 49, 34-41.
65.
Simon, H. A. (1957). Models of man. New York: Wiley.
66.
Singer, J. L. (1980). The scientific basis of psychotherapeutic practice: A question of values and ethics. Psychotherapy: Theory, Research and Practice, 17, 372-383.
67.
Snyder, M. (1981). Seek, and ye shall find: Testing hypotheses about other people. In E.T. Higgins, C. P. Hennan, & M. P. Zanna (Eds.), Social cognition: The Ontario Symposium. Hillsdale, NJ: Lawrence Erlbaum.
68.
Spengler, P. M. , & Strohmer, D. C. (1994). Clinical judgmental biases: The moderating roles of counselor complexity and counselor client preferences. Journal of Counseling Psychology, 41, 1-10.
69.
Spengler, P. M. , Blustein, D. L., & Strohmer, D. C. (1990). Diagnostic and treatment overshadowing of career problems by personal problems. Journal of Counseling Psychology, 37, 372-381.
70.
Spengler, P. M. , Strohmer, D. C., & Prout, H. T. (1990). Testing the robustness of the overshadowing bias. American Journal on Mental Retardation, 95, 204-214.
71.
Spengler, P. M. , White, M., J., Strohmer, D. C., Walker, B. S., Cook, R. S., Nichols, C. N., & Look, K. L. (1994, August). 20 years of clinician individual differences and clinical judgmental biases: A meta-analysis. Poster session presented at the meeting of the American Psychological Association, Los Angeles, CA.
72.
Stiles, W. B. (1987). Some intentions are observable. Journal of Counseling Psychology, 34, 236-239.
73.
Strohmer, D. C. , Haase, R. F., Biggs, D. A., & Keller, K. E. (1982). Process models of counselor judgment. Journal of Counseling Psychology, 29, 597-601.
74.
Strohmer, D. C. , & Shivy, V. A. (in press). Bias in counselor hypothesis-testing: Does accountability make a difference?Journal of Counseling and Development.
75.
Strohmer, D. C. , Shivy, V. A., & Chiodo, A. L. (1990). Information processing strategies in counselor hypothesis testing: The role of selective memory and expectancy. Journal of Counseling Psychology, 37, 465-472.
76.
Walker, B. , & Spengler, P. M. (in press). Clinical judgment of AIDS and endogenous depression: The effects of clinician complexity and stereotyping. Manuscript submitted for publication.
77.
Wantz, D. W. , & Morran, D. K. (1993). Teaching counselor trainees a divergent versus a convergent hypothesis formation strategy. Manuscript submitted for publication.
78.
Wedding, D. (1983). Clinical and statistical prediction in neuropsychology. Clinical Neuropsychology, 5, 49-55.
79.
Werner, P. D. , Rose, T. L., & Yesavage, J. A. (1983). Reliability, accuracy, and decision-making strategy in clinical predictions of imminent dangerousness. Journal of Consulting and Clinical Psychology, 51, 815-825.
80.
Wiggins, J. S. (1973). Personality and prediction: Principles of personality assessment. Reading, MA: Addison-Wesley.
81.
Wills, T. A. (1978). Perceptions of clients by professional helpers. Psychological Bulletin, 85, 968-1000.
