field of clinical psychology: arriving at a definition, The

Canadian Psychology, May 1996 by Vallis, T Michael, Howes, Janice L

DISCUSSION

The process of developing a definition of clinical psychology has proved to be a challenging, yet rewarding endeavour. The concerns raised by those providing comments on drafts of the definition were facilitative, and were balanced by the significant positive reaction expressed by the majority of respondents. Most feedback took the form of "I like what you have done and agree with your intent, but have you considered...?". Thus, we are confident that the definition will be well received as it is circulated within the field, and beyond. A number of individuals and organizations expressed appreciation that we sought input from as many interested groups and individuals as possible.

Now that the definition has received official sanction from the CPA Board of Directors, the potential uses of the definition can be explored. Four main uses of the definition can be identified. First, the definition can be used for educational purposes. In many ways, this definition fills a gap that has limited the ability of the general public and other professionals to understand and value clinical psychologists. By clearly defining ourselves in terms of training, standards, competency, and so on, non - psychologists can be better informed about clinical psychology. This is likely to increase the respect given to clinical psychologists by other health professionals, as non - psychologists become aware of the high competency standards set by training programs and regulatory bodies. During the process of developing a definition, the Executive of the Section on Clinical Psychology also developed a brochure on clinical psychology, to be widely disseminated to the public. This brochure summarizes the information contained in the definition in a brief, easily understood manner.

Second, the definition can be used for advocacy purposes. The definition can be referenced by clinical psychology groups who wish to claim a legitimate role in health care reform. Federal and provincial/territorial governments, health care administrations, and third - party payers are all looking closely at quality improvement, program evaluation, cost - effectiveness, cost - reduction, and rationalization of services. Difficult decisions regarding what can be afforded, and who provides service, are currently being made throughout Canada. Clinical psychology has already been affected by these decisions in many jurisdictions. It is important for clinical psychologists to take an active role in the decision making process in health care reform. The definition can be used to help clinical psychology groups navigate their way through the current storm of change. The definition will facilitate attempts to assert competency in certain areas, claim a right to provide needed service, and propose changes that improve the availability of services by clinical psychologists. The definition also provides a framework from which to enter the national discussions on the future of clinical psychology (e.g., the recent Mississauga Conference on Professional Psychology, March, 1994).