My new book, Saving Psychotherapy, will be officially released September 22 [Update: Here it is!]. An edited excerpt about licensing exams is available here. Another excerpt focused on student debt appeared in the January/February 2015 issue of AAMFT’s Family Therapy Magazine (it starts on page 26).
I could spend a lot of time convincing you why you should read the book, but I think these two charts will be sufficient.
I’ll be presenting to the California Board of Behavioral Sciences tomorrow on the possibility of changing the title for a post-degree, pre-license MFT from “intern” to “associate.” [Update: That change is going to happen. It takes effect in 2018.] The current intern title is confusing for interns and employers alike, and is likely one reason (albeit certainly not the only one) why so many prelicensed MFTs in California work in unpaid internship settings.
The licensing board meeting will be webcast, and you can get to the webcast through the BBS meeting calendar. But for those who have been through a post-degree unpaid internship in mental health, there are ways of seeking — and sometimes getting — back pay that don’t require a change in professional title.
Following successful bans of conversion therapy for minors in California, Oregon, Illinois, New Jersey, and the District of Columbia, US Representative Ted Lieu — who authored California’s ban when he was in the state Senate — has introduced the federal Therapeutic Fraud Prevention Act. The bill would order the Federal Trade Commission to classify for-profit conversion therapy as fraud. It would also classify any advertising that claims to change sexual orientation or gender identity as fraud.
![Golden gavel 1, By walknboston (Flickr: Gavel) [CC-BY-2.0 (http://creativecommons.org/licenses/by/2.0)], via Wikimedia Commons](https://i0.wp.com/www.psychotherapynotes.com/wp-content/uploads/2014/07/256px-Golden_gavel_1.jpg?resize=256%2C230)
The American Psychological Association apologized on Friday for its actions that allowed psychologists to participate in the torture of military detainees. Those actions are detailed in the extensive “Independent Review Relating to APA Ethics Guidelines, National Security Interrogations, and Torture” (otherwise known simply as the Hoffman report). It is the most thorough examination to date of how APA staffers, aiming to remain in the good graces of the Central Intelligence Agency and (especially) the Department of Defense, actively sought to create ethics policies that allowed psychologists to be involved with torture and shielded them from consequences for doing so.
Note: The following is an edited excerpt from Saving Psychotherapy: How therapists can bring the talking cure back from the brink. You can buy it on Amazon.
Licensing exams do not assess your effectiveness as a therapist. They aren’t meant to. That bears repeating: License exams do not assess your effectiveness as a therapist. They are a licensing board’s best effort at assessing whether you have the minimal knowledge (not skill, knowledge) to be able to practice independently without being a danger to the public. That’s all. When therapists decry the fact that license exams are nothing like doing therapy, they’re right – and their point isn’t relevant. Exams aren’t supposed to be like therapy. If you want to know how good you are as a therapist, look elsewhere, because exams are not and are not intended to be a barometer of clinical effectiveness. They are a somewhat crude assessment of safety for independent practice.
With that aim in mind, do they work? Do licensing exams make therapists safer?
There’s remarkably little data to answer that question.