George M. Slavich

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Congruency is Key:
A Model for Professional Development
in Clinical Psychology

George M. Slavich
University of Oregon

The Clinical Psychologist

After clinical internship interviews, people always want to know what they asked. The answer, I found out, depends greatly upon where you interview. At one site, I met with three interviewers, and the focus was largely on clinical experience and competence. At another site, I met with four interviewers and received only one question about clinical experience; the remainder revolved around research interests and experience.

Many of the questions interviewers asked seemed similar to what one might find in an internship interview preparation book. The rest, however, were completely unpredictable. The most difficult question I received was of this latter sort. It came from an unexpected source (an administrative assistant) at an unexpected time (while eating lunch). After biting into an apple, she asked, with a slight grin, “What do you want to be when you grow up?” That question seemed easy enough to field, but the follow-ups were not. Getting more serious, she continued with, “How would you say your past training relates to your professional goals?” And then, “How will being here help you achieve those goals?”

Sometime later, I learned that the assistant had a substantial say about how interviewees were ranked by the program, which explains her evaluative line of questioning. Still, though, I could not help but be impressed with her assessment strategy. It required me to describe and substantiate my professional identity, and it made me ask myself questions that are relevant, I believe, for all budding psychologists. How are our past experiences, present training needs, and future goals related to one another? And what is the underlying principle that guides our decision to pursue some training opportunities and not others?

With the rest of this column, I would like to discuss the model I have used to answer these questions. It is called the “Congruency Model of Professional Development,” and it begins with a simple question: What is your target image? Do you plan to become a forensic psychologist who works in the government sector, a scientist-practitioner who works in a private practice, or a clinical scientist who works in a psychology department? The more specific the target image, the better (e.g., a clinical scientist, interested in the etiology of eating disorders, who works in a psychology department).

Once you have established a target image, the ongoing task becomes one of prioritizing. We engage in a variety of activities, and these may be categorized into at least four domains: research, teaching, clinical work, and professional activities. In the Congruency Model, the goal is to prioritize training opportunities that have the highest degree of congruency with your target image. Let’s look briefly at each of these major domains to see how the Congruency Model works, assuming that the target image centers on wanting to become a clinical scientist.

Research
Conducting research is critical for developing clinical scientists, but opportunities are ubiquitous. Deciding which opportunities to pursue is easy within the context of the Congruency Model, where the first task is to develop a “burning question” or a set of related “burning questions.” These are questions that you need to answer; that keep you awake at night. If you already have the knowledge and skills necessary to answer your burning question(s), then you are doing great; if not, then consider prioritizing research endeavors that meet this need.

Teaching
Competent teaching, I believe, is the second most important skill budding clinical scientists can develop. Within the Congruency Model, ideal opportunities are those that are both highly congruent with your target image and synergistically related to your research. Instructing your own course is the most intense way to gain teaching experience, but other opportunities exist, including paid and unpaid teaching assistant positions and lectureships. If these positions are not officially available in your department, consider approaching a professor and ask to unofficially assist with a course.

Clinical Work
The third component of the Congruency Model is clinical work experience, and opportunities in this area should be prioritized based upon the extent to which they broaden your clinical competence while simultaneously informing your research and teaching. Accruing clinical hours is often the goal, but clinical hours are not necessarily a game of “more is better.” Good supervisors, for example, will remind you not to overlook the quality of those hours. Quality in this sense can be assessed by evaluating how much supervision is provided, whether the opportunity is congruent with your target image, and to what extent the opportunity informs your teaching and research.

Professional Activities
Professional activities are the final component of the Congruency Model and these can take many different forms, including: positions on departmental committees, leadership roles in psychological associations, and positions as a journal or grant reviewer. Engagement in such activities demonstrates dedication to the development of clinical psychology and exhibits a commitment to public service in the interest of the profession. As with all other opportunities, the more congruent the professional activity is with your target image, the better!

Concluding Comments
That assistant was on to something when she asked me what I want to be, and I think a good answer to this question has never been more necessary. The prevailing trend in the internship match process explains why: in 2002, 15% of applicants failed to match on “match day,” and the percentage has increased from there, to 18% in 2003, 20% in 2004, 21% in 2005, and 23% in 2006. The beginning of each academic year brings with it an opportunity to reprioritize the various activities in which we engage, and with statistics like these, informed prioritizing is becoming increasingly necessary.

My thesis in the present discussion has been that when considering how to prioritize, congruency is key. For optimal advancement, your target image should be congruent with your future goals, and the specific activities you pursue should be congruent with your target image. The product of such congruency is a sensible story that you can tell to anyone in order to convey and substantiate your professional identity.

Citation

Slavich, G. M. (2006). Congruency is key: A model for professional development in clinical psychology. The Clinical Psychologist, 59(3), 18-19.

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George M. Slavich, Ph.D. :: Cousins Center for Psychoneuroimmunology
UCLA Medical Center Plaza
300, Rm 3156 :: Los Angeles, CA 90095-7076
+1 310-825-2576 :: gslavich at mednet.ucla.edu