The Kubie "solution": an idea before its time?
Interpreted in historical context, Kubie's 1948 proposal to move the professional aspects of clinical psychology training and the awarding of the doctorate into the medical-school environment was an attempt to remedy a critical shortage of psychotherapists while maintaining medical control over the professional practice of psychology. The proposal failed, in part, because medicine had no legitimate claim to either training or regulating clinical psychologists. A parallel was drawn between that post-war situation and the current one in which many psychological practitioners are pressing for prescribing privileges in regard to psychoactive drugs, and similarities and important differences are noted between the two conditions. The requirement that medicine be involved importantly in the psychopharmacologic training of psychologists poses an acute problem concerning the maintenance of professional independence.
Carson
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RC
Department of Psychology, Duke University, Durham, NC 27708, USA. robert.carson@duke.edu
D049673:History, 20th Century; D006801:Humans; D007880:Legislation, Drug / Q000639:trends; D008504:Medical Staff Privileges / Q000639:trends; D011570:Psychiatry / Q000193:education / Q000266:history; D011586:Psychology, Clinical / Q000193:education / Q000266:history* / Q000639:trends; D011613:Psychotherapy / Q000193:education / Q000266:history; D012958:Societies, Scientific / Q000266:history* / Q000639:trends; D014481:United States