Clinical psychology training and preparation for multidisciplinary team working: a grounded theory model and the reframing of reflective practice

Thexton, Wayne (2022). Clinical psychology training and preparation for multidisciplinary team working: a grounded theory model and the reframing of reflective practice. University of Birmingham. Clin.Psy.D.

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Abstract

Objectives – The objective of the study was to explore the ways in which recently qualified clinical psychologists described experiences of doctorate training that prepared them for multidisciplinary team working. These accounts were located in a context of clinical psychologists’ professional roles rapidly evolving.
Design – An exploratory grounded theory methodology was adopted.
Methods - Eleven recently qualified clinical psychologists, each with training and post-qualification experience of MDT working, participated in one individual semi-structured interview.
Results – The clinical psychologists acknowledged opportunities for MDT working during training. The extent to which these were embraced relied on trainees diminishing their focus on direct individual therapy. Training experiences were described around four main categories, ‘Doing the work,’ ‘Clinical Supervisor,’ ‘Placements Cultures’ and ‘Peer Group.’ Data is explained through three theoretical categories of a nested grounded theory model. ‘Trust and exposure’ to MDT working provides a foundation for ‘Inclusion and belonging,’ which leads to ‘Sense making and discovery.’ To make sense of MDT experiences requires trainee clinical psychologists to engage with risk in reflection and in relationships, with clinical supervisors, peers and themselves.
Conclusion – Trainee clinical psychologists engagement with MDT working can indicate their understanding of the clinical psychologist role. Clinical supervisors’ own relational and physical proximity to MDTs can facilitate or inhibit trainees’ exposure to MDT working. Implications for providers of clinical psychology training included the need to develop openness in trainees’ reflection, and to explore the varieties of risk that are encountered during training.

Type of Work:

Thesis (Doctorates > Clin.Psy.D.)

Award Type:

Doctorates > Clin.Psy.D.

Supervisor(s):