Author Archives: Fiona Thomas

The Examination for Professional Practice in Psychology (EPPP): What’s race got to do with it?

This blog post is a part of the series, “CARED Perspectives,” developed by the APAGS Committee for the Advancement of Racial and Ethnic Diversity (CARED). This series will discuss current events and issues in psychology and how these relate to graduate students. If you are interested in contributing to the CARED Perspectives series, please contact Aleesha Young, Chair of APAGS-CARED.

By Fiona C. Thomas

Grad school, that time in your life where you are constantly thinking about what milestone comes next. Course completion, Master’s thesis, comps, practica, dissertation proposal, data collection, analysis, publications…and that final training experience…internship. Although it feels like so much of our preparation in grad school is for this near final stage of the internship, there is one more milestone to meet before we can finally refer to ourselves as licensed psychologists – the EPPP.

The Examination for Professional Practice in Psychology (EPPP) was first administered in 1965 (Rehm & Lipkins, 2006) and is now a key requirement to independent practice as a clinical psychologist. It is required for licensing in all US states, three US territories, and the majority of Canadian provinces (DeMers & Schaffer, 2012). After all our years of training, and unique experiences along the way, it is that one shared experience we will all have as we work towards independent practice.

As I prepare to begin internship in September, this next milestone of licensure is on my mind. When do I begin preparing for this exam? What are the most effective methods to study for it? What is the pass rate? It is also timely to be thinking about this exam as a second part to the EPPP, which assesses professional skill, is a new requirement coming to an undisclosed list of jurisdictions in 2020 (Association of State and Provincial Psychology Boards [ASPPB], 2019).

With these questions on my mind, I recently became aware of a study conducted by Dr. Brian Sharpless which found performance discrepancies based on ethnicity (2018). In other words, failure rates were highest for individuals who identified as Black (38.5%), Hispanic (35.6%), Asian (24%), and lowest for those who identified as White (14.07%) (Sharpless, 2018). Interestingly, it was not the first time these findings emerged. In 2013, Sharpless and Barber identified that doctoral programs with greater ethnic diversity also reported lower program-wide EPPP pass rates. Going back almost four decades to an early study on this topic, Werner (1981) similarly found that Whites had an EPPP pass rate almost twice that of any other ethnic group. Reviewing survey data of individuals who graduated between 2005 and 2015 with a doctoral degree in clinical, counseling, school or combined/integrated psychology, Bowman and Ameen (2018) found similar results. In particular, their analysis indicated that White psychologists were significantly more likely to pass the EPPP on the first administration compared to psychologists of color (92 percent vs. 83 percent). For this study, psychologists of color included individuals who identified as Asian, Hispanic/Latino, multiracial, Black, American Indian/Alaska Native, and Middle Eastern/North African (Bowman & Ameen, 2018).

As someone who identifies as an ethnic minority, these studies surprised me. What variables contributed to these fail rates? What could be done about this? And what did I need to know to be better prepared so that I didn’t become an embarrassing and expensive statistic?

Of course, as with all research, there are limitations to these findings, and this is important to keep in mind. Until recently, demographic information (e.g., ethnicity) was not collected in EPPP administration (DeMers, 2009). This means that these studies are mainly based on self-report information, which is less robust and reliable compared to test administration data (Bowman & Ameen, 2018). Additionally, some ethnic minorities are not properly represented in these studies. In the studies mentioned here, Middle Eastern/North African (MENA) Psychologists and Indigenous Psychologists are not included as distinct groups. We also have limited information about pass/fail rates for ethnic minority licensure applicants in Canada. Despite these limitations, the replication of such results has prompted me to wonder what the root causes of these differences are and what can be done to address this discrepancy.

In good news, the test publisher, ASPPB, has started collecting race and ethnicity data as optional information on the EPPP. This will continue to better inform whether some test takers, namely test-takers of color, are at a disadvantage. Importantly, this information will be collected as optional data after the completion of the exam to avoid priming any stereotype threats (ASPPB, 2019). If questions show differential responding by ethnicity, ASPPB will take specific items to a diversity committee who can then review and decide whether to keep or discard the questions in future tests. Relatedly, graduate and internship programs are also becoming aware of this discrepancy. Such knowledge can lead to initiatives to better prepare ethnic minority students.

As psychology’s clients and practitioners becomes increasingly diverse, it is important to understand how the EPPP and other high-stakes exams may be leaving certain individuals behind. Factors such as Eurocentric item construction, minority stress, or performance expectancy may or may not be playing a role in score discrepancies (Bowman & Ameen, 2018). Such hurdles can only be identified by appropriately collecting data on race and ethnicity, and transparently reviewing it.

As a member of the APAGS Committee for the Advancement of Racial and Ethnic Diversity (APAGS-CARED), we are keen to explore this further and will be hosting a webinar on this very topic on October 1, 2019.  We hope you will join us!

If you have experience with taking the EPPP and have tips to share for future licensure applicants, we would love to hear from you! Please feel free to share your experiences below.

References

Association of State and Provincial Psychology Boards. (2019). The Examination for Professional Practice in Psychology (EPPP): Frequently asked questions. Retrieved from https://cdn.ymaws.com/www.asppb.net/resource/resmgr/eppp_2/eppp__part_2-skills__faq_s.pdf

Bowman, N., & Ameen, E. (2018, June). Exploring differences in pass rates on the Examination for Professional Practice in Psychology. Retrieved from https://www.apa.org/pi/oema/resources/communique/2018/06/pass-rates.

DeMers, S. T. (2009). Understanding the purpose, strengths, and limitations of the EPPP: A response to Sharpless and Barber. Professional Psychology: Research and Practice, 40, 348–353. doi:10.1037/a0015734.

DeMers, S. T., & Schaffer, J. B. (2012). The regulation of professional psychology. In S. J. Knapp (Ed.), APA handbook of ethics in psychology: Volume 1: Moral foundations and common themes (pp. 453–482). Washington, DC: American Psychological Association.

Rehm, L. P., & Lipkins, R. H. (2006). The examination for professional practice in psychology. In T. J. Vaughn (Ed.), Psychology licensure and certification: What students need to know (pp. 39–53). Washington, DC: American Psychological Association.

Sharpless, B., & Barber, J. (2013). Predictors of Program Performance on the Examination for Professional Practice in Psychology (EPPP). Professional Psychology: Research and Practice, 44(4), 208-217.

Werner, E. (1981). A review of the examination for professional practice in psychology. Sacramento, CA: California Department of Consumer Affairs.

 

 

 

 

 

 

CARED Perspectives – Imposter Syndrome as a Minority: The Struggle is Real

This blog post is a part of the series, “CARED Perspectives,” developed by the APAGS Committee for the Advancement of Racial and Ethnic Diversity. This series will discuss current events and how these events relate to graduate students in psychology. If you are interested in contributing to the CARED Perspectives series, please contact Lincoln Hill.

Imposter Syndrome as a Minority: The Struggle is Real

By Fiona C. Thomas

Years ago, I successfully competed, and was selected for a federal government position, a training spot reserved for few undergraduate students. Following a phone interview, I accepted the position, moved to a new city, and was eager to start. On day one my supervisor greeted me with these words, “I wasn’t expecting someone who looked like you based on your name!” His comment was not intended to be malicious. He was being truthful about his thoughts. Yet, this was the first time I felt like an imposter. My name implied a White candidate, not someone who looked like me. Did I need to work harder to make up for this? What were my supervisor’s expectations of me now versus when he interviewed me? And wait a minute, why did I immediately doubt that my experiences and credentials – all of which got me the job – were suddenly insufficient? What did my name or the color of my skin matter?

As a graduate student, I have come to understand this experience as imposter syndrome. The term was coined four decades ago by psychologists, Pauline R. Clance and Suzanne A. Imes based on their work with high-achieving women. It connotes an internal feeling of intellectual phoniness despite ample objective evidence to the contrary (Clance & Imes, 1978). Indeed, graduate students, academics, and many successful individuals (men included) will not only be familiar with this term, but will have experienced that powerful fear of being exposed as a “fraud”. Recent research shows that members of minority groups feel this phenomenon even more profoundly. For instance, the work of Dr. Kevin Cokley and colleagues has pointed to the strong association between discrimination and feelings of impostorism. His research additionally suggests that for ethnic minority college students, impostorism is a greater predictor of negative mental health outcomes than discrimination. These findings have powerful implications. In addition to labeling it and recognizing the moments we feel it most potently, what can underrepresented minority graduate students do to tackle imposter syndrome?

Dr. Sindhumathi Revuluri, associate dean of undergraduate education at Harvard University, recently wrote an insightful piece on overcoming imposter syndrome. A few months ago, the New York Times published an article on this topic as well, particularly with regards to the experiences of minority groups. I pull from the words of wisdom outlined in these articles and have peppered my own learnings below regarding strategies that I have found helpful for tackling impostorism:

  • Surround yourself with mentors who simultaneously uplift and challenge you: This does not necessarily mean finding mentors who resemble you and have had similar experiences as you. I have come to learn that this is not easy to do. Instead, surround yourself with individuals who encourage you to not only find your space but to feel confident to own that space with integrity.
  • Take pride in Slay being the forerunner: Underrepresented populations bring a particularly powerful perspective in academic settings. These voices are not always heard. If you are doing research that no one in your department is doing, or if you’re working clinically with a population that rarely gets access to mental health services, these are major accomplishments. It takes significantly more time, energy, and effort to enter a space that has traditionally not belonged to underrepresented communities, and to then be the advocate for underrepresented areas of research. Once you get there, trust that it is because of your merit, hard-work, and persistence.
  • It is okay to say no and set boundaries: Feeling the need to prove oneself can result in the urge to say ‘yes’ – yes to every new project that may improve your skills as a researcher or clinician, yes to speaking on diversity issues in your department, or yes to committee service simply to bring a diverse voice to the table. Indeed, there is extra emotional, physical, psychological, and intellectual labor involved when you try to enter a homogenous field. However, trying to be everything to everyone can ultimately dilute the quality of your work and do more harm than good.
  • Genuine humility is different than feeling like an imposter: Even with certain lived experiences, there are limitations to our knowledge. Acknowledge this, own it, and ask for help when needed.
  • Pay it forward: When I decided to pursue clinical psychology as a career, I did not personally know any South Asian women in this field. This initially amplified my feelings of imposter syndrome. Who was I supposed to look to as a role model? Given these experiences, I find it deeply rewarding to connect with others who are in the early stages of their graduate degree. I may not  have had mentors who looked like me, but I had mentors who challenged me to find my voice. It is not always possible to repay such acts, but you can pay it forward. An honest conversation about the trials and tribulations of impostorism as an ethnic or racial minority can be quite powerful for others struggling with these feelings.

We want to hear from you!

  • What have your experiences been with imposter syndrome?
  • Are there strategies you have found particularly helpful for coping?
  • What are your thoughts on this topic?

Please share your thoughts below in the comments section!

References

Clance, P. R., & Imes, S. A. (1978). The imposter phenomenon in high achieving women: Dynamics and therapeutic intervention. Psychotherapy: Theory, Research & Practice, 15(3), 241-247. http://dx.doi.org/10.1037/h0086006

Cokley, K., McClain, S., Enciso, A.. & Martinez, M. (2013). An Examination of the Impact of Minority Status Stress and Impostor Feelings on the Mental Health of Diverse Ethnic Minority College Students. Journal of Multicultural Counseling and Development, 41(2), 82-95. https://doi.org/10.1002/j.2161-1912.2013.00029.x

Cokley, K., Smith, L., Bernard, D., Hurst, A., Jackson, S., Stone, S., . . . Roberts, D. (2017). Impostor feelings as a moderator and mediator of the relationship between perceived discrimination and mental health among racial/ethnic minority college students. Journal of Counseling Psychology, 64(2), 141-154. http://dx.doi.org/10.1037/cou0000198

Revuluri. S. (2018, October 4). How to Overcome Impostor Syndrome. The Chronicle of Higher Education. Retrieved from https://www.chronicle.com/article/How-to-Overcome-Impostor/244700.

Wong, K. (2018, June 12). Dealing With Impostor Syndrome When You’re Treated as an Impostor. The New York Times. Retrieved from https://www.nytimes.com/2018/06/12/smarter-living/dealing-with-impostor-syndrome-when-youre-treated-as-an-impostor.html.

Resources

Below, are some podcasts that may be of interest. We hope you enjoy these and look forward to hearing your thoughts on the topic!

Mentoring Hour for Students of Color Applying to Doctoral Programs
Joy Zelinski Marquez and Farzana Saleem help prospective students think through program considerations that are salient to students of color (e.g., geography, culture and climate) and increase awareness about different types of psychology programs, admissions criteria and opportunities to study multicultural issues. (Web chat recorded May 2016)

Mental Health of High-Achieving Students of Color
Kevin Cokley, PhD, describes his new research on perceived discrimination, impostor feelings, and the mental health of high-achieving students of color. Cokley is director of the Institute for Urban Policy Research and Analysis, a professor of counseling psychology and African and African diaspora studies and a faculty affiliate of the Center for African and African American Studies at the University of Texas-Austin. (Recorded December 2014)

Additional podcasts on graduate school, careers and additional hot topics can be found here.

We  hope that you have enjoyed reading the latest ‘CARED Perspectives’ post. Check out these other articles in the series: