LORANDOS: Doctor, you have suggested that as a result of your years of professional experience, we can place more confidence in your professional opinions - Correct?
Witness: Yes.
LORANDOS: And your position in this regard also assumes that experienced professionals have acquired greater skill and expertise compared to less experienced professionals - Correct?
Witness: Yes, I think that's rather self evident.
LORANDOS: Well, let me ask you this: If accumulated experience were consistently associated with greater expertise, professionals would acquire that expertise as a result of their learning experiences - Correct?
Witness: Right.
LORANDOS: And learning from experience necessitates feedback in response to your professional work - Correct?
Witness: Right.
LORANDOS: Feedback allows professionals to recognize their errors, and then correct them - Would you agree?
Witness: Yes.
LORANDOS: Have you ever published any articles in a peer-reviewed journal?
Witness: No, that's not consistent with the focus of my treatment work.
LORANDOS: Peer-review would afford you systematic feedback about what you think and say as a professional -- Correct?
Witness: I imaging it would, yes.
LORANDOS: But, you have never sought the feedback associated with submitting an article to a peer-reviewed journal -- Correct?
Witness: No.
LORANDOS: In your treatment work, you not regularly videotape or audiotape your therapy sessions -- Correct?
Witness: No. . . I don't know who does. . .
LORANDOS: Without videotaping your therapy sessions, it is quite difficult to obtain objective feedback from a colleague regarding your process -- Correct?
Witness: Well, I . . I can discuss cases with colleagues.
LORANDOS: Without videotaping your therapy sessions, it is quite difficult to obtain objective feedback from a colleague regarding your work -- Correct?
Witness: Oh, now I see what you're getting at, that the colleague can't see the session. Yes, that's correct.
LORANDOS: Because there's a world of difference between discussing therapy with a colleague, and the colleague actually seeing a video tape of what occurred -- Correct?
Witness: There can be differences, yes.
LORANDOS: And you do not videotape the interviews and psychological testing you do in the course of your evaluations -- Correct?
Witness: No, I don't know who does that.
LORANDOS: Without videotaping your therapy sessions, or evaluative interviews, you could be committing errors and never even know it -- Correct?
Witness: In theory that's possible.
LORANDOS: And you could remain unaware of your errors because there is no objective feedback available to you regarding what you do as a professional -- Correct?
Witness: In theory again, that's possible.
LORANDOS: And without objective feedback, you could continue committing the same kinds of errors over and over again -- Correct?
Witness: That could happen.
LORANDOS: The journal Professional Psychology: Research and Practice is a generally recognized and accepted, peer-reviewed journal in your field -- Correct?
Witness: Correct.
LORANDOS: And a 1996 article by Garb published in Professional Psychology: Research and Practice - titled "The Representativeness and Past-Behavior Heuristics in Clinical Judgment" - might be relevant to your opinions in this case -- Correct?
Witness: Might be, yes.
LORANDOS: Please consider Garb's comments from his 1996 article:
- [ reads ] -
"Clinicians frequently have trouble learning from their experiences in clinical settings, in part because they do not always receive accurate feedback, especially with regard to diagnosis."
Now my question: If clinicians frequently have trouble learning from their experiences in clinical settings, your claims of expertise based on your clinical experience warrant skepticism -- Correct?
Witness: If those problems are the case, yes.
LORANDOS: You have not published anything in a peer-reviewed journal necessitating that we reconsider Garb's position in this regard -- Correct?
Witness: No, I have not.
LORANDOS: And you cannot cite anything published in a peer-reviewed journal necessitating that we reconsider Garb's position in this regard -- Correct?
Witness: No, right off the top of my head, no.
LORANDOS: Without any peer-reviewed articles demonstrating the contrary, your profession generally recognizes and accepts that clinicians frequently encounter problems - learning from their experience in clinical settings -- Correct?
Witness: It seems that someone could take that position.
