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monitor on

Antonio E. Puente, PhD

Jessica Henderson Daniel, PhD


Cynthia D. Belar, PhD


Ian King, MBA


Sara Martin

Jamie Chamberlin, Lea Winerman

Rebecca A. Clay, Tori DeAngelis, Amy Novotney, Heather Stringer, Kirsten Weir, Laura Zimmerman

Kim I. Mills


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FEBRUARY 2017|VOLUME 48|NUMBER 2 Please recycle this magazine

Features FEBRUARY 2017



People who provide care for loved ones are at risk for depression,
anxiety and social isolation. The good news is that psychologists
research has identified ways to improve the lives of caregivers
and also help those they are caring for. Here is a summary of the
most recent findings. See page 40

A population
at risk
Page 34


White American men are faltering
economically, physically and emotionally.
Psychologists are exploring this population
through research and identifying ways to
help those left behind.

The explosion of smartphone users has
created new opportunities for app-based
companies to offer more accessible and
affordable therapy. But the onus is on
psychologists to make sure theyre
complying with federal and state laws.


Career experts and psychologists in
nontraditional jobs offer advice for finding
careers that enable new psychologists to
apply their expertise on human behavior in
novel and atypical ways.

Page 54

M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7 3
Departments FEBRUARY 2017



15 to 20 percent of the populationan estimated 53 million Americans,
and some one billion people worldwidelive with some form of disability.
Among the varied challenges they face is an increased risk of violence.
Heres how psychologists work can address this tragedy. See page 30

media maven
Page 68





64 10 TIPS FOR SPEAKING residents

CLASSIFIEDS breathing and
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Presidents Column

FROM OBAMACARE interpret and implement the law to help

to achieve this goal. After all, the nations

TO OUR NATIONS CARE? health-care costs had been projected to

become an unsustainable portion of our
How psychology could improve health care economy by 2020.
With the new administration and
a Republican Congress, Obamacare is
likely to be repealed. Its replacement
is yet undefined but is expected to

evolve in the coming months. There is
no question that the ACA had limita-
everal years ago, our youngest son Lucas interned with tions and further improving Americas
Larry Summers and Tim Geithner, the core of President health-care system is in everyones best
Barak Obamas economic transition team. Lucas called me interest.
one evening and, in the most enthusiastic tone possible, Psychology has much to contribute
to the development of a new national
explained that they had arrived upon a plan to erase the health-care policy based on the goals
$1.3 trillion budget deficit that Obamas administration of increased efficiency and decreased
had inherited. What was the plan? I asked. Papa, we are going to costs. Here are five proposals for the
develop a plan to provide health-care coverage to 34 million uninsured new Congress and administration to
people. How do you add so many people to the insurance rolls and bring consider:
No one should be denied access to
down the deficit? I asked. He responded, The devil is in the details.
basic mental and behavioral health care.
It can be argued that the Affordable Care Act (ACA) was more about Mental health should be considered
economics and health-insurance reform than health-care reform. The equal to and, in some cases, even more
ACA offered a way to reduce health-care costs, which had been rising at important than physical health. It is in
an unsustainable rate. Significant authority was granted to the states to societys best interest that mental health
be seen as essential to health care.
Mental and behavioral health services

APA President must be integrated with, and offered at

Dr. Antonio E. Puente parity with, physical health services.
Psychology, with the unique value
added from the professions evidence-
based foundation, should be infused in
all aspects of health care. This offers a
direct and efficient way to both increase
effectiveness and reduce costs.
Psychology should be included in the
physician definition of Medicare. We
are the only doctorate-level provider not
included in the definition. Its time to
correct that omission.
Let us embrace todays uncertainty
about health-care policy as our profes-
sions and nations opportunity. And let us
reframe our health-care system to fully

become Our Nations Care.

For more on this topic, see page 16.

6 M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7

Thank you for the thorough report on Policing in Black
and White in the December Monitor. We are currently NOW THAT YOUVE
developing online courses for law enforcement officers across FOUND YOUR CALLING,
the state of Georgia in the areas of community relations and
cultural awareness.When I was researching these topics, I
found your article, and we will now include it as a required At the College of Clinical Psychology at Argosy University,
reading assignment in the Cultural Awareness course and youll nd more than just faculty, youll discover mentors.
recommended reading in the Community Relations course.I Our professors share a deep commitment to you, the
next generation of professional psychologists. With
truly believe that it will have a tremendous impact on officers
our integrated curriculum, youll go beyond books and
across the state of Georgia. classrooms and receive the real-world clinical experience
Melissa White that can help prepare you to be an effective and ethical
Georgia Public Safety Training Center in Forsyth, Georgia practitioner capable of providing diagnostic and
therapeutic services to a diverse population of clients.

UNDERSTANDING SUICIDE And were proud to say that the Doctor of Psychology in
Some thoughts on Suicidal Risk in Young Children in the Clinical Psychology (PsyD) program at each of our ten schools
December Monitor: Everyone considers suicide sometime, the has received accreditation from the APA, certifying that they
meet their rigorous standards.
risk factors being the presence of suicidal ideation and plan,
the presence of deadly means and the strength of self-control. We are now accepting applications for Fall 2017 for the
Some kids who are believed to have died accidentally have Doctor of Psychology (PsyD) in Clinical Psychology
really committed suicide. While I program.

was in graduate school, a very smart Contact us today and start working toward your rewarding
psychologist wrote that young kids career in clinical psychology.
cant truly commit suicide since they
Learn more at
lack understanding of death. Even
then, being relatively unstudied, I
considered this viewpoint naive.
Stanley Goldstein, PhD
Middletown, N.Y.


As noted by the October Monitor article, Left Out, biases
are a part of human nature. While professionals in the mental
health field should perhaps be more aware of potential biases
than is the general public, they are certainly not immune to
having biases. According to this article, minority populations
are still facing discrimination from psychologists. Given the
considerable effort which APA and training programs have
made to combat discrimination, why do psychologists engage
in unfair discrimination? It is somewhat depressing to realize
that even with extensive training, there are members of our
The Doctor of Psychology in Clinical Psychology Program at Argosy University, Atlanta, Chicago, Hawaii,
profession who seem to have an inability to control if not Orange County, Phoenix, San Francisco Bay Area, Schaumburg, Tampa, Twin Cities and Northern
Virginia is accredited by the Commission on Accreditation of the American Psychological Association
overcome these innate biases. (APA). Questions related to the programs accredited status should be directed to the Commission on
Accreditation: Office of Program Consultation and Accreditation, American Psychological Association,
Christine Chason 750 1st Street, NE, Washington DC 20002 Phone: (202) 336-5979 / E-mail: / Web:
Counseling psychology doctoral student, Auburn University Argosy University is accredited by the Senior College and University Commission of the Western Association
of Schools and Colleges (985 Atlantic Ave., Suite 100, Alameda, CA 94501, Programs,
credential levels, technology, and scheduling options are subject to change. Not all online programs
are available to residents of all U.S. states. Administrative office: Argosy University, 333 City Boulevard
West, Suite 1810, Orange, CA 92868 2017 Argosy University. All rights reserved. Our email address is
Please send letters to APA Monitor on Psychology Editor Sara Martin
at Letters should be limited to 175 words and may be See for program duration, tuition, fees and other costs, median debt,
edited for space and clarity. salary data, alumni success, and other important information.

M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7 7
AU-4024_PsyD_MonitrOnPsych-F1tm.indd 1 12/16/16 2:24 PM
Your 2017 APA Membership Today

From new career and professional development tools to the latest

information in your subfield, APA continues to enhance the various
ways in which your APA membership serves you.

Stay connected to your benefits and your colleagues.

Renew online today at:

In Brief

Thanks for the Memories

onsumers feel more gratitude after buying for restaurant meals and hotel stays than for material
experiences, like vacations, than they do after purchases, like clothing and furniture. In a follow-up
buying material goodsand that gratitude experiment, the researchers also found that when peo-

may prompt them to act more generously toward other ple thought about a significant experiential purchase,
people, suggests a paper in Emotion. The researchers they then behaved more generously toward others in
analyzed 1,200 online customer reviews and found that an anonymous game than did people who thought
reviewers were more likely to mention feeling grateful about a significant material purchase they had made.

M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7 9
In Brief

DEMENTIA DECLINE function, the researchers found.

The prevalence of dementia They posit that a later-in-life
decreased among older Ameri- surge of estrogen and progester-
cans from 2000 to 2012, finds a one during pregnancy may help
study in JAMA Internal Medicine. explain the cognitive boost.
Researchers analyzed data from
more than 21,000 participants in TEEN DEPRESSION
the 2000 and 2012 waves of the The depression rate among teen
Health and Retirement Study, girls in the United States has
a longitudinal study of Ameri- risen by 37 percent in the past
cans older than 65. In 2000, 11.6 decade, finds a study in Pediat-
percent of study participants rics. Researchers examined data
had dementia; in 2012, only from participants in the 2005
8.8 percent did. The researchers to 2014 National Surveys on
suggest that an increase in edu- Drug Use and Health, including
cation levels could account for 172,495 teens ages 12 to 17. The
the dementia decline. Between survey lists symptoms of depres-
2000 and 2012, survey partici- sion and then asks participants
pants average number of years of whether they have experienced
education increased by almost a of the American Geriatrics Society. The dementia rate those symptoms in the past year.
full year, from 11.8 to 12.7 years, Researchers tested 830 women, among older adults Using those criteria, 11.3 percent
has declined in
and more years of education average age 60, on a battery of the United States of teens reported a major depres-
were associated with a lower risk cognitive tasks. Women who had since 2000. sive episode in 2014, up from
of dementia. their last pregnancy after age 35 8.7 percent in 2005. Among
had significantly better verbal teen girls, the rate rose to 17.3
MOMS BRAINS memory than younger mothers percent in 2014 from 13.1 per-
Older mothers may see cog- did, and women who had their cent in 2005. The researchers say
nitive benefits later in life, first pregnancy after age 24 had that it is unclear what is causing
suggests a study in the Journal significantly better executive the rise, though an increase in
depression risk factors such as
cyberbullying could be partly to

A web-based version of
cognitive-behavioral therapy
(CBT) could help people with

insomnia get more sleep, finds

research in JAMA Psychiatry. The
randomized clinical trial tested
303 patients with chronic insom-
nia. Half took part in a six-week
online CBT training program
called SHUTi, while the control
A benefit for older group received online informa-
moms: Pregnancy
hormones may tion and advice about insomnia.
provide a late-life At a one-year follow-up, seven
cognitive boost. out of ten SHUTi patients still
showed some improvement in

10 M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7
their sleep patterns; 57 per-
cent had no insomnia at all.
In contrast, only 27 percent
of the control group had any
improvement in their sleep. The
researchers say that the program
could help make effective CBT
therapy more widely available to
patients with insomnia.


Cultural background can affect
how people react to smells, finds
research in Chemical Senses.
Researchers asked two groups
of participantsone French
and one French-Canadian
to smell six fragrances: anise,
lavender, wintergreen, maple, Do you like the
rose and strawberry. They found smell of lavender?
The answer
significant differences in how might depend
the two groups rated the odors. on your cultural
For example, the French rated background.
wintergreen less pleasant than
the French-Canadians. The
Canadians were more familiar to determine the pattern in a the performance of older teens
with and better at describing 3x3 grid of shapes. In another, and adults, but not of younger
maple and wintergreen, while they had to decide which of two Its not too late teens. The researchers suggest
the French were more familiar groups of dots was larger. In the older teens and this could be because brain
adults are better
with and better at describing pattern-finding exercise, all of at learning some regions including the prefron-
lavender. However, when partic- the age groups improvedbut types of numerical tal and parietal cortices, which
ipants were given the names of older teens and adults improved skills than younger are involved in reasoning and
teens are.
the scents before smelling them, more than younger teens. In the numerical skills, continue to
their familiarity, pleasantness and dot exercise, training improved develop throughout adolescence.
edibility ratings increased, and
cultural differences decreased. UNHEALTHY SEXISM

Men who endorse masculine

LATER LEARNING normsparticularly those who
Conventional wisdom holds that see themselves as playboys or as
childhood is the prime time for having power over womentend
learning. But a study in Psycho- to have poorer mental health and
logical Science suggests that for are less likely to seek psycholog-
some types of numerical learn- ical treatment than other men,
ing, training is more effective according to a meta-analysis in
in late adolescence. Researchers the Journal of Counseling Psychol-
gave 633 participants, ages 11 ogy. The researchers analyzed 78
to 33, 20 days of online train- studies with 19,453 participants,
ing in nonverbal reasoning. In looking at the relationships
one exercise, participants had among mental health, social

M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7 1 1
In Brief

functioning, and masculine

norms including risk-taking,
violence, dominance, sexual pro-
miscuity (playboy), self-reliance
and others. Men who considered
themselves playboys, self-reliant
and holding power over women
were more likely to have negative
mental health outcomes, the
researchers found.

Experts cannot predict suicidal
behaviors any better than chance,
according to a meta-analysis of
365 studies spanning 50 years,
published in Psychological Bul-
letin. The studies examined risk
factors such as depression, pre-
vious suicide attempts, stressful
life events and substance abuse.
Despite decades of research,
none of these risk factors could spent 3.7 minutes per hour on Experts cannot Arts, researchers pinpointed the
predict suicide behaviors better their phones. Those who used predict suicide characteristics that make songs
risk any better
than chance, and experts ability their smartphones longer than than they could 50 become earworms. They ana-
to predict suicide behaviors had that average slept fewer hours, years ago, a meta- lyzed a database of earworms
not improved over time. The and had worse sleep quality, par- analysis finds. that had been identified by a
researchers suggest that future ticularly when the smartphone survey of more than 3,000 lis-
studies should not focus on indi- use was around their bedtimes. teners, and found that earworms
Power down
vidual risk factors, but instead heavy smartphone usually have a faster tempo than
on developing machine-learning EARWORMS users dont sleep the average pop song, with an
algorithms that combine tens or Cant get that song out of your as well as those easy-to-remember melody but
who spend less
even hundreds of risk factors. head? In a study in Psychology time on their unusual intervals or repetitions.
of Aesthetics, Creativity and the phones. Listeners are also more likely to
SCREEN TIME report songs that get more radio
People who spend more time airtime and top the charts as
looking at their smartphone earworms, they found.
screens sleep fewer hours and
sleep more poorly than those NICE WOMEN
who spend less time on their FINISH LAST
devices, finds a study in PLOS Women who are agreeable at
ONE. Researchers analyzed work earn less than those who
data from 653 adult participants are more assertive, according to a
who downloaded an app that study in the European Journal of
recorded when their smartphone Work and Organizational Psychol-
screen was on. Participants also ogy. Researchers surveyed 375
completed surveys about their employees at a Dutch multina-
sleep duration and sleep quality. tional electronics company about
On average, the participants their personality characteristics

12 M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7
and whether they believed their to medication, suggests a pilot group significantly improved
positions and salaries fit their study in the Journal of Clinical its mean score on the Hamilton
education, experience and per- Psychiatry. Researchers assigned Depression Rating Scale, while
formance. The researchers also 25 patients with major depres- the control group showed no
analyzed objective measures sive disorderall of whom still improvements.
of the employees education, had symptoms despite eight
performance data, positions and weeks of medicationto WEIGHT AND
salaries. The study found that either a control group or BULLYING
women consistently earned less to a group that received Children who are vic-
than their male colleagues, but six training sessions in tims of bullying are
that more dominant, aggressive Sudarshan Kriya yoga, more likely to become
women were less likely to hold which uses rhythmic overweight as young
positions or salaries below what breathing to achieve a adults, suggests a
their status would suggest they meditative state. After study in Psychoso-
deserve. two months, the yoga matic Medicine. In an
analysis of data from
SCHIZOPHRENIA a longitudinal study
GENOMICS of 2,000 children in
The largest study of its kind has Yoga techniques the United King-
found rare genetic variations may help ease dom, researchers found
symptoms of
associated with schizophrenia depression. that 29 percent of children
in eight locations on the human
genome, reports a study in Nature
Neuroscience. A consortium of
260 researchers analyzed the
genomes of 21,094 people with
schizophrenia and 20,227 people
without it. They found eight
locations in the genome with
copy number variantsdeletions
or repetitions of DNAassoci-
ated with schizophrenia risk. The
variants occurred most frequently
in genes involved in brain synapse

Yogic breathing may help alle-
viate depression symptoms in
patients who do not respond well

M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7 1 3
In Brief

who were chronically b ullied in

school were overweight at age
18 compared with 20 percent of
children who were not bullied.
The bullied children were not
more likely to be overweight at
the time they were victimized
than the nonbullied children,
and the finding was significant
even after controlling for factors
including socioeconomic status,
food insecurity, child abuse, IQ
and mental health.


Trauma may affect the brains of
boys and girls differently, sug-
gests a study in Depression and
Anxiety. Researchers used MRI
to scan the brains of 59 children
and teens, ages 9 to 17. Thirty
of the participants (14 girls Biology. Researchers observed in some cases even decades after
and 16 boys) had experienced a eight populations of chimps, their mothers had died.
traumatic event. Twenty-nine of noting how often pairs of chimps Women scientists
them (15 girls and 14 boys) had in each group did something collaborate with WOMEN IN STEM
new research
not. The researchers found no called high-arm grooming, in partners more Women in science, technology,
difference in the insula structure which they raised and clasped often than male engineering and mathematics
of boys and girls who had not their hands. Not all chimps do scientists do, (STEM) fields are more likely
finds an analysis
experienced trauma. But among it, and researchers had previously of publication to work with new collaborators
those who had, a part of the wondered whether it signified records. than male scientists are, finds a
insula called the anterior circular a particular social relationship study in PLOS Biology. Research-
sulcus was larger in traumatized between two chimps, or varied ers analyzed the publication
boys than in nontraumatized by age or sex. Instead, the new records of 4,000 male and female
boys. Among girls, however, the study found that the only pattern faculty members in six disci-
region was smaller in traumatized linking the behavior was through plinespsychology, chemical
participants than in the con- the matrilineal linechimps engineering, chemistry, ecology,
trol group. The finding suggests whose mothers were high-arm materials science and molecu-
that boys and girls might have groomers continued the behavior, lar biology. In all the disciplines

different trauma symptoms and except materials science, women

benefit from different approaches were less likely than male peers
to treatment, the researchers say. Trauma may affect to repeat collaborations. Work-
girls and boys ing with new collaborators tends
brains in different
MOM KNOWS BEST ways. to produce work with greater
Just as human children learn by impact, previous research has
copying their mothers, chim- found.
panzee mothers also impart
behaviors to their children,
For direct links to the research cited
according to a study of chimp in this section, visit our digital edition
grooming styles in Current at

14 M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7



Years to Earn a Research Doctorate and Age at Doctorate
DOCTORATE IN From graduate From bachelors Median age

PSYCHOLOGY? school entry completion at doctorate

Psychology 7.0 years 8.3 years 31.3

Graduates who earned psychol-
Life Sciences 6.7 8.3 30.8
ogy research doctorates in the
2013-14 academic year completed Physical Sciences 6.5 7.3 29.6
their degrees seven years after
starting graduate school, on aver- Social Sciences 7.8 9.4 32.2
age, and 8.3 years after completing Engineering 6.5 7.3 29.5
their bachelors degrees.1
Education 11.7 14.7 38.0
Thats a shorter time than many
other disciplines.2 Across all disci- Humanities 9.2 11.0 33.8
plines, graduates completed their
doctorates 7.3 years after starting Other 9.2 11.5 34.6
graduate school, and 8.8 years
Source: National Science Foundation, 1994-2014 Survey of Earned Doctorates
after completing their bachelors.
Median age at doctorate for FIGURE 2
psychology was 31.3, younger than Years to Earn a Research Doctorate in Psychology
doctorates in social sciences,
Years from
education and humanities, but 9.4 8.9 bachelors
older than doctorates in life completion
sciences, physical sciences and 8 8.3
engineering. 7.2 7.0
While the time to earn a psy- 7.0 Years from
6 graduate
chology doctorate from the start school entry
of graduate school remained
fairly stable throughout the past 4
two decades, the time to earn a
doctorate from bachelors com-
pletion has declined (Figure 2). 2
Graduates median age also
declined from 33.1 in 1994 to 31.3
in 2014. 1994 2004 2014

Source: National Science Foundation,

Foundation, 19942014
1994-2014 Survey of Earned Doctorates

By Luona Lin, MPP, Cathrin Green, BS, Karen Stamm, PhD, and Peggy Christidis, PhD
For more information, contact APAs Center for Workforce Studies.

National Science Foundation, National Center for Science and Engineering Statistics. (19942014). Doctorate recipients from U.S. universities. Arlington, VA.
Retrieved from A research doctorate requires the completion of a dissertation or equivalent project and is
not primarily intended for the practice of a profession. Time to doctorate was defined as the median years it took for students to complete their research doctorates

from the time they enter any graduate school or from the completion of their bachelors degrees.
Life sciences include agricultural sciences and natural resources, biological, biomedical sciences, and health sciences; physical sciences include mathematics and computer
and information sciences; social sciences include psychology; other includes non-science and engineering fields not shown separately.

M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7 1 5
Advocacy in Action


APA and its companion organization voice their recommendations on health-care reform

n anticipation of the 115th
Congress and new presiden- APA and the
APA Practice
tial administration, APA and Organization
the APA Practice Organization sent letters to
(APA Practice) offered joint congressional
leaders and
recommendations for health- President Trump.
care reform in mid-December letters
to Speaker of the House Paul Ryan
(R-Wis.) and Sen. Majority Leader
Mitch McConnell (R-Ky.), as well as to
then-President-elect Donald J. Trump.
The letters expressed interest in work-
ing with the new Congress and with the
Trump administration on health care
and other issues of national importance.

In a Dec. 16 letter, both organiza-
tions urged Congress not to repeal the
Affordable Care Act (ACA) without
simultaneously replacing it with legisla-
tion to ensure that all Americans have
insurance coverage with access to com-
prehensive mental and behavioral health individual and small group markets and Practice spelled out their recommen-
and substance use services and that those in Medicaid alternative benefit plans. dations for ensuring health-care reform
services are offered at parity with physical Provisions that reduce health dispar- policies meet the treatment needs of
health services. The letter acknowledges ities, strengthen prevention programs, Americans with mental and substance
that while the law could be improved, it expand Medicaid, and prohibit insurance use disorders. Before the Mental Health
has extended coverage to more than 22 exclusions based on pre-existing condi- Parity and Addiction Equity Act of 2008,
million Americans. tions and discrimination. health plans routinely discriminated
The organizations also highlighted Investments in research and training against people with mental disorders
other significant ACA provisions, to integrate mental and behavioral health by structuring and applying policies in
including its: into primary care, and to fund clinical ways that made it more difficult to access
Requirementthat mental health and effectiveness research. coverage for mental health care than
substance use services be part of the for general medical care. Even today,

essential health benefits package in mar- RECOMMENDATIONS FOR private sector health plans deny claims
ketplace plans. THE NEW ADMINISTRATION for m
ental health services twice as often
Extension of federal parity protections In a Dec. 19 letter to the incoming as claims for general medical care. As a
to private health insurance plans in the Trump administration, APA and APA result, p
eople with mental disorders rely

16 M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7
heavily on public health programs. APA Integratemental and behavioral health development, including loan repayment
and APA Practice emphasized six core services into primary-care and other programs, to train psychologists and
objectives for health-care reform, which health-care services. Integrated care other mental health professionals to
call for the need to: holds the promise of improving patient provide evidence-based, culturally and
Establishuniversal access to essential outcomes, reducing overall treatment linguistically competent care in under-
health-care services that include men- costs and improving population health. served communities.
tal health and substance use disorder The federal government should continue Increasefederal funding for basic
services at parity with physical health to invest in innovative delivery systems and translational psychological and
services. All Americans should be cov- that integrate medical services with men- behavioral research and training.
ered for necessary health services, and tal and behavioral health services. Researchwithin the behavioral and social
adequate coverage of mental health and Ensureaccess to preventive services, sciences increases our understanding of
substance use services must be equal to including mental and behavioral health how the behavior of individuals, fami-
the coverage of physical disorders. promotion. After first onset of a mental lies and groups interacts with biological,
and enforce health insurance disorder, the median delay before first social, environmental and cultural factors
protections for consumers and providers. treatment is nearly a decade. According to to influence physical health, mental
Health plans should be required to oper- the National Academy of Medicine, each health and emotional well-being. Federal
ate under a standard set of basic rules. dollar invested in early treatment and support of this research is critical.
Among them, Americans should be guar- prevention programs focused on mental
anteed availability and renewability of health and substance use disorders saves To join APA in its advocacy efforts this
coverage, and insurers should be prohib- between $2 and $10 in lost productivity year, subscribe to advocacy alerts at http://
ited from rescinding coverage, particularly and health costs, criminal and juvenile
for pre-existing conditions. Prohibitions justice costs, and education costs.
should also extend to excessive waiting Expand the mental health work-
periods, lifetime or annual dollar limits force. There are more than 97 million
on coverage and discrimination against Americans living in mental health
participants or providers. In addition, professional shortage areas, particularly
insurers should cover dependents up in rural communities. In addition, more
to age 26 and cover essential health than 30 percent of counties have no
benefits, including mental health and licensed psychologists, in part due to low
substance use services, behavioral health reimbursement rates and increasing grad-
treatment, emergency care, hospital stays, uate student loan debt. The country needs
and maternity and newborn care. to make greater investments in workforce


J ust days before APA and APA

Practice Organization sent letters
to the incoming Congress and Trump
programs, strengthen mental health
parity requirements, enhance treat-
ment for children and families, and
administration, President Obama improve mental health care in the
enacted the 21st Century Cures Act, criminal justice system. The initial
at a signing ceremony attended by force for mental health reform was
APA representatives. The law incor- psychologist Rep. Tim Murphy (R-Pa.),
porates much-needed provisions who led a four-year bipartisan and
championed by APA and APA Prac- bicameral effort to achieve passage of
tice Organization, such as those that the provisions of the Helping Families
support psychology graduate training in Mental Health Crisis Act.

M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7 1 7
News Feature


Does Facebook suggest your client may know your sister
or best friend? Recommendation algorithms on social media
may be putting your clients confidentiality at risk.

y now, most practitioners is another part of modern life
who use social media psychologists need to adjust to.
websites know that if Practitioners can protect them-
they receive a friend or con- selves and their clients from
nection request from a current confidentiality and multiple
or former client, they should relationship breeches by:
decline it. If pressed, they should
explain that doing so helps pro- Gettingto know the social The location
tect their privacy and establish media technology. The goal of tracking setting
on smartphones
therapeutic boundaries. sites like Facebook and LinkedIn may be posting
But lately, many clinicians are is to increase their user numbers, clients where-
encountering a new challenge: so its important to know that abouts for others
to see.
what to do when clients show up when LinkedIn asks if you want
in each others People You May to expand your network, the site as concerned about my privacy
Know sections. will use your electronic address or my patients privacy as I.
Experts say such recommen- book to email everyone in it One way he protects privacy is by
dations likely happen because including your patients if youve using only secure WiFi networks
the clients all had the thera- contacted them via email. Be or, if needed, using an IP ano-
pists phone number in their sure to carefully examine the list nymizer so that websites cannot
contact list, or because the of individuals the site wants to identify his location or easily
location-tracking setting on their reach out to, ensuring no current track information about how hes
smartphones put them in the or former clients are on it. If using the internet. He encourages
same office every weekor both. youre using social media for per- some clients to do the same. He
The same kind of rec- sonal reasonsto stay in touch also encrypts sensitive attach-
ommended connections are with friends and family, for ments using Adobe Acrobat Pro
happening on social media example, create an alternate or before sending them, and avoids
between students and teachers private profile that only friends emailing anything he wouldnt
and lawyers and judgesits not and family know, suggests John want others to read. He also sug-
just among psychologists, says Gavazzi, PsyD, a clinical and gests using an email encryption
San Franciscobased clinical consulting psychologist in Har- program such as Sharefile, which
psychologist Keely Kolmes, risburg, Pennsylvania. offers security features such as
PhD. But we are one of those Clinical psychologist David two-factor authentication and
specialized groups where it gets Palmiter, PhD, a psychology single sign-on.
incredibly complicated because professor at Marywood Univer-

of confidentiality concerns. sity and private practitioner in Talkingto clients about their
Of course, social medias Clarks Summit, Pennsylvania, privacy concerns. Kolmes advises
invasion into what many may says he works from the premise all clinicians to discuss privacy
consider private information that no one is going to be nearly risks involved in using social

18 M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7
friend request from someone you
dont recognize, be careful, as it
could be someone who works
with me and who is curious
about my family, she says.

Developing a social media

policy. Many psychologists have
also developed social media
policies that they provide to new
clients as part of their informed
consent process. The policies
explain that they do not engage
with clients on social media in
an effort to maintain the thera-
peutic relationship and protect
patient privacy and confidential-
ity. To further protect clients and
their whereabouts from ending
up on social media, Palmiter rec-
ommends that patients turn off
their cellphones location track-
ing feature, put it in airplane
mode to turn off WiFi or even
media with their clients and to and privacy, and notes that fol- leave their phone in the car when
work through how to handle a lowing one another on social they come to his office.
situation in which a therapists media can add a social element
name pops up under their Peo- to their work and can compli- Being careful not to create
ple You May Know tab. cate matters when it comes to stigma. In light of these privacy
Its about having clear and what the therapist is supposed to woes, however, its also important
open conversations with your know or not know about them. to avoid expressing too much
clients about what youre going She also cautions her family concern about others finding out
to do to protect their privacy about the possibility of receiv- a patient is in therapy, Palmiter
and confidentiality and avoid ing a social media connection says. My only hesitation about
inviting a multiple relationship, request from one of her clients. some of these communications
and letting them know they I have said to my family is that it could implicitly support
can also discuss this with the members, If you get a Facebook this idea that being in therapy
therapist if it comes up on their is something to be embarrassed
end, Kolmes says. When she about, he says. If I was a dentist
does receive a friend request and I told people they might
from a client on Facebook, she
I have said to my family members, want to put their cellphones on
waits until she sees him or her If you get a Facebook friend airplane mode so that their loca-
next in session and checks to see request from someone you dont tion couldnt be tracked, most
if the request was accidental or recognize, be careful, as it could be of my clients would say, I dont
not. Regardless of whether they someone who works with me and care if people know Im at the
searched for her or just had her who is curious about my family. dentist. I cant imagine that any
recommended as a friend, she of my therapy clients would have
reminds them about the impor- SAN FRANCISCO CLINICAL PSYCHOLOGIST
that same reaction about my
tance of patient confidentiality caution.

M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7 1 9
News Feature

HELP FOR CHILDREN Raising children in conflict:

An integrative model of parent-

IN WAR-TORN AREAS ing in war.

Both journal issues reflect
An APA journal explores interventions for the most major shifts in humanitarian
vulnerable victims of armed conflict efforts, says Wessells. First, the
humanitarian field is shifting
BY REBECCA A. CLAY to a more holistic approach.
While most of the psychological
research has focused on depres-

onight we have no house, special issues of APAs Peace and sion, anxiety and post-traumatic
its bombed & I got in Conflict: Journal of Peace Psychology stress disorder in these children,
rubble, a 7-year-old that Wessells guest-edited. Draw- says Wessells, the evidence shows
Syrian girl named Bana Alabed ing on childrens own narratives, these problems affect a relatively
tweeted from Aleppo following the August 2016 issue describes small number of war-affected
a bombing in late November. I the problems of children who kids. Whats needed, he says, is a
saw deaths and I almost died. have experienced armed conflict A teenage girl more holistic approach that also
Bana is just one of millions of in settings as diverse as Nepal, and two children addresses such issues as loss of
run among dead
children suffering in war zones Sri Lanka and several African bodies after belongings and homes and the
around the world. But children nations. The February issue a strike in the lack of educational opportunities
arent just victims of armed explores how best to help. Jub Al Quba and jobs.
neighborhood of
conflict, says psychologist Mike Papers in the February issue Aleppo, Syria, on The issues also reflect a new
Wessells, PhD, a professor of include: Nov. 16. awareness of childrens agency,
forced migration and health at Children and armed conflict: says Wessells. Once you realize
Columbia Universitys Mailman Toward comprehensive, sustain- these children are resilient, you
School of Public Health. Theyre able interventions. begin asking whether there are
also untapped assets who can Where there is no interven- ways they themselvesparticu-
help promote recovery in them- tion: Insights into processes of larly teenscan become partners
selves and others, he says. resilience supporting war- in helping others get back on
That theme suffuses two affected children. their feet again, he says.
Helping communities help
themselves is also key, says psy-
chologist Alastair Ager, PhD,
author of one of the February
issues papers and director of the
Institute for Global Health and
Development at Queen Mar-
garet University in Edinburgh.
Just as psychotherapists bolster
patients capacity to cope, he says,
so should humanitarian agencies
bolster war-affected communi-
ties. Our interventions should
be supplementing and support-

ing community resources, he

says. We should lose the idea
that somehow the intervention is
whats going to make everything

20 M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7
News Feature

VICTORY IN TEXAS: INTERNS and tailored the final bill to allow

psychologists to delegate services

CAN GET PAID FOR SERVICES to interns and postdocs and

hence to pay them.
Persistent advocacy by Texas psychologists helps clinch the win The fight didnt stop there,
however, as physicians barred the
inclusion of language stating that
Medicaid could pay for services
provided by psychology interns
and postdocs. TPA members

nternship sites in Texas went back to work, lobbying state
can now be reimbursed for Medicaid officials to write a pol-
Medicaid-related and other icy saying interns and postdocs
services provided by doctoral could be reimbursed under the
psychology interns, as long as a program. APA submitted a letter
licensed psychologist delegates of support highlighting key rea-
those services to the interns. sons to include interns, and the
The victory is the result of Texas policy change was enacted
a lengthy effort by members of on Jan. 1.
the Texas Psychological Asso- The victory provides import-
ciation (TPA) to ensure that ant guidance to other state
interns receive payment for their associations that are advocat-
servicesa key problem that has ing for similar outcomes, says
been successfully resolved in just Caroline Bergner, JD, a policy
16 other states, under varying and advocacy fellow in APAs
conditions (see the September Education Directorate. One key
Monitor). lesson: Many people still dont
The victory will likely lead to understand the extensive nature
the creation of more internship and length of interns experience,
positions in the statea win so its crucial to educate them
not only for psychology interns, on the topic. Another major
but for the many Texans with message: Strong teamwork is
mental health conditions who paramount.
need their services, says former While its too early to say
APA President James Bray, PhD, how many new slots and sites
who helped lead the effort. We not interns, so TPA revisited may be created as a result of the
were able to explain to the Texas the issue in 2015. They argued moves, the signs are positive,
Legislature that allowing such that psychology interns are the The Texas adds Bray, who notes hes already
reimbursement would increase equivalent of medical residents Legislatures heard internship directors
action provides
access for underserved people who are reimbursed; that paying guidance to talking about adding new slots.
and help address the shortage of interns creates a natural pipeline other states that People in the training com-
mental health providers in the of providers who are likely to are advocating munities are really excited about
for intern
state, he says. continue serving in Texas; and reimbursement. the possibility of providing more

TPA began lobbying the that creating more internship services to more people here in
Legislature to allow psychol- sites is an important way to help Texas, he says.
ogy interns and postdoctoral the state address its long-term
fellows to be paid for their mental health needspoints Want to advocate to help interns
in your state? Visit
services in 2013. The lawmakers supported by research. The Leg- graduate/about/reimbursement for
agreed to support postdocs but islature heard those arguments resources.

M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7 2 1
News Feature


With the help of a psychologist, medical residents are learning
how to cope with trauma and stress on the job

oon after Jessica Lloyd, painful loss, yet I had to go on to families dealing with the trauma
MD, began her career as the next patient. and stress of military deploy-
a pediatric critical care Lloyd decided to take a break ment. Bursch was optimistic
physician, she realized she wasnt from the emotional intensity that the interventionknown as
prepared for one aspect of the and transitioned to new roles FOCUS (Families Overcoming
job: the emotional trauma. In as a general hospitalist and the Under Stress)could be adapted
particular, she was struck when associate program director of for pediatric residents.
a 7-year-old cancer patient she the University of California, The program Working together, Bursch
was caring for unexpectedly took Los Angeles, pediatric residency teaches residents and Lloyd developed Mattel
to use cognitive-
a turn for the worse. As he died, program. But her previous expe- behavioral Childrens Hospitals Pediatric
she watched his father hold his riences also made her eager to techniques Residency Resilience Training
hand as he repeated, I love you teach residents how to cope with to alter their Program. In 2015, more than 80
responses to
so much. I love you so much. the emotionally charged situa- traumatic cases. residents at UCLA participated
After the boy died, I kept tions they faced on the units. in the six hourlong modules,
hearing those words in my head, Searching for answers, Lloyd which cover such topics as emo-
says Lloyd, holding back tears approached psychologist Brenda tion regulation, communication
five years after the incident. We Bursch, PhD, a professor of with angry patients and par-
didnt think he was going to die, psychiatry and biobehavioral ents, reflective narrative writing,
and I felt so sad. It was a surreal sciences at UCLA, who had suc- inspirational goal setting and
moment because it was such a cessfully used an intervention for problem-solving.
The program taught resi-
dents how to be more aware
KEYS TO THE RESILIENCE TRAINING of their reactions and how to
alter their responses using basic
cognitive-behavioral therapy

T he tenets of the resilience training at

Mattel Childrens Hospitals Pediatric
Residency Resilience Training Program
patterns of thought and behavior)
Emotion regulation: attention control
and cognitive reappraisal
techniques. Participants also
watched videos of attending
physicians sharing their own
are: Communicating with angry or highly experiences with stress, depres-
Inspirational goal setting and problem- distressed patients and parents sion, moral distress and death.
solving (defining a larger purpose related How to recognize symptoms of depres- Residents told Lloyd it was par-
to the current stress/trauma that reminds sion, trauma and burnout and resources ticularly helpful to see that their
people of their values and long-term for self-management and support superiors have struggled with

goals) For more information about the similar issues, she says.
Reflective timeline narrative (writ- resilience training program, contact The training helped UCLA
ing about a traumatic event to integrate Brenda Bursch, PhD, at BBursch@mednet. pediatric resident Robert
thoughts and emotions and identify Guglielmo, MD, when he was
treating a 5-year-old girl whose

22 M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7
protective and often there is fear
behind the anger, Bursch says.
We taught the residents how to
calm themselves, give effective
apologies and engage in active
Over the past year, Bursch
has been receiving phone calls
from hospitals in other cities
and states that are interested in
starting similar programs. Now,
she is developing resilience train-
ing and peer-support programs
for employees throughout the

This is an
example of how
we can apply
our psychology
skills to a medical
setting in
important ways.

UCLA health-care system,

including nurses, physicians,
housekeepers, pharmacists and
other staff members. She is also
piloting an online mental well-
ness tool for nurses and doctors
that assesses levels of anxiety,
depression and resilience, and
then provides immediate
evidence-based self-help tips
based on their answers.
This is an example of how
we can apply our psychology
cancer had spread throughout my job was to keep the patient skills to a medical setting in
her body. He had known the comfortable and help her parents important ways, Bursch says.
patient for two years, and was through potentially the worst Ive met so many people from
with her the night before she days of their lives. around the country and within
died. Guglielmo also found the my own institution as a result of
I reframed my role as a sessions about communicating doing this program. Its amazing
physician when it became clear with parents to be particularly how many people are interested
that she was going to die, he valuable. in improving hospital staff men-
says. Rather than being a healer, We explained that anger is tal health.

M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7 2 3
APA Fellows

APA adds 71 members to its roll of top achievers

ongratulations to the new class of APA Fellows. These exceptional DIVISION 20
psychologists have passed psychologys highest bar of achievement Adult Development
and Aging
by showing evidence of unusual and outstanding contributions or
Walter Boot, PhD
performance in the field. Each has had a national impact on the Karen Kopera-Frye, PhD
field of psychology. Jennifer Margrett, PhD
To be eligible for Fellow status, candidates must be actively engaged in
advancing psychology, have at least five years of professional experience subse- DIVISION 21
Applied Experimental and
quent to the granting of the doctoral degree and be an APA member.
Engineering Psychology
Fellows are nominated to APAs Board of Directors by an APA division that Richard Chong Pak, PhD
he or she belongs to. The Board of Directors recommends Fellow status to the Douglas Wiegmann, PhD
Council of Representatives, which formally elects the slate.
DIVISION 3 DIVISION 12 DIVISION 15 Rehabilitation Psychology
Society for Experimental Society of Clinical Psychology Educational Psychology Michelle Meade, PhD
Psychology and Cognitive Ruth Baer, PhD Andrew Martin, PhD
Science Timothy Brown, PsyD Sara Rimm-Kaufman, PhD DIVISION 27
Douglas Mewhort, PhD Jonathan Comer, PhD Society for Community
Rebekah Smith, PhD William Pithers, PhD DIVISION 17 Research and Action: Division
Jyotsna Vaid, PhD Society of Counseling of Community Psychology
DIVISION 13 Psychology Nicole Allen, PhD
DIVISION 6 Society of Consulting Susan Kashubeck-West, PhD Anne Brodsky, PhD
Society for Behavioral Psychology Heather Lyons, PhD Joy Kaufman, PhD
Neuroscience and Jay Finkelman, PhD Oksana Yakushko, PhD
Comparative Psychology Rebecca Turner, PhD DIVISION 29
Allyson Bennett, PhD DIVISION 18 Society for the Advancement
DIVISION 14 Psychologists in Public of Psychotherapy
DIVISION 7 Society of Industrial and Service John Porcerelli, PhD
Developmental Psychology Organizational Psychology Susan McCammon, PhD Louis Schlesinger, PhD
Lynn Singer, PhD Janet Barnes-Farrell, PhD Steven Nisenbaum, PhD Joel Weinberger, PhD
Wendy Casper, PhD
Society for Personality and Kathleen Lundquist, PhD Society for Military Society of Psychological
Social Psychology Daniel Newman, PhD Psychology Hypnosis
Robin Kowalski, PhD Terri Scandura, PhD Michael Schwerin, PhD Bruce Eimer, PhD
Robert Weiss, PhD Mo Wang, PhD

24 M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7
APA Fellows
represent the
best of the best
in psychology.
APA is proud
to honor an
group of


State, Provincial, Territorial Society for Health Psychology Society for Couple and Society of Group Psychology
Psychological Association Linda Koenig, PhD Family Psychology and Group Psychotherapy
Affairs Annmarie Cano, PhD Eric Chen, PhD
Ellen Williams, PhD DIVISION 40 David Marcus, PhD
Society for Clinical DIVISION 44
DIVISION 33 Neuropsychology Society for the DIVISION 50
Intellectual and Melissa Lamar, PhD Psychological Study of Society of Addiction
Developmental Disabilities/ Chris Morrison, PhD Lesbian, Gay, Bisexual Psychology
Autism Spectrum Disorders Marc Norman, PhD and Transgender Issues Elizabeth DAmico, PhD
Sharon Krinsky-McHale, PhD Julie Suhr, PhD Jonathan Mohr, PhD A. Thomas Horvath, PhD
James McPartland, PhD John Pachankis, PhD James Murphy, PhD
Diana Robins, PhD DIVISION 41
American Psychology DIVISION 45 DIVISION 53
DIVISION 35 Law Society Society for the Psychological Society of Clinical Child and
Society for the Psychology John Edens, PhD Study of Culture, Ethnicity Adolescent Psychology
of Women and Race David Goldston, PhD
Michele Hoffnung, PhD Melinda Garcia, PhD
Valory Mitchell, PhD Gayle Morse, PhD DIVISION 54
AN APA FELLOW Society of Pediatric
DIVISION 37 DIVISION 46 Psychology
To learn how you can
Society for Child and nominate one of your Society for Media Psychology Melissa Alderfer, PhD

Family Policy and Practice colleagues as an APA and Technology Cheryl Brosig, PhD
David Brodzinsky, PhD Fellow, visit www.apa. Douglas Gentile, PhD
Mary Haskett, PhD org/membership/fellows. Bernard Luskin, PhD
Craig LeCroy, PhD

M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7 2 5

Loftus McCourt Linehan Keita Bullock


Elizabeth Loftus, PhD, has won the in Psychology to Marsha Linehan, PhD, has helped the association become an
international John Maddox Prize for of the University of Washington (UW). international leader in improving the
Standing Up for Science, which honors The $100,000 prize honors her work to health and fulfillment of human rights
individuals who face hostility or difficulty develop Dialectical Behavior Therapy, of gender and sexual minorities.He has
while promoting sound science. The prize which has been shown to be effective for helped APA secure more than $3 million
is presented by the journal Nature, the treating patients who struggle with sui- in funding for work on lesbian, gay, bisexual
Kohn Foundation and the charity Sense cidal ideation and borderline personality and transgender issues with U.S. schools.
About Science. Loftus is a distinguished disorder. The therapy teaches mindful-
professor of psychology and a distin- ness, distress tolerance, interpersonal APAs Merry Bullock, PhD, retired in
guished professor of social behavior and effectiveness and emotion regulation. December after 20 years at the associa-
criminology, law and society at the Uni- Linehan is director of the UW Behav- tion. Bullock served as senior scientist,
versity of California, Irvine. She is best ioral Research and Therapy Clinics, associate director, and acting executive
known for her research on the misinfor- Center for Behavioral Technology. director in APAs Science Director-
mation effect, in which the memories of ate before serving as senior director of
eyewitnesses are altered by exposure to APAs Executive Director for Public the Office of International Affairs for
incorrect information. Interest Gwendolyn Puryear Keita, PhD, 11 years. Under her direction, APA
retired in January after nearly 30 years at expanded its memorandum of under-
Mark McCourt, PhD, has been elected to a APA. Keita was instrumental in devel- standing outreach program, which
three-year term on the National Associa- oping the field of occupational health created 21 partnerships with psychology
tion of IDeA (Institutional Development psychology and convened three major organizations worldwide, developed the
Award) Principal Investigators national interdisciplinary conferences on psycho- APA Learning Partner Program, and
committee. The committee protects and social and behavioral factors in womens expanded programs to promote interna-
promotes the IDeA programs established health. She is also well-known for her tional understanding and exchange.
by the National Institutes of Health in many books, presentations and briefings The offices new director is Amanda
1993 to broaden the geographic funding to Congress on depression and violence, Clinton, PhD. A former APA congres-
for biomedical and behavioral research. as well as for her international outreach sional fellow, Clinton served on the
McCourt is a professor of psychology on civil rights and discrimination; wom- faculty at the University of Puerto Rico,
at North Dakota State University and ens health and mental health depression Mayagez, for 10 years and has held vis-
director of the universitys Center for and intimate violence;and occupational iting researcher/scholar positions at the
Visual and Cognitive Neuroscience. stress and health. International Psychoanalytic University
Clinton Anderson, PhD, is serving and Humboldt University in Berlin. She
The University of Louisville has pre- as interim executive director. Anderson, was also a Fulbright scholar in Medellin,
sented its annual Grawemeyer Award who has also been at APA for 30 years, Colombia.

26 M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7


The psychologist and criminology professor has been conducting longitudinal research
on abused and neglected children for 30 yearswork that has helped to shape policy

re children who What are some of the key findings from So, then we had to ask, what has
suffer abuse destined your research? happened to these people? Are they
to become adults who In our first paper, [published in Science dead, are they in institutions, are they
live a life of crime in 1989], we found that the vast majority drug addicts? Or are they fine? That
and violence, and of maltreated children did not go on to was the impetus for my first wave of
someday abuse their become delinquents or adult criminals or interviewsin-person interviews looking
own children? Thirty years ago, many violent offenderswhich was a surprise at psychiatric outcomes, depression,
peopleexperts and laypeople alike to everybody at the time. That was an PTSD, alcohol and basic functioning
believed that the answer to this bleak archival study based on arrest records across multiple domains.
question was yes. But research [comparing the arrest records of There have been four waves of inter-
was scarce. children who had been abused with a views since then, and typically what I
Since then, a three-decade longitu- control group]. have done is to think about what is an
dinal study led by Cathy Spatz important public health question
Widom, PhD, a psychology pro- that comes from the results of
fessor at the John Jay College of each previous wave of this study,
Criminal Justice in New York, has and that has really directed each
shown that the truth is consider- next waves major questions.
ably more complicated.
Widom has followed a cohort The most recent wave looked
of more than 900 people who at the intergenerational trans-
were victims of child abuse in mission of violence. What did
the 1960s and 1970s, identified you find?
through court records from that We started out with the
time. Early on, she found that assumption that physical abuse in
although child abuse increased a persons history would lead to
the risk of adult crime and vio- them becoming a perpetrator of
lence, most abused children did abuse against their own children
not grow up to become crim- or someone elses children. That
inals. More recently, shes also was the prevailing assumption up
explored whether those chil- until recently.
dren grew up to become abusers But there hadnt been a
themselves. comprehensive assessment of
In 2016, Widom was the question. And its a very
honored for her work with the challenging question to answer
Stockholm Prize in Criminology, because official reports only
which recognizes outstanding represent a small portion of
achievements in criminological child-maltreatment cases, and
research. She spoke to the self-reports have biases as well.
Monitor about her findings and So, we looked at three sources

their implications. of information: child protection

M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7 2 7

free* webcast series

exclusively for apa members!
service agency records, parents self-reports on whether they
substance use disorders
had engaged in abusive behaviors, and their childrens self-
and Addictions reports on whether they had been abused or neglected. By
*Limited time; includes two CE credits per program. using all three sources of information, we hoped to be able to
Nonmember fee: $45 per program come up with a more solid answer.
What we found was really surprising: There was an
increase in risk for parents who had histories of abuse and
Topics include: neglect to have children who were maltreatedbut it was the
Feb. 17 overview of substance neglected parents and the sexually abused parents, not the
use disorders and Addictions physically abused parents [whose children were most at risk].
Presenter: Kenneth J. Sher, PhD That was pretty consistent across the sources of information.

Any theories as to why?

Feb. 24 screening, Brief intervention,
and Referral for Treatment One possibility is because of all of the attention to physical
(sBiRT) for substance abuse and punishment over the years. Maybe the incidence of
use disorders and Addictions such abuse has gone down because people are spontaneously
Presenter: Carlo C. DiClemente, PhD breaking the cycle of violence.
But you would also think that theres been a lot of atten-
March 3 understanding people With tion to sexual abuse, so if that were the case, you would think
substance use disorders that those parents might be sensitive to these issues, too.
and Addictions Its all really complicated and we still dont know enough
Presenter: Jennifer Read, PhD about it.
We also found that theres more surveillance [by author-
March 10 evidence-Based clinical ities], and therefore presumably more detection of abuse in
practice Guidelines for the families where one parent has a history of abuse and neglect.
Management of substance In one analysis, we looked at parents who said they were abus-
use disorders ing a child. But only a certain fraction of those people had
Presenter: Daniel R. Kivlahan, PhD come to the attention of Child Protective Services. And the
same thing with the analysis of the children. Among children
March 17 Treatment of substance use who said they were being abused and neglected, the ones who
disorders in the Real World had parents who had these histories of abuse were 2.5 times
Presenter: Jessica M. Peirce, PhD more likely [to be reported to CPS].

TiMe: How have these findings shaped policy?

The research has influenced the way police act when they go
1:003:00 p.m., eT into homes and find [neglected or abused] children there. For
example, the New York City police department mentioned the
To ATTend: research when it instituted new procedures for police response
and follow-up in cases involving suspected child abuse and
LIVE webcast: Visit neglect in the late 1980s and early 1990s.
The study has also influenced how public funds can be
IN PERSON at the APA building (Washington, used to help abused and neglected children. I testified before
DC): Call 1-800-374-2721, ext. 5991, option 3 Congress on behalf of the Juvenile Justice and Delinquency
Prevention Act of 2002, which allowed state block grant
This series is sponsored by the APA Office of Continuing
moneywhich normally goes to the prevention of delin-
Education in Psychology and in collaboration with the APA
Science Directorate, the new APA Center for Learning quencyto have a broader definition of what is considered
and Career Development, Division 50 and with generous prevention of delinquency. So some of that block grant money
support from NIDA and NIAAA. can now be used to provide services to abused and neglected
Continuing education from your Association kids, which hasnt been done before.

28 M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7
Judicial Notebook


Mental health advance directives direct peoples preferences for mental health
treatment, but legal concerns have prevented their widespread adoption

ental health advance directives for treatment, in the future where there was a physician order to
or MHADs, have received little attention force medicate her. The district court found in her
in the legal system, including by the U.S. favor, citing violations of the ADA, Title II. On
appeal, the Second Circuit affirmed.
Supreme Court, but is a topic that is ripe for Over a decade later, no litigation has surfaced
championing patient autonomy for people following the Hargrave decision. A major problem
with severe mental illnesses. MHADs are documents created is that the groundswell of interest [in MHADs]
by clients while they are competent that direct their preferences largely precedes the development of a coherent body
for mental health treatment if they should become unable to of governing law ... serious questions remain con-
make those decisions. Surprisingly, in American law, only one cerning the scope of their enforceability, particularly
in the context of involuntary treatment (Gallagher,
case, Hargrave v. Vermont, 2003, has ever addressed legal aspects Psychology, Public Policy and Law, 1998).
of MHADs. However, psychologists and others have studied The legal concern is that patients will opt to
the implications of MHADs. Research suggests mental health refuse treatment, but the research does not support
consumers are enormously interested in getting assistance in this conclusion. In fact, the opposite is substan-
creating such documents for themselves (Swanson et al., Journal tiated: Clients in the mental health system in
North Carolina who had drafted MHADs did not
of the American Academy of Psychiatry and the Law, incorporate refusals of all medications and treat-
2006). Other studies demonstrate that helping peo- ment. Almost all participants gave advance consent
ple develop MHADs may boost their competence in to at least one medication, and of the ones who
making treatment decisions and increase the likeli- refused a medication, most gave reasons for the
hood that their directives will be implemented. refusal and discussed the side effects of the refused
Taken as a whole, this evidence should sound drugs (Swanson, Swartz et al., American Journal of
the clarion call for psychologists and other men- Psychiatry, 2006).
tal health professionals to become educated about Staggering rates of mental illness in the United
this process and to take initiative in their respec- THE VERDICT States signal the need for solutions like MHADs,
tive jurisdictions for the benefit of the clients with Mental health according to the National Institute of Mental
advance directives
whom they work. Health.
could ameliorate
However, the legal landscape remains tense, the poor prognosis Virginia is the first state to actively develop
controversial and uncharted. In Hargrave, plaintiff of people who a comprehensive delivery system for creation of
Nancy Hargrave, diagnosed with paranoid schizo- are involuntarily MHADs as part of their advance health-care
phrenia and previously hospitalized several times, committed. directives (Zelle et al., Advance Directives for Mental
drafted a Durable Power of Attorney for her mental Health Care: Innovation in Law, Policy, and Practice,
health care, Vermonts version of an MHAD. In that 2015). Perhaps this model can be replicated across
document, she expressed the choice to refuse the the United States and awaken this sleeping tiger

administration of any and all anti-psychotic, neuro- for improved patient autonomy and service delivery
leptic, psychotropic or psychoactive medications, and for persons with severe mental illness.
electroconvulsive therapy. She then filed suit to
prevent Vermont from overriding the document if Judicial Notebook is a project of APA Div. 9 (Society for
she were ever to be involuntarily civilly committed the Psychological Study of Social Issues).

M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7 2 9
of people with
disabilities is a
preventable tragedy
thats been hiding in
plain sight for far too
long, advocates say.
CE Corner

up with social inequality and a The broad category of dis-
lot of other stuff, Shakespeare ability can include physical,
adds. We should be taking sensory, cognitive, psychiatric
this very seriously. and developmental/intellectual
impairments. In other words,
VICTIMS OF VIOLENCE while people with blindness
In a previous position with might face very different risks
the World Health Organiza- than people with spinal cord
tion, Shakespeare reviewed injuries or people with autism,
studies from around the world there is no easy way to tease
to explore the connections those differences apart within
CONTINUING EDUCATION between disability and violence the available datasets.
HOW PSYCHOLOGY CAN DO in both children and adults. Its virtually impossible, for
MORE TO PREVENT ABUSE OF In one analysis, he and his instance, to know how many
PEOPLE WITH DISABILITIES colleagues found that children deaf children are placed into
with disabilities are 3.7 times foster care, or how many
more likely than nondisabled women with psychiatric
children to be victims of illnesses are the victims of
violence (The Lancet, 2012). homicide. We have over 40
Thats an astounding figure federal definitions of disabil-
that merits much greater ity, says Michelle Ballan, PhD,
investigation, he says. professor of social welfare

ifteen to 20 percent of the populationan In a second paper, they and family, population and
estimated 53 million Americans, and some one reported that adults with preventive medicine at Stony
billion people worldwidelive with some form of disabilities had about a 50 Brook Medical School, whose
disability. Among the varied challenges they face is an percent greater risk of having research focuses on indi-
increased risk of violence. been the victim of violence viduals with intellectual and
Despite that link, theres a paucity of research to within the past year. Adults developmental disabilities.
describe who is most at risk, the types of threats they with mental illness were par- This causes extensive prob-
face, and how to prevent abuse and violence. We live ticularly vulnerable, with nearly lems with research.
in a society which disrespects disabled people. Violence four times higher risk of vio- Despite that challenge,
toward them is a function of that, and lack of research lence (The Lancet, 2012). Its researchers can point to cer-
is a function of that, says Tom Shakespeare, PhD, a a clich that mentally ill people tain factors that put people
professor of disability research at Norwich Medical cause violence. Theyre actu- with disabilities at greater
School at the University of East Anglia. ally more likely to be victims of risk of violence, abuse and
Maltreatment of people with disabilities is a prevent- violence, Shakespeare says. neglect. Poverty is a known
able tragedy thats been hiding in plain sight for far too Those statistics outline the risk factor for abuse and
long, advocates say. Its a complex problem bound problem in broad strokes. But neglect, and people with
drilling down into the specifics disabilities are more likely
is much more difficult. Statisti- than those without to live
CE credits: 1 cal reporting is muddied at the below the poverty line, says
Learning objectives: After reading this article, federal level, says Jennifer Rhoda Olkin, PhD, a profes-
CE candidates will be able to: Reesman, PhD, a pediatric sor at the California School
1 . Discuss how common violence is among people with neuropsychologist at the Ken- of Professional Psychology at

disabilities. nedy Krieger Institute, faculty Alliant International Univer-

2. Discuss the risk factors that make people with disabilities member at Johns Hopkins Uni- sity. This is an impoverished
more prone to be victims of violence. versity School of Medicine and group. They are more likely to
3. Discuss strategies to prevent violence against people chair of APAs Committee on be isolated, unemployed or
with disabilities. Disability Issues in Psychology. underemployed, and receiving

M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7 3 1
CE Corner

government assistance. Violence, 2014). That diversity people fear that if they speak
People with disabilities are should be taken into consider- out about abuse, they wont be
also often reliant on caregivers ation when developing programs believed. This is especially true
to help them meet their daily to help such women, Ballan says. for people with psychiatric disabil-
needs. For children who require For instance, two-thirds of the ities, Ballan says.
aides to help with activities such women had children, and the People who rely on caregiv-
as feeding, toileting or catheter- majority of women with physical ers for daily needs might also
ization, that can mean increased disabilities also had psychiatric fear that if they speak out, theyll
opportunities for abuse, Reesman disabilitiesfactors that can be of have no one to care for them. A
says. When an adult is alone key importance when developing lot of people [with disabilities]
with a child without other eyes interventions. say things like, I have to choose.
around, theres more opportunity Although most research on My personal care assistant might
for abuse to take place, she says. ABOUT CE intimate partner violence focuses steal $10 from me, or might sit
Thats especially true when the CE Corner is on women, men can also be there texting instead of bringing
a continuing
child is nonverbal or has difficulty victims. Monika Mitra, PhD, at me my lunch, but at least she
education article
communicating. offered by the APA
the University of Massachusetts doesnt hurt me. Theres a con-
Adults, too, can suffer mal- Office of CE in Medical School, examined popu- stant cost-benefit analysis that
treatment from caregivers, Psychology. lation-based data from the United doesnt happen in other popula-
including aides, health-care States and found that men with tions, Ballan says.
To earn CE credit,
workers and family members. A disabilities were more likely to Another challenge is that
after you read this
number of studies have found article, purchase
report lifetime intimate part- people who might be in a position
women with disabilities are at the online exam at ner violence than men without to recognize abuse arent always
risk of both domestic abuse and disabilities. Men with disabilities aware of the risks. Mandated
sexual violence from roman- ce/resources/ce- were also more likely to report reporters in schools, for instance,
tic partners. A study of more past-year partner violence than might not clue into signs that a
Upon successful
than 7,000 Canadian women completion of
either men or women without dis- child with disabilities is being
by Douglas Brownridge, PhD, at the testa score abilities (Journal of Interpersonal mistreated, especially if the child
the University of Manitoba, for of 75 percent or Violence, 2014). is nonverbal. I think theres a
instance, found those with disabil- higheryou can When people with disabilities mistaken belief that no one would
immediately print
ities had a 40 percent greater risk experience abuse, it can take hurt a person with a disability. Its
your CE certificate.
of partner violence than women forms that people might not auto- seen as a protective factor, when
without disabilities (Violence The test fee is matically recognize as domestic in fact its a risk factor, says Olkin.
Against Women, 2006). $25 for members violence, says Ballan. Partners or Unfortunately, the research
Given the limitations of the and $35 for caregivers might do things such literature is of little help in point-
data, however, theres still much as withhold medication, over- ing to solutions. In a review of
For more
we dont know about partner information, call
medicate, take batteries from a interventions to prevent violence
violence among people with (800) 374-2721. wheelchair or leave the person against people with disabilities,
disabilities, says Ballan. She and naked as a form of humiliation, she Shakespeare and colleagues
her students spent three years says. Such acts arent always cap- found mostly poor-quality studies,
combing through data in New tured by domestic violence laws, and no evidence that any of the
York City, much of it handwritten but they are forms of abuse that interventions were effective at
case files, just to describe the professionals such as psycholo- reducing violence (Journal of
basic demographic character- gists and social workers should Interpersonal Violence, 2014). Its
istics of women with disabilities be sensitive to, Ballan says. an urgent priority to find things
who were the victims of intimate that work to reduce violence for
partner violence. They found BARRIERS TO SAFETY disabled people, he says.
that those women were socially, One important barrier for people Another research priority,
culturally and demographically with disabilities is the challenge Shakespeare suggests, is to bet-
diverse (Journal of Interpersonal of reaching out for help. Some ter understand the pressures that

32 M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7
or be able to accommodate a
person with visual impairments.
Those barriers can make it diffi-
cult for people with disabilities to
ADDITIONAL flee an abusive situation.
READING Clients who are abused often
tell us they were more trauma-
Prevalence and tized when they tried to seek
Risk of Violence
Against Adults help, because of the challenges
With Disabilities: of finding accessible shelters and
A Systematic services, says Ballan.
Review and Psychologists can also help
Meta-Analysis by taking a proactive approach
of Observational
Studies to help clients avoid abusive
Hughes, K., Bellis, situations, says Reesman. For
M.A., Jones, L., Wood, instance, they can help parents
S., Bates, G., Eckley, of disabled children seek support
L., McCoy, E., Mikton, and learn coping strategies to
C., Shakespeare, T.,
manage their frustrations, so their
Children with disabilities are 3.7 times & Officer, A.
The Lancet, 2012 child doesnt end up in a poten-
more likely than nondisabled children tially dangerous situation.
to be victims of violence. Prevalence and In addition, psychologists can
Risk of Violence help children with disabilities
Against Children
With Disabilities: learn to advocate for themselves
face families of people with dis- people with disabilities. That A Systematic and find ways to communicate
abilities. Such families are often means asking clients about types Review and when something is wrong. We
socially disadvantaged, he says, of abuse that arent always obvi- Meta-Analysis can help guide independence,
compounding the strain on par- ous, she adds, such as whether of Observational teach them to say no to unwanted
ents who are struggling to care a womans spouse makes efforts Jones, L., Bellis, M.A., touch and have more autonomy
for a child with special needs. to limit her mobility or whether Wood, S., Hughes, K., over their own bodies, Reesman
APA has recognized the a child is ever left alone with the McCoy, E., Eckley, L., says.
urgent need for more data. The van driver. I had a client who was Bates, G., Mikton, C., Meanwhile, disability advo-
Shakespeare, T.,
associations Resolution on the dependent on her husband for cates say the fields of health
& Officer, A.
Maltreatment of Children with mobility, and he would put her on The Lancet, 2012 care, social work and psychology
Disabilities makes a number of the toilet and leave her there [for should do more to teach trainees
recommendations, including the long periods], Olkin says. Its Self-Defense about disability issues and raise
creation of a national strategy abusive, but not the kind of thing Among Women awareness of the risk of violence
to collect data, more invest- were on the lookout for. With Disabilities: toward this population. One place
An Unexplored
ment in research, and greater When clients with disabilities Domain in to start, Olkin adds, is to open the
development of evidence-based are in abusive situations, psy- Domestic doors to people who walk in those
prevention and intervention chologists have to consider their Violence Cases shoes. People with disabilities
methods. unique needs as they help them Ballan, M.S. & are underrepresented in psychol-
Freyer, M.B.
While more research is sorely develop safety plans and escape ogy, she says. Psychology has to
Violence Against
needed, psychologists cant plans, Olkin and Ballan add. Many Women, 2012 become a lot more welcoming of

ignore the problem until more domestic violence shelters, for students with disabilities.
data roll in, Olkin says. All men- instance, arent accessible to
tal health professionals should someone with a wheelchair or
To directly access the citations in
assess for abuse at intake, and medical needs. People in shelters this article, go to our digital edition at
thats especially important for might not know sign language

M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7 3 3
The Men
Behind They suffer from the the largest
shortfall of jobs. Their mortality
rate has been rising. What are
psychologists doing to help?
By Kirsten Weir

34 M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7
The Men America Left Behind

F or as long as America has been a country, the straight white American

man has been king of the hill. But as society changes and culture evolves,
the ground beneath that hill is growing shaky. Economically, physi-
cally and emotionally, many American men are fighting to maintain a
foothold. What it means to be a man today is different than what
it meant 20 years ago, says James ONeil, PhD, a psychologist at the University of
Connecticut who studies gender role conflict. Theres a paradigm shift occurring in
our country regarding what it means to be masculine, and many men have had diffi-
culty adjusting to that transition. That shift might have been a factor in the 2016
presidential race. President Donald J. Trumps vow to make America great again
seemed to resonate with the nations male voters: Exit polls showed the widest gender
gap among voters since exit polling began in the 1970s, with men favoring Trump

over Hillary Clinton by 12 DISTRESS AND Prevention (CDC) has described

percentage points and women DISCONNECTION as an opioid epidemic. Between
favoring Clinton over Trump Several recent analyses highlight 1999 and 2014, the number
by the same marginfor a total the modern challenges for white, of opioid prescriptions in the
gender gap of 24 percentage working-class men in America. United States nearly quadrupled,
points. In a working paper released in according to the CDCand
In red states and blue states October, Princeton economist deaths related to opioid over-
alike, many men are struggling Alan Krueger, PhD, reported dose, including prescription
to figure out their place in 21st that more than 11 percent of painkillers as well as illicit drugs
century America, says Ronald men age 25 to 54 were unem- such as heroin, also quadrupled
F. Levant, EdD, a former APA ployed and not seeking work during that period.
president who studies men and (Boston Federal Reserve Bank, Other data suggest many of
masculinity as a professor of 2016). That figure has been the nations white menas well
psychology at the University of trudging upward for decades, but as womenare struggling with
Akron. particularly during the last 20 both physical and mental health
With globalization, auto- years. Survey data suggest that problems. While other ethnic
mation, the evolution of nearly half of those men sitting and racial groups have seen their
manufacturing, the increase in on the sidelines of the workforce health improve over the years,
disparity of both income and take pain medication on a daily death rates have increased for
wealth, there are all kinds of basis, Krueger reported. middle-aged white Americans
things going on that have had Indeed, the United States is with no college education.
a devastating impact on white in the midst of what the U.S. Princeton economists Angus
working-class men, he says. Centers for Disease Control and Deaton, PhD, and Anne Case,

36 M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7
working-class men have seen
jobs in manufacturing and min-
ing grow scarcer. Meanwhile, the
economic disparity between the
haves and have-nots has only
gotten wider. Working-class
men look into the future and see
that their options are limited.
Theyre not sure what their role
in society is, says Liu.
Many men feel their mascu-
linity ideology is under attack,
Levant adds. That ideology is
built on a set of gender norms
A new meta- that endorses features such as
analysis found toughness, dominance, self-
that overall, men
who conformed reliance, heterosexual behaviors,
to traditional restriction of emotional expression
masculine norms and the avoidance of tradi-
had higher rates
of mental health tionally feminine attitudes and
problems such behaviors. These gender roles
as depression, come through our parents, male
anxiety and stress.
relatives, teachers and peers, and
were socialized into these roles
starting in infancy, Levant says.

Men who strive to meet these

masculine ideals might feel
threatened, consciously or other-
wise, by societal shifts, including
the increasingly powerful role of
women in the workplace or the
PhD, analyzed health data uniquely troubling ways. Society growing acceptance of same-
and found that increase can be is changing, but we dont talk to sex relationships. The culture is
explained by an epidemic of white men and ask them what changing, and it no longer priv-
deaths related to alcoholism, they are struggling with, says ileges [the stereotypical male]
substance abuse and suicide, a William Liu, PhD, a professor point of view, says Liu.
category sometimes referred to of counseling psychology at the Unfortunately, that viewpoint
as despair deaths (PNAS, 2015). University of Iowa who studies can be self-defeating, say experts
While the latter data apply to masculinity. Theres a tendency who study gender role confor-
both men and women, experts to minimize it, yet the distress mity. In a new meta-analysis, Y.
say that some cultural changes and disconnection are very real. Joel Wong, PhD, a professor of
appear to be affecting men in Over the last several decades, counseling psychology at Indiana

More than 11 percent of men age 25 to 54 are

unemployed and not seeking work. Nearly half of
them take pain medication on a daily basis.
M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7 3 7
The Men America Left Behind

University Bloomington, and deal of value to self-reliance are strain the relationships a man has
colleagues found that overall, less likely to seek help when they with male family members and
men who conformed to tra- need it, he explains. Self-reliance friends. If a man starts to chal-
ditional masculine norms had One traditional may have been helpful in the past, lenge traditional locker-room
higher rates of mental health male norm is to but it is becoming increasingly talk, for example, he might find
avoid all things
problems such as depres- feminine. Yet outdated in our interdependent he doesnt know how to connect
sion, anxiety and stress, and some of the world, Wong says. with his father or his brother as
lower rates of positive mental fastest-growing The traditionally male trait easily as he once did. A lot of
occupations are in
health outcomes, such as life fields traditionally of restrictive emotionality also men are socialized into messages
satisfaction, self-esteem and psy- embraced by works against mens well-being, and mottos and identities that
chological well-being (Journal of women, such adds ONeil. Many men havent have been passed down. That
as child care,
Counseling Psychology, 2016). health care and been given the tools to discuss allows them to relate to import-
In particular, Wong found education. their feelings in healthy ways. ant people in their lives, he says.
conformity to three mascu- Men are experiencing the loss of As society changes, individual
line normsplayboy behavior, [traditional male] stereotypes but narratives start to change, and
power over women and self-reli- they dont have the capacity to that puts stress on the intergen-
ancewere significantly linked process the loss emotionally. Men erational connections men have.
to psychological maladjustment. dont know what to put in place
That suggests that sexist attitudes of what theyre giving up, he says. MASCULINITY

might have detrimental effects Gender role conflict doesnt GETS IN THE WAY
on mens mental health, Wong just damage the way a man sees Endorsement of traditional
says. And men who assign a great himself, Liu adds. It can also gender role norms can be a

38 M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7
challenging issue to address, says Levant also encourages men information on the internet
Levant. In many ways, mascu- in positions of power to vio- reinforces toxic male stereotypes.
linity is the problemand it also late outdated male norms. A ADDITIONAL Instead of the positive mascu-
gets in the way of the solutions. politician crying during a press READING line scripts we could be putting
One traditional male norm, conference, or a popular pro out there, were competing
for example, is to avoid all things athlete talking openly about his of Masculinity against YouTube channels that
feminine. Yet some of the fastest- depression, can go a long way Ideologies: A talk about how to be alpha men.
growing occupations in the toward breaking down those (Critical) Review When you type in masculinity,
United States are in fields tra- barriers, he says. Thompson Jr., E.H., thats what you get, he says.
& Bennett, K.M.
ditionally embraced by women, In addition, the psychology But creating a digital pres-
Psychology of Men &
such as child care, health care, field has to get creative to reach Masculinity, 2015 ence is only one place to start,
education and food preparation, the men who are struggling. Liu adds. Psychologists also need
Levant says. Men who strongly One example is Boys Dont Mens Gender to make themselves more visible
endorse these masculine norms Cry, a YouTube video pro- Role Conflict: in the real world, offering talks,
probably wouldnt consider a duced by APAs Public Interest Psychological discussions and workshops for
pink-collar occupation, he Directorate, which was designed Consequences, the lay public. That might mean
saysa catch-22 for men who to let boys know its OK to show and an Agenda partnering with local agencies or
are unemployed and struggling emotions. for Change workplaces to start getting posi-
to find a place in modern society. Therapy should always be ONeil, J.M. tive messages of masculinity into
But while traditional gender there, and we should always the minds of men who might be
roles are deeply entrenched, advocate for it. But we know Association, 2015 struggling.
they arent immutable. One of masculine norms that are Wong acknowledges that
the best ways to chip away at correlated with mental health Meta-Analyses of men who are most in need of
old-fashioned gender norms, problems also prevent men from the Relationship outreach are the least likely
Levant says, is with education. seeking psychological help, Between to attend workshops or talks.
Conformity to
Working-class, less-educated Wong says. We need to look Masculine Instead, hes been pondering the
men tend to believe its very beyond therapy to find other Norms and Mental idea of reaching them through
important for men to meet these ways to reach men. Health-Related their friends. He suggests pro-
standards. More educated men Liu agrees, and says psy- Outcomes viding training in schools and
Wong, Y.J., Ho, M.R.,
have more occasions to challenge chologists must be proactive in community centers to teach pro-
Wang, S., &
these ideas, Levant says. reaching out to men through Miller, I.S.K. gressive men how to talk about
He proposes targeted cam- channels such as blogs, TED Journal of and model gender-egalitarian
paigns to challenge gender talks or social media. While Counseling behavior to their traditional male
roles, such as public service academics often talk in nuances Psychology, 2016 friends, and how to challenge
announcements that encourage and approximations, he says, the toxic masculine norms in every-
The Psychology
men to pursue careers tradi- public responds best to language of Men and day conversation.
tionally thought of as feminine. that is direct and discrete. We Masculinities These men can serve as a
He points to projects such as have to make our message more Levant, R.F., & bridge to traditional men, he
the Man Up Campaign, which easily digested, he says. Wong, Y.J., 2017 says. As psychologists, we have
engages youth to promote gen- Its especially crucial to give to be more publicly engaged and
der equality and end violence psychology a new public face, visible, Liu adds. Thats the way
against women. he adds, since so much of the we can disseminate our science.

Psychologists must proactively reach out to men

through social media and friends who can challenge
toxic masculine norms in everyday conversation.
M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7 3 9
The benefits of
caregiving are
often overlooked in

40 M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7
Psychologists research points to
ways to improve the experience of
caregiving, as well as to the unexpected
benefits of providing such care


M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7 4 1
Cover Story

sclerosis (Lou Gehrigs disease) will require more Americans

and frontotemporal dementia to be caregivers. Today, about
(ALS-FTD). His brain would 18 million Americans care for
continue to deteriorate while his family members who are 65 and
muscles weakened and wasted older. By 2050, the number of
away, ultimately leaving him older adults who are most likely
paralyzed. to need intensive support from
In the ensuing months, Miki family caregivers will jump to
Five years ago Paul transitioned to the role of
caregiver. She scaled back her
more than 30 million, based on
statistics in the report. The report
Miki Paul, PhD, work to 15 hours a week and
hired a home-care provider to
asserts that these caregivers
need more recognition, informa-
felt like she and her assist her husband while she was
at the office. Before and after
tion and support to fulfill their
responsibilities and maintain
husband of 26 years, work, she helped Chuck with
toileting, grooming and dressing,
their own health and well-being
(Families Caring for an Aging
Chuck, were living learned how to do tube feeding,
and accompanied him to multi-
America, 2016).
We depend on family
their dream life. They ple doctor appointments every
week. She took over the family
caregivers, but this job is more
complex than in the past, says
were happily married finances and household mainte-
nanceall while grappling with
2010 APA President Carol
Goodheart, EdD, who appointed
and both enjoyed grief, anxiety and frustration as
her husband slipped away.
a task force that developed
The APA Family Caregivers
successful careers, I thought the hardest thing
I had ever done was working
Briefcase (see Resources). We
are living longer, hospital stays
she as a psychologist and getting my PhD while being
a single parent after my first
are shorter and people live at
home with more serious and
in private practice marriage ended, but caregiving
and advocating for my husband
chronic illnesses. Caregivers
today have to learn to manage
and he as an electrical while maintaining a practice was
much more difficult, says Paul,
things that used to be done in
hospitals, and they cant always
engineer. They were who was 65 when her husband
was diagnosed. It was incredibly
afford to hire home-care provid-
ers to help.
best friends and looked forward exhausting. With high levels of respon-
to weekends at their cabin near In February 2015, 16 months sibility and lack of support,
Tucson, Arizona. But that began after the diagnosis, her husband research shows that caregivers
to change when Miki noticed died at age 66. are at risk of psychological and
changes in her husbands behav- Miki Pauls story is increas- physical problems. According to
ior. Normally a gentle man with ingly familiar to families the report, when compared with
an impeccable sense of direction, throughout the country as the noncaregivers, family caregivers
Chuck started experiencing out- toll of caregiving gains national of older adults are more likely to
bursts of anger and getting lost. attention. In September 2016, experience depression, anxiety
He was confused about time, the National Academies of and social isolation, and have
started tripping when he walked Sciences, Engineering, and higher rates of chronic disease.
and couldnt lift their suitcases Medicine (NAS) released a People caring for loved ones
out of the car. report calling for the nation to with mental illnesses are also
Chuck was eventually diag- better prepare for the unprece- vulnerable to high levels of stress
nosed with amyotrophic lateral dented demographic shift that and strain, according to a study

42 M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7
released in February 2016. The more supportive housing. Often
National Alliance for Caregiving it takes time to find the answers,
partnered with two mental says Sara Qualls, PhD, who
health organizations to study directs the Aging Center and
more than 1,600 caregivers who the Gerontology Center at the
were providing care to adults University of Colorado and was
affected by bipolar disorder, a member of the APA task force
schizophrenia, major depression that developed the Briefcase.
or other mental illnesses. More Qualls was a caregiver for her
than 70 percent of the caregivers mother, who had a stroke and
reported high levels of emotional developed dementia, and father-
stress, and 40 percent said they in-law, who had Parkinsons
found it difficult to take care of disease. They both died, and now
their own health. More than half she is a caregiver for her frail and
said that after diagnosis, it was blind mother-in-law and her
difficult to find the right drug adult son, who has an intellectual
dose for their loved ones. Only disability.
one-third felt that the medica- I remember having multi-
tion was effectively managing ple issues to deal with for my
the mental health condition, and mother while also trying to man-
one-third said it was difficult age my professional and parental
getting loved ones to adhere to obligations, says Qualls. Her
the medication regimen (On Pins mother needed to move to an
and Needles: Caregivers of Adults assisted living facility that spe-
with Mental Illness, 2016). cialized in dementia care. As
Caregiving can be especially WHILE IT MAY BE TEMPTING TO Qualls faced the daunting task
weighty for psychologists who are GO IT ALONE WHEN CAREGIVING, of finding the right place, she
also engaged in care for others as decided to use one of the skills
a part of their jobs, Goodheart
RESEARCH SHOWS THAT she teaches to other caregivers:
says. Although psychological
PEOPLE WHO REACH OUT active problem solving.
training may equip them to deal TO FAMILY MEMBERS FOR There is a lot of research
with this challenge better than HELP FARE BETTER. suggesting that active problem
the average layperson, profes- solving is very useful and reduces
sionals shouldnt overestimate the sense of burden for family
the protection that psychological share your experiences. members providing care, she
knowledge offers, she explains. The good news is that psy- says. When you are confused
Its important for caregiv- chologists research has identified or stuck and cant figure out a
ers to recognize that they are ways to improve the lives of solution, find some assistance in
not alone and there are services caregivers. Here is a summary of problem solving. Ask people to
available to help them, says the most recent findings. help you brainstorm a range of
Sara Czaja, PhD, who directs solutions, list the pros and cons,
the Center on Aging at the PRACTICAL HELP and test out the options.

University of Miami and was a One common obstacle care- Active problem solving
member of the NAS committee givers face is difficulty making was an important element of
that drafted the report. Millions informed decisions about a caregiver support provided
of people are in caregiving roles, loved ones care, whether thats in an intervention known
and finding support from other determining whether to bring as the REACH (Resources
caregivers is critical because you in outside help, trying a new for Enhancing Alzheimers
can learn from one another and therapy, or moving someone to Caregiver Health) program, a

M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7 4 3
Cover Story

multisite study funded by the

National Institutes of Health.
We know that many patients
with dementia develop behav-
ioral problems like wandering
and repeated questions, and our
focus was on teaching caregivers
how to deal with these issues,
says Czaja, one of the authors of
the original 2003 REACH study.
The intervention included
nine in-home sessions and three
telephone sessions tailored to
the caregivers specific needs.
For example, in some cases the
caregivers needed to talk about
how to keep the loved one safe.
The interventionist could suggest
putting devices on doors and
windows that signal the caregiver
if they are open, or leaving the
car keys out of sight, Czaja says.
Multiple follow-up stud-
ies have shown the benefits of In the study, she conducted a training program for psycholo-
the REACH model, and Czaja multicomponent intervention in gists or other professionals who
is now working on one that which the primary caregiver and are interested in providing family
provides the intervention via other family members met in the Another strategy counseling specifically related to
video conferencing on a tablet presence of a trained counselor. that can improve caregiving.
well-being in both
computer. This technology would In these sessions, the caregivers and
allow a wider range of people caregiver can talk about what care recipients REGULAR RESPITE IS VITAL
to have access to this type of he or she wants for help, and is sharing a Although a significant amount of
support. family members can talk about activity, such as research has focused on teaching
what they are willing to give, looking at old caregivers skills to manage the
INVOLVE THE FAMILY Mittelman says. These meetings photos together. problems they are facing, psy-
While it may be tempting to were shown to improve social chologist Steven Zarit, PhD, of
go it alone when caregiving, support from family mem- Pennsylvania State University, has
research has also shown that bers and decrease symptoms of taken a different approach. He
people who reach out to fam- depression in caregivers. (Health studied whether taking regular
ily members for help will fare Affairs, 2014, and The American breaks from caregiving improved
better in the long run. Mary Journal of Psychiatry, 2004). well-being for people in these
Mittelman, DrPH, a professor The results also suggested roles. In the Daily Stress and
in the department of psychiatry that improved social support Health Study (DASH), he tested
at NYU School of Medicine, for caregivers kept care recipi- levels of two stress hormones
acknowledges that this is not ents out of a nursing home an (cortisol and DHEA-S) in care-
always easy because family average of 1.5 years longer, and givers of people with dementia.

dynamics can be complicated. most participants preferred to One of the big issues for
Her research, however, shows keep family members with them caregivers who are having high
that family involvement can help as long as possible, Mittelman levels of stress is that their own
the caregiver and the loved one. says. She has now developed a health can suffer, Zarit says.

44 M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7
Chronic stress can weaken the area. Its also better for care they completed an activity that
immune system and make people recipients to participate in these represented the legacy the care
more vulnerable to illness. programs because they can get recipient wanted to leave behind,
Zarit found that stress hor- out, see other people and engage such as a photo album or book of
mone levels were better regulated in activities. family recipes.
on the days the caregivers sent The pairs in the intervention
the care recipients to adult day FIND A CONNECTION POINT group worked with a volunteer
Improved social
services, and this was correlated Another strategy that has been support for to complete the activity, and
to lower levels of anger and shown to improve well-being caregivers kept the pairs in the control group
depression. They also found a in both caregivers and care recip- care recipients out received supportive phone calls
of a nursing home
statistical relationship between ients is sharing activities that an average of 1.5 from research staff instead of
using adult day services and promote a sense of meaning, says years longer. doing the activity. The groups
better functional health for Rebecca Allen, PhD, a psychol- that participated in the inter-
caregivers, measured by such ogy professor in the Alabama vention showed decreased stress
activities as walking, lifting heavy Research Institute of Aging and increased meaning in life
objects and carrying groceries. and department of psychology compared with the control group
These benefits continue through- at the University of Alabama. (Journal of Pain and Symptom
out the day even if someone In one of Allens recent studies, Management, 2014).
returns to caregiving duties after caregiver/care recipient pairs During these types of
the break, Zarit says (DASH participated in a reminiscence activities, caregivers can ask care
Final Report, 2014). and creative activity interven- recipients to share what they
He suggests that caregivers tion. The pairs discussed favorite want to be remembered for or
consider contacting the National memories together, important what lessons they have learned in
Adult Day Services Association people in the life of the care life, Allen says. These conversa-
to learn about programs in their recipient and other topics. Then tions can be a powerful, positive


A lthough most caregivers are age

45 to 64, Joanna,* 34, became
the primary caregiver for her grand-
longer capable of living independently,
so the trio moved from Illinois to
Wisconsin when she started grad-
Her professors and peers occa-
sionally ask how her grandparents are
doing, and cousins have helped with
parents when she started graduate uate school. She makes the meals, a few projects around the house, like
school in Milwaukee in the fall. drives them to appointments, picks removing a dead tree in the yard. But
Joannas mother had been their up prescriptions and maintains the for the most part, Joanna shoulders the
primary caregiver, but her mothers houseand occasionally stays in the day-to-day responsibilities on her own.
job transferred her across the coun- emergency room when her grand- Joanna says shes grateful to be with
try. The oldest of 11 grandchildren, mothers heart condition worsens. her grandparents in their final years.
Joanna felt she was the most logical Its hard to juggle graduate school I enjoy playing dominos with them
candidate to take on the responsibil- and caregiving, says Joanna, who is or walking down the street, she says.
ity. Her grandfather has dementia and studying counseling psychology. I I used to think I was organized, but
her grandmother is at high risk of a have to finish my homework at school this requires an entirely new level of
stroke and has an essential tremora because when I go home, my caregiv- planning. If I have children someday,
nervous system disorder that causes ing responsibilities begin. I feel like maybe Ill be more prepared.
her head to shake. my world is really different than my *The source for this story preferred not to
Joannas grandparents were no peers lives. use her real name.

M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7 4 5
Cover Story

experience that helps the pair PERSPECTIVE MATTERS and Health at Johns Hopkins
feel like their time together is Learning how to see the positive University in Maryland. His epi-
meaningful. aspects of caregiving has trans- demiological studies have found
Allen acknowledges that formed the way psychologist that most caregivers are more
these types of interactions may Barry J. Jacobs, PsyD, works with hearty and live longer than people
be difficult for someone in the clients who are in these roles. who do not take on caregiving
later stages of dementia, and in Jacobs, co-author of the 2016 roles (The Gerontologist, 2015).
these cases, caregivers can find book AARP Meditations for One of the things we are
other activities that are mean- Caregivers, says he used to focus finding is that the physical health
ingful. Allen is the primary on helping clients minimize the risks of caregiving are not as
caregiver for her sister with emotional and physical strains, RESOURCES dire as some earlier reports, says
vascular dementia. Her sister but that began to change after APAs Family
Roth. We did a survival analysis
cannot encode new information, his personal experiences caring Caregiver and found that caregivers live
but she can recollect things from for a stepfather with Alzheimers Briefcase 18 percent longer than noncare-
the past. Allen noticed her sister disease and a mother with Go to www.apa. givers. Part of survival benefit is
enjoyed looking at pictures of dementia. org/pi/about/ mastering and overcoming the
former pets and could remember Caregivers go through long caregivers/index.
challenges of providing assistance
the names of the animals. Now periods of adversity, but they aspx to a loved one.
they take time each week to look grow personally and spiritu- Although caregiving for
at old photos of pets. We also ally, and they gain an enhanced AARP Meditations her husband was the hardest
used to love horror movies as sense of purpose from making a for Caregivers: thing Miki Paul had ever done,
kids, so I give her a line from a difference in someones life, says Emotional, and
she testifies to the fact that the
horror movie and she will finish Jacobs, director of behavioral Spiritual Support experience made her stronger.
it, Allen says. It makes me feel sciences at the Crozer-Keystone for You and She learned how to be more
closer to her and she smiles. Family Medicine Residency Your Family organized when she was forced
Leslie Ault, PhD, whose wife Program in Springfield, Jacobs, B. & to manage her private practice
Mayer, J., 2016
has Alzheimers disease, discov- Pennsylvania. Caregiving has and her husbands care. She
ered singing together was a way made me a better person and Caregiver learned to be more assertive by
to connect with his wife. He visits more compassionate, and given Family Therapy: advocating for her husband with
her two to three hours a day at me a greater basis for feeling the Empowering health-care professionals and
the care home where she now suffering of others. Families to Meet services. In the past she had felt
the Challenges of
lives, and he took guitar lessons to Now he helps people iden- Aging
uncomfortable with mechanical
learn a few simple chords. Now tify the values underlying their Qualls, S. & devices, but she taught herself
other residents in the care home decisions to be caregivers and the Williams, A.A., 2013 how to use a tube feeding device,
join in singing songs like Jingle bigger purpose in the role, which wheelchair lift on the van and
Bells and Yankee Doodle at helps them overcome the sense New York the BiPAP machine to help her
mealtimes. He also enjoys walk- of feeling like victims of cir- Intervention
husband breathe at night.
ing laps around the home with cumstances. I was aware in my Online training and She also slowly let go of
his wife and other residents. own case that whatever choice I certification program her perfectionistic tendencies
Its fulfilling to be helping made regarding caregiving would for training on family and she learned the impor-
another person, says Ault, who be a model for my children. I counseling related tance of setting more realistic
to caregiving.
retired in 2011 from his job as a wanted them to see the value of www.hcinteractive.
expectations for herself and her
professor at Hostos Community family members demonstrat- com/NYUCI husband.
College in New York. Im doing ing commitment to each others I learned that I am more
things that benefit my wife well-being. resilient than I ever imagined,
physically, cognitively and emo- In fact, the benefits of care- Paul says. I feel calmer and
tionally, and she has experienced giving are often overlooked in better physically than ever, and
minimal cognitive decline for the research, says David Roth, PhD, Im starting to feel ready to begin
last two years. who directs the Center on Aging making plans for my future.

46 M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7


August 3-6, 2017 | Washington, DC
Celebrate APAs 125th Anniversary with other researchers, www.apa.convention
educators, practitioners, and students who are transforming
the future of psychology.
To the power of psychology and you!
48 M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7
A Growing Wave of

By Amy Novotney

M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7 4 9
Online Therapy

are not run by psychologists.

When youre an individual
provider, you cant assume that a
business is going to be look-
ing out for your best interest,
so you really have to dig a little

It was an ad deeper and check in with your

professional association and

on Facebook that
first prompted Los Alamitos, California, clinical psychologist Nina
malpractice carrier to make sure
youre complying with the law
and with the APA Ethics Code.

Barlevy, PsyD, to visit the online therapy website The BENEFITS FOR PATIENTS
company promoted affordable online counseling, available anytime and AND THERAPISTS
anywhere, and Barlevy thought joining their panel of therapists might The growth in online therapy
companiesnearly a dozen
be a great way to supplement her income during slow times in her pri-
have launched in the last several
vate practice. It looked like a good way to expand my practice here and yearsdoesnt surprise Lindsay
there in my free time, if I was already going to be on my computer in the Henderson, PsyD, assistant
evenings or on my days off anyway, Barlevy says. She went through director of psychological services
Better Helps rigorous application process, which included verifying at Boston-based telehealth
company American Well, which
that she was licensed, and began communicating with users in her state
offers therapy through video
via the sites secure messaging platform. The site also offers members conferencing. The ease and con-
the option to schedule live video and phone sessions with their thera- venience of scheduling a therapy
pists, though Barlevy worked mainly with clients via the sites unlimited appointment online and talking
with a therapist from the privacy
asynchronous messaging service. form or another for more than of ones own homeor wherever
They messaged her about many 20 years, used most often by one may beis a huge draw for
of the same issues her face-to- members of the military. But the consumers, many of whom are
face therapy clients were dealing explosion of smartphone users seeking therapy for the first time
with, including stress, anxiety has created new opportunities in their lives, she says.
and relationship issues, among for app-based companies to offer American Wells online
other concerns, and she mes- more accessible and affordable platform helps normalize
saged them back with questions, therapy. mental health care, especially
feedback, insights and guidance. Still, such online therapy among generations now who
They benefited from easier access creates concerns over patient are so accustomed to interacting
to therapy, which particularly privacy, as well as legal and with people using technology,
helps people in rural areas who ethical issues, including inter- Henderson adds. It just elimi-
may not be able to drive an jurisdictional practice issues, nates so many barriers.
hour each way to see a therapist for providers who contract to Research studies, many of
face-to-face. work for these companies, which which are listed in bibliography
[It is] a whole lot more may not share the same code of format by the Telemental Health
appealing to be able to sit at your conduct and commitment to do Institute, also indicate that
computer and type back and forth no harm, says Deborah Baker, telemental health is equivalent
with someone, Barlevy says. JD, director of legal and regu- to face-to-face care in vari-
Telepsychology, be it by latory policy in APAs Practice ous settings and an acceptable
phone, webcam, email or text Directorate. Many of these alternative. While much of the
message, has been around in one online therapy companies also research tests only the use of

50 M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7
videoconferencing as the tele- as well as full-time research
health modality, a few studies, positions at these mental health
including two published in 2013, technology companies, Jones
have also shown that asynchro- says.
nous messaging therapy can be
as effective as in-person therapy BUT TREAD CAREFULLY
(Journal of Affective Disorders and Of course, online care is not for
Cyberpsychology, Behavior and every patient or practitioner.
Networking). Clients with more serious mental
Even more encouraging is illnesses or addictions likely
that when digital interventions need more treatment than digital
are positive, effective experiences therapy can provide. And some
for patients, they may go on to clinicians may find certain tele-
seek face-to-face therapy, says health modalities difficult, says
Megan Jones, PsyD, adjunct Barlevy.
clinical assistant professor of psy- Im such a people person,
chiatry and behavioral sciences so it was tough for me to feel a
at Stanford University School of real connection when I was just
Medicine. A study she led found messaging with people, she says.
that college students who needed Plus a lot of people just stopped
a higher level of care for eating responding, and I felt like there
disorders were more likely to wasnt enough time to really
seek it out after participating in a build a relationship. It actually
digital body-image program and turned out to be more difficult
working with a coach online via than I imagined.
asynchronous messaging through In addition, some online ther-
the online therapy company apy companies dont have clear
Lantern (Journal of American guidelines for handling risky
College Health, 2014). situations, such as a patient who
It can really be a nice first SOME SAY MENTAL HEALTH VIA may seem suicidal in his or her
step in treatment for some- APPS HELPS TO NORMALIZE messaging responses, says Lynn
one who needs more intensive Bufka, PhD, associate executive
therapy, says Jones, who also
MENTAL HEALTH CARE AMONG director for practice research and
serves as chief science officer at GENERATIONS WHO ARE FACILE policy at APA.
Lantern. WITH INTERACTING ONLINE. While some apps do report
Mental health profession- that they use a members IP
als can also reap benefits from address to determine their exact
joining online care teams. In says. Im not at a point in my location and send police if a
addition to supplementing life where I want to be going to therapist is concerned about a
practitioners incomes with an office at 8:30 in the evening, members safety, its often more
new patients, providing online but I will happily go to my home difficult to determine a patients
therapy can help them main- office, lock the door and see a level of risk via a messaging app
tain a better work-life balance, patient at that time. than face-to-face with them in a
Henderson says. Employment at online therapy room.
From the provider perspec- therapy companies isnt limited If youre using an online

tive, the flexibility of practicing to providing therapy to clients, therapy platform and you ask
telemental health fits so well into either. Opportunities abound someone if theyre suicidal and
my life and allows me to better and will continue to grow in they say no, is that it? Bufka
meet my patients needs, she supervisory and training roles says. Those kinds of clinical

M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7 5 1
Online Therapy

issues come up, which is why I says. In addition, platforms that that psychologists cannot simply
think most psychologists seem allow patients to connect anon- provide services to patients any-
to feel much more comfortable ymously with therapists may where in the United States?
integrating technology into an create legal and ethical issues for RESOURCES Psychologists interested in
ongoing face-to-face or video/ psychologists. joining these companies should
teleconferencingrelationship My concern is that some APAs investigate those issues, and also
guidelines for
versus usingonly messaging. of these models are probably telepsychological find out exactly where patients
Practitioners also need to start-ups that are launched by practice are located if they are provid-
do their due diligence when people in technology, who have ing them therapy services to
it comes to making sure their good intentions but havent fully practice/guidelines/ ensure that they are authorized
decision to contract with an investigated all the nuances in to do so. Such issues were part
online therapy company doesnt whats involved in providing TeleMental Health of the reason Columbia, South
run afoul of complying with the health services, she says. Do Institute Carolina, clinical psychologist
Health Insurance Portability and they fully understand HIPAA/ Shawna Kirby, PhD, decided to
Accountibility Act (HIPAA), HITECH, any related state laws part ways with an online therapy
state licensing laws and other and patient confidentiality pol- company she worked for in 2015.
legal and ethical practices, Baker icies? Do they fully understand After several months as a con-
tracted therapist, she terminated
the agreement, due to a series
Popular Online Therapy Services of ethical concerns she had over
how the company dealt with
A look at the best-known providers, their services and costs
interjurisdictional practice issues,
consumer privacy, informed
Company/ Telehealth Cost Apply to join their
app name modality therapy team consent and therapy termination.
When she brought her concerns
American Well Video conferencing $79/session; www.americanwell. to the companys clinical direc- some insurances com
tor and owners, none of whom
are psychologists, she says they
BetterHelp Asynchronous Plans begin at $35/ www.betterhelp. brushed off her concerns, and messaging, live week com/counselor_ then eventually blocked her from
chat, live phone, application/ messaging with her clients. It all
video conferencing
seemed more financially driven,
Breakthrough Video Determined by www.breakthrough. rather than care driven, she says.
www.breakthrough. conferencing therapist; some com/for-providers/ Thats why its so important
com insurances start that psychologists play a lead-
reimburse ership role at mental health
Lantern Online modules, $49/month technology companies, Jones says. asynchronous These companies need our
messaging, live knowledge and competency at
phone the heart of their decision-
making process because we have
7 Cups of Tea Asynchronous Plans begin at messaging $37.50/week or online-therapy-jobs/ a very different framework and
$150/month we understand the responsibil-
ities that we have to users in a
TalkSpace Asynchronous text, Plans begin at www.talkspace. very different way than you do video and voice $32/week com/online-therapy/ if you come from a technology
messaging join-talkspace-as-a- background, she says. I want to
therapist/ have a peer at any company like

52 M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7
Your Ultimate
Career Hub.
Swipe and search hundreds of open jobs
on PsycCareers with the
Monitor on Psychology mobile app.




monitor on
Dont want to go into
practice, research or
teaching? Heres how to
find a nontraditional career
that uses your expertise
and sparks your interest.
By Laura Zimmerman, PhD

54 M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7
M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7 5 5
Finding Your Dream Psychology Career

advocacy, criminal justice, mili-

tary, transportation, modeling and

simulation, training, engineer-
ing, energy and more. Market
any psychologists find their passions are not yourself to people in industry,
says Brandon Perelman, PhD,
stirred by providing direct therapy, conducting a postdoctoral researcher at the
research or teaching. They are more interested U.S. Army Research Laboratory
in applying their expertise on human behav- in the Human Research and
Engineering Directorate.
ior in new and atypical waysbut arent always Communicate why your research
sure what those career paths look like. Looking to find your own and skills are important to them,
unique career path in psychology? Heres advice from career experts he says.
Also, search for people who
and psychologists who work outside academia on how to do it. have a job you might like and
contact them. Dont be afraid to
LOOK INWARD What do you love about reach out to complete strang-
Before you start exploring psychology? ers, like someone you found on
career possibilities, figure out Whats missing? LinkedIn, says Chambers. Ask
your internal motivations and What weird passions do you if they would be able to talk to
passions. have that have nothing to do you for 20 minutes on the phone
People tend to focus on with your work, but you never about their work. Such infor-
knowing whats out there and run out of energy for? mational interviews can provide
dont pay too much attention These types of assessments inside information about various
to knowing themselves, says can help you realize that the No. careers and help establish new
Jennifer Polk, PhD, career coach 1 person you need to please with connections.
and owner of the website From your career is yourself, she says.
PhD to Life, which provides job To conduct such a self IDENTIFY YOUR SKILLS
advice, coaching and mentoring assessment, check out APAs free As you start exploring alterna-
to doctorate holders seeking non- online resource aimed at helping tive career paths, think carefully
academic jobs. She works with job seekers develop a plan of about the skills you already
job seekers to delve into their action for pursuing their ideal have. If youve coordinated a
broader interests and explore jobs. Authoring your Individual large research effort like your
which career opportunities might Development Plan starts with dissertation, you have proj-
be a better fit for them. a self-assessment, and the tool ect management experience.
Getting comfortable with helps users explore careers, iden- Conveying your ideas during
the thought of a nontraditional tify gaps in experience, set goals, presentations and discussions
career requires job seekers to be and create a plan with milestones has honed your communication
honest with themselves about and outcomes. skills. By working in a lab, youve
what they really want and why developed teamwork skills. Once
its important to them, says Paula NETWORK you start examining the compo-
Chambers, PhD, founder and Get to know people in busi- nents of what you do on a daily
CEO of The Versatile PhD, a ness and industry who can basis, you can determine how
career education website that give you an inside perspective to apply those skills to nonaca-
helps grad students and new on different career paths. One demic jobs.
doctorate-holders identify and way to network is to attend
prepare for nonacademic careers. nonacademic conferences in TEST THE WATERS
She recommends asking the specific fields you might be If you lack some qualifications
yourself questions such as: interested in, such as social work, for the type of job you ultimately

56 M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7
want, work to develop those advancement around the world. PhD, who directs APAs Office
skills, says Chambers. Students Many private companies also on Early Career Psychologists.
can get involved in activities offer internships where you can Also, be sure to read job
on campus and those already learn about for-profit research, ads carefully to address all the
in the workforce can look for government contracting, business requirements. For example,
opportunities to bolster their development and customer rela- dont submit an academic CV
resumes, such as writing grant tions. Companies dont always when the ad asks for a resume.
proposals, learning about budgets have formal internship programs, Prepare a resume that is shorter
and financial management, or but many will hire an intern and more focused than your CV.
developing and leading a project. for the summer or during busy Instead of talking about your-
Also, consider taking classes times. I started doing a summer self, shift to what an employer
relevant to the jobs you want, internship at a private govern- needs and speak directly to their
such as business, grant writing or ment contractor and discovered requirements.
marketing. I liked it a lot, says Perelman. For more advice on creating a
Volunteer work can also help The experiences and connections RESOURCES resume from a CV, go to APAs
you learn a new skill. he made during his internship APAs Resource
website ( and
Internships and fellow- helped him land his current for Individual search for Make Your Resume
ships also provide the hands-on position. Development Stand Out.
experiences psychologists need Plans
to prepare for their dream jobs. APPLY FOR THE JOB LAND THE JOB
Most federal and local govern- So, once youve identified the job grad/individual-
During the job interview, your
ment agencies have internship you want, how do you get hired? development- answers must be focused on the
programs. For instance, you Talk about your experience and plan.aspx company first and yourself sec-
might find internships in health skills in ways that are friendly to ond, says Chambers. Research
policy and advocacy, criminal the industry and the organiza- So What Are the company extensively so you
You Going to Do
justice or education program tional culture where you intend with That?:
can speak intelligently about the
evaluation, and human rights to work, says Eddy Ameen, Finding Careers specifics of the business.
Outside Academia And, employers want to know
Basalla, S.& your answer to a key question:
Debelius, M., 2007 What can you do for me right
now that will benefit my organi-
TO APPLY THEIR EXPERTISE IN ATYPICAL zation? Show them that you are
WAYSBUT ARENT ALWAYS SURE WHAT the person who will meet their
THOSE CAREER PATHS LOOK LIKE. needs by articulating the value a
psychology degree brings to any
Above all else, be confident.
You need to be able to sell
yourself, says Shari Schwartz,
PhD, who works as a mitiga-
tion expert and trial consultant
at the firm she launched called
Panther Advocacy and Litigation
Sciences. Youve attained a doc-

toral-level education so there is

nothing to be intimidated about.
Go in there and make sure they
understand you have something
to offer and youll be an asset.

M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7 5 7
Graduate Study


Thanks to APPIC, searching for a health service psychology postdoc just got a lot easier

hen it comes to says. Both applicants and pro- research, says Catherine Grus,
postdocs, one thing grams were losing out on their PhD, deputy director of APAs
you can count on is top choices. Education Directorate.
that no two positions are exactly Recognizing the problem, last To help students and early
the same. year APPIC, with support from career psychologists map out their
Postdoctoral training is the APA, brought together training MORE career pathways, APA offers a
most heterogeneous entity, says directors and trainees to discuss RESOURCES five-step individual development
Wayne Siegel, PhD, training developing a more formal health plan that guides trainees through
director at the Minneapolis VA service psychology postdoc- APAs Resource self-assessment, career explo-
Medical Center and postdoc- toral selection process, Siegel for Individual ration and goal setting, to help
toral workgroup chair for the says. While their work is still in Plans them customize their own plan
Association ofPsychologyPost- progress, they offer this advice of action and find the job that
doctoral andInternshipCenters for helping trainees succeed in fits them best (see
(APPIC). There are so many securing the best postdoc to fit All of these education/grad/individual-devel-
resources can
different kinds of positions, their needs: opment-plan.aspx).
be found at
all with a different focus, its
almost impossible to compare Create a plan. The first step is Start early. Planning your
them. to determine your career goals APPIC postdoc may be the last thing
This medley of programs and understand why postdocs on your mind a month after you
can make finding and choosing are so essential to your train- Guidelines start your internship, but the
a postdoc a daunting task for ing. If you want to be a licensed reality is that most application
newly minted doctoral degree practitioner, for example, most Universal deadlines are in December and
recipients. Unlike APPICs jurisdictions require at least Psychology January. That means trainees
Internship Match, there is no one year of supervised postdoc- need to start their search in the
formal structure to the postdoc- toral experience, which provides fall, Grus says. She recommends
toral selection process in health highly specialized training that APPIC making sure your CV is up
service psychology. This inconsis- increases your marketability. Psychology to date and reflecting on your
tency has led to confusionand For those seeking research jobs, Postdoctoral internship and other doctoral
ultimately postdoctoral positions postdoctoral research or fellow- work to date to figure out what
left unfilled. ship experience is helpfulif Postdoc kind of postdoc will be right for
Historically, what would not requiredand postdoctoral Video you, she says.
happen is applicants would often teaching appointments can Presentations Postdoc interviews typi-
get an offer early and couldnt enhance your competencies as a and cally occur in late January and
hold it while waiting to hear faculty member. February, and while not all pro-
back from the other places theyd Postdoctoral training should grams will adhere to the APPIC
applied, so theyd sometimes take be the time to develop exper- suggested guidelines, the date
their fourth choice because they tise in a particular areaand programs are asked to make offers
felt pressure and didnt want to that could be with a certain to candidates is Feb. 27. This
end up with nothing, Siegel population, or it could be with can vary for research positions,

58 M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7
Understand how to apply.
While there is a standard-
ized application process for all
internships through APPIC,
the postdoc application process
is not there yet. Starting with
the 201516 selection season,
APPIC developed an online
application tool and guide-
lines for postdoc applications
known as the APPA CAS, or
APPIC Psychology Postdoctoral
Application. It asks applicants
to provide basic demographic,
internship and previous post-
doctoral position information,
and letters of recommendation,
and allows individual programs
to ask for additional informa-
tion. Still, each program is free
to handle the application and
selection process however it pre-
fers, Siegel says.

Dont panic. Even if you dont

receive an offer on selection
day, the numbers are still in
your favor since each year there
are more postdoc positions
than applicants, says Aosved.
In addition, the time frame for
advertising postdoc positions is
much more variable than with
internships, and new positions
arise often, she says. After selec-
tion day at the end of February,
the UPPD allows programs
to indicate unfilled positions,
and allows applicants to then
however, depending on the source Workgroup. To address that Many applicants search for open positions. Many
of funding, Siegel says. problem, APPIC has developed a are unaware of positions get filled after the sug-
the full landscape
universal health service psychology of postdoctoral gested date.
Know where to look. Many postdoctoral directoryknown experiences that Unless youre someone who
applicants are unaware of the as the UPPDthat lists the are available to has a very restricted geographic
full landscape of postdoctoral majority of postdoctoral pro- location and therefore not as

experiences that are available to grams in one place (www.appic. many options, the chances are
psychologists, says Allison Aosved, org/About-APPIC/Universal- high that youll end up in a
PhD, a member of the APPIC Psychology-Postdoctoral- position thats a good fit for you,
Board and the Postdoctoral Directory). she says.

M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7 5 9


A look at how faculty and students are gaining a more global perspective

PAs Guidelines for research findings apply to other And the Chicago School of
the Undergraduate countries, for instance. He asks Professional Psychology offers
Psychology Major, his students how they would an international psychology
Version 2.0 call for students to tackle research in countries where graduate program that includes
adopt values that will help them citizens primary language isnt the same sort of courses as
build community at the local, English or where there may not those in the general psychology
national and global levels. But be an institutional review board. ADDITIONAL department but with content
how do you infuse an interna- I try to infuse an awareness that READING viewed through an international
tional perspective into education? the way scientific or psycholog- lens. Students are also required
Heres advice on ways to gain a ical research is done in other Internationalizing to participate in nine-day field
the Undergraduate
more global viewpoint, whether countries may be different from Psychology experiences abroad.
youre a professor or a student. what theyre used to, says Velayo. Curriculum: Other schools offer individ-
Professors can also incorpo- Practical Lessons ual cross-cultural psychology
IF YOURE A rate global documents relevant Learned at Home classes. Irene Lpez, PhD, an
FACULTY MEMBER to psychology into their classes, and Abroad associate professor of psychology
Gross, D.,
Incorporateinternational says Merry Bullock, PhD, Abrams, K., & at Kenyon College in Gambier,
content into courses. At Pace president-elect of APAs Div. Enns, C.Z. (Eds.) Ohio, for example, is teaching a
University, psychology professor 52 (International Psychology). APA, 2016 course with Wejdan S. Felmban,
Richard Velayo, PhD, encour- In a developmental psychology PhD, an assistant professor of
ages students to collaborate on course, for example, teachers can Internationalizing psychology at Effat University in
the Curriculum
research projects with students refer to the Universal Declara- in Organizational Jeddah, Saudi Arabia. Funded by
abroad or conduct research on tion of the Rights of the Child. Psychology the Andrew W. Mellon Founda-
international topics, such as When talking about psycho- Griffith, R.L., tion, the initiative provides what
interviewing international psy- pathology, they can discuss the Thompson, L.F., & Lpez calls a virtual study-
Armon, B.K. (Eds).
chologists. He requires that 10 World Health Organizations abroad experience for both sets
percent to 20 percent of articles mental health plan. For similar of students. The two courses use
cited in students final papers ideas, go to the APA Office of Internationalizing the same textbook and simi-
be from international sources. International Affairs introduc- Undergraduate lar syllabi, and both professors
He also invites international tion to the United Nations and Psychology guest-lecture in each others
students to share what they its documents at Education: Trends, classes via videoconferencing.
Techniques and
know about a particular nations international/united-nations/ Technologies Students also have joint assign-
psychology and behavior. index.aspx. Takooshian, H., et al. ments, interviewing each other
Even a class as seemingly American about their lives and discussing
universal as research method- Create a separate interna- Psychologist, a textbook chapter on mental

ology can be internationalized, tional psychology course or health over WhatsApp, Snapchat
Velayo adds. He asks students program. Saybrook University, and other social media plat-
to consider whether Western for example, offers a certificate forms. Students often view their
psychological constructs and in international psychology. own practices and values as the

60 M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7
APA guidelines call for students
to adopt values that will help
them build community at the
local, national and global levels.

norm, says Lpez, but making a Association of Applied Psychol- Perspectives in Psychology can also
personal connection with some- ogy, International Association keep you on top of current topics,
one in a different culture really for Cross-Cultural Psychology she adds.
helps students re-evaluate their or the International Council of
assumptions and, by extension, Psychologists; regional organiza- RESOURCES Teach in another country.
helps them become better con- tions, such as the Interamerican One of the best ways to educate
sumers and producers of science. Society of Psychology; and International yourself about international
international organizations for Resources issues is to spend a sabbatical
Keepabreast of international specific subfields, such as the or summer session teaching
developments. Join interna- International Psychogeriatric international/ abroad, says Haynes-Mendez,
tional psychology organizations, Association. (See www.apa. resources/info/ who spent a summer teaching
suggests Kelley Haynes- org/international/networks/ two courses at Cornerstone
Mendez, PsyD, an associate organizations/index.aspx for International College in Cape Town, South
professor of psychology in the a complete list of international Programs and Africa, in 2008. I encour-
Chicago School of Professional organizations.) Being a member Resources age people to not be afraid of
Psychology and chair of the of international organizations reaching out to psychology
International Relations Com- gives me an opportunity to net- instructors in other countries,
mittee of APAs Div. 2 (Society work with colleagues from around she says, explaining that she
for the Teaching of Psychol- the world who have similar researched South African psy-
ogy). Possibilities include global interests, says Haynes-Mendez. chology departments, contacted
groups, such as the International The APA journal International the ones she felt were a good

Clinicians WORKSHOPS:
Friday, Mindfulness-Based Interventions in the Treatment

Corner Feb. 3 of Substance Use Disorders

Presenter: Katie A. Witkiewitz, PhD

Workshops Thursday,
March 23
Power Dynamics in Intimate and Sexual Relationships
Presenter: Marty Klein, PhD

Friday, Fundamental Principles and Emerging Issues in

Three-hour workshops
April 21 Ethics: Part I
(1:004:00 p.m., ET)
Presenter: Robert Kinscherff, PhD, JD
featuring leading
practitioners and
scholars working in key FEES: $65 APA Members $80 Nonmembers
areas of professional
practice TO ATTEND:
Attend via live webcast or in LIVE WEBCAST: Visit and select
person at the APA building Clinicians Corner Programs

All programs include three IN PERSON at the APA building (Washington, DC):
Call 1-800-374-2721, ext. 5991, option 3
CE credits
Visit for more CE opportunities.

Continuing education from your Association

62 M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7
match and offered to guest lec- at their school, or checking such Share what youve learned.
ture there. She then used faculty websites as www.studyabroad. People come back from study-
professional development funds com. abroad programs and typically
to help support her travel. It Even better are internships move straight into their next
broadened my perspective quite or short-term employment semester without any formal
a bit, she says. abroad, says Richard L. Griffith, way to address what theyve
PhD, a professor of industrial/ learned and share that with
IF YOURE A STUDENT organizational psychology at the other students, says Abrams. At
Spend time abroad. Studying Florida Institute of Technol- his school, returning students
abroad is another way to help ogy. When youre an exchange can take a course in which they
students challenge beliefs they student, youre often in a bubble meet with a professor and other
may believe are universal, says with kids from your own coun- students to discuss current events
associate psychology professor try; you need to be out in the in the countries theyve studied
Ken Abrams, PhD, who takes culture. and further their language skills.
his students from Carleton Col- As a less expensive alternative Carleton also invites returning
lege in Northfield, Minnesota, to to going abroad, students can students to present at poster
the Czech Republic for a class in use Facebook, Twitter and other sessions about the research they
cross-cultural psychopathology. social media to build relation- conducted abroad. Returning
Students can find study-abroad ships with psychologists and students could also be seen as
and internship opportunities by psychology graduate students in mini-experts who could present
asking the study-abroad office other countries, says Velayo. in classes, says Abrams.


What Psychology Majors Career Paths in Psychology

Could (and Should) Be Doing Where Your Degree Can Take You
A Guide to Research Experience, Professional Edited by Robert J. Sternberg
2017. 584 pages. Paperback.
Skills, and Your Options After College
Paul J. Silvia, Peter F. Delaney, List: $29.95 | APA Member/Affiliate: $24.95
and Stuart Marcovitch ISBN 978-1-4338-2310-7 | Item # 4313041
2017. 200 pages. Paperback.
List: $29.95 | APA Member/Affiliate: $24.95 Starting Your Career
ISBN 978-1-4338-2379-4 | Item # 4313042 in Academic Psychology
Robert J. Sternberg
Psychology 101 2017. 208 pages. Paperback.
The Unspoken Rules for Success in Academia List: $29.95 | APA Member/Affiliate: $24.95
SECOND EDITION ISBN 978-1-4338-2638-2 | Item # 4313043
Robert J. Sternberg
2017. 272 pages. Paperback.
List: $29.95 | APA Member/Affiliate: $24.95
ISBN 978-1-4338-2249-0 | Item # 4313039 800-374-2721 FAD0163

M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7 6 3
Keep in mind that
people dont have
long attention
spans. If you need
to explore a topic
deeply, use humor,
an engaging video
or other media to
break it up.

10 TIPS FOR SPEAKING about what you want the audi-

ence to walk away with when
LIKE A TED TALK PRO they leave and use that intent as
a structure to frame your talk,
Advice from the experts on how to make any presentation sing says Hedges. Your passion for a
topic can draw people in; talking
without any enthusiasm for the
topic can deplete energy in the
room and eclipse your message.
Talk to persuade, not just to

P 2
sychologists and grad- KEEP IT SIMPLE, inform, adds Sternberg.
uate students are often ESPECIALLY IF YOURE
called upon to speak to
an audience, whether to give a
conference presentation, deliver a
have a tendency to give pre-
speakers may try to sound
like someone they admire instead
lecture to a class, lead a meeting sentations the audience of being themselves, notes
or give a talk in the community. doesnt understand, says Barry Daniel Gilbert, PhD, profes-
But public speaking is a skill that Schwartz, PhD, a psychology sor of psychology at Harvard
comes more naturally to some professor emeritus at Swarth- Be clear University. Some people try to
than to others, and there are more College and a visiting about sing like their favorite singer or
some common pitfalls to avoid, professor at the Haas School what you dance like their favorite dancer,
such as seeming disorganized of Business at the University of want the says Gilbert. Similarly, some
or looking down at notes rather California, Berkeley. He suggests speakers may try to sound like
than at your audience. giving a talk that makes people
audience Martin Luther King Jr. or John
Regardless of how practiced feel like theyre smart and like to walk F. Kennedy. Authenticity
you may be at public speaking, they want to learn more about away with sounding like yourself and using
there are some very effective the topic. The curse of knowl- when they everyday languageis key to
strategies to use to deliver engag- edge is that once you know leave and getting your message across to an
ing talks. The next time you have something, you forget what it use that audience, says Gilbert.
a speaking engagement, try these was like when you didnt know
intent as a
tips to deliver your message like
a TED Talk presenter:
it, he says. I imagine that Im
going to present to my grand-
mother, who had a fifth-grade
to frame
People dont learn just by
listeningdifferent people learn


Keep in mind whom you are
education. your talk.
in different ways, says Susan H.
McDaniel, PhD, APAs 2016
going to be addressing when
you craft your presentation, says
Robert Sternberg, PhD, a former
engage listeners, build your
president. Use visual tools (such
as slides or a video), incorpo-
rate research and tell stories.
APA president who is a professor speech from an emotional place Anecdotes can be a particularly
of human development at Cornell rather than from the content, effective way to connect with
University. Is the audience going says Kristi Hedges, leadership an audience. It could be a story
to be mainly fellow psycholo- coach and author of the 2011 about yourself, especially if youre
gists, health professionals, other book The Power of Pres- using humor and making fun of
professional groups, students or ence: Unlock Your Potential to yourself, says McDaniel. One

consumers? What do they want Influence and Engage Others. important tip to keep in mind
and need to hear? Knowing Rattling off facts and figures about multimedia presenta-
whom you are speaking to will and talking at the audience isnt tions: Dont let the technology
help you tailor the talk and will effective if they arent interested obscure what youre trying to
help keep the audience engaged. in what you are saying. Be clear say, says Schwartz. PowerPoint

M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7 6 5

is incredibly powerful, but use it

to get halfway there, rather than
expecting it to do the whole job
Before you talk, determine
your main points and outline
slides may be set up behind you
(which would mean youll have
to constantly turn your head to
for you, he says. them, says McDaniel. Some peo- see where you are in your talk).
ple refer to notes on stage while

6 SHAKE IT UP Another
reason to use different
media in your talk is to make it
others may use PowerPoint or
Keynote slides as prompts. One
cautionary tip: Avoid simply
mind that people dont have long
more dynamic and compelling. putting the text of your speech attention spans. If you need to
Using mixed media creates in slides. Writing out the words explore a topic deeply, use humor,
energy and vibrancy, says youll be saying on slides is an engaging video or other media
Hedges. Think about ways to use boring, says McDaniel. Slides to present various aspects of the
slides, video, audio, handouts, should be used for emphasis. topic. You can also break up a
props and even spontaneous long talk by posing questions to
smartphone polls to engage
your audience. You might, for 8 KNOW THE SETUP Have
a run-through in the space
the audience, suggests Hedges.

instance, start with a video

and then use powerful images
later in your talk, says Hedges.
youll be speaking at if possible,
especially if youll be talking in
front of a large audience. Test A Ted Talk on Ted
until the last minute is a
Talks: To watch a
Or you can begin with an the tech system during that video on how to give common mistake many speakers
a great talk, go to
engrossing question and use the practice run to troubleshoot
make, says Hedges. If you have
audience feedback as data with possible problems in advance. For chris_anderson_ an hourlong presentation, plan
polling software such as Poll instance, the sound may not run great_public_
for 45 minutes of talking and 15
Everywhere. properly with your video or your speaking. minutes for questions.


E ven the most seasoned public

speakers can get the jitters before
a talk. To calm your nerves, try this
focus on what you want to say and why
you are thereto provide information
about something in a clear way.
your speech in the actual space where
you will be talking, says McDaniel. And
dont worry about practicing too much,
advice: Try starting your talk with a dis- says Gilbert. Theres no such thing
Understand where your anxiety is cussion question. Most speakers as being over-prepared, says Gilbert.
coming from. Nervousness is just are nervous in the beginning, says People often fear that too much prac-
excitement directed inward, says CEO Hedges. Starting with a question gets tice will make your presentation stale,
coach Kristi Hedges. Its a physiolog- the onus off them and gets the audi- rehearsed and wooden, but research
ical response; some perspire, the face ence talking or laughing. shows thats not true. Practice as
blushes. Understand that even if you Make eye contact with different much as you can, preferably in front
feel nervous, you can still give a great people in the audience, says McDan- of a group of people who dont know
presentation and it does not mean you iel. This helps you see the audience as anything about the topic.
will mess up, she says. individuals and not a massive entity. Find out what works for you. Exper-
Remind yourself that its not about Notice what theyre wearing and what iment until you discover what works to
youyou want people to understand they laugh at. Some may smile at you calm your nerves, says McDaniel. If
and be moved by the topic, says APA or nod at you, which can be a confi- its going over the talk every night for
2016 President Susan H. McDaniel, dence booster. three nights before the speech, then
PhD. Use this cognitive strategy to Rehearse a lot. If possible, go over do that, she says.

66 M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7



and apply to efficient job the best in
hundreds of alerts to deliver career resources
fresh jobs on the latest jobs for the field of
the spot with right to your psychology
robust filters inbox
How Did You Get That Job?

IN THE NATIONAL MEDIA Its important to
think about how
As an author, public speaker and television personality, we can reach a
Elizabeth Lombardo promotes the tools of psychology different audience
that can help people thrive in daily life and help more
people, whether
it be through
blogging, writing,
speaking or

creating online
lizabeth Lombardo, PhD, Philadelphia to earn my PhD in clinical
one of the nations most psychology, and I graduated in 2002.
high-profile psychologists, I did a postdoctoral internship and
has appeared regularly thought I would pursue a career in aca-
on Good Morning demia, but during that time I realized
America, the TODAY academia was not the path for me. I
show and Dr. Oz. Shes also well- would go in at 7 a.m. and get home at 8
known for her books, including Better p.m. and continue working into the eve-
than Perfect: 7 Strategies to Crush ning writing grants.
Your Inner Critic and Create a Life You Thats when I decided to start a
Love (2014). To millions of Americans, private practice, and I saw patients who
she is the psychologist who translates were dealing with chronic pain, marital
the fields rich research into actionable issues, emotional eating and other prob-
steps that people can take to improve lems. I started to realize that if I could
their lives. The Monitor asked Lombardo see them before the symptoms became
about her work. so severe, I could help prevent conditions
from developing. and give a great interview. I started
What do you see as your mission After three years, I had to close that doing public speaking events related to
for your career? practice when my husband took a job in my book, and then I decided to send my
My underlying goal is to help people Pennsylvania, and I started writing my information to a PR agency that could
get out of their own way. We have a lot first book, A Happy You: The Ultimate get my name out to a range of media
of thoughts that can be detrimental, Prescription for Happiness. outlets. They called a few months later
and I teach people how to take control with the news that the Montel Williams
over what they are saying to them- How did you break into the media world? Show was interested in having me talk
selves. When I was in graduate school, I When I heard that the average book about the psychology of pain.
remember learning about psychological usually only sells 500 copies, I knew I This motivated me to start pitching
principles and wondering why we waited needed to learn how to get my message ideas to shows like TODAY, but I got
for people to become depressed before out through marketing and speaking no responses from them for two years.
we taught them these tools. My goal is events, but I had a significant fear of Then I finally heard back and was invited
to help people before they need to spend public speaking. to be on a segment about how to deal
time on the proverbial couch. So, I joined my local National Speak- with happiness hangoversthe letdown
ers Association to learn how to speak after a big event like a wedding or having
What did you do before you became in front of large audiences, and pursued a baby. Now Im at the point where the
a psychology celebrity? media training with professionals who producers know me and will call if they
I went to Drexel University in taught me how to speak on television want me to be on a show.

68 M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7
What do you enjoy most about your job? What do you find challenging? how we can reach a different audience and
I love getting this message out in new One of the challenges is the last-minute help more people, whether it be through
ways. And I enjoy seeing people apply travel involved in television appearances. blogging, writing, speaking or creating
the concepts that I teach. A national In October, for example, I was excited online videos. I recently teamed up with
food service company, for example, hired when Good Morning America invited a colleague, and now were developing
me to lead a discussion about my latest me to do a segment on tension between a course about how to break into the
book, Better Than Perfect. One woman family members related to social media media. We cover topics like how to pitch
shared how the book helped her see not rants about the election, but my two and feel comfortable on camera. Its
only her own perfectionistic tendencies, children were upset when I was leaving. important to make a pitch newsworthy,
but also how these patterns were impact- When I take a step back, though, I real- such as how to deal with stress during
ing her son. Recently, I had a handyman ize that I want my daughters to see that or after an election. If movies come out
at our house, and he told me how my you can be a mom and also pursue your about something related to your exper-
recent segment on the TODAY show passions. This model for them is import- tise, pitch an idea related to that. I also
about forgiveness had motivated one ant, and I hope they feel empowered. encourage people to start by contacting
of his clients to call a friend she hadnt their local media outlets because they
spoken to in 20 years. There is power What else do you want readers to know have to fill hours of time every day.
when speaking in front of 4 million about your work?

viewers, even if just one person has a Psychologists opportunities to help people To learn more about Dr. Elizabeth Lombardo,
breakthrough. are limitless. Its important to think about visit

M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7 6 9
American Psychological Foundation


Terence M. Keane is building on the tremendous success of
Dorothy W. Cantor in creating innovative ways to fund new psychologists

hen even seasoned researchers are struggling A mentor at heart, Cantor helped
to secure federal funding, APFs work to fund APF shift its focus from honoring
the work of early career psychologists and stu- psychologys luminaries to providing
small research grants to early career
dents is more important than ever, says Terence
psychologists and students. For them,
M. Keane, PhD, director of the national cen- $5,000 and $10,000 can make a huge
ter for PTSD-Behavioral Sciences division and difference in their careers, she says.
associate chief of staff of research and development of the VA Boston APF now awards $800,000 in such
Healthcare System. Keane, who became president of APFs Board of grants each year.
Trustees last month, says shaping new psychologists careers is what hes During her tenure, the trustees also
launched APFs Visionary Fund, which
most excited about in his new role. To me, what could be a better job
provides grants on broad topics that
to have than to orchestrate the delivery of resources to incredibly bright, address societys biggest challenges, such
smart and talented individuals? he says. as violence prevention and reducing
Keane takes the reins from Dorothy W. Cantor, PsyD, who became stigma and prejudice.
APF president in 2001. Under her direction, APF has held two fund- Like Cantor, Keane aims to look for
raising campaigns. The first, the Campaign for a New Era, raised $7.6 new ways to encourage philanthropy.
He has served on APFs board since
million in five years (200004); the second, the Campaign to Transform
2014. In 2013, he and several colleagues
the Future, raised more than $12 million (201216.) established the APF Trauma Psychology
Grant. His passion for psychology and
charitable giving makes him an ideal
foundation chief, Cantor says. He has
the enthusiasm, warmth, dedication and
the visibility, says Cantor.
Keane says he is eager to ramp up the
energy among psychologists to reinvest
in the field. Giving back is something
everyone, regardless of specialty area, can
feel good about, he says.
APF is something for which APA
can be very proud, he adds. In a time
of trouble and turmoil, this is something
we are doing with which everyone can

Other new APF Board officers are:

Melba Vasquez, PhD, Vice President
W. Bruce Walsh, PhD, Secretary
Dr. Dorothy W. Cantor has handed the APF presidential reins to Dr. Terence M. Keane. Richard McCarty, PhD, Treasurer

70 M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7
The foundation supports a parenting center in Chicago

community mental health for families to share their experiences in a development and attachment, and make
center in Chicago has won this safe, inviting space with developmentally specific recommendations for each family.
years APF Division 39 Grant appropriate materials for children. At the The center encourages families to return
for work that supports and advances the end of program, psychologists consult even after the program has finished.
field of psychoanalysis. with each parent about their childrens For more information about the
The Kedzie Center is using Kedzie Center, visit www.
the $6,000 grant to imple-
ment Pequenos Exploradores/ The next deadline for
Little Explorers, an eight- the Div. 39 grant is June 15.
week program that supports For more information about
parents engagement, attach- upcoming APF funding
ment and responsiveness to opportunities, go to www.
their young children. The
program, which is based on
contemporary theories of Staff at the Kedzie Center will
use the APF funding to help
psychoanalytic development, families improve their parent-
provides social opportunities ing skills.



Dr. Julie A. Allender Nabil Hassan El-Ghoroury, PhD Dr. Ronald F. Levant, EdD, ABPP Dr. Linda Richardson and
Dr. Norman B. Anderson Dr. Marilyn T. Erickson Mrs. Miriam Levinson Dr. Rodney Lowman
Nancy L. Baker, PhD Oliva M. Espin, PhD Dr. Josefa N. Lieberman Annette Urso Rickel, PhD
J. Gayle Beck, PhD Lorraine D. Eyde, PhD Dr. and Mrs. Lewis P. Lipsitt Dr. Marjeta M. Ritchie
Dr. Rosie Phillips Bingham Linda M. Forrest, PhD Bonnie Markham, PhD, PsyD Ronald H. Rozensky, PhD, ABPP
Lyle Eugene Bourne Jr., PhD Arthur M. Freedman, PhD, MBA Dr. Ruth G. and Morgan T. Sammons, PhD, ABPP
Dr. Sharon S. Brehm Dr. Terry S. Gock Dr. Joseph D. Matarazzo and Danilo D. Decena, MBA
Charles L. Brewer, PhD Dr. Morris Goodman Drs. Janet and Lee Matthews Mrs. Ruth and Mr. Jerry Seitler
Dr. Laura S. Brown Dr. Stanley R. Graham Dr. Wilbert J. and Martin E. Seligman, PhD
Dorothy W. Cantor, PsyD Dr. Craig and Mrs. Virginia McKeachie Dr. Arthur A. Shaw
Dr. Alex Carballo-Dieguez Mrs. Heather Gruber Mrs. Roberta M. Meier Patricia A. Smith, PhD
Armand R. Cerbone, PhD, ABPP Dr. Jessica Henderson Daniel Nancy Gordon Moore, PhD, MBA Dr. Franklyn Springfield
Dr. Alice F. Chang Frances D. Horowitz, PhD Dolores O. Morris, PhD Dr. George and
Dr. Helen L. Coons Dr. Ann Howard Edmund J. Nightingale, PhD Mrs. Joan Stricker
Dr. Stewart Cooper Steven E. James, PhD Mr. John R. Noon Dr. Barbara A. Van Horne
Dr. Jan L. Culbertson Dr. Jerome Kagan Dr. Katherine C. Nordal Drs. Raymond A. and
Dr. Nicholas A. and Walter Katkovsky, PhD Dr. Mary Ellen Olbrisch Rosalee G. Weiss
Mrs. Dorothy Cummings Dr. Jeanmarie Keim, ABPP John L. Peterson, PhD Dr. Andrew S. Winston and
Mrs. Tema David Ms. Jean Cole Kelleher Antonio E. Puente, PhD Judith H. Winston
Dr. G. Rita Dudley-Grant Dr. Douglas C. Kimmel Dr. James Campbell and Dr. William J. Woods
Dr. Susan E. Dutch Dr. Roger Kirk Mrs. Sheri Schember Quick

M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7 7 1
APA Advanced Training Institutes
Intensive, five-day training programs immerse psychological scientists and
graduate students in state-of-the-art research methods. Sponsored by the APA
Science Directorate.

Structural Equation Modeling

in Longitudinal Research
Arizona State University | May 30 - June 3 | Application deadline: March 20

Big Data: Exploratory Data Mining

in Behavioral Research
Arizona State University | June 5 - 9 | Application deadline: March 27

Research Methods with Diverse

Racial & Ethnic Groups
Michigan State University | June 5 - 9 | Application deadline: March 27

Nonlinear Methods
for Psychological Science
University of Cincinnati | June 19 - 23 | Application deadline: April 3

For new & established faculty, postdoctoral fellows, nonacademic scientists & advanced graduate
students. Tuition for each ATI ranges from $375 to $1200, with students, postdoctoral fellows & APA
members paying lower tuition. | 202-336-6000 |

Search Hundreds of Psychology Jobs on


Two, full-time, one year strong theoretical and experimental
ASSISTANT PROFESSOR POSTDOCTORAL FELLOWSHIP: postdoctoral fellowships on an basis that employs cutting-edge
EXPERIMENTAL PSYCHOLOGY: The University of California, Davis inpatient psychiatric unit, on methods and straddles disciplinary
Department of Psychology and Health System: Postdoctoral the adolescent and adult unit. boundaries. Candidates from any
Counseling at the University Fellowship: The Department of Opportunities include: testing, area of cognitive neuroscience
of Central Arkansas invites Psychiatry and Behavioral Sciences individual/group therapy and of human aging are welcome.
applications for an Assistant announces two child-positions program development. Emphasis is However, we are especially
Professor, tenure-track position, for the 20172018 academic year, on rapid, accurate assessment and interested in those whose research
to begin August 15, 2017. A PhD starting September 16, 2017. short-term interventions. Stipend specializes in the effects of aging
in Psychology is required. Areas Our program provides advanced is $30,000 with benefits. Dates on the neural bases of learning or
of scholarship and expertise are clinical training opportunities are August 28, 2017September memory in humans. The position
open with some preference in the in individual, family, and group 8, 2018. Applications should be will be part of a new initiative
areas of experimental psychology, therapy; psychological assessment; submitted immediately and will bridging the Departments of
sports psychology, and health and consultation. All services are be accepted until the positions Psychology and Neuroscience, and
psychology. We are eager to provided through a Sacramento are filled. Send letter of interest, the Graduate School of Arts and
support applicants who bring County Behavioral Health affiliated curriculum vitae, and two letters Sciences. Ideal applicants should
diversity to the department and outpatient clinic. The stipend for of reference to Brooke Martin, have a record of achievement in
university. For more information all positions will be $47,476 plus PsyD, 1891 Effie St., Los Angeles, innovative research. Moreover, they
about the department, go to www. competitive university benefits. The CA, 90026. should have demonstrated potential Application application deadline is January both to develop an outstanding,
review begins February 1, 2017 20, 2017. Interviews will be held DISTRICT OF COLUMBIA extramurally funded research
and will continue until filled. on Friday, February 10, 2017 and program, and to be a leader in their
Applications should be submitted Friday, February 17, 2017. We will ASSOCIATE OR FULL PROFESSOR: field. The successful candidate is
at The start our notification process as Cognitive Neuroscience of Aging expected to contribute to teaching
University of Central Arkansas is determined by APPIC. For more Position. Georgetown University at the undergraduate and graduate
an equal opportunity/affirmative information, visit www.ucdmc. invites applications for a faculty level, and to doctoral training
action employer. position at the Associate or Full in cognitive neuroscience. The
Professor level, in the area of successful applicant will have access
Cognitive Neuroscience with to significant research resources
a focus on Human Aging. The at Georgetown University. The
position will commence August 1, university has a modern brain-
2017. We seek to fill the position imaging facility with a research-
with an exceptional candidate dedicated 3T magnet, and

PSYCHOLOGIST: Birmingham, Montgomery and Huntsville

Glenwood Autism and Behavioral Health is seeking a licensed or licensed-
eligible psychologist to provide outpatient clinical services in our South, Central
and North Alabama offices. Position will include quarterly incentives payments.
Glenwood is also approved by the Bureau of Clinician Recruitment and Service/
National Health Service Corps in the Montgomery office, and our clinicians have $103,848
a long history of obtaining student loan repayment through this certification. starting annual (Licensed)
Additional benefits include funds for CEU and licensure renewal each year.
Glenwood Inc. is a progressive multi-site agency that provides a full range
of outpatient services for children and families with mental health needs and
starting annual (Non-licensed)
is the premier provider of Autism services for the state.
Essential Functions & Responsibilities Include:
Primary responsibilities for both openings would include: Work with a Great Team Be Recognized as an Individual
Completing diagnostic testing and follow up/therapy as needed for children
referred for evaluations California Correctional Health Care Services has We offer the stability
Interdisciplinary collaboration with local educational systems including one of the largest interdisciplinary treatment that comes with state
providing school-based clinical services and training teams in the nation. Our staff enjoys the employment along with
Opportunities for supervision of Masters level students are also available challenges of complex diagnostic evaluations generous benefits that
and encouraged along with the chance to collaborate with include:
**Note: This is not an exhaustive list of required duties. talented colleagues.
Minimum Qualifications: 40-hour work week
A PhD or PsyD from an APA-accredited university within the areas of Clinical Not only do we have positions available Comprehensive medical,
Child, Pediatric, School, or Educational Psychology Current licensure in the throughout the state, our flexible work schedules dental, and vision
state of Alabama allow our clinical staff to work in one location coverage
Licensed or licensed eligible within the state of Alabama while living in another community.
Retirement plan that
Experience in Autism, Developmental Disabilities preferred Take the first step in changing your future and vests in five years
Benefits include: talk to us about our exceptional team of mental 401(k) and 457 plans
Quarterly incentive payments health professionals.
paid vacation/sick leave Free on-site, in-person
vision/dental/health insurance For more information on this exciting CEUs
retirement plan with match career opportunity, please contact Great work/life balance
life insurance and flexible spending accounts Tammy Grable at Visa sponsorship
Glenwood is also approved by the Bureau of Clinician Recruitment and or 916-691-3541. You may also apply online at opportunities
Service/National Health Service Corps
For questions, please contact: Dr. Laura Stoppelbein, PhD, VP Clinical
Services at Requisition ID 1176 California Department of Corrections & Rehabilitation EOE

M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7 7 3

technical support for structural and collegial support to grow work hours; no weekends required; associate position. New Hampshire
and functional imaging (https:// professionally. Solid reputation unlimited vacation; 24/7 emergency license a plus. PCS provides psy- Additional and 30 years in Atlanta. See http:// call backup. Gersten Center for chological assessments in the con-
resources include facilities for EEG, for more Behavioral Health is proud to be text of criminal and delinquency
fNIRS, and TMS research. The information and communication. a setting that promotes workplace cases, custody and parenting mat-
university has a multi-institutional Send us a letter of interest and longevity and long-term stability. ters, civil commitment, guardian-
CTSA (Georgetown-Howard curriculum vitae to ct1772- We encourage you to visit us at ship, risk of violence, as well as
Universities Center for Clinical to learn pre-employment screenings and fit-
and Translational Science; http:// more about our practice and the ness for duty evaluations. Offices ILLINOIS reasons for our success. If interested, in Salem and Worcester. Flexible
ghuccts/about-ghuccts) and a please submit your curriculum work schedule. Send a cover letter
vibrant cognitive neuroscience PSYCHOLOGIST WITH ILLINOIS vitae to Dr. Deborah Liebling at and curriculum vitae to info@pcsfo-
community, which spans the LICENSE: Davken Associates For further information
Departments of Psychology, has been in operation for over about the practice, visit us at www.
Neuroscience, Pediatrics and two decades and has established CLINICAL PSYCHOLOGIST: Dr.
Neurology. Research on aging an outstanding reputation for Karen Falk & Associates-Elgin
and/or learning and memory is its ethical and clinical practices private practice seeking a part- FULLTIME LECTURER: The
conducted across multiple units in the long-term care industry. time to full-time licensed Clinical Department of Psychological &
within the university, including We are seeking Illinois-licensed Psychologist. Experience with Brain Sciences at Boston University
the School of Medicine, School psychologists for full- and part- children and families preferred. invites applications for a full-time
of Nursing and Health Studies, time employment in Chicago and Psychological assessment, lecturer position. This is a one-
the McCourt School of Public surrounding counties as well as individual and family therapy with year appointment beginning July
Policy and the School of Law. several other parts of the state and children and adults. Email resume 1, 2017 and is renewable based on
Additionally, the Graduate Indiana. Full training is provided to satisfactory performance. Full-time
School of Arts and Sciences is and days and hours are quite flexible lecturers are valued members of
developing a new interdisciplinary so that this job blends well with INDIANA our department and it is common
graduate program in Aging. those who teach, have a private for lecturers to serve on our faculty
This program aims to train a practice, or have young children. LICENSED PSYCHOLOGISTS: for many years. This position
new cadre of professionals in the Our forms are highly structured Luzio & Associates Behavioral entails teaching undergraduate
emerging professions around socio- and streamlined, allowing you to Services, Inc., is hiring two full- courses, which may include
psychological-medical services for spend less time with paper and time licensed psychologists to general psychology, statistics,
the elderly. The program will also more time with the clients. We join our growing team of mental experimental research (including
train students in politico-economic have excellent relationships with health professionals. We are located personality, perception, cognitive,
analyses for public-policy entities. our providersseveral who began in a small city in southwestern human neuroscience), psychology
Applicants should submit their in the 1990s are still with us. If you Indiana and provide services to of perception, physiological
curriculum vitae and statements of are interested or have any questions, adults and children as young as psychology, cognitive psychology,
research and teaching interests. The email or four years old. Each psychologist developmental psychology,
applicants should also submit the call (773) 259-0261. has individual and family therapy psychology of personality and other
names of three potential reference cases, but the majority of the case core courses in psychology. The
writers, who will be contacted PSYCHOLOGIST POSITION IN AN load is focused on assessments. We teaching load is three courses each
only for short-listed candidates. EXPANDING GROUP PRACTICE: conduct a variety of assessments semester. The position also involves
Before the formation of the short Gersten Center for Behavioral for all age groups, including job advising of undergraduates and
list, applications will be treated Health, a thriving and established placement screenings for local law supervision of graduate student
confidentially. Applications will group practice with five locations enforcement agencies, disability teaching fellows. Candidates
be accepted until the position in Chicago, Evanston, Skokie, screenings for veterans and the local should be strongly committed
is filled, but the process of their and Melrose Park, is expanding disability bureau, and we conduct to excellence in teaching and
review will start after December and hiring licensed clinical a wide variety of assessments for advising and should have at least
15. For inquiries about the position, psychologists. We are interested in children and adolescents, such three years of teaching experience
contact Chandan Vaidya, Chair, candidates with a broad range of as ADHD, learning disabilities, at the college level. Applicants
Search Committee at cjv2@ experience to work with patients of and autism. All support services should submit their curriculum or (202) 687- all ages and clinical needs as well are provided. Flexible hours, vitae, a cover letter outlining
4274. Apply at https://apply. as to provide psychological testing no weekends, no on-call. teaching experience, a sample Georgetown if interested.The position offers Qualifications include a PhD or of recent teaching evaluations
University is an Equal Opportunity, excellent pay and benefits such PsyD from an accredited program. and three letters of reference to
Affirmative Action Employer fully as: secure earning potential up to Newly licensed professionals are
dedicated to achieving a diverse $120,000 per year; medical, dental, encouraged to apply. Insurance Applications must be submitted
faculty and staff. All qualified vision coverage, flexible spending credentialing is a plus, but not by March 1, 2017. We are an
candidates are encouraged to apply account (FSA), 401K retirement required. Send vitae to Dr. Melissa Equal Opportunity Employer and
and will receive consideration for plan with company match, liability A. Jones, 4411 Washington Ave. all qualified applicants will receive
employment without regard to race, insurance coverage, and sick pay; Ste. 200, Evansville, IN 47714, fax consideration for employment
sex, sexual orientation, age, religion, W-2 employee status; weekly (812) 479-5014 or email to info@ without regard to race, color,
national origin, marital status, clinical consultation; in-house religion, sex, national origin,
veteran status, disability or other continuing education program; disability status, protected veteran
categories protected by law. highest reimbursement rates in the MASSACHUSETTS status, or any other characteristic
industry; over 300 practice referrals protected by law. We are a
GEORGIA per month allowing for quickly FORENSIC ASSOCIATE: Psycholog- VEVRAA Federal Contractor.
developing and easily maintaining a ical Consulting Services, LLC.
ATLANTA CENTER FOR COGNITIVE stable practice; outstanding billing Established forensic evaluation FELLOW: Post-Doctoral
THERAPY: Join Atlanta Center and administrative support; a warm practice is seeking a doctoral-level, Fellowship in Neuropsychology-
for Cognitive Therapy at Lenox and supportive environment with licensed/license-eligible psycholo- Andover, MA. Childrens
Pointe. Great referral base a beautiful work space; flexible gist in Massachusetts for a forensic Neuropsychological Services:

74 M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7

Positions available for a two- PSYCHOLOGIST III: The Center for doc; five (5) years experience fellowships are highly encouraged
year Fellowship. Fellows will Child and Family Traumatic Stress in providing psychological to apply. Designated fellowships
provide assessments to children, (CCFTS) at Kennedy Krieger evaluation, psychotherapy and are designed to support a bal-
adolescents, and young adults in Institute has a position open supervision; some management anced mix of clinical and research
a private practice environment. for a Psychologist III. CCFTS, experience preferred. The Kennedy training in the specified area,
Supervision and didactic model located in Baltimore, Maryland is Krieger Institute provides an with broader experience in over-
focused on preparing fellows for a Center that uses mental health excellent benefits package that all sexual health care. The general
licensure and certification. First- treatment, training and research includes health insurance, fellowship will have an empha-
year fellows receive a $55,000 to address the negative impacts tuition reimbursement, paid time sis in sexual health care, with a
salary, health insurance stipend, of exposures to neglect, abuse off, and a company-matched smaller amount of time devoted to
and didactic stipend. Second- and violence. For information retirement plan. Individuals research. Fellows will provide indi-
year fellows receive a $65,000 about our program, please go to: interested in learning more about vidual, family, couple, and group
salary, health insurance stipend, our employment opportunities psychotherapy for a wide range of
and didactic stipend. Please visit patient-care/patient-care-centers/ may apply through the Kennedy sexual dysfunctions and problems
the traumatic-stress-center/treatment. Krieger Institute careers page including: relationship and sexual
career page for more information. We are currently seeking a senior at: ; problems, transgender issues, sex-
Application deadline: February level psychologist to supervise Job ID: 2235. Equal Opportunity ual orientation concerns, paraphil-
24, 2017. psychology staff and psychology Employer M/W/Disability/ ias and compulsive sexual behavior.
interns, and coordinate/manage Protected Vet. The clinic serves a diverse group of
MARYLAND projects which they have been patients (an average of 1,300 vis-
assigned. In addition, he/she MINNESOTA its per month), including children,
PSYCHOLOGIST: The Center for will provide direct service to adolescents, minorities, dis-
Child and Family Traumatic clients and have the opportunity PROGRAM IN HUMAN SEXUAL- abled individuals and clients with
Stress (CCFTS) at Kennedy to become involved in research ITY POST-DOCTORAL FELLOWSHIP: chronic medical or mental health
Krieger Institute has a position and/or training. Responsibilities The Program in Human Sexual- problems. The training will help
open for a Psychologist to provide include: fulfills all of the ity at the University of Minnesota the fellow develop skills in address-
assessment and treatment services. responsibilities and duties of a Medical School is one of the larg- ing sexual issues in any clinical
CCFTS, located in Baltimore clinical or counseling psychologist; est clinical, teaching, and research setting and conducting psycho-
Maryland, strongly encourages the provides treatment to clients institutions in the world special- sexual evaluations. In addition to
use of evidence-based treatments, including diagnostic interview izing in human sexuality. We are sex therapy, treatment addresses a
including Trauma-Focused and therapy through individual, inviting applications for one to wide variety of psychiatric disor-
Cognitive Behavior Therapy, and group, family or marital treatment, three postdoctoral fellowships to ders. This kind of diversity makes
Parent-Child Interaction Therapy. in addition, collaborates with join a vibrant team of faculty and for an exciting and stimulat-
The Psychologist will provide public agencies to facilitate postdoctoral fellows for a two-year ing fellowship! Fellows complete
psychotherapy with children who achievement of goals related to program beginning Fall 2017. The a research project that is tailored
have experienced trauma through the treatment plan; maintains primary fellowship opportunity to their own interests. Applicants
physical abuse, sexual abuse, client activity at the projected is the Braun-Harvey Fellowship must have their PhD, PsyD or MD
neglect, domestic and community level set by administrative staff in Compulsive Sexual Behavior. The fellowship helps individuals
violence. The Psychologist I and maintains the medical record Other opportunities involving the gain licensure. Our fellows enjoy a
will also provide assessments of for each client, which includes Ettner Fellowship in Transgender competitive salary, excellent ben-
children along a continuum of diagnostic interview note, ongoing Health and a general human sexu- efits, and a professional travel sti-
screenings to full psychological contact notes, MHP treatment ality fellowship are yet to be deter- pend. Interested candidates should
evaluations. Areas of assessment plan and discharge note; supervises mined; those interested in these send inquiries to: Eli Coleman,
include emotional, cognitive, and conducts performance
achievement, and developmental evaluations for psychology staff/
functioning of referred children. graduate students through
The Doctoral Level Psychologist regular meetings and review of
may also participate in research documentation to address clinical
and training activities. For practice, professional development,
information about our program, productivity, documentation
go to: https://www.kennedykrieger. compliance and time management;
org/patient-care/patient-care- coordinates/manages clinics or
centers/traumatic-stress-center/ projects to which they have been
treatment. Qualifications: Doctoral assigned; assists the Director
degree in psychology from an and assumes leadership with
accredited college, university, or the development of innovative
professional school and is licensed programs, training, and research
to practice psychology in the state initiatives and assists in securing
of Maryland. Must have had at funding, grants, as needed;
least one years supervised post- responsible for administrative
doctoral experience in clinical oversight and supervision of staff
psychological work with children, providing clinical services and
preferably in a community or clinic coordination. Requirements:
hospital setting with children must possess a PhD or PsyD
who are traumatized, severely with emphasis in Clinical or
emotionally disturbed, or who Counseling Psychology; must
have experienced abuse/neglect. be a licensed psychologist in
To apply, go to https://jobs- the state of Maryland; APA- and accredited internship as well one
enter Job ID # 1716. year of supervised experience post

M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7 7 5

Professor and Director, 1300 S. TBI) of varying degrees of sever- the state of New Jersey. Benefits weight suppression and dieting.
2nd St., Suite 180, Minneapo- ity. A significant portion of the include IRA retirement plans, paid The first grant (view abstract here:
lis, MN 55454 or colem001@umn. residents time will involve: super- CEU days, paid vacation and sick is examining
edu. Application instructions and vised patient examination; review time, and holidays. Full-time and metabolic rate, body composition,
more information regarding fel- of records; report writing; didac- part-time positions are available hormonal variables and EMA-
lowship opportunities are available tic interaction; attending medi- with excellent earning potential. based ED behaviors in those
at cal rounds; and research. Interested Contact: Dr. Keith Golin at (888) with bulimia nervosa. The second
The University of Minnesota rec- candidates must have completed all 284-2034. Email curriculum vitae (view abstract here:
ognizes and values the impor- of the course work in fulfillment of to For more n9LCWM) is utilizing f MRI
tance of diversity and inclusion in a doctoral degree in Clinical Psy- information, visit our website at in a trans-diagnostic sample of
enriching the employment experi- chology with a dissertation focus in eating disordered individuals.
ence of its employees and in sup- Neuropsychology (ABDs consid- The position will involve assisting
porting the academic mission, and ered). Successful candidates must NEW YORK with data analysis and manuscript
is proud to be an Equal Opportu- possess the following qualifica- preparation for the first grant and
nity Employer. tions: course work in neuropsychol- CLINICAL PSYCHOLOGIST: helping administer the second
ogy; experience with administration Complement your private practice grant. Post doc will also participate
NEW HAMPSHIRE and scoring of neuropsychologi- or primary job. Work part- in Dr. Lowes long-term research
cal test batteries; internship and/ time with older adults in metro collaboration with the Renfrew
NEUROPSYCHOLOGIST/ CLINICAL or externship training in neuropsy- NYC area (Bronx, Brooklyn, Center and assist with the
PSYCHOLOGIST/POST-DOCTORAL chology; and strong report writ- Long Island, Westchester and preparation of grant applications.
FELLOW: Immediate opening for ing skills. Excellent starting salary Connecticut). We provide quality- Successful applicant will join a
psychologist or postdoctoral fel- (i.e., $37,000-1st year, $42,000- focused treatment, collegial group comprised of other faculty
low to provide evaluations, psycho- 2nd), health benefits and possibility atmosphere, rewarding population, specializing in eating disorders
therapy of children, adolescents and of later advancement. Fax or email flexible schedule and supportive and obesity, post-doctoral fellows,
adults at Portsmouth Neuropsy- curriculum vitae, two letters of rec- supervision (as needed). Contact clinical doctoral students, research
chology Center, a growing private ommendation, and two redacted Dr. Pat Tomasso: ptomasso@ coordinators and undergraduate
practice in Portsmouth, NH. Full reports to Dr. DM Mahalick: (973) volunteers. Excellent quantitative
details: 313-1666 or skills and a background in bio
contact-us/careers. PENNSYLVANIA behavioral models of disordered
PSYCHOLOGIST: Comprehensive eating are desirable. Opportunities
NEW JERSEY Senior Psychological Services POSTDOCTORAL FELLOWSHIP IN for developing independent
is a thriving clinical practice EATING DISORDERS AT DREXEL research program, teaching and
POSTDOCTORAL RESIDENCY: Post- providing psychological services to UNIVERSITY IN PHILADELPHIA: supervised clinical experience
doctoral Residency in Clinical Neu- the geriatric population in long- Fellowship is supported by two toward licensure will be available.
ropsychological (Pediatric and term care, assisted living, day NIMH research grants on eating Further information about Dr.
Adult), Start Date: Sept. 1, 2017 programs and independent living disorders (EDs) in Dr. Michael Lowes research program can
or earlier. This position is within a facilities. As a leading provider Lowes research group. Applicants be found here:
multi-hospital/medical school affil- of geropsych services, we offer an should have completed a PhD Candidates should submit
iated private practice in the metro integrated approach that focuses in Clinical Psychology and have curriculum vitae, a statement
NJ/NY area and involves the exam- on the resident, family and staff. a background and publications describing research and career
ination and treatment of patients Continued growth has created in EDs. Starting date in 2017 is goals and contact information for
suffering from a broad range of neu- positions in Central and North flexible. Both grants are examining at least three references to klg348@
rological disorders (n.b., mostly Jersey areas. Must be licensed in bio behavioral consequences of Questions regarding
this position can be addressed to The closing
date for applications is March 31,

Join our team!

2017. Applications from women
and minority groups are strongly
encouraged. An Affirmative
Action/Equal Opportunity
Samaritan Health Services is In this position, you will:
offering opportunities for full-time Consult and collaborate on a multidisciplinary team,
health psychologists at several providing integrated on-site care, recommendations
outpatient primary care clinics TEXAS
and feedback to medical providers and staff
in Oregon. Independently practice in a BHC model to deliver brief FULLY LICENSED PSYCHOLOGIST,
These openings are for an integrated consultation-based services with a focus on general NEUROPSYCHOLOGIST, LCSW,
health psychologist to provide brief behavioral health services in a primary care context LPC: The Ludden Group, P.C.
behavioral health services in Youll enjoy many benefits, including: has over 30 years of experience
a fast-paced primary care and is a Christian Private
Competitive compensation and benefits Practice Group of Independent
environment. Medical malpractice and CME Contractors. Nursing home work
Relocation assistance and starting bonus full or part time. Psychological
assessments, office and nursing
home testing, and psychotherapy.
Located in Rockwall, Dallas,
TX area. Part-time and full-
time positions available. Salaries
are on a contract basis. Apply by
For more information, please visit emailing your curriculum vitae to
or contact Annette Clovis at

76 M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7

VIRGINIA ginia region. The successful can- Experience with treatment of seri- munity of Marion, Virginia. The
didate will be capable of working ous mental disorders is strongly area is known for its high quality
PSYCHOLOGIST SENIOR: South- collaboratively with other clinical desired. Entry level profession- of life, low cost of living, beauti-
western Virginia Mental Health disciplines in a fast-paced treat- als with a commitment to assist- ful mountain scenery and abundant
Institute (SWVMHI), part of ment environment, where improv- ing individuals in their recovery outdoor recreational opportuni-
the Commonwealth of Virgin- ing the quality of care is viewed as are encouraged to apply. A doctor- ties. Applicants must complete
ias behavioral health system, is a continual process. SWVMHI ate in clinical psychology or doc- an online application by visiting
seeking qualified candidates for a seeks an applicant with strong umented equivalent and eligibility our hospitals website and clicking
clinical psychologist position (Psy- skills in providing psychological for licensure as a Clinical Psychol- on the Human Resources page at
chologist Senior), to collaborate assessment, group and individual ogist in Virginia is strongly pre- or
as a member of an interdisciplin- therapy, and behavioral interven- ferred. Supervision for the year of you may call a member of Human
ary team providing care to persons tions and consultation. Psychol- post-doctorate residency required Resources at (276) 783-1204. A
with a variety of types of mental ogists play a major role on the for Virginia licensure can be pro- $5,000 sign-on bonus is available,
health needs. SWVMHI is a pro- treatment team, particularly in risk vided. SWVMHI is located in and a moving/relocation allowance
gressive inpatient facility whose assessment and risk management. the safe, family-oriented com- may be available.
mission is to promote mental Psychologists also conduct foren-
health by assisting people in their sic evaluations. Training in foren-
recovery in the southwestern Vir- sic evaluations will be provided.


ADVERTISING INDEX General advertising policy as well as guidelines for use in

composing and responding to classified advertisements
to be placed in the Monitor on Psychology and PsycCa-
APA Advanced Training Institutes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72 reers, APAs Career Center can be found online at http://
APA Books

Career Resources. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
New Releases January/February 2017. . . . . . . . . . . . . . . . . . . . . . . . 79 Academic institutions under censure by the American
Association of University Professors (AAUP) are identi-
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M O N I TO R O N P S YC H O LO G Y F E B R UA R Y 2 0 1 7 7 7
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Nearly three-quarters of American adults consider themselves
lifelong learnersheres why

74% The percentage of U.S. adults who have done at least one activity in the past
year to learn about a personal hobby or interest. That includes 58 percent
who read a how-to publication, 35 percent who attended a club or meeting,
30 percent who attended a convention or conference, 25 percent who took
an in-person course and 16 percent who took an online course.

The percentage of those personal learners who
The percentage of U.S. workers who have taken
say that learning helped them feel more capable a professional class or training in the past year. Of
and well rounded. Also, 69 percent say it opened up those, 65 percent say their learning expanded their

new perspectives about their lives, 64 percent say it professional network, 47 percent say it helped them
helped them make new friends and 58 percent say advance within their current company, 29 percent say
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local community. helped them consider a different career path.

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