The Michigan Psychologist - Michigan Psychological Association

Transcription

The Michigan Psychologist
A Quarterly Publication of the Michigan Psychological Association
2nd
Quarter
2009
A
Two Companies Win MPA
Psychologically Healthy Workplace Award
2008 American Psychological Association poll of American
employees found that 74 percent were experiencing significant
stress on the job. Two-thirds of U.S. employees say work has a
significant impact on their stress level, and one in four has called
in sick or taken a “mental health day” to cope with their stress.
Furthermore, the stress that workers experience costs the U.S. $300
billion a year in absenteeism, employee turnover and direct medical,
legal, and insurance fees.
As owner and president Dan Hall accepted the award, his comments
were inspirational given the challenging business and automobile
industry climate. Acknowledging the depressing climate, Hall said
that despite the problems in the automobile business he and his
employees are “not allowed” to engage in such negative feelings
as fear. As a result of both the treatment of employees and their
exceptional customer service, Pinckney Chrysler Dodge Jeep has
been ranked in the top one percent of Chrysler dealerships for the
past nine years.
The second company to receive the Psychologically Health
Workplace Award was Macrovision Corporation. Starting out as a
company called All Media Guide in 1991 in Big Rapids, Michigan,
it was acquired by Macrovision in 2007 and moved to Ann Arbor.
Braciszewski described Macrovision, a data service provider begun
as a business cataloging the increasingly expansive world of
recorded music, as a company that has a free EAP program for its
employees. In addition, the company pays half of each employees’
gym membership and provides each individual a $5,250 educational
allowance annually.
Because of these kinds of workplace pressures, the Michigan
Psychological Association instituted their Psychologically Healthy
Workplace Award and made the first award in 2006. The newest
Michigan companies to be recognized with this award were presented
at the 2009 Spring Convention on April 24, 2009. The dual awards
this year went to Pinckney Chrysler Dodge Jeep, a car dealership in
Pinckney, Michigan, and Macrovision Corporation, a media services
company located in Ann Arbor, Michigan.
In making the presentation to Pinckney Chrysler Dodge Jeep, Terry
Braciszewski, Ph.D., Chair of the Psychologically Healthy Workplace
Task Force, said that the auto dealership has a very low turnover rate
Michigan Psychologists
Given Awards
T
he 2009 Annual Spring Convention saw several psychologists
being presented awards by MPA. Among the honorees were
Past Presidents Awards to 2007 MPA President Carol Ellstein, Ph.D.,
and 2008 MPA President Karen Colby Weiner, Ph.D.
The Beth Clark Service Award recipients were Steven Ceresnie,
Ph.D., Jack Haynes, Ph.D., and Kristin Sheridan, Ph.D. In presenting
this award, Charles Clark, Ph.D. noted that the three honorees
“have honored us far more than we have honored them.”
Awarded fellowship status in MPA were Mark Vogel, Ph.D., Donna
Kelland, Ph.D., and Carol Schwartz, Ph.D.
The Distinguished Psychologist Award, which is given annually to
continued on page 13
Drs. Kristin Sheriden, Jack Haynes, and Steve Ceresnie
received the Beth Clark Service Award at the
Spring Convention.
continued on page 10
Will Myers, Courtney Myers, along with Lori Hall and Don
Hall receive the Psychologically Healthy Workplace Awards
from Dr. Terry Braciszewski (far right)
Dr. Jo Johnson receives Distinguished Psychologist Award
from President Dr. Jeff Andert
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2
2nd Quarter 2009
From the Office of the President
Our MPA
Strategic Plan
Jeff Andert, Ph.D.
A
review of the history of strategic planning by MPA reveals a
present economic climate. In discussion with leaders of other state
pattern of a study and plan by the Board about every decade
psychological associations, these objectives are common to all.
to provide direction for our association. A planning process in the
Our current strategic plan specifies the importance of MPA as
late 1980’s produced 16 Long Term Goals adopted in 1987 to foster
a source of public education regarding mental health issues in our
the development of MPA through increased visibility, membership,
state. MPA has been recognized for past initiatives in this regard
organizational efficiency and finances. A similar planning retreat in
and our efforts have increased significantly with the establishment
1999 resulted in a strategic plan with four initiatives: 1.) Create an
of MPAF whose explicit purpose is public education. Finally, we
effective working council, 2.) Create an effective staff, 3.) Recruit and
have specifically stated the intention of MPA to foster and protect
retain members and 4.) Stabilize financial resources.
the role of psychologists as legislative efforts increasingly impinge
Given the passage of nearly another decade and significant
on our discipline.
developments in our association in recent years, it was timely to
The Board continues to identify specific strategies for goal
revisit our organizational plan. In order to have a plan in place for
attainment. I have requested MPA committees to identify their roles
2009, I requested the MPA Board of Directors to hold a strategic
in the accomplishment of these organizational goals. The Board will
planning session in November 2008 with the purpose of defining
report on progress toward these goals on a routine basis. A recent
our success over the next three years. The Board planning session
review over the first half of 2009 identified some progress toward
provided an opportunity to identify an organizational vision and
most goals and work that needs to be done on virtually every goal. As
align the association toward common goals. Additional steps in
we strive to meet our definition of success as an association, dialogue
the planning process included the identification of best practices,
and input from members will be of great benefit in developing our
resources available to MPA, and potential factors impacting the
strategies. Please share your observations and suggestions regarding
accomplishment of strategic goals.
the MPA goals with myself at [email protected] or our Board
As a result of this process, the Board developed a single statement
members.
defining the success of MPA:
The strategic plan developed and adopted by the Board consists
of the following strategic goals:
I. MPA shall experience consistent and sustainable growth in
membership
The Michigan
II. MPA members are engaged in the organization and its efforts
Psychological Association has a
III. A training and development program for leadership is in place
growing, engaged membership that is
for the organization members and staff
secure in its future and is recognized
IV. A success plan is in place for the Executive Director
as the resource by legislators, the
public and professionals
V. Public education and public relations are built into the
infrastructure of MPA and the Michigan Psychological
throughout the state.
Association Foundation (MPAF)
VI. MPA shall maintain fiscal viability
VII. MPA shall promote a clear and accepted definition of
“psychologist” in the state of Michigan
There are remarkable consistencies in the prior MPA strategic
plans and our recent goals. Recruitment, retention, and engagement
of members are necessary for the growth of a professional association.
These concerns prompt discussions regarding the services MPA
Theoffers
Michigan Psychologist
its members and the benefits of participation. While the intention to
develop leaders within the organization was implied in prior plans,
we have explicitly stated the importance of identifying and training
early career psychologists for future leadership roles. Financial
stability is always a concern and takes on added importance in our
2nd Quarter 2009
3
APA National Stress
Poll Results Awaited
Ronald E. Bachman, FSA, MAAA and APA Practice Organization Staff
Jan Tomakowsky, Ph.D.
O
ctober will mark the release of APA’s newest national poll gauging
the impact of stress on American citizens. The information in
past polls, particularly in 2007, was found newsworthy throughout
the entire year by dozens of major news outlets throughout the
country. MPA will promote the results locally as one of the highlights
of our own public education media campaign.
Although some of us may think that there is little news in talking
about stress, APA’s marketing gurus have determined that this is
currently the most effective vehicle in conveying messages to the
public about psychology and the role that psychologists play.
If you have an ongoing relationship with a local media outlet
and would like to help promote the dissemination of the survey
results, please contact the Public Education Committee. We are also
looking for assistance from the MPA membership with developing
the media campaign throughout Michigan, so please let us know
if you are interested. We welcome committee participation – inperson meeting attendance is not required if you’re are comfortable
conferencing with the committee from your phone (preferably a land
line for clarity of reception).
Contact Jan Tomakowsky (248-543-2430 or [email protected]) or
the other committee members, Art Luz, Mark Vogel,
Tere Lynch, Steve Craig, or Judy Margerum, for more information.
Michigan Public Education Committee Update
O
Judy Margerum, Ph.D, Public Education Committee Chair
ne of the goals of the Public Education Committee is to get
psychologists in the public eye to reduce the stigma related
to seeing a psychologist and to educate the public on the value of
psychology in dealing with daily problems such as stress.
So far this year psychologist Steven Craig, Psy. D., has been
interviewed by Newsweek, The New York Times, and The Polish
News about the effects of the economy on mental health. Better
Homes and Gardens recently interviewed me about how to talk with
your children about the loss of a job and financial stress. I expect
psychology to continue to be in the news as long as the economic
stress continues.The Michigan Psychologist
The APA continues it’s Mind-Body campaign this year and our
committee just presented a program to Wayne State University on
psychological factors in cardiac health and public outreach. Mark
Vogel, Ph.D., Tere Lynch, Ph.D., and Jan Tomakowsky, Ph.D., did an
amazing job and it was very well received. We will have presented
the same program at Eastern University by the time you have read
this. Our hope is to get new psychologists excited about doing
public outreach and at the same time being involved in our state
organization and our committee.
Opportunities for outreach at local YMCA’s are in the works
as well. The Public Education Committee is always looking for
more individuals who are interested in public outreach, media
Psychologist
work, or helping to send out press releases! We meet monthly via
teleconference for those far away or in my office in Southfield. Don’t
hesitate to call for more information!
Contact Chair Dr. Judy Margerum at
[email protected] for more information.
I
n 2008, Congress passed legislation that requires private health
insurance plans to provide equal coverage for mental and physical
health. The Paul Wellstone and Pete Domenici Mental Health Parity and
Addiction Equity Act of 2008 (Wellstone-Domenici Parity Act) was passed
with the intent to improve access to appropriate treatment for people
suffering from mental health disorders and extend equal coverage to all
aspects of health insurance plans. The act preserves existing state parity
and consumer protection laws while extending protection of mental
health services to those not protected by state laws. The WellstoneDomenici Parity Act was designed to include mental health coverage for
both in-network and out-of-network services. The law applies to groups
with more than 50 employees and goes into effect January 1, 2010.
More than 57 million Americans suffer from a mental health disorder,
according to the National Institutes of Mental Health. A 2008 nationwide
survey by Harris Interactive in conjunction with the American
Psychological Association found that 25 percent of Americans do not
have adequate access to mental health services and 44 percent either do
not have mental health coverage or are not sure if they do. Additionally,
a 2006 survey by the Substance Abuse and Mental Health Agency reports
that 49 percent of U.S. adults with both serious psychological distress
and a substance use disorder go without treatment.
The Wellstone-Domenici Parity Act will provide coverage for treatment
of many psychological ailments and mental health disorders including
depression, anxiety and panic disorders. It can also include treatment
for trauma victims suffering from post traumatic stress disorder, teenage
girls fighting to survive anorexia or bulimia, new mothers struggling
with post-partum depression, children suffering from attention-deficit
hyperactivity disorder and many people struggling with alcohol and
substance use problems.
Research shows that physical health is directly connected to emotional
health and millions of Americans know that suffering from a mental
health disorder can be as debilitating as any major physical health
disorder. Passage of the Wellstone-Domenici Parity Act will lead the
health care system in the United States to start treating the whole
person, both mind and body.
Mental health disorders cause more days of work loss and on-the-job
impairment than many other chronic conditions such as diabetes, asthma
and arthritis. Approximately 217 million days of work are lost annually
due to productivity decline related to mental illness and substance abuse
disorders, costing U.S. employers $17 billion each year. In total, estimates
of the indirect costs associated with mental illness and substance abuse
disorders range from a low of $79 billion per year to a high of $105 billion
per year3 (both figures based on 1990 dollars).
To optimize the organizational value when implementing the
Wellstone-Domenici Parity Act, health plans should review their
benefits design and the various ways mental health services are
accessed, delivered and paid for. Federal implementation guidelines
for the Wellstone-Domenici Parity Act will not likely be available until
the fall of 2009 and follow-up questions and answers will likely stretch
into 2010.
4
gan
An Employer’s Guide to
the Mental Health Parity
and Addiction Equity Act By
This is an edited version of Dr. Bachman’s article. To read it in its entirety,
including 15 recommendations for employers, please go to the MPA website.
2nd Quarter 2009
Executive Director’s Report
Grassroots Advocacy
Needs You
Judith Kovach, Ph.D.
Executive Director
L
ast month we sent out two broadcast e-mails asking approximately
Why is it important to do this at the state level? Because state
1000 MPA members to send a brief e-mail message to the Speaker
legislation in numerous areas affects every MPA member – and nonof the House in support of mental health parity.
member psychologist -- in Michigan. The MPA works to ensure that the
legislature makes informed choices in these areas. In 2009, we have
We made this request in partnership with Michigan Partners for
provided testimony and background information on parity costs and
Parity. Less than 10% of the MPA membership responded. Since the
discrimination, jail diversion, second parent adoption, anti-bullying,
message and the Speaker’s e-mail contact information were embedded
scope of practice issues, Medicaid inclusion for insurance company
in the broadcast e-mail, sending a message to Speaker Dillon took less
accountability, autism insurance coverage, psychotropic formularies,
than two minutes. We know these messages were effective. The Speaker
continuing professional development, and proposed changes in our
wrote to those who sent messages and said that he has “received a
licensing law.
large volume of correspondence [not just from MPA] on this issue
with many people expressing their disappointment with the House of
If we do all this, why do we need grassroots advocacy too? The answer
Representatives voting on Autism Spectrum Disorder legislation (HB 4476
is simple. MPA does not go to the polls and vote, MPA speaks on behalf of
and 4183) without addressing mental health parity.” He further stated
its members who do vote. But sometimes it is necessary to demonstrate
that “an agreement has been reached and House Bills 4597 - 4600 will
to legislators and policymakers that real people – real constituents – are
be brought to the House floor for debate and vote in the near future.”
behind the advocacy agenda. That is when we call on you to validate what
There is no doubt that these two sentences indicated a cause and effect
a single person – generally me – has presented on behalf of community
relationship.
members collectively asserting their rights and influencing people to
change policies or practices to benefit their community. And have no
Advocacy is defined as “the act of pleading or arguing in favor of
doubt, we are a community. We may disagree on many issues but there
something, such as a cause, idea, or policy; active support.” Grassroots
are many more on which we can speak collectively and individually with
advocacy is defined as “community members collectively asserting their
one voice.
rights and influencing people to change policies or practices to benefit
their community.”
Community organizers consistently state that successful advocacy
requires community participation at all stages. Even though advocacy
MPA advocates on behalf of psychologists and mental health issues
starts with one or two people, it requires a large number of community
affecting the public welfare. We have an admirable record in that regard.
members to be successful. So, once again, I ask each and every
MPA also has a role in encouraging and directing grassroots advocacy.
MPA member reading this column to be an active part of the MPA
I am less sanguine about our success in that area. I have spent a lot of
advocacy agenda. And, as always, I welcome your individual thoughts
time lately wondering why only 75 members thought taking a couple
and comments on any aspect of that agenda at executivedirector@
of minutes to contact the Speaker was worthwhile. I know that mental
michiganpsychologicalassociation.org.
health parity legislation is important to psychologists, so the lack of
grassroots actions isn’t based on the importance of the issue. As the
example above indicates, grassroots communication does matter.
If you would like to comment on my column or share other
ways in which MPA can better serve you, please feel free to
To those who may have thought otherwise, please remember this next
contact me at 248-302-6774 or by e-mail at executivedirector@
time we ask for support. Grassroots advocacy works! If there are other
michiganpsychologicalassociation.org at any time.
reasons why members don’t take the opportunity to advocate, please
share them. Perhaps, MPA has to change how we are advocating for you
to be involved. Maybe
requesting
pr urging you to be involved to
The simply
Michigan
Psychologist
plead or argue in favor of something important to you is not an effective
way to go about this. If there’s a better way, I’d like someone to tell
me.
The Michigan Psychological Association advocacy agenda focuses on
expanding the recognition of psychology’s scientific and professional
contributions and achievements to promote human welfare. Among
its primary objectives are the enhancement of state support
for
The Michigan
Psychologist
psychological services and establishing training and licensing standards,
and the application of psychological research to inform policy aimed
at addressing public interest concerns. In support of this goal, MPA
sponsors an advocacy program that is the largest and most visible
Michigan presence advocating for psychology.
2nd Quarter 2009
5
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2nd Quarter 2009
The Big Question is an exclusive feature of The Michigan Psychologist. Each year one question of significance to psychologists
will be asked and answers to the question will be solicited from both Michigan and national psychologists. Each quarterly issue
of the newsletter will highlight several responses. If you are inspired by The Big Question, then send your response to the question to Jack Haynes at [email protected] for consideration.
The Big Question for 2009:
If you could have dinner with a psychologist of note (present or past) who
would you choose, and what would you like to talk about?
My first choice would be Abraham Maslow. Since all of us know about his famous hierarchy of needs pyramid and his concept of selfactualization, I would put those aside for the evening and talk to him about his childhood. Although stories about uneducated Jewish immigrants who push their children to succeed academically have been told before, I believe Maslow, as a brilliant psychologist and member of
the intellectual elite, should give a keener glimpse into the dynamics. I would like to be regaled by someone with insight as well as humor.
Maslow may have led a “crusade for humanistic psychology”, but I hear he could tell a good story, too.
Sarah Brotsky, Psy.D.
I’d share a meal with Dr. Martin Seligman, who many call the father of positive psychology. We’d start with the basics by discussing his
recipe for optimal human functioning, then discuss the top three steps to move people in that direction. I’d wonder how he deals with a
“bad day” and what he recommends to people on how to stay positive in this economy, especially when people are losing their houses and
jobs. Then I’d ask him how he’d fix the Lions, in the event he was hired as a consultant to the team.
Jeffrey Betman, Ph.D.
I would like to have dinner with Carl Jung, and talk with him about fame. In the past, one became famous based on one’s achievements.
Famous individuals had to be kings, gifted generals, heads of states, or produce an art masterpiece. Then it became enough to be a movie
star. Just playing a role in a movie was enough to have people practically worship you. Now it is enough to just be on TV, to be a “Joe the…”
and you are famous. I would like to ask Jung what is it, in his opinion, regarding our collective unconscious that drives this trend.
Gabriela Eyal, Ph.D.
I would love to have lunch with Viktor Frankl. I continue to be amazed that even after his experiences in death camps, he continued to
develop a therapy where the cornerstone was the search for meaning in one’s life. I would love to hear his views on our current culture
and the high rate of depression. Meaning and purpose may be even more elusive than in Frankl’s time and I wonder what thoughts he might
have for us today.
Judith Margerum, Ph.D.
William Cruickshank, professor emeritus from three Departments at the University of Michigan -- Psychology, Public Health, and Education – is considered to be the “father” of the field of learning disabilities. He was an internationally recognized expert in the field and also
a kind and wonderful human being. He made his life of service to others. He raised three fine daughters and was married to his beloved
wife, Dorothy, for decades. If I could have the opportunity to have another dinner with Bill, I would enjoy the moment. I would appreciate
the time that is fleeting for us all. And most importantly, The
I wouldMichigan
want advice from
the master about the fine art of caring for others “in the
Psychologist
moment” -- paying undivided attention to the person in the present, reaffirming their sense of who they are and what they can be. It is that
genuineness that made him a remarkable psychologist, educator, and person. And, we would finish our dinner with a glass of Port.
Terry Braciszewski, Ph.D.
2nd Quarter 2009
7
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All CAM Charges, Taxes and Insurance Included
Contact: Fred Erlich at David M. Tisdale and Company
248-626-8220
[email protected]
gan Psychologist
8
2nd Quarter 2009
Adrenal Function &
Psychological Symptoms:
Highlights and Clinical Practice Tips
Russell Ames, Ph.D.
I
n my last column, I discussed endocrine system problems related
to thyroid function. In this column, dysregulation of adrenal
function is the topic. Like thyroid problems, adrenal malfunction
presents with significant psychological symptoms. Additionally,
psychotropic drugs can affect adrenal function causing problems
for patients.
The adrenal system is composed of the Hypothalamus-PituitaryAdrenal Axis (H-P-A). The hypothalamus secretes corticotrophin
releasing hormone (CRH) which carries a message to the anterior
pituitary gland to release ACTH (adrenocorticotropic hormone)
which carries a message to the adrenal gland to release hormones;
corticosteroids from the adrenal cortex (glucocorticoid – cortisol, and
mineralocorticoid - aldosterone). The amount of corticosteroids in the
blood stream serves as a feedback mechanism to the hypothalamus
and pituitary regarding need for more CRH or ACTH.
Corticosteroids affect every organ and tissue in the body including
stress response, blood pressure maintenance, immune system
inflammatory response, insulin balance, regulation of protein,
carbohydrate and fat metabolism, maintenance of arousal and sense
of well being.
Two medical conditions result from impaired adrenal system
function: 1) Primary Adrenal Insufficiency or Hypocorticism, which
leads to Addison’s disease; and 2) Cushing’s disease or Hypercorticism
which leads to elevated cortisol levels. The remainder of this column
will focus on Addison’s disease leaving a discussion of Cushing’s for
next time.
Addison’s is relatively rare with perhaps as few as 60 people in
one million contracting the disease. Onset typically occurs between
ages 30 to 50. Medical diagnosis usually involves two types of tests:
1) Blood tests that measure levels of sodium, potassium, cortisol,
and ACTH in the blood stream, and 2) The ACTH Stimulation Test
which measures the level of cortisol in the blood before and after
an injection of synthetic ACTH. Since ACTH signals the adrenals to
release cortisol, low or non-existent production of cortisol supports
an Addison’s diagnosis. Treatment involves hormone replacement
therapy.
3. Psychosis manifested by social withdrawal, irritability, negativism,
poor judgment, agitation, hallucinations, paranoid delusions,
and even bizarre or catatonic posturing in 20 to 40 percent of
Addison’s patients.
4. Perceptual disturbances involving increased sensitivity with
impaired recognition and interpretation of auditory, tactile,
gustatory, and olfactory stimuli.
Most of the above symptoms disappear a few days after therapy
has begun, but psychosis may persist for several months after steroid
replacement therapy has started.
Depressed and/or anxious patients, without Addison’s or Cushing’s,
often have an overproduction of the “stress hormone” cortisol.
Part of the improved psychopathology seen with antidepressant,
anti-anxiety, antipsychotic, and some mood stabilizer drugs occurs
because these drugs inhibit, attenuate, or otherwise reduce the
elevated cortisol levels. However, one side effect of these drugs
can be adrenal insufficiency that mimics Addison’s disease. In such
cases the Medical Psychologist needs to perform a careful workup and may need to collaborate with the prescribing physician.
Specific drugs that have been studied for these effects have been
tricyclic antidepressants, alprazolam, Quetiapine (Seroquel), and
Valproate.
Note: Primary resource for the technical information in this column
is: “Topics in Endocrinology,” presentation by Gregory Allen Moffitt,
MD, at the 2009, APA, Division 55, Midwinter Conference.
If you’d like to ask more questions of Dr. Ames or share an
interest in Rx training, contact him at [email protected].
Nonetheless,
members of the middle class
do sometimes turn to suicide if they lose
their jobs, and suicide rates tend to go up when the
unemployment rate rises. “At lower [economic] levels,
people worry about their jobs. Their identity isn’t attached to
their wealth, but it is attached to them being providers for their
families,” says Craig. In Detroit, where he practices, he’s seeing
Psychological manifestations of adrenal insufficiency include:
very high levels of anxiety and worry among his patients. “If it
gets worse or continues to stay bad, I would expect us to have
1. Memory impairment that can progress to confusion, delirium,
higher levels of severe
and stupor.
Steve Craig, Psy.D., MPA member
2. Depression manifested by apathy, poverty of thought and
Quoted in Newsweek
initiative in 20 to 30 percent of patients.
2nd Quarter 2009
9
Combat Veterans,
PTSD and Rural Migration
Deb Smith, Ph.D.
N
ot really knowing what I was signing on for – as is so often the
case – I became one of the local providers conducting evaluations
for veterans seeking disability from the Veteran’s Administration. This
activity was an outgrowth of my experience in treating combat veterans with PTSD. Since signing on, I’ve evaluated an average of three
veterans a week – 90 percent for PTSD symptoms and the remaining
10 percent for other mental disorders.
It has been a privilege to serve the men and women from the WWII,
Korean, Vietnam, Desert Storm, Afghanistan, and Iraq wars. In addition to the privilege of being given a glimpse of what life was like in
combat or as a POW, and the return to civilian life, I have noticed
many patterns. One pattern in particular is fascinating in terms of the
impact on rural practice for psychologists.
One of the major impacts for combat veterans with PTSD symptoms
is hyper-arousal, vulnerability to over-stimulation, hypervigilance,
hyper-alertness, and distrust. What have veterans done to adapt to
these symptoms and resulting problems? Many move to rural communities. Those raised in urban areas seek rural, less crowded areas.
Veterans from rural areas move further from community centers to
isolated “camp” type environments. They assiduously avoid driving or
visiting populated centers -- even downtown Marquette (!) -- because
of the incredible discomfort it creates for them.
Another reason given by vets for this self-selected isolation is to
protect us civilians. A combat veteran’s greatest fear is that his arousal
– irritability, anger, and rapid fighting response – will get so out of
control that someone will get hurt. They already know they can hurt
someone; often they have the medals and ribbons to prove it. They
live in unremitting fear that they will act with the same automatic
fight mechanisms they learned so well; only they will act it out toward
someone they love or an innocent bystander. And so they withdraw
even further into the hinterlands onto huge fenced acreages, security
lights on every fence post, one road in observable from every room,
and no neighbors
within
miles. RuralPsychologist
vets, and maybe urban vets as
The
Michigan
well, live with guns loaded and within easy reach no matter where
they are.
So what does that mean for psychologists practicing in rural areas?
First, when vets do finally come out of the woods because distress is
unendurable they will come to us. They are not likely to go to the VA
(although this may be changing with the current crop of vets) because
they associate the VA with government and something to be distrusted
and avoided or more simply because a VA treatment facility is too
far away. As a result we must become skilled in teasing a history of
combat service out of the myriad of presenting problems – relationPsychologist
ship, substance abuse, depression, anxiety or anger issues. We must
become skilled at treating PTSD within the context of these other
issues whether we believe we treat PTSD or not. We have to learn to
work with a higher level of distrust and resistance than we are likely
to see in any other patient population simply because “you weren’t
there so you can’t know or understand what it was like for me.”
Second, we must be prepared to handle all of the veteran’s issues
and the issues of those important to him. Developing trust with a
veteran is a long, arduous path. It takes incredible patience, tolerance
for unremitting rage and anger, being discounted as having anything
worth offering and seeing little progress despite your best efforts.
And yet the highest honor, in my life story, is to be granted the trust
of a combat veteran. But once trusted, be prepared to be viewed as a
trusted “friend” to whom the vet refers everyone of any importance to
him or her. We have to become skilled at managing ethics, boundaries,
and dual relationships because there are few resources available.
Third, self care becomes integral to survival as a psychologist treating vets in rural communities. As veterans begin to tell their stories
of trauma initially endured, you are likely to relive it with them. At
least twice a week I hear, “I have never told anyone the things I’m
telling you.” Sometimes I wish they hadn’t because for psychologists
compassion fatigue and secondary traumatization are high risks and
must be recognized and treated. Only through monitoring our own
psychological health can we remain available and beneficial to our
clients – whether they’re a vet or a non vet.
Finally, these cases have presented some of the thorniest ethical
dilemmas I could ever have imagined – often with literally no possible choices that will result in positive outcomes. But that’s another
story.
You can contact Dr. Deb Smith at [email protected]
Two Companies Win MPA
Psychologically Healthy Workplace
Award...continued from pg 1
and that most employees have worked for the company for at least
10 years. Braciszewski described the company as having a “culture
of respect” while placing high value on communication with its staff.
The company, Braciszewski also said, has an open door policy to
assist its employees with their “financial and emotional needs.”
Company spokesperson Will Myers accepted the award and said
that despite being bought out by a national company (Macrovision
Corporation) in 2007, and despite the anxiety and fears that often
accompany a buyout, the company has been able to continue to
foster the satisfaction and development of its employees.
Both Pinckney Chrysler Dodge Jeep and Macrovision Corporation
will go on to compete at the national level for Psychologically
Healthy Workplace Awards through the American Psychological
Association.
Terry Braciszewski, Ph.D., and the Psychologically Healthy
Workplace Task Force, always welcome nominations for businesses
for consideration for the award. He can be contacted at drterry@
annarborrehab.com.
10
gan
Rural Reflections . . .
2nd Quarter 2009
Book Review
Healing Depression the Mind-Body Way
By Nancy Liebler, Ph.D. and Sandra Moss, M.S.P.H.
Wiley 2009
Reviewed by Stephen Fabick, Ed.D.
J
of these types of depression.
ack Haynes asked me to review this book because I use meditation
with some clients in my practice. I’ve also done a fair amount
At first I was surprised that there was no depression screening test
of yoga but don’t claim to be very knowledgeable about it and
in the book even though there were several other questionnaires in
am a complete novice in terms of Ayurveda. So in many ways this
the book. But the authors’ perspective is that following the wisdom of
book described some perspectives that were new and novel to me.
the Vedic sages will lead to healing and health regardless of whether
However, the book’s subtitle, “Creating happiness with meditation,
one is depressed. I suppose the idea is that you don’t have to be
yoga, and Ayurveda,” is an accurate summation of its contents.
sick to get better. The key self-assessment section at the end of the
The following excerpt exemplifies the author’s holistic approach,
book was devoted to helping the reader discern their own energy
“Depression was once considered an ailment of the spirit; only in
imbalances and provide options to counter them.
modern times has it been relegated to a chemical imbalance in the
Overall, I think the authors offer unique perspectives and useful
brain.” The authors conclude, “To make the psychophysiological
treatment steps for the clinician, as well as a more profound paradigm
shift that is required to end the tyranny of depression, however,
shift for those who are interested in going more deeply into this
our culture must adopt a paradigm that results in interventions that
approach which is quite different from the our Western training.
delve deep into our very essence -- consciousness. In order for this
to happen, a consciousness model of the human being must replace
the current mechanistic model.”
Contact Dr. Stephen Fabick at Fabick Consulting,
The author’s focus on creating vitality and happiness as ways
Birmingham, MI [email protected]
to inoculate one from future depressions is in line with a positive
psychology approach even though the principles of Ayurveda,
meditation, and yoga were developed several thousand years ago.
This book details how such ancient Ayurvedic principles have
been validated by quantum physics. But since this is not an academic
text, citations are limited to other like-minded authors, not physics
journals or books. Nor are citation provided to support the following
statement: “A study published in the Journal of Clinical Psychology
in 1989 investigated more than a hundred stress management and
relaxation techniques to determine if they reduce anxiety with equal
effectiveness. This meta-analysis…found that the TM technique
reduced anxiety more than twice as much as any other technique.”
On the one hand, in my dissertation research comparing Mantra
Karen Weiner, Past-Presient
Meditation to systematic desensitization and cognitive modification,
all three were significantly more effective in anxiety reduction
s Past-President of MPA, one of my charges is to organize our
compared to controls, and the meditation group was also twice as
next election of officers. The offices that will need to be filled
effective as the other two experimental groups. Yet, I used a technique
for 2010 are President-Elect and treasurer. I ask that each of you
more like Harvard cardiologist Herbert Benson’s Relaxation Response
consider the importance of participating in MPA leadership, and
than TM, i.e. subjects were all given the same mantra and it therefore
consider weather you or someone you know might be ready to step
was not, as TM contends, geared to their unique vibratory pattern.
up to the plate. Thesuccess
Michigan
I’ve tried, without
so far, toPsychologist
locate the article cited by the
What is required of MPA officers? There are six MPA Board meetings
authors to see if Benson’s approach was included in the meta-analysis
per calander year. These take place every other month on the
since he has 40 years of research showing its successful reduction of
third Wednesday (9am to noon) in Lansing. There are also monthly
the physical and emotional indicators of stress.
Executive Committee (EC) meetings that take place on the first
Wednesday morning of each month (9:00 am to about 11:00 am).
While most research and clinical applications of meditation and
The EC meetngs are held over a bridge line on the telephone so
of yoga for mental health purposes have focused upon anxiety
those attending can do so from the comfort of their own homes or
and stress reduction, the authors do make a solid case for their
offices. efficacy with depression. In part they do so by describing
the
link
The Michigan
Psychologist
between chronic stress and the development of depression as well
Please do not submit anyone’s name without their permission. as seeing both anxiety and depression as signs of energy blockages
Thanks.
and disharmony with the “rhythms of nature.” They describe three
Karen Weiner, Ph. D.
types of depression according to the Ayurvedic model. In addition
Nominations
for
MPA Officers
A
to chapters on meditation and yoga, there are chapters on the role
exercise, sleep, nutrition, and breathing play in the reduction of each
2nd Quarter 2009
11
Small, private practice in southern Michigan is looking to hire a licensed psychologist
who could work several evenings in addition to
day time hours. Saturday morning appointments
would also be welcome. Eventual partnership or
buy-out would be a possibility. Contact Dr. Jan
Lazar. 269-781-0157. Bloomfield Hills: Two great window offices
for rent. One office (A) is approximately 11 x14, and
one office (B) is approximately 9 x11 in an attractive 5-office professional suite. Perfect space for a
psychologist, psychiatrist, social worker or attorney/consultant. Waiting room, fax, copier, and free
parking. Wireless internet, phone answering and
supervision available. Located at 40700 Woodward
at Long Lake Rd in beautiful Bloomfield Hills, Michigan. Greatly reduced competitive rates at (A) $650
and (B) $500 per month. Special 90-day termination availability on one year leases. IMMEDIATELY
AVAILABLE. For additional information, please
contact Dr. Lewis Smith at 248-644-2955 (office)
or 248-227-4085 (cell) or [email protected].
Part-time position (1-2 days per week) for
limited licensed psychologist to do neuropsychological testing. Please call Dr. Lewis Smith, Ph.D.,
The Michigan
at 248-644-2955
or email atPsychologist
[email protected].
Small private practice in southern Michigan is looking to hire a licensed psychologist
who could work several evenings in addition to
day time hours. Saturday morning appointments
would also be welcome. Eventual partnership or
Psychologist
buy-out would be a possibility. Contact Dr. Jan
Lazar. 269-781-0157. The Michigan School of Professional
Psychology invites applications for Adjunct
Faculty positions for the Doctoral of Psychology
Program. The school is known for work in humanistic psychology and qualitative research. For more
information, please visit www.mispp.edu.
MULTIDISCIPLINARY, psychiatric, furnished office space, Walled Lake. Practice independently or
part of established group. Post-licensure experience in integrating adult, child, family, biological,
cognitive, psychodynamic-psychoanalytic.
Pontiac Trail/Maple/275 & M5 area. Bruce Roth,
D.O. 248-669-1900, [email protected]
Psychologists Needed: Growing Brighton
clinic needs professionals for contractual work. We have clients of all ages with mostly moderate symptoms. We provide referrals, marketing,
billing, and admin. You supply the expertise and
experience. Send resume to relationshipcenter@
sbcglobal.net. www.relationship-center-mi.com.
Office Space Available
(586) 263-388
Looking for mental health
professionals to join group
practice. Beautiful offices.
Good location.
Lakeside Family Counseling
15501 Metropolitan Parkway,
Suite 107*Clinton Twp., MI
www.lakesidefamilycounseling.com
586-263-3880
For more info contact:
Laurel Layher, LPC
12
gan
MPA Marketplace
2nd Quarter 2009
MPA FOUNDATION
Carol Ellstein, Ph.D.
MPA Foundation President
A
lthough most MPA members are not familiar with the MPA
Foundation (MPAF), we are playing an increasingly important
role within the MPA organization. This column will provide a brief
introduction.
MPAF was created in 2003 as a 501(c)(3) charitable organization
during Dennis Hicks’ tenure as MPA Executive Director. As stated on
the MPAF website (www.mpafoundation.org), the mission of MPAF
“is to support educational and other charitable programs to promote
the public mental health welfare and to advance the science and
profession of psychology for charitable, educational and scientific
purposes. The MPAF is committed to science-based information
and community-based action.” Unlike MPA, which represents and
promotes psychologists’ interests, MPAF’s only guild concern is to
support psychologists’ professional development. For the past two
years, MPAF has co-sponsored every MPA conference.
The MPAF Board originally consisted of the MPA officers, plus two
MPA non-officer members and a few non-psychologists who all had
an interest in public mental health welfare. Both entities shared the
Executive Director. Although the arrangement was efficient, MPAF
languished for a few years, simply because MPA required so much
more of everyone’s attention and time.
Fortunately, MPAF did not languish in people’s minds. After Dr.
Judith Kovach became MPA/F’s Executive Director, she sought and
received a competitive partnership grant in 2006 from the National
Institute of Mental Health to disseminate NIMH materials to an
underserved group. MPAF identified Michigan’s Native American
population as the underserved group, and NIMH designated MPAF as
its Michigan Outreach Partner. By the end of two years, the Chippewa
tribe in central Michigan had received NIMH materials and, through
the impetus of MPA member Dr. Raquel Fernandez-Earns, the Soo
Tribe in the UP had created a new Parent Resource Library. MPAF’s
outreach partnership with NIMH is now well established, and we
The annual
Michigan
Psychologist
continue to receive
grant monies
along with hot-off-thepresses information and other benefits.
and a state psychological association.
In 2008, Dr. Weiner and I exchanged roles. MPAF held a successful
fundraiser at Second City in Novi, but did little else, as the leadership
became involved in MPA’s extensive administrative reorganization.
Then, toward the end of the year, Rockway Institute approached
MPA to become a partner on a project to combat stigma associated
with Gay-Lesbian-Bisexual-Transgender (GLBT) issues in Michigan,
to be funded by the Arcus Foundation in Michigan. The partnership
eventually occurred with MPAF due to its structure as a charitable
and educational enterprise, and the Michigan Project for Informed
Public Policy (MPIPP) was born. The next MPAF column will discuss
this exciting partnership.
MPAF is currently having a strong year of growth. In addition to
supporting MPIPP activities, we are updating our by-laws to increase
consistency with our current direction; planning a gala fundraiser
for November; supporting a pilot project working with a rural school
district to identify children with serious mental and emotional
disorders conceived by MPA’s Children and Families Committee and
chair Dr. Ira Glovinsky; helping MPA President-Elect Dr. Bill Bloom
develop a project to provide educational information for combat
vets; supporting a half-day fall workshop in western Michigan on
Children and Grief that will be led by David Techner, an MPAF Board
member; and creating a nascent set of policies and procedures. The
Board is enthusiastic, committed, and productive.
For more information on MPAF, you may contact either Dr. Judith
Kovach through the MPA office or me via email at cgellstein@
gmail.com or telephone at 231-238-0356.
Michigan Psychologists
Given Awards ...continued from pg 1
a psychologist for their service to MPA and the field of psychology,
was awarded to Josephine Johnson, Ph.D. A Past President of MPA
In 2007, MPA and MPAF split their shared presidential structure.
and a Fellow of MPA, Dr. Johnson has been the Michigan Federal
Advocacy Representative to the American Psychological Association
As then-MPA President, I nominated MPA President Elect, Dr.
and has served four years on APA’s Committee on Professional
Karen Colby Weiner, to assume the MPAF presidency. With MPAF
Practice.
Board approval, she revised the MPAF by-laws to increase Board
In her unique and entertaining acceptance speech, Dr. Johnson
participation and then recruited several new Board members.
TheDuring
Michigan
pointed Psychologist
out that she is the youngest of 12 children and she wished
that same year, Dr. Jan Tomakowsky, then-MPA Public Education
her parents could have been present to share the moment with her.
Chair, persuaded the MPAF Board to make MPAF a partner in the
She added that “I owe more than I can begin to express to the love of
successful American Heart Association Heart Walk in Southfield; it
my life – Wayne Johnson – to whom I’ve been married 32 years.” She
concluded her remarks with the statement that she was “absolutely
was the first cooperative relationship between the Heart Association
thrilled that you have chosen me.”
2nd Quarter 2009
13
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The RIGHT PSYCHOLOGIST
TO COME JOIN US!
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• Expert peer consultation on medications, forensic questions,
insurance issues, ethics, testing, educational issues, and
treatment available in-house
• Top-flight office manager: billing, insurance, and telephone
support
• Friendly colleagues include two MPA Past-Presidents, a Past
Treasurer, Program Chair, E-Committee Chair
Michigan
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• TheScenic
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Village (near Birmingham/Bloomfield Hills)
• Innovative business model
CONTACT PIM President ROBERT ERARD, Ph.D.
gan Psychologist
at 248-626-4622 or send c.v. to [email protected]
14
2nd Quarter 2009
1684 Protect Yourself Ad Mockup.qxd:Layout 1
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1:14 PM
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Call 1-800-423-5344 or visit our website at www.rockportinsurance.com.
2nd Quarter 2009
15
124 Allegan Street, Suite 1900
Lansing, MI 48933
Editor:
James Windell, M.A.
Editorial Board: Jack P. Haynes, Ph.D.
Judith Kovach, Ph.D.
James Windell, M.A.
Layout & Design: The Print House, Inc.
Advertisements are provided as a service to readers and do not imply
endorsement by the Michigan Psychological Association. Copy and
size of ads submitted for publication may be altered or omitted at the
editors’ discretion.
The Michigan
Psychological Association
124 Allegan Street, Suite 1900
Lansing, MI 48933
517 - 347-1885
517 - 484 - 4442 (fax)
Office email: [email protected]
*
Judith Kovach, Ph.D., Executive Director
*
Officers
President: Jeffrey Andert, Ph.D.
President-Elect: William Bloom, Ph.D.
Past-President: Karen Colby Weiner, Ph.D.
Secretary:
Janice Lazar, Ph.D.
Treasurer: Robert Plummer, Ph.D.

The Michigan Psychologist - Michigan Psychological Association

Transcription

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