SLC From the Perspective of an ECP
Transcription
SLC From the Perspective of an ECP
Connecticut Volume 58, Number 2 Summer 2004 Newsletter of the Connecticut Psychological Association SLC From the Perspective of an ECP By Christine Farber, Ph.D. Having recently returned from the APA State Leadership Conference (SLC), I still find myself relishing the experience. I attended as one of ten Early Career Psychologists (ECPs) invited by APA. I imagined that the nature of the event might be divorced from the work I do as a psychologist on a day to day basis. I wondered if I would feel out of place and if the event would have anything to offer me or I it. My concerns could not have been more ill founded. It will be no surprise to those who have attended an SLC to hear me say that the people, initiatives, and spirit of the conference were driven by an authentic passion for both furthering the profession of psychology and providing quality services to our consumers. The passion was palpable and the spirit contagious. The vitality of my profession depends on individuals dedicated to addressing the salient issues facing professional psychology today. Issues addressed at the conference included the following: (1) defining evidence based practice broadly so as to include clinical judgement and patient values in addition to both qualitative and quantitative research findings; (2) promoting racial and ethnic diversity within our profession; (3) advocating for parity in mental health treatment thereby diminishing the discrimination against persons with psychological concerns; (4) teaching colleagues how to think through financial issues facing state organizations; and (5) educating the public about the breadth of services offered by psychologists. By the end of the conference what had at one time felt like a choice to me— that is, being involved in professional psychology Senator Kevin Sullivan (right) received SLC’s award as “Legislator of the Year” for his work on mental health parity and other issues. Senator Sullivan spoke about the poignancy of mental illness and the importance of treatment funding. He is shown here receiving his award from Russ Newman, Ph.D., J.D. Summer 2004 • Connecticut Psychologist organizations— felt instead like an obligation. I was inspired to become like those individuals around me: An active participant in the future of my profession. For each of us, participation in the advancement of psychology is necessary if we are to continue the ethical practice of our work while making a living and benefiting consumers. Paying membership dues, contacting your legislators, mentoring students or ECPs, serving on a committee, recruiting new members to CPA, and sharing your passion with colleagues are just some of the ways this obligation might be enacted. I am fortunate and grateful to be a part of a state organization that takes on the obligation of furthering our profession with passion, tenacity, and fun. Dr. Farber is ECP Division Chair, Secretary on CPA Board of Directors and employed at Traumatic Stress Institute in S. Windsor. I N S I D E T H I S I S S U E CPA BUSINESS President’s Message by Dr. Abrams ...................................... 2 Non-Compete Agreement by Attorney J. Pingpank ........... 3 Empowerment—Taught and Taught Again by Dr. Zimmerman ............................................................. 3 SLC From the Perspective of a DRN Coordinator by Dr. Elder ......................................................................... 4 Legislative Update by L. Kowalski .......................................... 5 Diversity Requirements in Accreditation by Candice Norcott .......................................................... 6 Ethical Considerations in Consultation by Dr. Mehm ............ 6 SUSTAINING RELATIONSHIPS Sustaining Relationships; Spotlight on Dale Ortmeyer, Ph.D. by Dr. Farber ...................................................................... 7 Changing “Careers” in Midstream by Ken Gilstein ............... 7 We Are All of Each of Us by Dr. Bloom .................................. 8 Sustaining Sexual Ecstasy by Dr. Scantling ............................ 8 Marital Closeness and Well-Being ....................................... 11 CALENDAR .................................................................................... 5 CALL FOR NOMINATIONS AND ANNUAL AWARDS ...................... 11 BOOK REVIEWS The Co-Parenting Survival Guide ......................................... 12 Putt to Death ......................................................................... 12 ALERT! ......................................................................................... 13 CLASSIFIED .................................................................................. 14 APPLAUSE! APPLAUSE! ................................................................ 16 1 P R E S I D E N T ’ S M E S S A G E CP A Committees FFor or ward Agenda CPA orward By David Abrams, Psy.D. CT Psychological Association 342 North Main Street West Hartford, CT 06117-2507 The CT Psychological Association (CPA) represents professional psychologists in this state. You are invited to become a member. Membership information can be obtained from: Betty Ann Foy, CPA Administrative Director telephone (860) 586-7522 e-mail [email protected] fax (860) 586-7550 or www.connpsych.org The mission of this newsletter is to expand the CPA professional readership in new and relevant ways. We strive to create a balance between sound bites and lengthy discourse on topics that affect and reflect the practice of psychology in this state. CPA members are invited to submit letters, original articles, and notices to the editor. Submissions are usually 500 words or less. Please send your copy electronically to the editor in Word 95 or text file format to: Alma D. Elder, Ph.D. CP Editor-in-Chief telephone (860) 349-3461 e-mail [email protected] fax (860) 349-3461 Christine Farber, Ph.D. Contributing Editor The editor reserves the right to reject, abridge, or modify any advertising, editorial, or other material. The editor is responsible for editing and proofreading material. Opinions expressed in Connecticut Psychologist are not necessarily endorsed by CPA. Subscription and advertising information may be found at www.connpsych.org or from Betty Ann Foy, telephone (860) 586-7522, e-mail: [email protected]. Publication of advertisements does not imply CPA endorsement. Copy deadline for the next issue is August 27, 2004. Liz Kohanski CP Design and Layout 2 Being president of CPA has provided me with an unexpected perspective on the activities of our organization. As a committee member you may tend to focus on whatever your committee is involved in, but as president you see all the activities every committee is involved in. At our most recent board meeting in May, I was unable to hold the meeting to its official ending time of 10:00 p.m. and will count this as one of the failures of my administration. There was so much to do, and each agenda item required a significant amount of discussion. As a result, we ended much closer to 11:00 than I would have liked and Dr. Dan Abrahamson only needed to be awakened twice. In discussions after the meeting it was pointed out to me that if there was less happening in the committees, the meetings would be shorter. It is an extremely humbling experience when one sits at the head of the table during the board meetings, or when you see the many committee emails flying around. So why was the meeting so long? Here is just a sampling of what a small group of CPA volunteers are up to: • The Diversity Committee was recently awarded a grant from APA for their diversity initiatives, and is joining with the BOPN (Business of Practice Network) on several of their endeavors. • The Student Division, now headed up by Candice Norcott, will be working with our Newsletter Editor Dr. Alma Elder to create an insert for the newsletter focusing on student issues. • The Early Career Psychologist Division. Never heard of it? That’s because it was created at the board meeting. Just like that. Actually a great deal of work was done by Dr. Christine Farber in service of developing the Division, and it looks to be a tremendous contribution to psychology in our state. • Dr. Richard Stillson gave an update on the recent activities of the Gay, Lesbian, Bi-Sexual, and Transgender Taskforce. He asked the board to assist in addressing possible legislative issue for next session, specifically the Defense of Marriage Act (DOMA), which places restrictions on same sex marriages. • The Insurance and Managed Care committee has been re-invented under the guidance of Dr. Susan Chenoweth and is seeking to collect information on managed care abuses. • Dr. Dan Abrahamson’s contract was renewed, as was that of our Lobbyist Linda Kowalski. • The Psychopharmacology Committee gave a report in conjunction with the Legislative Committee (same people!) focusing on a strategy for next year. At the conclusion of the board meeting I was amazed at not so much what had been accomplished that evening, but at the level of creativity and passion that occurs within CPA. Having spent what will soon be two years as president, I can assure you CPA is overflowing with excited and enthusiastic people who are committed to our profession, our clients, and our colleagues. Intimacy Conference Held with CSPP in April Pictured are presenters and organizer for the April CSPP Conference “The Journey Towards Intimacy: Vulnerability, Yearning, and Loss in the Extramarital Affair and Entrenched Marital Conflict.” (From left to right), Dr. M.S. Livingston addressed clinical opportunities inherent in “vulnerable moments;” Ms. S.M. Weil, LCSW presented on the extramarital affair as a reflection of earlier conflict; Dr. I Hirsch was a discussant; Dr. G. Shiller was instrumental in assisting CPA to co-sponsor the conference with CSPP. Connecticut Psychologist • Summer 2004 C P A B U S I N E S S Non-Compete Agreement Empowerment— Taught and TTaught aught Again By Jeffrey Pingpank, J.D. By Jeffrey Zimmerman, Ph.D. Cy came into my office and said he was worried about a relationship. I reminded him he should have gotten a pre-nupt. He said it wasn’t that kind of problem. A new psychologist was joining Cy’s group. Cy was concerned that after giving the new psychologist a start, he might leave and become a competitor. Cy wanted to prevent that. I told Cy that his group could establish a non-compete agreement as a condition of the new psychologist’s job. An enforceable non-compete agreement limits where and when the new psychologist could practice after leaving Cy’s group. Cy couldn’t force someone to work for him. That would be involuntary servitude. Cy could restrict someone from competing with him. For a non-compete to be enforceable it must be reasonable. The court evaluates reasonableness by: (1) length of time the restriction is to be in effect, (2) geographical area covered by the restriction, (3) degree of protection given to the employer, (4) restrictions on the employee’s ability to pursue his occupation, and (5) interference with the public’s interest. There are no clear cut tests for these factors. They depend on the facts of the case, the nature of the job, and the extent of the restrictions. Generally, courts have upheld restrictions for one to two years. Rarely, if ever, have courts upheld longer restrictions. Geographical area essentially depends on where the employer gets its business. In businesses or professions that traditionally draw clients from a limited area, the geographical restriction is generally the areas from where the employer draws the bulk of its business. Thus, a group practice in West Hartford, where the majority of its patients are from Hartford and surrounding towns west of the Connecticut River, would not be able to prohibit the new psychologist from practicing east of the River. Degree of protection and restrictions on employment both refer to the scope of business. A group practice could establish a noncompete that would prohibit the signor from engaging in private practice in an appropriate area. It could not prohibit the psychologist from working for a psychological textbook company in that same area. Writing textbooks would not be a form of true competition. Similarly, if the new job were as a manager in an institutional setting, the non-compete would likely not be effective. The last criteria, the public interest, could lead to the argument that a non-compete would not be enforceable as it would impede patients from treating with the psychologist of their choice. This argument has been rejected in cases involving other types of health care practitioners. Courts have noted that the possible inconvenience to a small number of people does not constitute a significant impact on the public interest. I never thought that my work on this committee would repeatedly be a lesson on empowerment. Yet it is so. Amazingly, under the guidance of Jean Stetz-Puchalski and Dr. Joan Franklin (and with the help of many others) we put together our second educational breakfast. This meeting was held at, and co-sponsored by, Fairfield University’s Charles F. Dolan School of Business. There were approximately 40 people in attendance, a three person panel discussion (E. Lee Lowry, Dr. Susan Freedland, and Dr. Donald Gibson), a wonderful presentation and discussion, a beautiful setting, and a bit of profit. From start to finish this was planned, publicized and produced within two months! It’s amazing what can be accomplished when a group of people sit down and as Nike says, “Just Do It!” Thank you all for making this event a success. But, just in case there was a moment to breathe and let some dust collect, the members of this committee are off and running as we prepare to present the Psychologically Healthy Workplace Best Practices Award in the fall 2004. We are already starting to publicize the award and are accepting applications (see www.connpsych.org). In this regard, we also have met with the Ethnic Diversity Task Force to discuss the possibility that they join with us in recognizing an organization’s best practices. If you know of an organization that has a practice which promotes a psychologically healthy workplace, please encourage them to apply. Applicants will be evaluated along a number of dimensions. For profit and not for profit organizations, as well as municipalities are encouraged to apply. Also, an organization’s size will not be a particular asset or liability as we will be looking at each organization individually and hope to award companies that are large, small and mid-sized. We are also looking for site visitors to help evaluate applicants. If you are interested, please contact Dr. Joan Franklin at (203) 3301852. Joan will be organizing the site visits. Our Awards Breakfast will be held at the Bushnell in Hartford on Thursday, October 14, 2004. The breakfast will be both an opportunity to recognize our award winners and also a time to again offer an educational program to the business community. Keep an eye out for more information about the breakfast as the summer comes to a close. We’d love to have you join us. I’m also pleased to report that we received a $1,000 grant from APA to help in our efforts. Wow! Thank you APA. So, the theme in this last year has certainly been one of empowerment. Every time a moment of cynicism occurs I am amazed at what my colleagues on this committee can accomplish. It is a pleasure to work with you. Attorney Pingpank is with the firm of Cooney, Scully and Dowling, which is designated counsel for CPA’s Legal Consultation Plan. CPA members are eligible to join the Legal Consultation Plan for a nominal fee. Summer 2004 • Connecticut Psychologist Dr. Zimmerman is a Past President of CPA and Chair of BOPN (Business of Practice Network). 3 C P A B U S I N E S S SLC FFrom rom the PPerspective erspective of a DRN Coordinator By Alma Elder, Ph.D. The State Leadership Conference (SLC) was held in the Hyatt Hotel in Washington, D.C. It is a strikingly attractive setting. The reception area contains a lagoon with an island and a piano on top. The water is surrounded by restaurants and lounges and places to sit and converse. Rooms above with balconies surround the lagoon courtyard-style up to ten stories. Marble and carpet walkways cross the lagoon, glass roof hangs above, and Starbuck’s coffee is available in the lobby store. The SLC was sponsored by the APA Practice Directorate. It was an opportunity to prepare leaders of the state, provincial, and territory associations for legislative advocacy and for coordination of professional programs, such as BOPN, public education, diversity, and disaster response. Russ Newman, Ph.D., J.D.’s keynote address was titled, “Strategic Resilience for the Profession: Getting a Jump on Change.” He noted the changes that are occurring as conventional legacies of formerly powerful groups are no longer the dominant trendsetters. For example, family structure continues to evolve. Dr. Jeff Goldsmith, Ph.D., is President of Health Futures, Inc and Associate Professor of University of Virginia, School of Medicine. He spoke about changes in health care. He prophesied that the intermediary role of managed care will decrease in the future. Consumers and professionals are becoming more active, wanting less economic risk and greater economic choices. Insurance plans will become more tailored to the individual. Just as one set of computer features does not suit every owner; similarly, one set of insurance features may not suit each person. Although insurance has a legacy of paternalism, consumers will increasingly demand choices of providers and services. In other future trends, he thought that depression would become a huge societal cost, as it is co-morbid with many diseases, aging, and a cluster of conditions that affect wellbeing. Practice options for psychologists include group practice, on-line interventions, exploitation of the cost advantage with psychiatry, specialization in problem-solving, collaboration with M.D.’s, and development of health management/ disease management models. He joked that another future trend might be the obesity of the aging male—after a mourning period of about 20 minutes, a new widower will be besieged with casseroles. Shown here is the CT delegation at the SLC banquet which honored Senator Sullivan. Pictured in the front row (l to r) are Drs. Farber, Owens-Lane, Thornberry (Senator Sullivan’s wife). The rest of the front row includes Betty Ann Foy, and Drs. Vaughn, Abrams, & Mehm. Back row (l to r) are Drs. Zimmerman, Schwarzchild, and Senator Sullivan. The others are Drs. Elder, Abrahamson, and Kerns. The clapping was lusty from this crew after Senator Sullivan’s speech. 4 The Honorable Kevin Sullivan, (D-West Hartford) President Pro Tempore, CT Senate received the State Legislator of the Year Award for mental health advocacy. His legislative accomplishments included full parity for mental health coverage (vs. a biologically based funding law), state capitalization of supportive housing, and creation of the statewide Community Mental Health Strategies Board. Senator Sullivan stated that mental health treatment needs to be accessible and affordable. “CT’s mental health parity law is a beacon, but it needs to shine toward D.C. so that all people are covered.” He stated that, “Mental illness is not just the face of strangers, but also the face of friends, family, and ourselves.” The CT delegation sat at a specially designated table close to the speaker’s podium with Dr. Carolyn Thornberry, his wife. Outside D.C. is as interesting as inside D.C. The Hyatt was situated just two blocks from Ford’s Theatre and four blocks from the war office of Clara Barton. After Antietam, she loaded a wagon with food and medicine and headed to the battlefield. Looks like the Red Cross hasn’t changed much. Coordinators of Disaster Response Networks (DRNs) across the countries (since states, provinces, and territories were included) discussed strategies for working with the Red Cross and other agencies. The DRN is a network of state associations of psychologists trained in disaster response. DRN coordinators from the northeastern states had an opportunity to meet separately. Some of the state DRNs are well-integrated into community mental health clinics and CISM groups. New York’s DRN obtained their own FEMA grant after 9/11 to provide trauma awareness workshops to schoolchildren. Several aspects of education were discussed. The northeast DRNs recommended that a short “crash course” be developed for new volunteers in a large disaster. Other topics included a reading list for new members and training in recent models of intervention. The northeast DRN coordinators agreed to meet again in June and to work together to improve their DRN organizations. DRN and Public Education Campaign (PEC) discussed ways in which these groups might cooperate more effectively. The PEC made available kits to guide discussions of resilience with children and adults. Building resilience is a positive way to approach the problems caused by disaster and other adverse situations. For example, resilience workshops were offered to health professionals who responded to multiple floods in rural ND and MN. It might be possible for persons from DRN and PEC to work together when a community is traumatized. Many well-known psychologists were available at SLC. The conference showed the strength of our profession and its promise for the future. One senator urged psychologists to get involved in the coming presidential election. He said that we should get the electorate’s attention off of religious issues and onto health care and accessibility. The reader can also get involved—not just with the national issues, but also with the home issues that CPA represents. SLC showed the panorama, as well as the critical importance of our day to day work. Dr. Elder is Public Interest Representative and Editor-in-Chief of the newsletter. Connecticut Psychologist • Summer 2004 L E G I S L A T I V E U P D A T E 2004 Legislative Session Ends with Budget and Convening of Special Session By Linda A. Kowalski The 2004 Connecticut Legislative Session has now concluded. However, the General Assembly convened on May 11th to pass bonding and the OPM Budget Implementer bills, HB 5801, “An Act Concerning Budget Implementation” in Special Session. They will also convene later this summer to address any report or resolution of the Select Committee of Inquiry. This session has been dominated by the continuing investigation by the Select Committee of Inquiry, who is determining whether to recommend the impeachment of Governor Rowland. For the first time in nine years, the Legislature passed a bipartisan budget that was viewed as “veto- proof.” Such action by the Legislature indicates that the Governor has lost considerable power. Both chambers passed the budget by margins well over the twothirds majority necessary to override a veto by the Governor. Recognizing this fact, the Governor signed the budget bill, HB 5692, into law on May 6. We worked to ensure that the budget did not contain any provider taxes or licensure fee increases. On the Appropriations side, the budget eliminated co-pays by Medicaid patients. It restored cuts to the Medicaid and HUSKY adult programs. Although we worked to restore reimbursement to psychologists who treat SAGA patients, the “optional services cuts” were not restored in the budget; The DSS budget implementer bill, HB 5689, “An Act Providing Funds For the Department of Mental Retardation (DMR) Waiting List” as amended by House “A” and “C,” that was passed the last day of the session did not include the restoration of “optional services.” The DSS Implementer Bill repeals medical and pharmaceutical co-payments under Medicaid. We worked with a coalition to eliminate the $1.50 co-payment for pharmaceuticals under the SAGA program. Many legislators stated that they did not hear from providers on this issue. This year was a short session that has been focused on budget issues, the second year of a biennial budget is when adjustments must be made to the budget. In addition, the legislators were focused on Medical Malpractice Insurance Liability Reform. We worked diligently to include psychologists in the medical malpractice reform bill. Further, we lobbied to ensure that the legislators who comprised the medical malpractice reform working group knew that providers did not want to be assessed a fee to cover costs. Both the Public Health Committee Bill and a PRI Committee Bill included such an assessment for a Healthy Connecticut Fund, a reinsurance fund to pay a percentage of a claim or settlement. A one hundred dollar assessment on providers annually would have covered the deductible of $50,000 on health care providers. Through our lobbying efforts, we were successful in preventing this piece of the legislation from being part of the final bill that passed both chambers, substitute House Bill 5669, “An Act Concerning Medical Malpractice Reform” as amended by House Amendment Schedules A and D.” It does not include caps on noneconomic damage Summer 2004 • Connecticut Psychologist and for this reason the Governor vetoed the bill on May 13. The Legislature plans to convene for a veto session in June to override the Governor’s veto. Although it was a short session that has been focused on budget issues, we were successful in raising issues of importance to health care providers. We were able to lobby the Insurance and Real Estate Committee to raise and hear testimony on “An Act Concerning Cooperative Health Care Arrangements” ( Joint Negotiations Bill, SB 114). This in itself was an achievement given that the committee was focused on Medical Malpractice Insurance Liability Reform legislation. We have worked to correct managed care injustices through individual bills that some physician associations introduced as their priority. The physicians had introduced HB 5205, “An Act Establishing Standards For Contracts Between Managed Care Organizations and Physicians.” Although the bill died in the Judiciary Committee, we worked with the physicians not only to resurrect the bill, but also to include “psychologist” in the definition of physician in any amendment. An amendment, LCO 4069, called on SB 108 failed in the Senate on a close vote; however, we worked with the House Public Health Committee Chair, Representative Art Feltman to resurrect the bill as an amendment to another bill in the House. Unfortunately, the House ran out of time to deal with any further amendments or bills. We will continue to work with the legislators on this important issue next session. Keeping psychologists’ issues in the forefront of legislators’ minds and being visible is key. As we look ahead and move forward to next session when there will be new leadership, we encourage the membership to volunteer on supporters’ campaigns they begin. Note: Ms. Kowalski is a lobbyist for CPA. C A L E N D A R July 15, 2004 Deadline for Psychologically Healthy Workplace “Best Practice Award.” Applications available at www.connpsych.org. August 14, 2004 Early Bird Deadline for convention registration. Watch your mail for the brochure. September 22, 2004 Board of Directors meeting. September 24, 2004 Ethics workshop. Village for families and children. 9:30 a.m.1:00 p.m.; 3 CEs available. Registration form on pages 9-10. October 28-29, 2004 2004 Convention, Water’s Edge, Westbrook 5 C P A B U S I N E S S Diversity Requirements in Accreditation Ethical Considerations in Consultation By Candice Norcott, B.A. By John G. Mehm, Ph.D. APA instituted a commitment to diversity in 1979. Criteria II and Domain D of the training are mandates for accreditation of doctoral and training programs. Does this initiative result in training culturally competent professionals? This student does not think so. There is a disconnect between APA’s diversity initiative and a true incorporation of cultural competence in one’s professional practice. Compliance is unstandardized. APA regularly requires that accredited schools fulfill a diversity course requirement. For example, one school may act proactively and offer a diversity course. Another school may allow for students to pick a class in sociology or another department. This presents a clear discrepancy. Moreover, diversity courses may be voluntary (Bernal & Castro, 1994). In 1994 it was found that only 34 percent of psychology graduates reported the availability of any diversity course during their graduate training. Additionally, Allison et al. (1994) found that more than 50 percent of their survey respondents were extremely or overly competent only in providing services to European Americans, women and economically disadvantaged. Although these statistics are ten years old, as a student I ask myself has that much changed? My answer is not enough. An education in diversity is available to students who put forth the effort to attain that information. For example, the APA Web site contains information about diversity issues in mental health, but the link reads, “Information for Students with Diverse Backgrounds.” Under this link is an article that reads “Achieving Cultural Competence.” Is that information that could only benefit Students with Diverse Backgrounds? In fact I believe it is quite the opposite. There should be a standard curriculum addendum which includes course material about minority groups and training in cultural competence. There should also be a strict way to assess school compliance. It may seem extreme to ask schools to change their curriculum. However, clients streaming into mental health offices are economically, culturally, sexually, racially, and physically diverse. According to the United States census (2000), 42.7 percent of the U.S. population self-identify as an ethnic minority. These changes in population demographics will cause social, economic, religious, and educational diversity. As students we cannot be complacent in our training. We deserve to have an education in all types of people as well as in all types of therapy styles. As a professional activity, consultation is mentioned 20 times in the 2002 APA Ethics Code. References are distributed throughout the Introduction, Preamble, General Principles, and Ethical Standards. There is thus a need to understand more clearly how the Code characterizes consultation. The Code refers to consultative services, consulting projects, organizational consulting, and consultation obtained from other professionals. The first three of these are usually formal, contractual, fee-for-service activities, and issues such as informed consent, description of services, fees, and third-party payment are addressed. However, the Ethics Code does not distinguish between psychologists providing consulting services and psychologists obtaining consultations from professional colleagues. The Preamble states that consulting with others concerning ethical problems is a key element in “(t)he development of a dynamic set of standards for psychologists’ work-related conduct.” In the general principle of fidelity and responsibility, psychologists are instructed to consult with others “to the extent needed to serve the best interests of those with whom they work.” The Ethics Code even emphasizes that obtaining appropriate professional consultation is one of the few exceptions for disclosure of confidential information without the consent of the client. In two instances the Ethics Code specifically references professional consultation. The first occurs when a psychologist becomes aware that personal problems may interfere with performing workrelated duties adequately. The second is when a psychologist must decide whether to offer or provide services to someone already receiving other mental health services. These and other circumstances are consistent with the use of consultation as a risk management procedure. The psychologist appreciated the seriousness of the clinical situation and proceeded to practice according to community standards. Consultation is listed along with education, training, experience, supervision, and study as a means by which a psychologist is able to function within the boundaries of competence. However, given that consultation can vary in its structure, focus, and duration, primary reliance on this activity to establish the boundaries of one’s competence would seem a questionable practice. This review of the current APA Ethics Code finds that consultation with other professionals is both an essential element for ethical reasoning and a remedial action for ethical dilemmas. In practice, a psychologist would do well to differentiate the Code’s references to the provision of consulting services and the obtaining of consultation from professional colleagues. The fact that a consultant usually assumes no responsibility for the subsequent performance of a consultee is a unique characteristic of the consultation process that is worthy of further ethical consideration. References Bernal, ME, Castro, FG. (1994) Are clinical psychologists prepared for service and research with ethnic minorities? Report of a decade of progress. Am Psychol. September, 49(9), 797-805. Allison KW, Crawford I, Echemendia R, Robinson L, Knepp D. (1994) Human diversity and professional competence. Training in clinical and counseling psychology revisited. Am Psychol. September,49(9),792-796. Ms. Norcott is Student Representative to the CPA Board and a doctoral student at UConn. 6 Dr. Mehm is CPA Science & Education Representative and Professor at University of Hartford Graduate Institute of Professional Psychology. Connecticut Psychologist • Summer 2004 S U S T A I N I N G R E L A T I O N S H I P S Sustaining Relationships; Spotlight on Dale Or tmeyer Ortmeyer tmeyer,, Ph.D. Changing “Careers” in Midstream Interviewed by Christine Farber, Ph.D. By Ken Gilstein, Ph.D. I recently had the pleasure of speaking with Dr. Dale Ortmeyer, psychologist, CPA member, and Connecticut Society for Psychoanalytic Psychology (CSPP) co-founder and executive committee member. He is also a father, a grandfather, a husband of 44 years, and a dedicated, gentle, and caring professional. At 78 years young, his life example imparts much wisdom regarding Dale Ortmeyer, M.D. how to sustain relationships with one’s profession, family, and self. Dale graduated in the 1950s from Columbia University with a doctorate in Clinical Psychology followed by specialized training at the William Alanson White Institute of Psychiatry Psychoanalysis & Psychology in Manhattan. In 1973 he left his home in Manhattan (although maintained a private practice there) for Westport, CT where sailing, ample tennis courts, beach, and swimming pools provides playful family activities that allowed him to stay connected to his family and himself, even during the busiest times of his career. Dale collaborated with Stanley Rosner, Ph.D. to set up psychoanalytic training opportunities in CT. Several years later, CSPP was born as a chapter of APA’s Division of Psychoanalysis (Division 39). CSPP continues its activity today hosting reading groups, sponsoring Scientific Meetings, and maintaining the CSPP newsletter. Throughout his active involvement with CSPP, Dale also remained committed to CPA and dedicated to addressing the multitude of issues that have impacted psychology during his career. Indeed, Dale has witnessed many changes in our field over the past half of a century. He recalled how psychologists did not yet have licensure status when he first began his practice, thereby requiring the signature of a psychiatrist on all of his records. He had worked with Erich Fromm, lived through significant changes to the practice of psychoanalysis, advocated for insurance coverage of mental health benefits, and learned, even if reluctantly, to live with changes to psychotherapy resulting from managed care. Given this complex journey, his uncomplicated optimism for the profession surprised me: He remains connected to the simple, yet powerful idea that our profession is a caring one. Whereas he described work in psychology as “not easy work,” he also remarked that he “would not give up this profession for any other” and talked about how rewarding it is to help individuals change. In addition to being struck by his optimism, I became aware of Dale’s vitality. He painted a picture of the way in which his busy, active career supported his fulfilling family life just as his marriage and active family life supported his thriving career. Playing tennis, skiing, and sailing as a family animated his professional life just as his professional endeavors enlivened his personal life. It is that vitality, I think, that sustains individuals-in-relationship. For Dr. Ortmeyer that vitality seems to exist in the intersection of the personal and professional. For the last 25 years, I’ve been a licensed psychologist, living in Guilford. Since March 5, 1983, I have been in private practice in Guilford and Middletown. My wife, who has spent her entire life living in Connecticut, has wanted to move to a warmer climate for about 15 of those 25 years. My main concern with moving was going through the licensing procedure, and starting up a private practice all over again, after taking years to establish myself in Connecticut. As of July of this year, we will be moving to Kaua’i, Hawaii. Through many difficult times, both professionally and personally, my wife and I have stayed together to make this “dream come true.” There have been many times where she became quite upset and depressed about the prospect of never moving “out of the cold,” and continuing to “put up with” my 50 – 60 hours a week of private practice, research, and other non-psychology related activities in which I have been involved. We talked, argued, and had our “distant” moments. Through communication, and a lot of hard work, we are still together, married over 26 years, with three sons. In 1995, we took a vacation to Hawaii, to visit the islands of Kaua’i and Maui. My wife fell in love with Kaua’i. We talked about retiring there, but she hoped it would be sooner. Last January, I went to the International Neuropsychological Society’s meeting in Honolulu. We spent a few days on Kaua’i, before the conference started. Not only did my wife rekindle her love for Kaua’i, but I started thinking about moving before retirement. This past fall, I joined the Hawaii Psychological Association as an out of state member, and applied for licensure. Since Hawaii had become one of over 30 states that honor the licensure reciprocity agreement, it was a fairly easy task to get my Hawaii psychologist license. In February, we visited again, to make sure that this is where we wanted to move, and to look at job opportunities. With my background and varied professional experiences, I was able to receive a very nice job offer. Therefore, it’s off to Hawaii. One of the major keys to this move, has been the flexibility that my wife and I have had within our marriage. Without her support, and willingness to work with me in “the cold climate of Connecticut,” and without my being open to consider such a “dramatic/ drastic” change, not only would this move never happen, but I wonder if we would still be together today. We are still trying to work on making this happen, even with our different personality styles and ways of doing things. However, through continued communication and hard work, it appears that it will become a reality in the very near future. Dr. Farber is a clinician at the Traumatic Stress Institute in South Windsor. Summer 2004 • Connecticut Psychologist Dr. Gilstein moved to Hawaii. Save the Date CPA Convention October 28-29, 2004 Water’s Edge, Westbrook 7 S U S T A I N I N G R E L A T I O N S H I P S We Are All of Each of Us Sustaining Sexual Ecstasy By Jack H. Bloom, Ph.D. By Sandra R. Scantling, Psy.D. Once upon a time I was a psychologist who had been a rabbi. I divorced one to do the other. I couldn’t imagine that the two could be coupled happily. Today I am a [RabbiÙPsychologist] [PsychologistÙRabbi] who brings both of these “selves” to working with couples. Each of us is not a Self. Each of us is a relationship between “selves.” For me that relationship is grounded in the two creation myths of Genesis: the first (Gen. 1:26-27) has humankind created in the “image” of God, the second (Gen. 2:7) has man given life by being infused with God’s breath. In Hebrew that is the [TzelemÙNeshamah] relationship. In English that might be named the [BreathtakingÙImage] relationship.1 When the relationship between our inner “selves” is working, we are perceived to be a unified Self. When there is room in the couple relationship for those multiple “selves” to be present, accounted for valued and blessed, we find ourselves becoming a WE. When those “selves” are wounded, hidden, rejected, despised, the WE disintegrates. The [BreathtakingÙImage] in each of us is not negotiable. It is not contingent on our thinking and feeling correctly, behaving one way or another, on accomplishment or the lack thereof, on perceived goodness or experienced badness. Each of us, do what we will or won’t, cannot be rid of it. It is our original essence. Often obscured in the fog of compromised living, the [BreathtakingÙImage] is always waiting to be seen and heard, attended to and returned to. When we and/or others turn away from the [BreathtakingÙImage] neglecting it in ourselves, ignoring and disregarding it in others, harm is done. Blame and contempt, anger and condemnation, violence of all sorts directed towards our “selves” or our partner’s wounded “selve” destroys the couple, increasing alienation and isolation. Repairing the breach by returning to our [BreathtakingÙImage] is a supremely important undertaking. It requires an inner dialog of mutual respect, leading to a loving, personal human (e) relationship between each and all of our “selves”; those we value and those we distance; the “positive” and the “negative”; the “acceptable” and “non acceptable.” The same is true in the couple relationship where the charge is to search out, tune in to, stay focused on, respect, nourish, sustain and bless the [BreathtakingÙImage], first in all our “selves” and then in our partners. When this happens, the [BreathtakingÙImage] flourishes and atypical couples become a loving We. And I can enjoy being a [RabbiÙPsychologist] [PsychologistÙRabbi]. As psychologists, we are aware that sexuality is inseparable from selfhood and that the threads of one’s complex sexual tapestry draw from biopsycho-social factors. Yet, to quote Rodney Dangerfield, [the field of sexuality] “just don’t get much respect.” It is misunderstood, maligned, and dumbed down with regularity. Ideas about sex inspired by images extracted from pornographic portrayals or other media fail to capture the essence of what is “sexual” or how couples can sustain their sexual connections. It’s impossible to turn on the TV or look through a magazine and not be bombarded with promises of lasting love using Levitra, Cialis, Avlamil, etc. Typically these advertisements show happy dancing couples suggesting that mechanically “functional” sex leads to happiness! The enormous success of this industry illustrates just how many couples long to recapture the powerful euphoric romantic surges of their youth by taking a quick fix pill. So what is the secret to sustaining sexual ecstasy over time? The definition of “sustain” is to nurture, grow, prosper, and deepen. The word “ecstasy” means to step aside from yourself, to let go, break free, and alter the patterns of your daily life. The anthropologist, Helen Fischer, discovered that novelty triggers ecstasy. Fischer said, “It’s amazing how people are willing to work to stay thin, to keep their jobs, or to keep their friends, but they don’t work on keeping a relationship together in novel ways.” Simply stated, sustaining ecstasy over a lifetime of challenges requires a willingness to move beyond the comfort zone, alter routines, be open to change, and to work at it! This doesn’t have to be as extreme as greeting your partner at the door wrapped only in cellophane and a smile. It can be going out on a dinner date (without any other couples) and changing the rules of the typical conversation — no kids, job, or money talk. Asking, “How are you, not how’s your day.” Introducing novel code words or other symbolic expressions of loving intention can also have beneficial results. One couple revealed they came up with a creative signal, similar to the Carol Burnetts tweaking of her ear lobe, where one of them just holds up their little pinky finger to say, “I love you.” Another couple puts surprise notes in their partners brief case that just says, “Im thinking of you.” Small behavioral changes can break couples out of their typical patterns and return a glimpse of the “feel good” connection they crave. It is often difficult for patients who tell me that they want better erections or more vibrant orgasms NOW to consider that sex is not just something we do to our lovers; it is a reflection of who we are with our lovers. For ecstasy to be sustained, couples need to be directed toward making the right intimate life choices to help them go the distance. Notes The brackets [ ] indicate the interrelated unity of these two elements. The double arrow Ùsignifies reciprocal relationship. 1 Dr. Bloom is the Executive Director of the Psychotherapy Center in Fairfield, CT. His first book The Rabbi as Symbolic Exemplar; By the Power Vested in Me, (Haworth Press, 2002)is now in a third printing. His forthcoming book (with others) is The Rabbi as Relational Caregiver; We Are Each Other’s Keeper. 8 Dr. Scantling is Director of the Farmington Psychotherapy Center. Her web site is www.drsandy.com. Connecticut Psychologist • Summer 2004 Connecticut Psychological Association Presents Ethical Decision-Making for Mental Health Professionals and the New APA Ethics Code Friday, September 24, 2004 9:30 a.m.-1:00 p.m. Presented by: Stephen H. Behnke, J.D., Ph.D. Director, APA Ethics Office 3 CE Credits Village for Families and Children 1680 Albany Avenue Hartford, Connecticut Stephen H. Behnke, J.D., Ph.D. (See reverse for directions) This ethics workshop will consist of two parts. The first part of the workshop will address ethical decision-making, the relationship between ethics and law, and ways to minimize exposure to legal and ethical liability. This part of the program will include a discussion of the APA Ethics Code, with a focus on the structure of the Code and the relationship between aspirational principles and ethical standards, a distinction retained and elaborated upon by the new APA Ethics Code. The first part of the program will emphasize how practitioners can use the APA Ethics Code to facilitate ethical decision-making. This discussion will lay the foundation for the second part of the program, which will focus explicitly and in detail on the new Ethics Code. This aspect of the program will highlight significant differences between the 1992 and the new Ethics Code, with emphasis on differences most relevant to practitioners. Case vignettes will illustrate these differences and will demonstrate ethical decision-making in mental health clinical practice. Register Now! Seating Limited to the First 100 Registrants Workshop Cost (Includes continental breakfast) $49 CPA Members $99 Non-Members $20 Students (with ID) Please mail to: CPA, 342 North Main Street, West Hartford, CT 06117 Inquires: Call Betty Ann Foy (860) 586-7522, fax (860) 586-7550 or register on the Web: www.connpsych.org Registration must be received by September 17, 2004. After September 17, registration will be on site. Name _________________________________________________________________________________________ Address _______________________________________________________________________________________ City __________________________________________________ State ________________ Zip ________________ Phone ______________________ Fax or Email address (for confirmation) ______________________________ Payment method: check credit card Card Number ___________________________________ Card Type ____________ Expiration Date __________ Signature ______________________________________________________________________________________ Summer 2004 • Connecticut Psychologist 9 Directions to Village for Families and Children From I-84 East or West Get off at Exit 46 (Sisson Avenue) Go straight at the traffic light at end of exit ramp. Turn right at the next traffic light onto Whitney Avenue. Go About 1-1/2 miles across Farmington and Asylum Avenues. (Whitney turns into Scarborough at Asylum Avenue.) Continue on for approximately 3/10 of a mile to the lighted intersection of Scarborough and Albany Avenue. Go straight through the intersection into the driveway of the Village. Auditorium is in the first building, Trumbull-Robinson. From I-91 North or South Follow directions above from I-84 From Avon and points west on Rt.44 Take Route 44 (Albany Avenue) toward Hartford. Come down the hill after entering Hartford and veer to the right as you continue through a lighted intersection (junction Rt.44 and 189 Bloomfield Avenue). On the left you will see the brick cottages of the Village for Families and Children. The entrance is at the next lighted intersection on Route 44 (Albany Avenue) and Scarborough. Turn left into the driveway. Auditorium is in the first building, Trumbull-Robinson. From Bloomfield (Route 189) or Simsbury (Route 185) Take Route 189 (Bloomfield Avenue) or Route 185 (Simsbury Road) toward Hartford. One mile past the University of Hartford campus and shortly after the junction of Route 44 and Bloomfield Avenue, look for the Village for Families and Children on the left. Entrance at the next light Route 44 and Scarborough. Auditorium is in the first building, Trumbull-Robinson. From Hartford Albany Avenue (Route 44) West toward West Hartford. Travel through Albany Avenue business district. At intersection of Albany Avenue and Scarborough turn right into the driveway of the Village. Auditorium is in the first building, Trumbull-Robinson. Connecticut Psychological Association 342 North Main Street West Hartford, CT 06117-2507 (860) 586-7522 Fax (860) 586-7550 www.connpsych.org 3 CE credits approved by CPA. The Connecticut Psychological Association is approved by the American Psychological Association to offer continuing education for psychologists. CPA maintains responsibility for the program. 10 Connecticut Psychologist • Summer 2004 SUSTAINING RELATIONSHIPS Marital Closeness and W ell-Being Well-Being By Roni Beth Tower, Ph.D., ABPP More than a quarter of a century’s research documents the value of social relationships to health and well-being. Relationships provide information and practical assistance that can help people take better care of themselves, buffer the impact of life’s stresses, and protect people from the negative effects of loneliness and isolation. Emotional support can help speed recovery and prolong life after illness, especially from cardiovascular causes. For many adults, marriage provides the closest relationship and can bring all manner of benefits into one’s life. Volumes of research document the potential of marriage to improve financial well-being, with its associated benefits of access to medical and other health-related resources; to positively influence health behaviors, including decreases in those which place people at high risk for illness or depression and increases in those which are protective such as exercise; and to provide emotional support in the forms of validation, comfort and encouragement. Yet all marriages are not equal. In our research program, we looked at variations in closeness within older married couples in terms of whether or not husbands and wives named each other first as either their closest person or confidante or greatest source of emotional support. In marriages in which both spouses named the other, both husbands and wives were likely to follow each other in decreasing depressive symptoms or in increasing them and these effects endured over time, creating positive or negative affective spirals. Husbands in these couples were so attuned to their wives’ well-being, that her mood was more influential than his normal risk factors for depression such as financial strain, poor health, disability, cognitive impairment, even poor hearing, and overrode their potential effects. In another study, we found that husbands in marriages in which his wife named him but he did not name her were significantly more likely to be alive after six years, even after controlling for sociodemographic, health and health behavior risk factors. The same type of marriage was even more protective of survival for those wives who had ever had children. We speculate that being needed — but not too much — may be even more salutogenic than having someone available to meet one’s emotional needs. References Tower, R.B. & Kasl, S.V. (1996) Depressive symptoms across older spouses: Longitudinal influences. Psychology and Aging, 11, 683-697. Tower, R.B., Kasl, S.V., & Darefsky, A.S. (2002) Types of marital closeness and mortality risk in older couples. Psychosomatic Medicine, 64, 644-659. Dr. Tower works at Teachers College, Columbia University and Dept of Epidemiology, Yale Medical School. Information on her research may be found at www.tc.columbia.edu/research/longevity/. The CPA Strategic Plan is available on the Web site www.connpsych.org. It was developed at February’s Retreat by CPA members and officers. The Strategic Plan will guide our organization’s work. Summer 2004 • Connecticut Psychologist Call for Nominations for CP A Annual CPA Awards All CPA members are invited to nominate individuals who have made outstanding contributions to the profession of psychology. Nominations will be considered for the following awards: • Distinguished Contribution to the Science of Psychology • Distinguished Contribution to the Practice of Psychology • Distinguished Contribution to Psychology in the Public Interest • Distinguished Legislator’s Contribution to Psychology • Distinguished Contribution to Diversity in Psychology • Outstanding Student of Psychology • Extraordinary Service to CPA • Catherine Acuff Award for Outstanding Contribution to the Profession of Psychology Please submit a letter of nomination with sufficient detail to ensure that the committee can make an informed decision. The committee will request a vita from the nominee to provide additional information. Please send your nomination(s) by August 13 to: John G. Mehm, Ph.D., Chair, Awards and Honors Committee, CPA, 342 North Main Street, West Hartford, CT 061172507, e-mail: [email protected]. Call for Nominations to CPA Board of Directors All CPA members are invited to nominate individuals who will serve on the CPA Board of Directors and guide our organization. The Board of Directors usually meets four times a year. Elected individuals will experience the satisfaction of getting involved and shaping policy that affects the way psychologists practice. They will help professional psychology thrive in Connecticut! Nominations are due August 13, 2004. Positions available: Science Representative ............................. (2005-2006) Student Representative .............................. (2005) Region 4 Representative ........................... (2005-2006) Region 5 Representative ........................... (2005-2006) *Regions are congressional districts. To represent a region you must either reside or work within its borders. Please send your nomations to: CPA, Elections and Nominations Fax: (860) 586-7550 E-mail: [email protected] 11 B O O K R E V I E W S Zimmerman and Thayer Do it Again! The Co -P arenting Sur vival Guide: LLetting etting Co-P -Parenting Survival Go of Conflict After a Difficult Divorce Putt to Death Written by Elizabeth Thayer, Ph.D. and Jeffry Zimmerman, Ph.D. Book Review by Sarah Gamble, Ph.D. Written by Roberta Isleib Book Review by Renna Levine Seltzer, Ph.D. Every so often a book comes around that is so helpful even to the point that I don’t mind when the copies I loan to clients never make it back to my book shelf. I feel this way about Harriet Lerner’s classic The Dance of Anger as well as Elizabeth Thayer and Jeffrey Zimmerman’s 2001 book The Co-Parenting Survival Guide: Letting Go of Conflict after a Difficult Divorce. I’ve bought many copies of each of these titles, my resentment at their non-return vastly outweighed by hopes that their messages will be absorbed and translated into compassionate, effective behaviors. (Note to self: order more copies – buy in bulk this time). Like their previous book on divorce, the authors write with clarity and lack of pretension (no psychobabble or excessive use of colons here). The text is rich with clinical examples and quotations from the authors’ psychotherapy practice. Reading this book, I saw many of my clients and made notes in the margins about certain ideas (and ways of expressing them) in therapy sessions. I sometimes feel like a broken record with clients and find it helpful to have fresh language to address familiar themes such as stepping out of black/ white thinking, putting the needs of children first, and working to understand one’s past not for purposes of assigning blame but in order to chart the future. Even though divorce is commonplace, its effects can be and often are devastating to the children. Distrust of intimate relationships, low self-esteem, alienation from one or both parents, and longstanding guilt and loyalty conflicts are potential legacies of divorce for children. Adult readers who were children of divorce will feel validated and will gain insight into their own pain and relationship patterns related to their parents’ breakups. This book introduces a different perspective. The authors balance their analysis of the emotional cost of divorce with the potential gifts of growing up in a divorced family. Well-crafted journal exercises and surveys guide readers to consider both negative and positive life lessons related to one’s past. The result is a multi-layered perspective of family life in which allgood vs. all-bad thinking is expanded to a more nuanced and ultimately more empowering view. The authors’ message to adult children discourages the formation of a victim self: ( e.g., “Do not make the divorce the center of your childhood or the center of your current adult identity..”). They advocate taking hold of one’s own responsibility and power to make sane adult decisions. The thrust of the book is optimistic – you can have a happy adulthood even though your parents had a horrific divorce. (Note to self: order more copies of Adult Children of Divorce). Sarah Gamble, Ph.D. is staff psychologist at The Traumatic Stress Institute in South Windsor, CT. 12 Putt to Death is an engaging, fast-paced mystery novel written by clinical psychologist and avid golfer Roberta Isleib, Ph.D. This book offers something for everyone: golf scenarios for the sports fan; rich, detailed character descriptions, family dynamics, and an inside look at local club politics for the ‘people person’; and suspense for the mystery enthusiast. Cassie Burdette starts working as golf pro at a postcard-perfect country club after she has failed to survive her rookie season of the Ladies’ Professional Golf Tour. Woven throughout the plot are many references to the psychological challenges Cassie and other golf professionals face in competition. Cassie surmises that it’s “hard not to conclude that the biggest problem was in my head,” and notes that maybe trust in her ability “had been missing in [her] game over this past year.” Cassie watches a psychologist friend help another golfer maintain a positive attitude during competition and eventually consults with another psychologist to explore her disappointment in her golf performance, among other issues. Soon after she begins her job, Cassie stumbles upon a body near the seventh hole. In this classic ‘whodunit’, the author creates a believable hero in Cassie. Cassie has unresolved conflicts with her family and exists in a “chronic state of insecurity.” But, she is also intelligent, curious and clever, and she is someone you root for despite her flaws. In addition to the sleuth, the author brings to life the victims, the villain and a multitude of other characters. Each is imaginatively depicted and well developed. Scott Mallory, the country club’s head pro, has “teeth gleaming straight and white against his deep tan” and a “sweeping [golf] swing with perfect tempo and matching professional-quality results.” The president of the ladies’ group at the club is a “tall ink-haired woman” with “the kind of Mediterranean skin that would age slowly” who “brimmed with confidence and challenge,” but didn’t seem to have “the bitter edge” of a crusader. The interactions between characters are also entertaining and help to propel the plot. The pun included in the title of the book prepares you for some of the humor included in the witty dialogue. Club members’ social interactions are revealed in sensitive political issues such as environmental responsibility in maintaining the golf greens, or club policies regarding gender equity. As Cassie comments, “There were enough possible suspects in this club alone to fill a prison bus.” You need not be knowledgeable about the game of golf to enjoy this murder mystery. The author provides a concise dictionary of golf terms at the beginning of the book as a nod to those less familiar with the sport. Isleib also does a good job of bringing characters to life. Dr. Isleib is frequently on book tours promoting her mysteries. Dr. Seltzer is a clinical psychologist with an interest in sport psychology who maintains a private practice in Woodbridge, CT. Connecticut Psychologist • Summer 2004 Advertising Connecticut Psychological Association Education to Help Members Mak e Informed LLongongMake ong-TTerm Care Choices Every day, members of the Connecticut Psychological Association help many people. But, being so busy prevents us, sometimes, from taking time for ourselves. As we all know, avoidance does not necessarily bring about the best results. This is the case with preparing for long-term care. Preparing for long-term care today simplifies our lives later. Taking time today eases the emotional and financial burden when the crisis hits. The statistics about the chances of needing care are almost one out of two (Spillman & Lubitz, 2002) and the cost of care, whether home or elsewhere, typically averages $100,000 per year (State of CT, 2002). With data like this, CPA decided to help its members get information to make an informed decision. To prepare proactively there are several solutions. CPA is proud to announce a relatively quick process to get you information. It is free and completely voluntary. CPA has coordinated with Long-Term Planning Associates, LLC to provide you with the information — so that you get the care you want, where you want and have options about how to afford your choices. There are over 100 insurance providers, each offering various benefits. As a member of CPA, you may be eligible for discounts. Since every person has unique needs, there is no one answer that works for everyone. The best solutions are individually customized. CPA has a three step process to easily guide you through understanding your alternatives: Step 1: Education — It starts with the basics: What is long-term care and ends with understanding how to evaluate your options. The information will help you maintain control and give you evaluation tools. The education process by Long-Term Planning Associates typically takes less than one hour and there is no obligation…just education. Step 2: Options — Whether you want to protect your assets, maintain your freedom of choice, or ensure your loved one will have financial security — solutions exist. Long-Term Planning Associates, LLC will help you navigate through the myriad of insurance providers and options. By listening to your needs, the specialist can help you select options based on what is most important to you. They will provide you a selection of options including: prices, features and understanding the differences between insurance providers. Step 3: Choice — It is your choice. Once educated about your options, you may choose to do nothing or you may choose to purchase insurance coverage to protect you. At this point, you will have the information you need to make an informed decision. Whatever you decide, the CPA and Long-Term Planning Associates are pleased to help you proactively prepare. We know that taking the time to think about future plans is a gift to yourself and your loved ones. Spillman, B. & Lubitz, J. (2002) New Estimates of Lifetime Nursing Home Use: Have Patterns of Use Changed? Medical Care, 40, 10. State of CT, Dept. of Social Services, (2002) Survey of Nursing Homes. Long Term Care is a membership service for CPA. To learn more call (203) 372–1850, Ext.149 or e-mail [email protected] There is no obligation, just an opportunity to get some valuable education. Advertising Applause Continued from page 16 Dan the Man was pleased to see that the Hartford Courant editorialized support for the Wellstone Mental Health Parity Act. As CPA Director of Professional Affairs, as well as a participant in congressional visits at SLC, Dr. Abrahamson worked to bring the issue of parity to the attention of voters. Those interested in reading the editorial can do so at www.ctnow.com. Dr. Christine Farber has become one of the new shining stars in CPA. Already she serves as secretary to the CPA board and as a contributing editor to the CP. At the board’s May meeting, she presented a proposal for an Early Career Division, which would facilitate the progression of newly graduated professionals toward established careers. Activities of this Division would include recruitment, newsletter column, list serve, consultation groups. It sounded like a “winwin” situation and the board voted in favor of establishment of this Division. Much credit goes to Wayne Rosenfield, Ph.D. and Richard Summer 2004 • Connecticut Psychologist Bloom, Ph.D., who responded to the mental health needs of the New London community following the murder of two young people. They used “Psychologi- cal First Aid,” provided psychoeducation, and facilitated follow-up services to many affected individuals. Alert! The Department of Homeland Security issued a warning of elevated risk. The two conventions this summer will be in the Northeast. CPA-DRN members are encouraged to complete a new form with current contact numbers and updated information on training. A form may be obtained from the Public Interest Director at [email protected]. CPA DRN members are also encouraged to proactively recontact their local ARC chapter and to state their availability. 13 Put GOW ad here C L A S S I F I E D Financial Wings , LLC Ads get the Eye! If you are recruiting for your practice, place an ad in CP. Space for Rent We help with… The financial aspects of divorce: Financial affidavit information Support and expenses Housing decisions Understanding assets & proposals Tax efficient settlements Long-term planning Post-divorce implementation C o n f i d e n c e , P e a ce o f M i n d … … f in an c ia l w in gs . 128 East Avenue Norwalk, CT 06851 Divorce Financial Services 14 Avon. Office space available. Beautiful, quiet, two room suite plus shared waiting area available immediately in Avon. Freshly painted and appointed first floor suite with bay window in building exclusively dedicated to mental health professionals. Ample, free parking. Utilities included. Call Connecticut Psychotherapeutic Resources, (860) 678-8779. Professional Opportunities Licensed psychologist to provide therapeutic and diagnostic services to children, adolescents and families. Immediate full- and part-time positions available. Well-established, busy private practice with caseload to start. Panel participation a plus. Excellent compensation as fee for service. If interested, please fax your resume to: (203)284-8302. Psychologist to join well respected and busy, multidisciplinary private practice. Must be licensed, seasoned clinician who can work with wide range of child, adolescent and adult clients. F/T, P/ T. Fax letter of interest and CV to (860) 347-8120 or mail to Roeder and Polansky Family and Child Associates, 300 Plaza Middlesex, Middletown, CT 06457. 203.866.9900 financialwings.com Wanted, licensed psychologist, experienced. Call Center for Counseling & Human Development at (860) 613-2491. Connecticut Psychologist • Summer 2004 www.apait.org...then just one click and you’re there! Go right to the Source! Trust Risk Management Services, Inc. (TRMS) on the Internet at www.apait.org or call toll-free at 1-877-637-9700 for all of your Professional Liability Insurance needs. • Purchase Trust-sponsored Professional Liability Insurance* on-line and pay with a credit card • Correspond by e-mail • Review, renew, and receive your Policy on-line • Send Proof of Coverage anywhere *Underwritten by Chicago Insurance Company, rated A (Excellent) by A.M. Best Co. Summer 2004 • Connecticut Psychologist 15 PRSRT STD US POSTAGE PAID HARTFORD, CT PERMIT #2115 Connecticut Psychological Association 342 North Main Street West Hartford, CT 06117-2507 A P P L A U S E ! Drs. Dorothy and Jerome Singer of the Yale Psychology Department lectured in Vietnam March 17-22, 2004, on the topics of “The Benefits of Imaginative Play” and on the “Hazards of Exposing Children and Adolescents to Violent Theme Television and Videogame Play.” Audiences were pediatricians, educators and childcare professionals in Hanoi and HoChiMinh (Saigon) cities. Oh, that Dr.Virginia Shiller! In a recent adventure, she appeared on a Comcast TV Show titled Real Life with Mary Amoroso to discuss her recently published book, Rewards for Kids. Dr. Schiller was able to give some publicity to CPA, because on the screen, at times, was a notation that Dr. Schiller served as Chair of CPA’s Children & Youth Committee. Dr. John Mehm is Associate Director of the Graduate Institute of Professional Psychology. A photograph of him talking with a group of students was published this spring in the University of Hartford Observer. Approximately 30 to 40 students graduate from the Institute each year. In April, Yale held a conference titled “Equity, Access, Outcome: the Role of Prevention 16 Science in Reducing Health Disparities.” A member of the Expert Panel was Arthur C. Evans, Ph.D., Deputy Commissioner, DMHAS and Adjunct Associate Clinical Professor, Yale University School of Medicine. Dr. Evans is in the forefront of research and advocacy. CPA members are a significant part of the backbone of another professional organization, The CT Society for Psychoanalytic Psychology (CSPP). CSPP is a local chapter of Division 39. Some of the CSPP officers who also have membership in CPA are: President: Rosalind Atkins, Ph.D.; Past President: Barbara Marcus, Ph.D.; Treasurer: Bronce Rice, Psy.D.; Long Range Planning: Wendy Stewart, Ph.D.; Fairfield Region Representative: Linda Ludwig, Ph.D.; Division 39 Representative: Rita McCleary, Psy.D.; Historian: Dale Ortmeyer, Ph.D.; Liaison to CPA: Virginia Shiller, Ph.D.; Newsletter Editor: Carol Mahlstedt, Psy.D. CSPP sponsors many educational meetings and has liaisons to both CPA and the CT Society for Clinical Social Workers. The potential for collaboration among these mental health organizations is very great. See A P P L A U S E ! photo of Intimacy Conference on page 2. Michael Bulmash, Ph.D. spent four weeks in Europe in late spring working with the military and their families. He has a practice in Fairfield and specializes in couples therapy. Another one of our members was interviewed in the newspaper. Dr. Karen Steinberg, from the Department of Psychiatry at UConn Health Center, was asked for advice regarding the celebration of “many Mothers’ Day” by the Valley News. Dr. Steinberg advised that mothers use communication to simply tell others how the day might be spent. A simple card or phone call may be sufficient for some of the women in one’s life. Dr. Roni Beth Tower is conducting Internet research (www.tc.columbia.edu/research/ longevity). Information about this research was published in the Wall Street Journal in May in the Personal Journal Section. The article was titled, “When Your Spouse Makes You Sick: Research Probes Toll of Marital Stress.” Kudos to our Webmaster Randy Lee, Ph.D., who reports that we’ve doubled our web visits over the past year or so and that we are getting now well over 5000 visitors per month. The web is a “hot spot” to advertise! Welcome to Susan Chenoweth, Psy.D., who agreed to Chair the Insurance and Managed Care Committee. Do you find that an insurance company has an annoying directive which dictates the frequency of therapy sessions? Do new policies hinder more than help you work? Send your complaints to Dr. Chenoweth and she and the committee will begin to investigate … start files … develop interventions. Congratulations to Ree LeBlanc Gunter, Ph.D. and Lorna A. Thomas, a Ph.D. candidate at the University of Hartford for their successful presentation of a workshop titled, “Coping with Stress-How and When to Get Help”. Dr. Gunter and Ms. Thomas are members of the Ethnic Diversity Task Force. The workshop identified indicators of stress and discussed coping mechanisms. In addition, a list of local referrals was provided. The workshop was held at Gateway Community College in New Haven for the African-American Women’s Summit. Continued on page 13 Connecticut Psychologist • Summer 2004
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