The 2003 Survey of Academic Medical Center Psychologists: Implications and Outlook

This paper offers commentaries on Pate and Kohout’s (2005) report of data from the 1997 and 2003 surveys of psychologists in medical school settings. The commentaries reflect upon the significance of the survey findings and implications for psychology’s role in medical school and academic health science settings. Though the response rate to the survey was disappointing, the data indicate that psychologists are moving up in academic rank, and have made substantial gains in salary. The data also indicate that among psychologists who are medical staff members, who constitute half the 2003 sample, an increasing proportion are functioning autonomously as reflected in gains in the percentage having admitting privileges, staff voting privileges, and authority to write orders. Research continues to be a major focus for psychologists in academic medical centers. Overall, the findings indicate that psychologists can have productive, satisfying careers in medical school/academic health center settings—though there is one troubling sign, a sizeable drop in the number of positions being created for younger, more recently trained psychologists. Methodological enhancements are described that could improve the quality, scope, and usefulness of data from future studies, both for understanding long-term trends and for conducting salary negotiations. High quality data provide a solid foundation for advocating for psychologists’ full participation in the life of medical schools and academic health centers.     

Competencies for Psychologists in Academic Health Centers (AHCs)

This paper begins by providing the landscape that undergirds the competency-based movement within professional psychology education, training, credentialing, and performance appraisal. Attention is then paid to the relevance of this culture shift for psychologists working as practitioners, educators, researchers, and administrators in AHCs. In this regard, there is an articulation of the essential subcomponents of each of the core foundational and functional competency domains that are salient for AHC psychologists. Implications of the competency-based movement for professional psychologists in AHCs are offered. This paper is based in part on the first author’s plenary address at the Association of Psychologists in Academic Health Centers Midwinter Meeting in Minneapolis, Minnesota, May 2007.     

Marketing Psychology at Academic Health Centers

The administrative structure of academic health centers is reviewed, with a view to understanding the issues of marketing psychological services within that setting. The slow changes at academic health centers to new practice styles requires psychology to formulate a market strategy addressing the traditional specialist model and another plan responsive to the emerging model emphasizing primary care. Market targets for psychologists include administration, physicians, and patients. Presently, the Association of Medical School Psychologists is working with the Association of Academic Health Centers to design a marketing program targeting leaders at academic health centers.     

The Future of Education and Training in Academic Health Centers

National reports have recommended additions to the core competencies that should be required of all health disciplines, including psychology. The recommendations will affect the education and training of health professionals at academic health centers (AHCs). There will be more focus on training for competence in patient-centered care, evidence-based care, interdisciplinary teamwork, informatics, and continuous quality improvement. Other trends that will affect training of psychologists and other health disciplines in AHC settings include emphasis on better ways to assess the quality of clinical skills, support for improvement of teaching and training, and an increase in educators' status.     

Marital Status and Health Beliefs: Different Relations for Men and Women

Although relations between marital status and health have been substantiated, the results of relatively few studies suggest how or why marriage is associated with health. To understand how marriage and health are associated, this study was designed to examine the role of health beliefs. Two thousand two hundred and six (2,206) adults who participated in the New Jersey Family Health Survey provided information about their marital status, proactive health beliefs, and proactive health behaviors. Results indicated that being married (vs. single) was positively associated with men's proactive health beliefs, whereas marriage did not appear to influence women's proactive health beliefs positively. Significant relations between participants' reports of proactive health beliefs and proactive health behaviors were found. Findings are discussed in terms of the importance of understanding the complex nature of associations between social relationships and health.     

Mentoring in the Academic Medical Setting: The Gender Gap

Mentoring is an essential part of success in the academic medical center. The provision of effective mentoring is key to the success of the increasing numbers of women entering medicine. However, the gender distribution within the hierarchy of medicine has not changed in that the power still resides with men in the system. Currently, men are attempting to mentor women, and so as the proportion of women in medicine continues to grow, they will become more influential in this setting and will become increasingly responsible for providing mentoring to men. In either case, effective communication across gender lines is an essential aspect of the mentoring process. Psychologists in academic medical settings can provide guidance to faculty and staff on the critical aspects of social development and communication, which may affect how women and men are mentored and the success of this mentoring process, whether across or within gender lines.     

Psychologists in Academic Health Centers: Reflections on Traditions and Innovations in Education,Science, and Practice

In 2007, the Association of Psychologists in Academic Health Centers (APAHC), formerly known as Association of Medical School Psychologists (AMSP), held its first national conference since 1997. At the latter conference, the author of this article [Sheridan (1999) Journal of Clinical Psychology in Medical Settings, 6, 211–218] was asked to present some of the issues that would be important to health care psychologists in the next decade. These issues included the role of psychology in academic health centers, interventions psychologists offer, reimbursements for such treatments, education and training models, and research. This article examines those observations, offers new data, and explores the current challenges and opportunities for psychologists in academic health centers. The presentation also addresses aspirations of psychologists as well as resistances within the profession. Parts of this paper were delivered at the 3rd Conference of the Association of Academic Health Center Psychologists in Minneapolis, Minnesota in 2007.     

The Section of Psychology: Psychology in an Academic Health Sciences Center's Department of Behavioral Medicine and Psychiatry

This paper describes the organization of the Section of Psychology, Department of Behavioral Medicine and Psychiatry, School of Medicine, Robert C. Byrd Health Sciences Center, West Virginia University, Morgantown. The organization of psychology is described in terms of the 10 organizational variables for psychology outlined by the Working Group on Governance and Administration from the 1995 Association of Medical School Psychologists, Georgetown Conference. Several aspects of the Department are highlighted that may account for the success of psychology section model including collegial relationship between the disciplines of psychology and psychiatry. The paper describes in detail how the section works, key successes, major obstacles encountered, and future challenges.     

Women in Management: Organizational Socialization and Assessment Practices that Prevent Career Advancement

This paper reviews some of the literature on women in management in the UK, with particular emphasis on the biographical data collected in major studies. In view of the small proportions of women in senior management it seeks to identify the potential barriers that assessment procedures create for women wanting to progress to top positions. As organizations are encouraged to increase the‘fairness’and 'sophistication’of these procedures, they may in fact be reinforcing the very nature of the discriminations they are supposedly attempting to reduce. This paper outlines how this may be happening.     

Psychologists in Academic Health Settings: Key Contributors to Dynamic Interplay Among Research, Clinical Practice, and Policy Domains

Psychologists in academic health systems are in a unique position to impact the dynamic interplay among research, clinical practice, and policy domains. In addition to their specialty expertise in psychopathology, particular types of physical illness and disease, and health promotion, psychologists have substantial knowledge of human behavior, refined scientific skills, knowledge and experience in the effective delivery of clinical services, strengths in written expression, and a collaborative orientation. This combination of strengths makes psychologists extremely well-suited for (a) interdisciplinary efforts to develop and implement evidence-based assessment and intervention strategies with biological, psychological, behavioral, and social components, and (b) leadership and advocacy efforts that impact the quality and availability of health care services.     

Job Opportunities/Issues for Health Care Psychologists: The Coming of the Millennium

Job opportunities for psychology for the next decade are being influenced by ongoing shifts in our economic system and resultant general employment practices. As with many burgeoning fields, psychology is experiencing increasing diversification into subspecialities. Professionals in other fields are acquiring supplementary degrees in psychology to heighten their psychological knowledge and professional/organization skills. Thus, psychology is beginning to be viewed, like the MBA, as an important professional degree for many fields, not just mental health or teaching. Training programs are reflecting these diversification trends. Further, as professional applications at the doctoral level expand, there is increasing need for the master's-level technical competence to support the increasing specialities at the doctoral level. These changes represent the creative response of a young and vigorous profession to the challenges of changing market dynamics.     

Women and Mental Health

No abstract available for this article.     

Overcoming the Glass Ceiling: Views From the Cellar and the Roof

Women's experiences as professionals and behavior therapists have changed considerably in the past 40 years. The author describes early challenges and experiences of discrimination as a young female professional. Although women's opportunities have improved considerably, women still experience unique career challenges and choices. The author provides some suggestions for women's career development.     

Women,Mental Health,and Managed Care

Abstract

Managed care has changed the way that mental health care is provided. These insurers manage such factors as length and type of therapy made available, access to therapy, and level of payment for therapy. Women, as the majority of those insured by managed care and as consumers of mental healthcare, are differentially affected by these changes.     

Turkish College Students' Attitudes Toward Women Managers: The Effects of Patriarchy,Sexism, and Gender Differences

The authors examined how patriarchy, sexism, and gender influence Turkish college students' attitudes toward women managers. Turkish undergraduate students (N = 183) from Middle East Technical University completed questionnaires measuring attitudes toward women managers as well as attitudes toward the concepts of hostile and benevolent sexism and support for patriarchy. Participants were of upper- or middle-class Turkish backgrounds. The results showed that male participants exhibited less positive attitudes toward women managers than did female participants. In addition, participants who held more favorable attitudes toward patriarchy and who scored high on hostile sexism also held less positive attitudes toward women managers than those who held less favorable attitudes toward patriarchy and who scored low on hostile sexism. A regression analysis showed that support for patriarchy and hostile sexism was more important for explaining less favorable attitudes toward women managers than was benevolent sexism.     

An Interactional Approach for Pharmacopsychologists and Psychologists: Gender Concerns

A knowledge base of culturally sensitive psychotropic pharmacotherapy is encouraged to help patients receive accurate diagnoses and beneficial treatment. Research is best informed if the complexity of individuals is directly addressed beyond main effects in research designs. The interactions of age, sex/gender, race/ethnicity, and cultural practices, as well as medication effects, need to be studied. Reporting data with distinctive characteristics exhibited by different ethnic-gender subgroups provides rich information with which psychologists can treat patients more effectively as well as ethically. Conceptual models of prescribing need to include perspectives of the whole person. An interactional model is one model that would address physiological, psychological, and sociocultural dimensions.     

高中生物理和化学学科中同伴学业支持与学业情绪的关系:学习效能感的中介作用和性别的调节作用

研究发现学习效能感会受到同伴支持的影响,同时它又是影响学生学业状况的重要前因变量。根据控制价值理论,本研究通过对3329名高一和高二学生的调查,考察在物理和化学学科中,学习效能感是否会在同伴学业支持和学业情绪中起到中介作用。发现：(1)同伴学业支持和学习效能感呈显著正相关;两者与高兴学业情绪显著正相关,与厌倦学业情绪显著负相关;(2)在控制了年龄、年级、性别和地域后,学习效能感在同伴学业支持和高兴学业情绪中起部分中介作用,在同伴学业支持和厌倦学业情绪中起完全中介作用;(3)在物理学科中,性别调节了学习效能感和学业情绪的关系。本研究验证并拓展了控制价值理论,对于如何提高中学生物理和化学学习的积极情绪有借鉴意义。     

Psychologists in Academic Health Centers: Traditions and Innovations in Education,Science, and Practice

Psychologists, interns, and postdoctoral fellows convened in Minneapolis May 3–5, 2007 for the 3rd National Conference of the Association of Psychologists in Academic Health Centers (APAHC): “Psychologists in Academic Health Centers: Traditions and Innovations in Education, Science, and Practice.” This paper reviews the development and organization of the conference, which built upon the two previous conferences of the Association of Medical School Psychologists. The articles in this special issue are based on a selected number of the 32 conference presentations, covering a range of timely topics that reflect the conference theme. Participants’ positive perceptions and satisfaction with the conference reveal the value of such conferences focused on the activities, interests, opportunities, and challenges of psychologists who work in academic health centers (AHCs) and teaching hospitals. Moreover, the content and success of the conference underscores the importance of APAHC as an organization serving the needs and promoting the interests of psychologists affiliated with AHCs.