Sexual Contact Between Psychologists and Their Former Therapy Patients: Psychoanalytic Perspectives and Professional Implications

Data was analyzed from the semi-structured interviews of 6 heterosexual male psychoanalytic psychotherapists who by self-report had not engaged in a post-termination sexual involvement. The focus of each interview was to elicit the participants' views about sexual contact between psychotherapists and their former therapy patients, as well as their related attitudes towards Standard 4.07 of the APA Ethics Code (1992). The results suggested great disparity of opinion regarding what might constitute acceptable, ethical behavior in this domain. Nonetheless, all the clinicians agreed that the potential for harm resulting from post-termination sexual involvements was great, They all shared the beliefs that transference did not resolve with termination, that professional responsibilities continued after treatment ended, and that power differentials between therapist and patient lingered, perhaps in perpetuity. However, it was determined to be premature to replace the current Standard 4.07 with an absolute prohibition against sexual involvements between therapists and their former patients.     

Personal Therapy and Self-Care in the Making of Psychologists

Abstract

Psychologists are skilled in assessing, researching, and treating patients’ distress, but frequently experience difficulty in applying these talents to themselves. The authors offer 13 research-supported and theoretically neutral self-care strategies catered to psychologists and those in training: valuing the person of the psychologist, refocusing on the rewards, recognizing the hazards, minding the body, nurturing relationships, setting boundaries, restructuring cognitions, sustaining healthy escapes, maintaining mindfulness, creating a flourishing environment, cultivating spirituality and mission, fostering creativity and growth, and profiting from personal therapy. The latter deserves special emphasis in the making of health care psychologists. These strategies are recommended both during training and throughout the career span. Recommendations are offered for enhancing and publicizing systems of self-care throughout the profession.     

Ethical Issues in Psychologists' Professional Practice: Agreement Over Problematic Professional Behaviors Among Spanish Psychologists

A sample of 703 Spanish psychologists completed an online survey containing 114 behaviors related to professional practice in different areas. The aim of the study was to learn which professional behaviors create ethical dilemmas most often for psychologists and how they respond to these issues. Findings suggest that psychologists who have actually faced a particular dilemma are less strict on judging the inappropriateness of a possible ethical transgression than those psychologists who have not experienced it. Also, four clusters can be identified according to the attitude of respondents toward the dilemmas, namely “rejection,” “aprioristic,” “utilitarian,” and “no conflict.”     

An Exploratory Study: Perceptions of Ethical Behaviors Among Psychologists Practicing in the Caribbean

A sample of 44 psychologists who practice in the Caribbean completed a web-based survey containing 73 behavioral items related to ethical issues in professional practice. The aim of this exploratory study was to learn about perceptions regarding ethical behaviors that create ethical dilemmas and the level of agreement to their responses and to identify how demographic variables influenced their perceptions of ethical behaviors. Findings suggest that there was approximately an equal level of agreement on behaviors such as being an advocate for your client and being sexually involved with a current client rated as ethical and unethical, respectively. Several demographic variables and ethical behaviors such as level of degree and confidentiality issues were statistically significant. Finally, psychologists prefer the presence of a professional psychological association with an ethics committee.     

Comments on “Sexual Contact Between Psychologists and Their Former Therapy Patients: Psychoanalytic Perspectives and Professional Implications” by Natalie Shavit and Steven Bucky

The American Journal of Psychoanalysis -     

疑病者与疑似病者之比较研究

疑病者与疑似病者,在基础心理特征方面存在较大差异,也有一定的共性,两者都构成诊断结果,会给当事人带来心理上焦虑、不安等情绪。疑病者的心理问题是内生性的,与精神倾向及人格有关,疑似病者的心理问题是外生性的,与机体症状有关。疑病者与疑似病者的角色在一定条件下可以相互转化,疑病者在长期不良心境下可变为疑似病者,具有高神经质人格的疑似病者易转变为疑病者。在心理干预过程中,应该注意到这两者不同的特点,采取不同的措施。     

Criticisms of the Ethical Principles for Psychologists and Code of Conduct

ABSTRACT

Beginning in 1953 the American Psychological Association (APA) has advanced twelve iterations of a professional ethical code. In recent years the adequacy of the Ethics Code as well as APA’s ethics enforcement has come under increased scrutiny. In 2015 the APA empaneled an Ethics Commission which made a series of recommendations; however, the Commission itself as well as its recommendations are also controversial. This paper presents criticisms of the Ethics Code that have generally not been discussed in the previous literature.     

Employment Characteristics and Salaries of Psychologists in United States Medical Schools: Past and Current Trends

In 1997 the Research Office of the American Psychological Association (APA) collaborated with the Association of Medical School Psychologists (AMSP) to conduct a comprehensive employment and salary survey of psychologists employed in medical schools and academic health centers. Questionnaires were mailed to 3894 psychologists; postcard reminders and a follow-up mailing to nonresponders resulted in a final 50% response rate. The questionnaire addressed appointment characteristics, department and school characteristics, employment activities, salary information, demographics, and changes in the medical school work environment that have occurred as a result of managed care. This survey, the 1997 Employment Characteristics and Salaries of Medical School Psychologists, is the most comprehensive analysis to date of the practice of psychology in U.S. schools of medicine and academic health centers. This article reports the most salient findings from this survey.     

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.     

Masculine Ideology,Sexual Communication,and Sexual Self‐Efficacy Among Parenting Adolescent Couples

This study examined the relationship between traditional masculine role norms (status, toughness, anti‐femininity) and psychosocial mechanisms of sexual risk (sexual communication, sexual self‐efficacy) among young, low‐income, and minority parenting couples. Between 2007 and 2011, 296 pregnant adolescent females and their male partners were recruited from urban obstetrics clinics in Connecticut. Data regarding participants' beliefs in masculine role norms, frequency of general sex communication and sexual risk communication, and sexual self‐efficacy were collected via computer‐assisted self‐interviews. Generalized estimating equation (GEE) models were used to test for actor effects (whether a person's masculine role norms at baseline influence the person's own psychosocial variables at 6‐month follow‐up) and partner effects (whether a partner's masculine role norms at baseline influence an actor's psychosocial variables at 6‐month follow‐up). Results revealed that higher actor status norms were significantly associated with more sexual self‐efficacy, higher actor toughness norms were associated with less sexual self‐efficacy, and higher actor anti‐femininity norms were significantly associated with less general sex communication, sexual risk communication, and sexual self‐efficacy. No partner effects were found. These results indicate a need for redefining masculine role norms through family centered approaches in pregnant or parenting adolescent couples to increase sexual communication and sexual self‐efficacy. Further research is needed to understand partner effects in the context of a relationship and on subsequent sexual risk behavior.     

Systemic Reflecting Team Training: Perceptions and Experiences of South African Educational Psychologists

Abstract

There is limited research on the application of systemic family therapy in developing countries. This qualitative study explored the perceptions and experiences of 12 educational psychologists and a family therapy trainer, who have worked within a systemic reflecting team using Tom Andersen’s method of training and supervision. The semi-structured interview findings suggested positive perceptions of systemic intervention, despite various challenges experienced in its implementation within the South African context. The educational psychologists identified their reflecting team experiences as being beneficial for both their professional development and current practices. Future research which investigates the reflecting team process in action is recommended.     

医患间的人际冲突与管理策略

医患间人际冲突是影响医患关系的重要因素,它对医患关系不仅能够产生消极的结果,还能够产生建设性的结果。分析了医患间人际冲突的本质、来源、影响以及冲突管理策略,旨在促进人们通过理解冲突的本质和产生的原因,实行有效的冲突管理策略,使冲突得到建设性解决,促进良好的医患关系的建立。     

Associations Between Sexual Orientation Discrimination and Depression Among Same-Sex Couples: Moderating Effects of Dyadic Coping

Drawing from minority stress theory and the systemic–transactional model, we examined whether perceptions of partner's dyadic coping behavior moderated the association between sexual orientation discrimination stress and symptoms of depression among individuals in a same-sex relationship. Data from 95 same-sex couples revealed that, overall, sexual orientation discrimination stress was positively associated with depressive symptoms; however, perceived partner emotion-focused supportive dyadic coping weakened this association. Specifically, higher sexual orientation discrimination stress was associated with greater depressive symptoms only for individuals perceiving low partner emotion-focused supportive dyadic coping. Implications for researchers and clinicians are presented.     

Collaborative Communication Between Psychologists and Primary Care Providers

Psychologists frequently collaborate in the care of patients managed in primary care. Communication with a patient’s primary care team is important to ensure coordination and continuity of care. The communication is far from seamless. Although The Health Information Privacy and Portability Act (HIPPA) is designed to promote sharing of clinical information while protecting patient confidentiality, unique problems arise when mental health records are included. Mental health records are subject to different regulations to protect the patient’s confidentiality. Thus, what is communicated and how it will be accomplished are challenges. Further, psychologists and primary care providers often view documentation differently, resulting in different styles of documenting that may also impede coordinated care. Increasingly, health care systems are moving toward electronic medical records, creating greater opportunities for an integrated record. Improved communication through the record can keep other providers abreast of the mental health care being provided as well as suggestions they can use to reinforce the mental health care treatment plan.     

急诊室濒死病人临床诊治决策的影响因素

正确、合理的临床决策为病人提供理想的诊疗方案。在急诊室濒死病人的诊治过程中,急诊医生应本着以人为本的原则,根据病情的轻重缓急,抓住重点进行紧急处理。其中,病人疾病的性质与预后、疾病严重程度、医生技术水平、医院护理水平、医院的医疗设备与管理水平、诊治费用、医患关系、家属对待诊治的态度、医德医风、政策法规等对医生的临床诊治决策均有不同程度的影响。     

Psychologists and the Ethical Use of Enhanced Interrogation Techniques to Save Lives

Arrigo, DeBatto, Rockwood, and Mawe (2015) take issue with a number of arguments in our previous article (O’Donohue et al., 2014). We respond in four major ways: (a) pointing out that they never really take on, let alone refute, the key argument in our article—that utilitarian, deontic, and virtue ethical theories are not only consistent with the use of enhanced interrogation and torture in the ticking time bomb scenario but these prescribe it; (b) there are numerous other exegetical problems in their article; (c) they make unsubstantiated claims about the ineffectiveness of EITSLs techniques that we argue are much too strong; and (d) they conflate the ethical with the legal and but even in doing so miss many important issues regarding the legality of EITSLs in the war on terrorism.     

A Comparison of Sexual Aggression Risk Factors Between the United States and the Philippines

Sexual violence against women is a global problem, prompting the need to investigate the risk factors among males in non-Western, non-industrialized countries. Using the expanded Confluence Model, this study examined and compared risk factors of sexual aggression between male college students in the Philippines and the United States. Using path analysis and multiple group analysis, results indicated that the expanded Confluence Model was generally invariant between countries. Direct paths from hostile attitudes toward women and impersonal sex to sexual aggression were non-significant, but indirect effects from hostile attitudes toward women, alcohol consumption, and impersonal sex to sexual aggression via the frequency of misperceiving a woman’s sexual intent were observed. Additional risk analysis indicated that the number of elevated risk factors were associated with higher self-reports of sexual aggression.     

Looking forward and back: Sexual victimization prevention

The field of sexual victimization prevention has been greatly shaped by societal movements of the past forty years. The social forces that have driven the study of sexual victimization have led to major research gaps which may be viewed as opportunities for new focuses. This paper will: (1) review these social movements in light of the opportunities that have arisen, (2) re-evaluate the information that has been collected in light of the research purpose, preventing harm to potential victims through providing tailored prevention messages, victim sensitive avenues of reporting, and individualized intervention tactics based on personality characteristics, and (3) provide a framework with which to conceptualize normative personality in relation to the process of victimization-related trauma. Although research has provided many insights into the basic principles of prevention, much remains to be explored.     

Extending Contact Across Generations: Comparison of Direct and Ancestral Intergroup Contact Effects on Current Attitudes Toward Outgroup Members

There is a growing body of evidence that intergroup relations are affected not only by direct contact with outgroup members, but also by extended contact: the mere knowledge that an ingroup member has a positive relationship with an outgroup. The present article focuses on the transgenerationally transmitted effects of contact, namely the impact of knowledge about ancestors’ contact with outgroup members on descendants’ attitudes toward the outgroup. A correlational study in the Polish–Ukrainian borderland region (N = 288) shows that ancestral intergroup contact – independently from direct intergroup contact – plays a crucial role in the process of improving intergroup attitudes. The mediating mechanisms of perceived similarity of the outgroup to the self and of perspective taking are discussed. Copyright © 2013 John Wiley & Sons, Ltd.     

以白求恩精神接诊老年口腔疾病患者

老年患者是口腔科门诊接诊患者中的特殊群体,本文从医学伦理学角度入手,从口腔疾病诊治中白求恩精神体现角度出发,对老年患者在进行口腔疾病治疗中的生理、心理状态进行分析,以白求恩“把救死扶伤、给患者解除生理及精神病痛,看作是自己最大的幸福”为指导原则。探讨如何能更有效的诊治老年患者口腔疾病,并更好的为老年口腔疾病患者服务。