Ethical Issues and Potential Solutions Surrounding the Use of Spoken Language Interpreters in Psychology

The need for psychological services to limited English proficient clients is increasing. Psychologists who provide clinical services to limited English proficient clients are frequently required to use the services of spoken language interpreters. Research has shown that the quality and consistency of interpretation services are often in question. Interpreters are generally not required to hold any certifications or to meet training requirements prior to providing interpretation services. This lack of oversight leaves the psychologist responsible for the quality of the interpretation when adhering to the American Psychological Association’s (APA) 2010 Ethical Principles of Psychologists and Code of Conduct. This article includes a discussion of the ethical and clinical issues inherent in providing psychological services through an interpreter, how those issues affect a psychologist’s adherence to the APA Ethics Code, and recommendations for meeting the ethical standards while providing sound clinical services through the use of spoken language interpreters.     

Ethical Considerations for Psychologists Providing Treatment to Arab Americans

Given the recent increase in hate crimes against Arab Americans, there are growing concerns over the mental health needs of Arab Americans and a pressing need for psychologists’ competence in treating this group. Although there are several clinical guidelines for other health care professions, there remains a paucity of information on the ethical issues that may arise for psychologists treating this Arab Americans. This article briefly provides background information on Arab Americans, highlights elements of Arab culture that might influence psychological treatment, discusses ethical issues that might arise when psychologists provide services to Arab Americans, and provides recommendations to address these issues.     

The Australian Psychology Workforce 4: An analysis of psychologists in private practice providing Medicare‐funded services

There have always been independent private psychology practitioners in Australia, yet in the past payment of their services was largely by a user‐pays model. The introduction of Medicare Benefits for patients, under the Enhanced Primary Care program in 1999, and Better Access in Mental Health Care in 2006, along with Government‐funded mental health initiatives such as Better Outcomes in Mental Health Care introduced in 2001, has provided an alternative funding model for independent private psychological services. Introduction of these and other Government‐funded programs has raised questions about the responsiveness of the psychology workforce to meet the changing demands for psychological services created by these reforms. This study aimed to profile the characteristics of 3,587 independent private psychologists who provide services to clients under these schemes by analysing their responses to the Australian Psychology Workforce Survey. Of the 44% of psychologists completing the survey who indicated that they had a Medicare Provider Number, only 61% were in private practice as their main job. The remainder conducted services for Medicare‐funded clients as part of a private practice in a second job. The demographic characteristics, work roles, client groups and income of psychologists with Medicare provider numbers are reported.     

Mindfulness-Based Stress Reduction in Medical Settings

Meditation, as a psychological intervention, has become of increasing interest to psychologists who conduct clinical research with or provide clinical services to medical populations. Mindfulness-based stress reduction (MBSR) is a manualized program which teaches a variety of meditation techniques and has frequently been used in medical settings with mixed medical populations. The following is a review of the literature, which provides preliminary support for the effectiveness of MBSR in specific medical populations, including persons with chronic pain, cancer and heart disease. Despite these encouraging findings, experts agree that continued research is needed, especially controlled studies with more rigorous methodology.     

The practice of psychology in rural communities: potential ethical dilemmas

The practice of psychology in rural areas offers unique challenges for psychologists as they try to provide optimal care, often with a minimum of resources. Psychologists are frequently required to be creative and flexible in order to provide effective services to a wide range of clients. However, these unique challenges often confront psychologists with ethical dilemmas and problems for which their urban-based training has not prepared them. The author examines how certain characteristics of rural communities may lead to specific ethical dilemmas. By being a part of a small community, psychologists will inevitably face multiple relationship dilemmas. Confidentiality is harder to maintain in a small town, particularly with its informal information-sharing network. To provide services to meet community needs, with a limited number of referral options, psychologists typically need to be generalists. This may lead to concerns about scope of practice, training, and experience with diverse populations. Psychologists also face other competency issues, such as a lack of supervision and consultation resources. Other concerns addressed include the psychologist's personal life, and the blurring of professional and personal roles. Suggestions are made for coping with each of these ethical issues, although more quantitative research and discussion are needed on the practice of psychology in rural areas.     

Guidelines for planning and evaluating school psychology service delivery systems

Contemporary standards of professional practice (e.g., American Psychological Association, 1977) and recent educational compliance legislation (e.g., PL 94–142) emphasize the delivery of appropriate school psychological services geared to a range of school-age children with special needs. Thus, school psychologists must pay increased attention to the development of school psychology service delivery systems. Toward this end, guidelines are presented for planning and evaluating school psychology service delivery systems. The guidelines are set forth in order that school psychologists might consider them and adapt them to local circumstances. The eight principles which comprise the guidelines have been used by the author in planning and evaluating school psychology service delivery systems in several public school districts. One particular school district will serve to illustrate the utilization of the guidelines.     

Sexual Contact Between Psychologists and Patients

Summary

This article discusses sexualized dual relationships between psychologists and patients, including both sexual contacts while treatment is in progress and after its termination. The reported prevalences of sexual contact between psychologists and patients and between psychologists and former patients are discussed as well as practitioners attitudes towards these two types of relationships. The profiles of both psychologists and patients likely to be involved are outlined as are the clinical and professional consequences of these behaviours. Finally, the APA Ethics Code (2002) is examined to determine whether its inclusions in these areas are adequate and to shed more light on clinicians' continued roles and responsibilities even after treatments have concluded.     

School psychology in the U.S.S.R.

Soviet psychologists perform various tasks and provide useful psychological services for pupils and educators. This article describes the general characteristics of education and the preparation and research of psychologists in the U.S.S.R. Also discussed are current practices and emerging trends relating to the establishment of school-based psychological services as well as future developments that may lead to the enhancement of the profession of school psychology in the Soviet Union.     

United we stand, divided we fall: the education and training needs of clinical child psychologists

Reviews efforts to delineate training needs for psychologists who are providing clinical services to children, adolescents, and families. In particular, this article (a) describes efforts of clinical child and other psychologists who work with children, adolescents, and families to develop education and training guidelines; (b) discusses the overlap among various child and adolescent providers within psychology; and (c) highlights several key competencies that have been identified as important for all psychologists in practice roles with children and adolescents. In particular, we emphasize the need for greater collaboration and integration among various psychological specialties that focus on children, adolescents, and families and for greater system-wide discussion of training needs and priorities.     

Wanted: A Comprehensive Model of Healthy Development

Failure of psychologists to provide a comprehensive and valid model of healthy growth that is related to the adaptive problems with which counselors are concerned has limited the usefulness of much psychological research to practitioners. A developmental dimensional model of maturing is presented that has received some transcultural and longitudinal validation. Specific principles, induced from such research and from existing psychological research more generally, provide guidelines about how to encourage healthy growth. Recent evidence demonstrates that the psychological maturity of an adolescent is one of the most powerful predictors of his adult mental health and vocational adaptation, and that adult maturity is a powerful predictor of vocational adaptation, sexual pleasure, and marital sexual compatibility.     

Improving Medicare coverage of psychological services for older Americans

Professional psychology's ability to meet older Americans' psychological needs and to simultaneously thrive as a profession will be closely tied to the federal Medicare program over the coming decades. Despite legislative changes in the 1980s providing professional autonomy to psychologists and expanding coverage for mental health services, Medicare coverage policies, reimbursement mechanisms, and organizational traditions continue to limit older Americans' access to psychological services. This article describes how psychologists can influence Medicare coverage policy. Specifically, the authors examine widely unrecognized policy processes and recent political developments and analyze the recent creation of a new Medicare counseling benefit, applying J. W. Kingdon's (1995) well-known model of policy change. These recent developments offer new opportunities for expanding Medicare coverage of psychological services, particularly in the areas of prevention, screening, and early intervention. The article provides an analysis to guide psychologists in engaging in strategic advocacy and incorporating psychological prevention and early intervention services into Medicare. As Medicare policy entrepreneurs, psychologists can improve the well-being of millions of Americans who rely on the national health insurance program and, in so doing, can help shape the future practice of psychology.     

Integrating consultation and program evaluation in school psychology

Consultation approaches to providing psychological services are widely used by school psychologists. Recently, the need for school psychologists to be proficient in educational program evaluation has been recognized. The present paper discusses how school psychologists can use their existing consultation skills as an approach to program evaluation. The integration of consultation skills with evaluation results in an approach to program evaluation that is particularly useful where program goals and objectives are broad and nonspecific (as in many educational innovations). Also, the consultation approach to evaluation is easier for school psychologists to blend with their other roles in schools than the assessment-oriented evaluator role of some evaluation models. The consultation approach to evaluation is illustrated using a federally sponsored training program for school teachers and administrators.     

Guidelines for psychological practice with girls and women

During recent decades, women and girls of diverse ethnicities, social classes, sexual orientations, and life experiences have encountered dramatic and complex changes in education, health, work, reproductive and caregiving roles, and personal relationships. Although many of these changes have resulted in increased equality, opportunity, and quality of life, girls and women are also at risk for a variety of health concerns and life stresses. The aim of this document is to articulate guidelines that will enhance gender- and culture-sensitive psychological practice with women and girls from all social classes, ethnic and racial groups, sexual orientations, and ability/disability statuses in the United States. These guidelines provide general recommendations for psychologists who seek to increase their awareness, knowledge, and skills in psychological practice with women and girls. The beneficiaries include all consumers of psychological practice, including clients, students, supervisees, research participants, consultees, and other health professionals. Although the guidelines and supporting literature place substantial emphasis on psychotherapy practice, the general guidelines are applicable to psychological practice in its broadest sense. Rather than offering a comprehensive review of content relevant to all areas of practice, this document provides examples of empirical and conceptual literature that support the need for practice guidelines.     

Psychology and social justice: why we do what we do

Much of psychological science and knowledge is significantly relevant to social justice, defined here as the goal to decrease human suffering and to promote human values of equality and justice. A commitment to social justice has evolved as a more important value in the last few decades for psychology, including for the American Psychological Association (APA). The mission, vision, goals, Ethics Code, and strategic plan of APA all provide a rationale for psychologists' involvement in systematic and visible ways of applying our knowledge to social issues. Although psychology has not been immune to the application of psychological knowledge in destructive ways, overall, psychology, many psychologists, and APA have demonstrated a commitment to social justice. This article provides a brief review of the key proponents, debates, and controversies involved in applying psychological science and knowledge to complex societal problems. Psychologists often find themselves in conflict and honest disagreement when the association addresses complex and controversial issues. An important goal is that we continue to find ways to agree or disagree in a respectful manner regardless of where each of us stands on the various positions that APA takes.     

Neuropsychological Assessment

Although it has been known for more than a hundred years that subtle damage to specific brain areas can result in reading, listening comprehension, and expressive speech problems, the topic of brain-behavior relationships has only recently become of interest to psychologists and others serving children with learning problems. Comprehensive batteries for neuropsychological assessment of children, such as the Reitan-Indiana and Luria-Nebraska Children's Batteries, have demonstrated diagnostic validty, with agreement between findings on the two Batteries in the range of 90%. For those wishing to assess some aspects of children's neuropsychological functioning without the use of a comprehensive battery, guidelines are proposed for the neuropsychological interpretation of assessment instruments commonly used by school psychologists and educational diagnosticians.     

The Role of Psychology in Media During the COVID-19 Pandemic: A Cross-National Study

Dealing with COVID-19 and with the preventative measures that have been taken to mitigate the transmission of the virus causing the pandemic has posed a great challenge to the population. While psychologists have expertise with regard to preventive behavior change and to dealing with the mental health impact of measures, their expertise needs to be effectively communicated to the public. Mass media play a critical role in times of crisis, in many cases being the only source of information. While most research focuses on the importance of information content as a factor affecting psychological responses to a collective traumatic event, the way information is framed in the media is likely to influence the way health professionals are perceived as trustworthy. This study aimed to analyze the media framing of information from psychology during the COVID-19 pandemic in six countries from America and Europe, identifying the most recurrent topics in the news (n news items = 541) related to psychology and mental health. In all six countries the media address the psychological needs of the population, which vary depending on the imposed restrictions. The news content is influenced by the scientific sources used by the media. While the most prevalent topics focus on psychological risk and the need to seek mental health care, the least prevalent topics relate to counseling and behavioral guidelines for managing the psychological consequences of the pandemic. The study findings provide insight into how psychological knowledge contributes to the understanding and mitigation of COVID-19 consequences in different countries and identified fields where psychologists were consulted to respond to a health emergency. They also show a preference to consult other experts when searching for contextual or more macro-social explanations of critical situation.     

Psychological evidence in the courtroom: critical reflections on the general acceptance standard

The increasing ties between psychology and law have familiarized psychologists with the standards by which law admits scientific evidence into the courtroom. In the USA, these include the general acceptance standard and the Daubert guidelines and, in the UK, the Turner Rule. However, the psychological literature has largely failed to make clear the degree of legal debate that exists concerning the clarity and effectiveness of such standards. This paper will focus on the general acceptance standard, examining key problems of this standard and placing them in a specifically psychological context. Such consideration is important precisely because the standard has become so well known within the psychological literature and because insufficient attention has been given to the way in which it operates implicitly within jurisdictions outside the USA. The authors argue that it is the responsibility of psychologists to become more involved in the debate concerning admissibility standards, given the credibility and authority that law accords to psychology when admitting it into the courtroom. In particular, psychologists need to become more self-reflective about their role in creating and maintaining such standards. © 1998 John Wiley & Sons, Ltd.     

Improving the Reporting of Health and Psychological Research

A growing body of empirical evidence has consistently demonstrated that much publically and privately funded research is reported in a way that makes it difficult for the findings to be included in evidence syntheses or used by researchers, clinicians, policy makers, and the public. Poorly reported studies thus represent a significant waste of scarce resources. Reporting guidelines are one strategy that has been increasingly used as a method to improve the completeness or usability of primary and secondary research across a broad range of disciplines including psychology. We present a synopsis of two studies investigating the impact of the Transparent Reporting of Evaluation with Nonrandomised Designs statement and factors that affect authors' and journal editors' use of it and other reporting guidelines. We also make recommendations for future guideline development or revisions based on our experiences, provide details of resources for psychologists, and make suggestions for future research and recommendations for improving the transparency of reporting of psychological research.