Recommendations for Research Success: One Investigator’s Perspective

This article is a personal reflection by an investigator with over 25 years of funding from the National Institutes of Health (NIH). The article: (1) highlights research opportunities for psychologists at the NIH outside of the traditional mental health arena; (2) provides specific recommendations to individual investigators to enhance their likelihood of obtaining NIH funding; (3) specifies needed changes in psychology’s research education and training programs to prepare the next generation of psychologists for research success; and (4) asks the Association of Psychologists in Academic Health Centers to play a lead role in both research training and advocacy. This article is based on a presentation given at the 3rd national conference of the Association of Psychologists in Academic Health Centers in May of 2007 in Minneapolis, Minnesota.     

Psychology in Academic Health Centers: A True Healthcare Home

This article is based on the invited presentation by the author at the American Psychological Association??s Annual Convention, August 4?C7, 2011, upon his receipt of the Joseph D. Matarazzo Award for Distinguished Contributions to Psychology in Academic Health Centers presented by the Association of Psychologists in Academic Health Centers. This article relates the history, roles, and responsibilities of psychologists in academic health centers to the ultimate survival and success of professional psychology. It describes implications of the Patient Protection and Affordable Care Act (ACA) on the institutional practice of psychology including how psychology??s place in academic health centers positions the field well for the future of healthcare reform. The article provides several recommendations to help professional psychology prepare for that future of integrated, interprofessional healthcare.     

Mentoring Interns and Postdoctoral Residents in Academic Health Sciences Center

This article was co-authored by a senior mentor and one of her students who worked with her as both an intern and a postdoctoral fellow. It is an expanded version of a presentation given by the first author after receiving the Association of Psychologists in Academic Health Centers (APAHC) Distinguished Achievement in Teaching Award. The article offers a historical view on mentoring, defines and describes the term, and delineates the characteristics of good mentors and mentees. The significant impact of mentoring on the professional and personal development of psychology interns and postdoctoral residents and their mentors in academic health centers is explored. Techniques for developing, maintaining, and promoting effective mentoring relationships are provided and the ethical considerations related to mentoring are examined. This article is based upon an invited address, “Mentoring of Predoctoral Interns and Postdoctoral Fellows in an Academic Health Sciences Center” given by the first author in recognition of the author’s receipt of the Association of Psychologists in Academic Health Centers 2005 Award for Distinguished Achievement in Teaching. The address was presented at the Annual meeting of the American Psychological Association, New Orleans, LA, August, 2006.     

The Difficulty of Making Psychology Research and Clinical Practice Relevant to Medicine: Experiences and Observations

Psychology and medicine research and practice have demonstrated substantial and unique bodies of knowledge designed to both improve patient care and respond to contemporary health care needs for use of evidence and cost consciousness. At their full potential they represent a significant paradigm shift in healthcare. Despite impressive successes, it is clear that we are just on the cusp of such a change. These findings have had limited impact and penetration into medical practice, particularly outside of academic medicine and large, organized systems of health care, and there are multiple examples of such limitations in various arenas of health care. There also appear to be common themes to such examples which provide us opportunities to consider how psychologists might move things ahead. They also suggest how our unique position in academic medicine can both limit our impact and provide ways of creating continued shifts in the healthcare paradigm. This paper is based in part on the author’s presentation at the Association of Psychologists in Academic Health Centers 3rd National Conference in Minneapolis, Minnesota, May 2007.     

Reclaiming the Person: Intersectionality and Dynamic Social Categories Through a Psychological Lens

Psychology’s conventionally treatment of individuals’ engagement with and resistance to the societal processes in which they are embedded has come under scrutiny amid the rise of postmodernist and critical feminist perspectives (among many others) in the social sciences. A sample of social psychology’s responses to these critiques is presented in the recently published book, Social Categories in Everyday Experience edited by Shaun Wiley et al. (2011). In this essay, the challenges of seriously addressing the critiques of psychology’s conventional treatment of social categories, which implicate fundamental assumptions of the discipline, are discussed. Further, it is argued that in order to effectively construct psychological accounts of political activism and social change amid theories that are increasingly cognizant of the complexities and contingencies of social embeddiness, the person must be reclaimed and revisioned. Notions of agency that complement an intersectional and systemic vision of the social world are discussed.     

Integrating Mental Health and Primary Care Services in the Department of Veterans Affairs Health Care System

Integrating mental health care in the primary care setting has been identified in the literature as a model for increasing access to mental health services and has been associated with enhanced clinical and functional patient outcomes and higher patient satisfaction. The Department of Veterans Affairs (VA), which operates the nation’s largest integrated health care system, has taken a leadership role in creating a health care system in which mental health care is provided in the primary care setting. This article examines VA’s efforts and progress to date in implementing evidence-based models of integrated mental health services nationally in community based outpatient clinics, home based primary care, and outpatient primary clinics at medical facilities. Psychology plays an important role in this progress, as part of an overall interdisciplinary effort, in which all professions are crucially important and work together to promote the overall well-being of patients. This article is based in part on a presentation by the first author at the 3rd National Conference of the Association of Psychologists in Academic Health Centers (APAHC) in May of 2007 in Minneapolis, Minnesota.     

Integrating Behavioral and Social Sciences in the Medical School Curriculum: Opportunities and Challenges for Psychology

The Institute of Medicine has reviewed and made recommendations concerning current teaching approaches, content, and barriers to the incorporation of behavioral/social sciences in medical school curricula (Cuff & Vanselow, 2004). This paper discusses those recommendations, the history of medical education reform, the barriers to and evolution of behavioral/social sciences’ inclusion, and the implications for psychology’s future role in academic medicine. Psychological concepts and technology permeate medical practice, but little progress has been made in integrating psychological and biological sciences. Looking to its basic science domains (e.g. cognition, learning, development, neuroscience), psychology can take scientific leadership in illuminating the mechanisms by which behavioral/social processes interact with biological functions in health, thereby providing the empirical basis for a truly integrated bio-behavioral curriculum. This article is based upon a symposium, “IOM Report on Enhancing Behavioral & Social Science in Medical Education: Impact and Opportunities for Psychology,” presented at the Annual meeting of the American Psychological Association, Washington, D.C., August 21, 2005. Suzanne Bennett Johnson, Chair; Elena Reyes, John E. Carr, and Anthony Errichetti, participants; Eugene K. Emory, Discussant.     

Shifting Loyalties: Reconsidering Psychology’s Subject Matter

Schwarz (IPBS: Integrative Psychology & Behavioral Science 43:3, 2009) cogently demonstrates that in conjunction with scientific conventionalism psychology has developed a rather deficient view of their subject matter: the human being. Psychology based on an impoverished notion of empirical has rendered subjectivity or ‘the measuring apparatus man’ invisible. As his story implicitly demonstrates, psychologists supported by a positivistic view of science (in part to be empirical) and notion of ‘objectivity’ have learned to trust their ‘rigorous’ methods instead of their participants as capable of revealing important and interesting phenomena. If we are going to take subjectivity and experience seriously there should be a cultivation of a new attitude or orientation regarding psychology’s subject matter (i.e., the human being) and science. This commentary discusses Mark Freeman’s (2007) argument that the first requirement of science should be ‘fidelity to the phenomena’ and elaborates on the implications for psychology grounded in this view of science.     

The NIH Roadmap: Are Psychologists In or Out?

Psychologists often express concerns about the inclusion of psychology in the National Institutes of Health (NIH) Roadmap initiative. Most Roadmap themes focus on biomedical research, forming the basis for psychologists’ concerns. Although most Roadmap funding goes toward biomedical research, social and behavioral scientists do win support. It is reasonable to ask, however, why the Roadmap is focused so exclusively on medical research. One explanation is that medical interventions are seen as the natural translation of basic biomedical research, whereas psychological interventions are not perceived as following from basic behavioral research. Psychologists working in academic health centers represent the best opportunity for creating such linkages, and therefore the best potential bridge for psychology connecting to the NIH Roadmap. This paper represents the views of the author, and not necessarily those of the American Psychological Association and is based on a presentation given at the 3rd National Conference of the Association of Psychologists in Academic Health Centers in May 2007 in Minneapolis, Minnesota.     

Rational emotive behavior therapy: A Tough-Minded therapy for a Tender-Minded profession

Objections to Rational-Emotive Behavior Therapy (REBT) seem to exceed the mere rational preference for one approach over another. Ziegler suggested that James’s dichotomy between Tough- and Tender-Mindedness might explain REBT’s appeal to some and its failure to attract others. REBT is a predominantly Tough-Minded therapy, but the counseling profession is largely Tender Minded. In this article, the author examines why Tender-Minded counselors may not accept REBT, what common misperceptions of REBT may contribute to this rejection, and how the two might be reconciled. Intervention strategies for Tender-Minded counselors are suggested. Reprinted from Journal of Counseling & Development, January/February 1995, Volume 73. ACA. Reprinted with permission. No further reproduction authorized without written permission from the American Counseling Association. Stephen G. Weinrach, who maintained a private practice in Havertown, Pennsylvania, was a professor of counseling and human relations at Villanova University, Villanova, Pennsylvania, and a Fellow of the Institute for Rational-Emotive Therapy in New York. He died in 2004. This article was based in part upon a presentation entitled, “Obstacles to a Wider Acceptance of RET,” given at the World Congress on Mental Health Counseling/35th Anniversary Conference on Rational-Emotive Therapy, Keystone, Colorado, June, 1990. The author extended his appreciation to his copresenters, Albert Ellis, Janet L. Wolfe, and Daniel J. Ziegler, as well as Michael E. Bernard, Joanne Christopher, Windy Dryden, Gerald L. Gandy, Martin Gerstein, and Allen Ivey.     

Roots of the Pavlovian Society’s missions of the past and present: The Pavlov dimension

This paper offers an interpretation of the relation between Pavlov’s life and work and the missions of the Pavlovian Society, both past (“observation and observation”) and present (“interdisciplinary research on the integrated organism”). I begin with an acount of Pavlov's life and his influence on contemporary thought. I then indicate the relation of some of Pavlov's attitudes (e.g., his motto, his epistemological stance) to the Society's past mission. In the concluding and most controversial section, I argue for six guiding principles derived from Pavlov, to be applied to the Society’s mission. These are: (a) a confident methodological behaviorism; (b) a significant role assigned to both physiological and psychological factors in the prediction and control of the integrated organism; (c) approximately equal taxonomic precision of physiological and psychological explanatory concepts; (d) distrust of toleological explanatory concepts; (e) rejection of psychology’s instrumentalist “cognitive paradigm shift”; and (f) rejection of the representational theory of knowledge.     

Folk psychology’ is not folk psychology

This paper disputes the claim that our understanding of others is enabled by a commonsense or ‘folk’ psychology, whose ‘core’ involves the attribution of intentional states in order to predict and explain behaviour. I argue that interpersonal understanding is seldom, if ever, a matter of two people assigning intentional states to each other but emerges out of a context of interaction between them. Self and other form a coupled system rather than two wholly separate entities equipped with an internalised capacity to assign mental states to the other. This applies even in those instances where one might seem to adopt a ‘detached’ perspective towards others. Thus ‘folk psychology’, as commonly construed, is not folk psychology.     

Implementing the Scientist–Practitioner Model in the Hospital Setting

Psychologists who work in hospital settings confront assorted challenges in implementing the scientist–practitioner model. Clinical psychologists must deal with the tension between an evidence-based model and the realities of clinical practice. Psychologists can gain a better understanding of what it means to function as a scientist–practitioner by understanding current debates in both psychology and medicine on the relationship between research and practice. Psychologists are not unique in the slow pace of implementing research into practice. Psychologists in hospitals can make a contribution to the treatment of medical patients by emphasizing the role of the treatment relationship in health-care outcomes. Medicine’s use of practice-based research networks provides a valuable structure for psychologists to emulate in order to function as active participants in the collection of practice-based evidence rather than passively accommodating to the evidence-based clinical practice guidelines.     

Introduction to the Special Section from Recent Association of Psychologists in Academic Health Centers (APAHC) Programs

The Association of Psychologists in Academic Health Centers (APAHC) offers programming at the annual American Psychological Association (APA) conventions as well as periodic APAHC conferences. Participants from academic health centers across the country convened in St. Louis, Missouri, October 15–17, 2009, for the 4th National Conference of the Association of Psychologists in Academic Health Centers (APAHC). The title of the conference was ‘‘Psychologists in Academic Health Centers: Facing Tomorrow’s Challenges to AHC Programs and Careers.’’ Efforts were made to include topics relevant to academic health center (AHC) practice including the unique challenges of working in AHCs and issues pertinent to the different stages of AHC careers. To facilitate networking, opportunities for discussion among conferees and presenters with shared interests and concerns were provided throughout the conference. This paper introduces the special section of JCPMS dedicated to the conference and provides a brief overview of its development and organization. Articles selected for inclusion represent a sampling of the four conference themes: (1) challenges to AHC programs, (2) staying current in critical clinical areas, (3) professional issues and challenges, and (4) challenges to developing careers. Post-conference evaluation data are presented as evidence of the need for further conferences with similar foci. The programming offered by APAHC at the APA convention in San Diego in 2010 built on the themes offered at the 2009 APAHC conference.     

Collaborative healthcare research: Some ethical considerations

This article reviews some of the ethical aspects of collaborative research. Scientific collaboration has known potential benefits but it’s a challenging task to successfully accomplish a collaborative venture on ethically sound grounds. Current trends in international healthcare research collaboration reflect limited benefits for the majority of world population. Research collaboration between scientists of academia and industry usually has financial considerations. Successful cross-cultural and international collaborations have to overcome many regional and global barriers. Despite these difficulties, many scientific collaborations usually begin with an informal meeting or contact. With advancement in global communications, scientists have greater responsibility towards the world community while considering the impact of their collaborative partnerships. I review the basic factors that are required for forging a collaborative partnership and responsible attitudes to sustain the relationship. Finally I conclude that scientists in healthcare research can play important roles beyond collaborations and contribute to bringing harmony, resolving differences across the nations and countries in today’s troubled world.     

Post-September 11th Perspectives on Religion, Spirituality, and Philosophy in the Personal and Professional Lives of Selected REBT Cognoscenti

The purpose of this article was for selected Rational Emotive Behavior Therapy (REBT) cognoscenti to examine the impact of the events of September 11th, 2001, on their beliefs about religion, spirituality, and their personal philosophy—including the role of evil in the universe and the implications of these issues on their use of REBT. The degree of consistency of the author’s views with classical REBT theory and philosophy was examined. The authors are current or former members of the Albert Ellis Institute’s International Training Standards and Policy Review Committee, of which Albert Ellis, REBT’s founder, is also a member. Reprinted from Journal of Counseling & Development, Fall 2004, Volume 82. ACA. Reprinted with permission. No further reproduction authorized without written permission from the American Counseling Association. We regret to inform readers that Stephen G. Weinrach died in April 2004. Stephen G. Weinrach expressed gratitude to Jacqueline Mirabile, Laura Hutelmyer, and Phylis Wright of Villanova University’s Falvey Memorial Library for valuable research assistance. Jesse Clancy and Bethany Coover provided deeply appreciated and important editorial support.     

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.     

Does the Modality Effect Exist? and if So, Which Modality Effect?

The modality effect is a central issue in multimedia learning [see Mayer (Cambridge University Press, 2005a), for a review]. Sweller’s Cognitive Load Theory (CLT), for example, presumes that an illustrated text is better understood when presented visually rather than orally. The predictive power of CLT lies in how it links in to Baddeley’s (1986) model of working memory and Penney’s (Mem Cognit 17:398–442, 1989) Separate-Streams Hypothesis. Ginns’s (Learn Instr 4:313–331, 2005) recent meta-analysis also supports the modality effect (d = 0.72, based on 43 independent effects). This article replicates the meta-analysis of the modality effect based on 86 independent effects (with within-study subgroups as the unit of analysis and with mean of the outcomes as the dependent measure), with results showing a reduction of the overall effect size by almost half (d = 0.38), and even more when Duval and Tweedie’s Trim and Fill method is used to correct publication bias (d = 0.20). This article also widens the scope of the analysis of moderator variables (e.g. Pace of presentation, Type of visualization, Research group) as well as their potentially confounded effects. Finally, it is argued that, for theoretical reasons, the so-called modality effect cannot be based on Penney’s or Baddeley’s theories and must be explained in a different way.     

Augustine’s <Emphasis Type="Italic">Confessions</Emphasis>: The Story of a Divided Self and the Process of Its Unification

This article takes up William James’ observation that Saint Augustine is “a classic example” of the discordant personality or divided self, and employs E. R. Dodd’s equally classic (1927–28) article on Augustine’s “spiritual maladjustment” to explore the psychological bases, especially parental, for Augustine’s discordant personality, and to evaluate the effectiveness of Augustine’s efforts to overcome the discordancy through a personal religious conversion.