Computers, criminals, an eccentric billionaire, and APA: a brief autobiography

In this invited autobiographical account, I sum up what life has been like for me personally and professionally. For most of the first 50 years of my life, I lived in Alabama. During my years at the University of Alabama, my professional activities included developing a computer-based system to interpret the MMPI (Hathaway & McKinley, 1943), managing a national and international continuing education program for psychologists, involvement in a class action suit that resulted in the deinstitutionalization of Alabama's mental hospitals, organizing a team of professionals to reclassify all of the inmates of Alabama's prison system, and conducting a psychological autopsy on Howard Hughes. I was the American Psychological Association (APA) president in 1988 and served from 1989 to 2003 as APA Chief Executive Officer. Since my time at APA, I have been engaged in work with international psychological organizations.     

Jordan M. Braciszewski: APA/APAGS Award for Distinguished Graduate Student in Professional Psychology

Presents Jordan M. Braciszewski as the 2011 winner of the American psychological Association APA/APAGS Award for Distinguished Graduate Student in Professional Psychology. "For his concerted efforts to identify the needs of homeless and other at-risk populations and to design and provide necessary services for them. Jordan M. Braciszewski is committed to using applied psychological science and evidence-based intervention methods to assist the most disadvantaged in our society. He has already provided additions to the relevant research literature and has volunteered countless hours of his time to implement community-based interventions and provide direct services himself. He has sought out the training experiences necessary to assist him in doing an even better job in the future in these public service activities." (PsycINFO Database Record (c) 2011 APA, all rights reserved).     

APA 2002 ethics, amphibology, and the release of psychological test records: a counterperspective to Erard

APA ethics have sought to uphold the practice of psychology and protect its invaluable contribution to psychological assessment, namely the development and validation of tests and other psychometric measures. Faced with formidable challenges from the Health Insurance Portability and Accountability Act of 1996 (HIPAA) regulations, the 2002 revision of the American Psychological Association (APA) ethical standards abandoned its protective stance. It makes previously protected material (i.e., answers, notes about testing, other forms of raw data, scoring, and test items included on protocols with answers) almost completely accessible to clients and others. Without any professional protections, the worldwide dissemination of these materials via the Internet is virtually assured. In this article, I examine the confused language of Ethical Standard 9.04 (a) with its permissive language and concatenated use of the or conjunction. I evaluate the release of test materials in light of nonmaleficence as both an aspirational principle and an enforceable standard (3.04). Relying on official statements from APA and other prestigious organizations, I document the substantial harm to clients, the community, and the profession of psychology in eroding test security.     

Science meets practice in determining effectiveness of sexual orientation change efforts

Comments on the original article, "Guidelines for psychological practice with lesbian, gay, and bisexual clients," by the American Psychological Association (see record 2011-19419-001). Guideline 3 of the acknowledges the diversity of human sexual orientation and that "efforts to change sexual orientation have not been shown to be effective or safe" (p. 14). As noted in the Report of the American Psychological Association Task Force on Appropriate Therapeutic Responses to Sexual Orientation (APA, 2009), "Current criteria for effective treatments and interventions are specific in stating that to be considered effective, an intervention has consistent positive effects without serious harmful side effects [emphasis added]" (p. 26). The present authors note that half a century of scientific research on a variety of sexual orientation change efforts (SOCE) has not demonstrated their effectiveness according to the criteria of consistent positive effects and absence of serious harmful effects. Guideline 3 (APA, 2012) therefore urges psychologists to closely assess the motivations of clients who seek SOCE in the context of stigma and internalized prejudice about their non-heterosexual orientation. In addition, the guideline also recommends that psychologists obtain truthful, thorough, and thoughtful informed consent and that they focus on personal integration instead of sexual orientation change. The burden of proof has been on advocates of SOCE, and the present authors assert that it has not been met. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Psychological factors in abortion. A review.

Psychological research is increasingly involved in debates regarding abortion. While recognizing the diversity of ethical and moral issues intertwined with abortion, the American Psychological Association (APA) has focused its involvement on psychological factors, most recently by appointing an expert panel to review the literature on psychological effects. This article notes the history of APA involvement and reports on the panel's conclusions. It presents evidence that abortion is not likely to be followed by severe psychological responses and that psychological aspects can best be understood within a framework of normal stress and coping rather than a model of psychopathology. Correlates of more negative responses following abortion are also discussed.     

Knowing what we do not know about sexual orientation change efforts

Comments on the original article, "Guidelines for psychological practice with lesbian, gay, and bisexual clients," by the American Psychological Association (see record 2011-19419-001). The present authors notes that the APA has provided a very helpful document for those who do clinical work with individuals experiencing same-sex attractions. Psychologists no doubt need to be familiar with the literature described in these guidelines as a part of ethical practice. However, the present authors register concern regarding how the guidelines address sexual orientation change efforts (SOCE). They focus their critique on how the guidelines portray two issues pertaining to SOCE-effectiveness and harm-and conclude with a proposal to move the discussion forward via science. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Antonio E. Puente: Award for Distinguished Professional Contributions to Independent Practice

Presents Antonio E. Puente as the 2011 winner of the American Psychological Association Award for Distinguished Professional Contributions to Independent Practice. "For his decades of efforts to enhance the recognition of psychologists in providing health care services, through his work with the Current Procedural Terminology (CPT) Panel to develop and maintain appropriate CPT codes for the breadth of professional practice; for his willingness to participate in litigation establishing the expertise of neuropsychologists to testify in court about their findings; for his tireless work in cross-cultural assessment relative to criminal trials; for his leadership of professional societies in clinical neuropsychology; for his promotion of legislation and policy at all levels of government; and for his countless other contributions to the enhancement of independent practice in psychology. Antonio Puente is a far-thinking visionary who freely shares his knowledge to improve the quality of psychological practice and the reimbursement system that attests to the worth of the profession. He is the very embodiment of the psychologist for whom this award is intended." (PsycINFO Database Record (c) 2011 APA, all rights reserved).     

Community Mental Health Service Providers' Codes of Ethics and the Standards for Educational and Psychological Testing

This study compared the codes of ethics of 13 professional organizations for community mental health service providers that have been represented at the meetings of the Fair Access Coalition for Testing with the Standards for Educational and Psychological Testing (American Educational Research Association [AERA], American Psychological Association [APA], & National Council on Measurement in Education [NCME], 1985) and all those standards cited in the revised Standards (AERA, APA, & NCME, 1999) that the investigators identified as pertaining to clinical assessment, as these standards apply to test users. The results suggest that only 2 of the codes of ethics address many of the Standards. Implications and recommendations for professional organizations are provided.     

Issues Regarding Confidentiality for Military Psychologists

Federal statutes and military service regulations govern the functioning of military psychologists. Effective July 18, 1988, military psychologists were required to maintain an active state license. The licensing laws of all 50 states cite adherence to the Ethical Principles of the American Psychological Association (APA, 1981a). Potential conflicts exist between federal statutes, service regulations, and ethical principles of the APA. The principal area of conflict may be with confidentiality of information obtained by psychologists from consumers. Thirty active duty Army Medical Department (AMEDD) psychologists were surveyed on current practices regarding confidentality. Twenty-four (80%) responded. Results suggest that most AMEDD psychol- ogists (21 respondents or 87.5%) do not document in writing that they have informed consumers of the limits of confidentiality of psychological infor- mation. Nor do they obtain written permission before releasing information on consumers when requested by unit commanders. Military psychologists are encouraged to advise consumers in writing of the limits of confidentiality of psychological information prior to initiating any professional relationship with a patient.     

Adaptation transculturelle de tests et échelles de mesure psychologiques : guide pratique basé sur les Recommandations de la Commission Internationale des Tests et les Standards de pratique du testing de l’APA

Thirty years ago, Vallerand (1989) wrote a pioneering article entitled “Toward a methodology for the transcultural validation of psychological questionnaires: Implications for research in the French language”, whose success has never failed, as well as its usefulness. However, considerable progress has been made in the field of test development and test adaptation since the publication of this article, notably with the publications (and their updates) of the ITC Guidelines for Translating and Adapting Tests (2017) by the International Test Commission, and of the Standards for Educational and Psychological Testing (2014) by the American Educational Research Association (AERA), the American Psychological Association (APA), and the National Council on Measurement in Education (NCME). Based on these two key references, the present article aimed to update the procedure proposed by Vallerand. Without claiming to replace these major references, on the contrary, our objective here is to propose a 10-step procedure for adapting tests and psychological measures originally developed for other cultures and/or languages, a sort of framework guiding in step-by-step manner the adaptation of tests and the validation of their scores.     

Policy and Financing of the Professional Psychology Workforce

The federal government has played a significant role in the financing the education of healthcare professionals since the introduction of Medicare in 1965. However, professional psychology's limited ability to argue the critical nature of its services to the welfare of the nation, and its lack of national workforce information and policy, has hindered its inclusion in Medicare's Graduate Medical Education (GME) program. This paper discusses the evolution and current status of healthcare workforce policy in the United States, and the implications for psychology and the training of future professionals. Also described are recent efforts by the American Psychological Association (APA) and a few psychologists to include professional psychology in the GME program. The importance of organized psychology's sustained involvement in national health policy is emphasized.     

“Pure” versus “Applied” Psychology: An Historical Conflict between Edward B. Titchener (Pure) and Ludwig R. Geissler (Applied)

The Psychological Record - There have been three significant breakaways from the American Psychological Association (APA) as a result of its emphasis on professional practice as opposed to...     

The state of the psychology health service provider workforce

Numerous efforts to describe the health service provider or clinical workforce in psychology have been conducted during the past 30 years. The American Psychological Association (APA) has studied trends in the doctoral education pathway and the resultant effects on the broader psychology workforce. During this period, the creation and growth of the PsyD degree and the formalization of the predoctoral internship placement system (the APPIC Match) have been well noted, but efforts to gain a complete understanding of professional practice are lacking. Specifically, piecemeal research on the provider workforce has led to the study of specific subpopulations using varying approaches and definitions of those providing direct clinical service. Consequently, estimates of the supply and need for health service providers are distinctly divergent and generate protracted debate in organized psychology. The APA membership directory and the APA Doctorate Employment Surveys have traditionally been relied on for workforce analyses. Yet, these data have become characterized by limited generalizability in recent years because of declining survey response rates and the fact that APA member data may not be as representative of the entire psychology health service provider population as they were previously. The 2008 APA Survey of Psychology Health Service Providers targeted these limitations by including nonmember psychologists in the sampling frame. Results revealed emerging themes in the demographics, work settings, and delivery of health services of the psychology health service provider workforce. Future areas of research for APA and organized psychology to undertake in addressing need and demand are suggested.     

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.     

John I. Lacey (1915-2004)

John I. Lacey died on June 27, 2004. He was one of the pioneers in the integration of psychology and physiology. He worked to establish concepts that cut across disciplines -- eschewing specialization within a cross-disciplinary area. Although a guiding figure in the founding of the Society for Neuroscience, John remained very active in the American Psychological Association (APA) and the Society for Psychophysiological Research until his professional retirement. John's career was characterized by a focused search for specific mechanisms defining how psychological processes interact with physiological processes. John Lacey has left us a legacy of a scientific approach that focuses directly on the relation between psychological concepts and their realization in physiological function. His creativity and breadth of knowledge contributed mightily to the currently burgeoning fields of neuroscience and behavioral medicine. His approach reminds us to continue to include solid psychological science when venturing into these fields.     

Ethical Analysis and Recommended Action in Response to the Dangers Associated With Youth Consumerism

Research shows that a culture of consumerism and materialism has a dramatic and negative impact on children's physical and psychological health. Psychologists have a duty to act to reverse this trend. Information on why and how to act is the key. This article explores the use of psychology to improve the effectiveness of advertising to youth and details the harm suffered by children as a result of some of this advertising. A discussion of ethical considerations related to specific guiding principles and ethical standards of the 2002 American Psychological Association (APA) Ethics Code frames why action is imperative. Actions for psychologists to take in applying the 2002 APA Ethics Code are suggested herein.     

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 implications in screening for ethics violations

The process of admittance to membership in a psychological organization is an opportune time to take into consideration any questionable behavior in the professional background of a prospective member. Membership application forms of the American Psychological Association (APA) and 58 affiliated organizations are reviewed to determine the kinds of questions that are asked about ethical misconduct. The nature of the inquiry differs considerably from one association to another, with a preponderance of organizations avoiding any direct questions about professional ethics. Discussion is focused on how these different screening strategies impact on the applicant and the organization. There is a demonstrated need for appropriately formulated queries. A case is made for resolving current inconsistencies among associations by adhering to a unified procedure in the ethical screening of psychologist applicants.     

With crisis comes opportunity: Building ethical competencies in light of COVID-19

ABSTRACT

The emergence of the coronavirus disease 2019 (COVID-19) pandemic has wide-ranging implications for the field of professional psychology. As clinical practice has rapidly adapted to ensure continuity of care, doctoral students have encountered unique opportunities for ethics-related competency development across practicum training settings. This article discusses the relevant American Psychological Association (APA) Ethics Code standards and additional ethical considerations facing trainees as they navigate their foundational clinical experiences and develop as professional psychologists in light of a pandemic.     

Corporate funding and conflicts of interest: a primer for psychologists

A presidential task force on external funding was established by the American Psychological Association (APA) in 2003 to review APA policies, procedures, and practices regarding the acceptance of funding and support from private corporations for educational and training programs; continuing education offerings; research projects; publications; advertising; scientific and professional meetings and conferences; and consulting, practice, and advocacy relationships. This article, based on the Executive Summary of the APA Task Force on External Funding Final Report, presents the findings and unanimous recommendations of the task force in the areas of association income, annual convention, research and journals, continuing education, education, practice, and conflicts of interest and ethics. The task force concluded that it is important for both APA and individual psychologists to become familiar with the challenges that corporate funding can pose to their integrity. The nature and extent of those challenges led the task force to recommend that APA develop explicit policies, educational materials, and continuing education programs to preserve the independence of psychological science, practice, and education.