BC PsyChologist t h e j o u rn a l o f t h e b c psych o lo g i c a l a s s o ciati o n Vo lu m e 3 • Is su e 1 • win t e r 2014 • re l ati o nships wit h a nim a l s O DR. PAUL G. SWINGLE PRESENTS “IT’S ALL IN YOUR HEAD” WEBCASTS Do you, or does someone you know, suffer from: t t t t t t t t t DEPRESSION ANXIETY ADDICTIONS ADHD EMOTIONAL TRAUMA FIBROMYALGIA AUTISM DEMENTIA OTHER CONDITIONS ASSOCIATED WITH INEFFICIENCIES IN BRAIN FUNCTIONING Be our guest and join our free live webcasts “It’s All in Your Head” every second Saturday of the month from the comfort of your home. Join in and listen to the neurofeedback expert, Dr. Paul Swingle, as he discusses various neurological conditions, and learn why many people choose neurotherapy as their treatment method. Dr. Swingle is the director of Swingle Clinic, which has provided nearly 150,000 neurotherapeutic treatments since 1998. His most recent book “Biofeedback for the Brain” was published by Rutgers University Press. The book is available at www.soundhealthproducts.com. To view the full schedule of topics and to register, visit our EVENTS page at www.swingleclinic.com Swingle Clinic, 630-1190 Melville Street, Vancouver BC, Tel: 604-608-0444 contents 5 L e t te r f r o m t h e P r e s i d e n t 7 L e t te r f r o m t h e A s s i s t a n t E d i to r 8 L e t te r f r o m t h e E xe c u t i v e D i r e c to r 9 B CPA N e w s P s y c h o lo g y M o n t h L e c t u r e S c h e d u le 10 P u b l i c O u t r e a c h: W h y “ P i e ce o f M i n d ” M at te r s 25 Wo r k s h o p Re g i s t r at i o n F o r m s Features 13 H o w to E d u c ate y o u r C l i e n t o n M a n a g i n g t h e i r F e a r s b y St a n P o p o v i c h 15 E q u i n e A s s i s te d P s y c h o t h e r a p y b y M i ke We b s te r, E d . D. , R . P s y c h . 17 A n i m a l M a lt r e at m e n t & I n te r p e r s o n a l V i o le n ce: D o T h e y G o H a n d - I n - P aw? b y Ro n a l d A . L aTo r r e , P h . D. , R . P s y c h . 20 21 Our Assistant Psychotherapists C o ll a b o r at i n g w i t h a n i m a l s i n h e l p i n g h u m a n s b y M a r k E . J a c k m a n , M A . , R. P s y c h . & M a r y L o u i s e Re i lly, P h . D. , R . P s y c h . P e t s i n t h e T h e r a p i s t ’s O f f i ce b y Te d Alt a r, P h . D. , R . P s y c h . BC Psychologist mission statement The British Columbia Psychological Association provides leadership for the advancement and promotion of the profession and science of psychology in the service of our membership and the people of British Columbia. EDITOR IN CHIEF Ted Altar, Ph.D., R. Psych. Assistant Editor Marian Scholtmeijer, Ph.D. SUBMISSION DEADLINES December 1 | March 1 | June 1 | September 1 PUBLICATION DATES January 15 | April 15 | July 15 | October 15 ADVERTISING RATES Members and affiliates enjoy discounted rates. For more information about print and web advertising options, please contact us at: communications@ psychologists.bc.ca PUBLISHER Rick Gambrel, B.Comm., LLB. ART DIRECTOR Inkyung (Inky) Kang executive director Rick Gambrel, B.Comm., LLB. administrative director CONTACT US Eric Chu #402–1177 West Broadway, Vancouver BC V6H 1G3 604.730.0501 | www.psychologists.bc.ca | [email protected] EXECUTIVE ASSISTANT Rukshana Hassanali ADVERTISING POLICY The publication of any notice of events, or advertisement, is neither an endorsement of the advertiser, nor of the products or services advertised. The BCPA is not responsible for any claim(s) made in an advertisement or advertisements mailed with this issue. Advertisers may not, without prior consent, incorporate in a subsequent advertisement, the fact that a product or service had been advertised in the BCPA publication. The acceptability of an advertisement for publication is based upon legal, social, professional, and ethical consideration. BCPA reserves the right to unilaterally reject, omit, or cancel advertising. To view our full advertising policy please visit: www.psychologists.bc.ca DISCLAIMER The opinions expressed in this publication are those of the authors, and they do not necessarily reflect the views of the BC Psychologist or its editors, nor of the BC Psychological Association, its Board of Directors, or its employees. BOARD OF DIRECTORS PRESIDENT Ted Altar, Ph.D., R. Psych. VICE-PRESIDENT Don Hutcheon, Ed.D., R. Psych. TREASURER Marilyn Chotem, Ed.D., R. Psych. DIRECTORS Michael Mandrusiak, Psy.D., R.Psych. Douglas Cave, MSW, RSW, Ph.D., R. Psych., MA, AMP, MCFP. Yuk Shuen (Sandra) Wong, Ph.D., R. Psych. Murray Ferguson, Psych.D., R. Psych. Canada Post Publications Mail #40882588 COPYRIGHT 2013 © BC PSYCHOLOGICAL ASSOCIATION letter from the President t e d a lta r, ph . d. , r. ps ych . The President of the BC Psychological Association. Contact for the Board of Directors at [email protected] Amendments 1 Add section 22.1: The rules contained in the most current edition of Robert’s Rules of Order Newly Revised shall govern the proceedings at all meetings of the BCPA, the board, the executive committee and all other committees in all cases where they are applicable and where they are not inconsistent with the Constitution and Bylaws agree: 132 disagree: 1 D e a r Co l l e ag u e s a n d Amendments 2 Frie n d s , We anticipate 2014 will be Add section 22(5): Any change to the BCPA recommended fee schedules for BC Psychologists shall be voted on by a ballot of the membership, upon a motion for the said fee change ballot passing at the Annual General Meeting, with the said motion specifying the proposed change in fees. agree: 129 disagree: 4 another good year for BCPA to move forward on our mandate to promote the Profession of Psychology and Psychology in BC. To this end, we had asked the membership to vote on eight amendments to our constitution. These changes were needed to update ourselves to the newer technologies and to help ensure that all Board Directors are clear on the rules of good process and debate. An informal process works best with a small board of under eleven, but even small boards need to have reference to rules of process that cannot be debated or formed ad hoc. I am pleased to report that all proposed changes were almost unanimously approved by the membership as follows: Amendments 3 Change 22(2) to read: Voting is by a show of hands or ballot. The Chair of the Meeting or a majority of the members present may move to require a vote by secret ballot. agree: 129 disagree: 5 Amendments 4 Add section 30(5): Directors who participate in a meeting by telephone or video conference shall be considered present at the meeting. agree: 133 disagree: 1 Amendments 5 Amend 30(4) to read: The President or a majority of Directors, on 7 days notice, shall convene a meeting of the directors. agree: 129 disagree: 3 Amendments 6 Amend Section 35 to read: A director who may be absent temporarily from British Columbia may send or deliver to the address of the society a waiver of notice, which may be a letter, or email, of any meeting of the directors, and may at any time withdraw the waiver, and until the waiver is withdrawn, no notice of meeting of the directors shall be sent to that director; and any and all meetings of the directors of the society, notice of which has not been given to that director, shall, if a quorum of the directors is present, be valid and effective. agree: 127 disagree: 5 Amendments 7 Amend Section 57 to read: A notice may be given to a member, either personally, by email, or by mail to him or her at his or her registered address. Add section 58.1: Notice sent by email shall be deemed to have been given on the day after the email was transmitted. agree: 111 disagree: 22 Amendments 8 Amend section 24(2) to read: The number of directors shall be no less than 6 and no greater than 10. agree: 132 disagree: 2 BC Psychologist 5 As indicated in our Annual Report which is online for the members, we have made substantive improvements in cost savings and efficiency. We have to thank all the staff for their dedication and ideas for these improvements. I also want to thank the membership for their continuing support. This is your association and we have endeavored to be responsive to your needs and to the need of all of us to see the Profession of Psychology in BC be advanced. Our new Executive Director has proven himself to be an excellent fit and will serve us well. Finally, I want to give due recognition and gratitude to our current board for their dedication and time that they have all volunteered to the betterment of our association. I also must thank them again for their confidence in voting to again have me serve this year as the President. Dr. Don Hutcheon will serve as Vice President and Dr. Marilyn Chotem remains as Treasurer. Dr. Murray Ferguson, our newly elected Director, has agreed to be nominated as Secretary but this must first be voted upon in our January board meeting. Our board meetings are normally held on the last Friday of every month except for December, July and August when we normally do not meet unless there is need to do so. Our committees are structured as follows: • Continuing Education (C.Ed) Committee (Chair: Dr. Ted Altar) • Community Engagement Committee (CEC) (Chair: Dr. Michael Mandrusiak) • Membership Services Committee (Chair: Douglas Cave) • Journal Editor (Dr. Marian Scholtmeijer) Final approval to Print remains with the President • Psychologically Healthy Workplace Awards Committee (Chair: Dr. Merv Gilbert / Board Liaison: Dr. Sandra Wong) • Advocacy Committee (Chair: Marilyn Chotem) • BCPA Awards Committee (Dr. Carol Macpherson) • Disaster Response Network (Chair: Dr. Jeanne LeBlanc / Board Liaison: Dr. Sandra Wong) Volunteers are always welcome and please phone the office if you are interested. We always need people to sit at our booths at various conventions or functions. May all have healthy and productive New Year, Respectfully, Dr. Ted Altar 6 Winter 2014 letter from the Assistant Editor m a ria n S ch o lt m e ij e r, ph . d. The Assistant Editor of the BC Psychologist. University of Northern British Columbia Instructor. D e a r BCPA M e m b e rs , This issue of the BC Psychologist has been of particular interest and pleasure to me because my field of research is our cultural and legal relationship with nonhuman animals (see, e.g., Animal Victims in Modern Fiction: From Sanctity to Sacrifice, 1993). The record of our relationship with nonhuman animals is, and continues to be, pretty disgraceful. It was only recently that naturalists, psychologists, and then ethologists put the similarities between humans and other animals on a scientific footing. More work needs to be done, and ethics and the law certainly need to catch up with developments in our knowledge of animals. I am pleased, therefore, to find a running theme in these articles of a kind and attentive relationship with other animals. Companion animals have been wonderful ambassadors for the vast and varied world of other species. Some people have, for centuries, found joy in simply observing other animals, and those animals closest to home lead the way outward to better relations with animals who are less responsive to us. Indeed, one of the highest pleasures of watching animals in the wild or in the back yard is self- forgetfulness. Nothing beats the thrill of seeing a deer, or bear, or fox, or squirrel, or varied thrush, or gecko, or carp, or even dung beetle doing what these beings do unharassed in their own world. My thought is that being carried out of ourselves by observing other animals is, among other things, therapeutic. I am speaking, of course, unscientifically. Culture perpetuates and capitalizes on irrational fears of animals. Some people are not yet equipped psychologically to experience meaningful appreciation of other animals, and other people cling to destructive or exploitive attitudes towards animals. As psychologists have recognized, compassion for nonhuman animals is an essential component of mental health. We have a long way to go to correct the attitudes that obstruct progress in our treatment of animals, but if the articles in this issue are a sign, psychologists will make a great contribution to the change that must come. Peace and love to all sentient beings, Dr. Marian Scholtmeijer Editor BC Psychologist 7 letter from the Executive Director ri ck ga m b re l , b . Co m m . , LLB . The Executive Director of the BC Psychological Association. Contact: [email protected] O n b e h a l f o f m ys e l f a n d t h e s ta ff o f BCPA , may I wish you a happy, safe and prosperous 2014. Since the last edition of the BC Psychologist, we have hosted two successful workshops and a well-attended Annual General Meeting, where I had the pleasure to meet many more of you, the members. I am also pleased to advise that membership renewals are occurring this year at an unprecedented pace. I want to take this opportunity to thank each of you for your membership in BCPA. In the New Year, we will be offering four more workshops before the end of June. On February 28, Dr. Joel Paris will present “The Intelligent Clinician’s Guide to DSM-5”. This workshop will review the nature of diagnosis in psychiatry and the history of the DSM process, describing the strong and weak points of this approach to classification of mental illness. It will then examine each of the major groupings of the manual, identify the major problems, and indicate where DSM-5 has made changes and where it has not. We do expect this workshop to sell out. At the time of writing this letter, we are close to a sellout. Register early to avoid disappointment. On April 25, 2014, Dr. Paul Wong will present “Meaning Therapy, A new paradigm of integrating healing with personal growth”. Meaning Therapy (MT) introduces a new paradigm of integrative therapy that treats the whole person, rather than mere cognitions or behaviours. It is integrative, holistic, and evidence-based with the positive psychology of meaning as its central organizing construct. As an extension of logotherapy, it will pay special attention to the existential and spiritual issues that underlie most personal issues and predicaments. MT will integrate existential psychology with CBT, narrative therapy, crosscultural psychology, and positive psychotherapy. Details on our other two workshops will be available on our website shortly. February is Psychology Month across the country, and BCPA has a full schedule of events and activities planned. We will undertake a large campaign to raise awareness of the benefits of psychology, including providing posters, brochures and information to medical practitioners, hospitals, schools, and service providers around B.C. We will also present a number of free public lectures by our members throughout the month. In May, we will reprise the very successful Piece of Mind art exhibit in Vancouver. Piece of Mind is an art exhibition showcasing pieces of work that answer the question: What does psychological health mean to you? Artists across the lower mainland are encouraged to submit their work. Piece of Mind aims to inspire members of the community, through artistic expression, to live psychologically healthy lifestyles by adopting healthy coping skills. Submissions will be available for public viewing with the hopes of facilitating a platform that will transfer these pieces of art into pieces of individual inspiration and motivation. Please call me if you would like to volunteer to assist with Piece of Mind. It is a wonderfully creative and rewarding endeavour. As always, I encourage you to call or email me if you have any suggestions about what you would like BCPA to do for you. I am excited about what the year ahead holds for BCPA and again wish you a Happy New Year. Rick C Gambrel, B. Comm., LLB. Executive Director 8 Winter 2014 BCPA News u p co min g wo rk s h o ps T h e In t e l li g e n t clini cia n ’s g uid e t o ds m -5 Presented by Dr. Joel Paris / Friday February 28th, 2014 m e a nin g t h e r a py: A n e w pa r a d i g m o f in t e g r atin g h e a lin g wit h pe rs o n a l g r ow t h Presented by Dr. Paul Wong / Friday April 25th, 2014 Please see page 25 & 26 or visit www.psychologists.bc.ca for more information and registration. su b mit a r ti cl e s co n tac t us s o cia l m e d ia Want to write for us? We are always looking for writers for the BC Psychologist or the BCPA blog. The theme for the upcoming Spring 2014 issue is: Aging. For further details, contact us at: [email protected] We publish notices regarding retirement, awards, and deaths of members. Please keep us informed about your career and life milestones. If you want a notice to be included in the publication (100 words maximum) contact us at: [email protected] J o in us O n lin E! www.psychologists.bc.ca/blog www.youtube.com/bcpsychologists www.twitter.com/bcpsychologists www.facebook.com/bcpsychologists Psychology Month Lecture Schedule fe b rua ry is Re l ati o n s hip Life Skil l s psych o l o gy m o n t h . Presented by Dr. Patrick Myers / Monday February 3rd, 2014 The lectures will take place at Vancouver Public Library (Central Branch), 350 West Georgia Street (Alma VanDusen & Peter Kaye room) from 7:00pm to 8:00pm. T o p 10 S t r at e g ie s f o r Su pp o r tin g Pe rs o n s wit h Au tis m S pe c t ru m D is o r d e r Presented by Dr. Kenneth Cole / Wednesday February 12th, 2014 Cre atin g a Psych o l o g i c a l ly H e a lt h y Wo rkpl ace : S t r at e g ie s f o r E m pl oy e e s a n d E m pl oy e rs Presented by Dr. Merv Gilbert / Thursday February 20th, 2014 BC Psychologist 9 Public Outreach : Why “Piece of Mind” Matters Mi ch a e l M a n d rusia k , Ps y. D. , R. Ps ych . Michael Mandrusiak received his Psy. D. from Baylor University and completed pre-doctoral and postdoctoral internships in post-secondary mental health at the University of Manitoba and the University of British Columbia, respectively. He has been the chair of the Community Engagement Committee of the BCPA for the past three years and hopes to see BCPA strengthen its community partnerships with other mental health stakeholders, healthcare professionals and government. Michael belongs to a group clinical practice in the Burnaby area, where he treats conditions related to anxiety and mood disturbance, trauma, stress and career issues. In addition, he is the Director of Training and Community Service at the Adler School, which offers graduate level training in professional psychology. O u r min d s a r e o u r m os t p ow e rfu l g if t. T h e y a l l ow us t o fu n c ti o n : e at, b re at h , ta s t e , t o u ch a n d fe e l . S o m e tim e s w h e n o u r fe e l in gs s pir a l o u t o f co n t r o l , w e h av e d iffi cu lt y co pin g wit h t h e m . T his d o e s n ’ t h e l p m u ch e it h e r w h e n life is o f t e n b rie f, r e l e n t l e s s , b e au tifu l a n d co n fusin g … N o t m a n y t hin g s in life m a k e s e n s e , b u t in t h os e s m a l l m o m e n t s o f v u n e r a b l e s e l f e xpre s si o n , t h e re is a s m a l l cl a rit y. — Kim b e r ly Nipp, Pie ce o f M in d Su b mit t e r The BC Psychological Association’s inaugural “Piece of Mind” exhibit, which was held in May of 2013, allowed members of the public to answer the question “what does psychological health mean to you?” Several creative works of visual art were submitted and ten submissions were chosen to be displayed in the Moat Art Gallery at the Downtown Central Vancouver Public Library for Mental Health Awareness Month. Though there is much that can be learned to promote the success of the event going into the future, the opening gala was well attended, with over 130 member of the public passing through the exhibit in one evening alone. BCPA is already well into planning for next year’s “Piece of Mind” event, which will again be held in the month of May. 10 Winter 2014 While many of BCPA’s members may have heard of the initiative, what may be less clear is why an event like “Piece of Mind” is important and necessary work for our profession and why it is a valuable service to Registered Psychologists in British Columbia. In answering these questions, this article attempts to articulate the vision and purpose of Piece of Mind and BCPA’s other public outreach initiatives. The goals of the American Psychological Association’s (APA) public education campaign will be briefly outlined, before addressing the goals of promoting psychological literacy and increased recognition of the professional status of Registered Psychologists. The article will conclude with a discussion of the importance of professional visibility. Pu b li c O u t re ach in Psych o l o gy While the advocacy efforts of the Canadian Psychological Association (CPA) have primarily targeted government policy makers, APA has also invested heavily in outreach to the general public. Outreach has been defined broadly as the use of traditional marketing platforms to design programs that are intended to influence the attitudes and perceptions of target audiences in order to improve societal welfare (Siegel and Doner, 1998). APA’s Public Education Campaign began with the Talk to Someone Who Can Help campaign (APA, 1996) and has more recently included their Mind/Body Health campaign (Levant, 2005) that focuses on the value of psychologists in promoting physical and psychological health. The Pubic Education Campaign (APA, n.d.) highlights several key objectives, three of which will be highlighted here. The first, promoting access to psychologists and psychological services, is strikingly aligned with a recent report commissioned by CPA entitled An Imperative for Change: Access to Psychological Services in Canada (Peachie, Hicks & Adams, 2013). Second, public education aims to enhance understanding of psychology as a behavioural science. Third, public education aims to enhance understanding of the value of psychologists in clinical, research and organizational settings. At its core, the campaign aims to help the public understand that psychology “benefits society and improves lives” and that psychologists are the mental health professionals best positioned to translate the latest evidence based research into effective clinical care (APA, n.d.). Kanaris (2006) makes the case that public outreach has many more benefits, both for state and provincial psychological associations and for their members who participate in the outreach. One key benefit that is mentioned and which will be highlighted at the conclusion of this article is enhanced local and national visibility for the profession. In addition, Kanaris suggests that engagement in public outreach has professional benefits for individual members, such as networking opportunities, increased contact with other colleagues and increased exposure and promotion of one’s practice. Useful skills such as media relations and interviewing skills and public speaking skills can also be honed through such participation. Last, Kanaris makes the case that personal benefits, such as the development of friendships and the opportunity to experience fun and enjoyable professional activities are important reasons for getting involved in public outreach. Having briefly examined the general aims of public outreach, we will now turn to the role of public outreach in improving psychological literacy. P s ych o l o g i c a l Lit e r ac y Mental health literacy is receiving increasing attention in the literature (for example, Marcus & Westra, 2012; Furnham, Cook, Martin & Batey, 2011). Mental health literacy was first defined by Jorm (1997), referring to the knowledge that individuals have about mental health and mental disorders and their ability to apply that understanding to manage their mental health. Since mental health literacy is related to how our clients understand their mental health and treatment needs, a preliminary understanding of the literature related to mental health literacy has important implications that can be drawn for public outreach. Put another way, in order to “reach consumers effectively, it is essential to understand their existing attitudes toward the commodity being marketed” (Wollersheim & Walsh, 1993, p. 171). For the sake of our professional brand, this article will use the term psychological literacy. A recent study by Marcus and Westra is particularly relevant, as it involved a national survey that examined the psychological literacy of 881 Canadian adults. This study had a particular interest in comparing the beliefs and attitudes of younger adults (18–24) to those of older adults (25–64). Young adults were less likely than older adults to believe that medication was helpful for treating and managing psychological health problems and also marginally less likely to see psychotherapy as helpful. Young adults also believed more strongly that they could manage psychological problems on their own without professional help and that untreated psychological problems would not lead to serious consequences such as suicidality. There are a few conclusions that we could choose to take from the above findings. First, older adults may be the more likely demographic to be interested in accessing psychological services. However, given that psychological problems often have their onset in young adulthood and given that young adults represent the future consumers of psychological services, it is likely important to target beliefs and attitudes that are barriers to young adults seeking the psychological help that they need through public outreach to target these specific beliefs and attitudes. Adrian Furnham at the University College London has conducted extensive research on psychological literacy, including people’s abilities to recognize different psychological disorders and their knowledge of psychological and psychiatric treatment (for example, Furnham et al., 2011; Furnham et al., 2009). Among their many findings, Furnham and his colleagues have shown that recognition of psychological disorders varies greatly depending on the disorders, with anorexia nervosa, anxiety disorder, schizophrenia and autism being among the most widely recognized and Oppositional Defiant Disorder, Pica, Somatisation Disorder, and Somatoform Disorder being among the least recognized disorders (Furnham et al., 2011). Furnham and colleagues reported “widespread psychiatric illiteracy” (Furnham et a;., 2011, p. 206). The finding that there were only twelve of ninetyseven psychological disorders that over one third of the public believed could be cured by treatment suggested that the public is somewhat cynical about psychological and psychiatric treatment, though the term “cure” may lead to some room for interpretation of those findings (Furnham, et al., 2011). Due to the need for caution in generalizing UK results to the Canadian context, more information on the state of psychological literacy in Canada is desirable. Due to their focus on comparison of results across age groups, Marcus and Westra’s (2010) article did not provide a complete breakdown of how many Canadian adults endorsed the different beliefs, though this information would be valuable for directing future public outreach. Pr o fe s si o n a l S tat us a n d Psych o l o gy A key challenge for psychologists is “the risk of being confused with other mental health professionals including psychiatrists, social works and counsellors” (Dempsey, 2007, 2). While public outreach and marketing can have financial and professional benefits, Dempsey (2007) also suggests that psychologists have an ethical responsibility to provide accurate information to the public about the role of psychologists. This challenge is particularly pronounced given indications that psychologists themselves are often confused about their own identity and that psychologists share scope of practice with several other professions (Shealy et al., 2004; Fall et al., 2000). As Fall and colleagues (2000) succinctly put it, “if the professions themselves are uncertain about identity issues, think of the confusion the public must face when trying to choose among the various discipines” (p. 123). So what does the public think about psychologists? Members of our profession may not be surprised that BC Psychologist 11 psychologists have been found to be perceived as dedicated, helpful, psychological, scholarly and understanding (Dempsey, 2007). In an interesting study, Fall and colleagues (2000) examined consumer rankings that compared the perceived effectiveness of psychologists, psychiatrists, doctoral-level counsellors, master’s level counsellors and social workers for five different clinical issues (adjustment disorder, psychotic depression, marital problems, borderline personality disorder and posttraumatic stress disorder). They found that psychologists tied for first along with psychiatrists and doctoral counsellors for treatment of PTSD and first along with doctoral and master’s level counsellors for treatment of marital problems. They ranked second behind psychiatrists for treatment of borderline personality disorder and were tied for second with doctoral counsellors behind psychiatrists for treatment of psychotic depression. For treatment of adjustment disorders, they were tied for second with master’s level counsellors and psychiatrists, all behind doctoral level counsellors. Perhaps most concerning in Fall and colleagues’ (2000) findings was the lack of public differentiation between psychologists and doctoral level counsellors. As the authors note, “the public seem to equate psychologists with doctoral-level [counsellors] in terms of confidence levels” (Fall, 2000, 131). While we must be careful about generalizing these results from a US-based study to the Canadian and British Columbian context, they do raise some concern. Most psychologists are aware that despite some shared scope of practice, there are many important differences in terms of training, credentialing and practice scope between psychologists and doctoral-level counsellors. In British Columbia, one key distinction between psychologists and doctoral-level counsellors is that psychologists belong to a regulated profession. The College of Psychologists has recently joined with the more than twenty health professions regulators in BC for a public outreach campaign designed to increase awareness of the importance of choosing a regulated health service provider (Health Regulation, 2013). Interested parties can learn more about the health regulator campaign, which utilizes a variety of public outreach tools including bus shelter and newspaper advertisements and press releases, at www. bchealthregulators.ca. Given Fall and colleagues’ findings, these and other public outreach efforts are clearly necessary and should be encouraged and promoted by psychologists in BC. Visib ilit y This article is intended to provide a rationale for the importance of psychologists’ engaging in public outreach initiatives such as the BC Psychological Association’s Piece 12 Winter 2014 of Mind Campaign. Central to the need for outreach, is our need to share our knowledge and understanding (based on evidence!) that psychological science and psychological service providers make a critical contribution to the health and well-being of British Columbians. As APA’s public education campaign (APA, 2013) reminds us, psychologists are the best trained providers to integrate psychological and behavioural science into delivery of best practice evidencebased care. Gaps in literacy about psychological disorders and public confusion about the psychologist’s roles suggest a clear need for public outreach efforts designed to increase awareness of the important role that psychologists can and do play in the healthcare landscape. A final important reason for engaging in public outreach is to enhance the visibility of our profession for both the general public and the membership of BCPA (Kanaris, 2006). Visibility is vital to the other objectives previously discussed, since any initiatives are unlikely to influence public attitudes if the public is not aware of them. Similarly, the public may be less likely to realize that a psychologist could help them with a particular problem if psychologists do not generally come to mind. Visibility is also seen as important for the membership of the profession itself. Since effective advocacy requires strong associations with strong membership, initiatives and events that increase the visibility of the profession and of the association can serve as a rallying cry for members to get involved and contribute to the overall profession. While Piece of Mind may well have humble beginnings, it has much potential to grow into a successful public outreach initiative that increases the visibility of psychologists in British Columbia. Past creative submissions are stunning and eye-catching and are likely to appeal to media outlets as creative expressions of the importance of maintaining psychological health. The staff and membership of BCPA are learning how to create new and effective donor and in-kind partnerships in order to grow the profile of the event and future iterations will seek to create more tie-ins to capitalize on media exposure. Above all, we must remain mindful of harnessing the key messages and core objectives of all public outreach in professional psychology and passionately sharing a message that we are very proud about: that psychologists provide evidencebased treatments of choice that provide a huge benefit to the psychological health and welfare of British Columbians. Piece of Mind also matters because the public — the individuals who benefit from psychological services — are our most powerful allies. While keeping in mind the need for increased psychological literacy, we can also appreciate the profound wisdom that comes in the recognition that life is “brief, relentless, beautiful and confusing” (Nipp, 2013). And as psychologists, we can help people to understand the relentless confusion of life and to appreciate life’s beauty. How to Educate your Clients on Managing their A s a pu b l is h e d au t h o r o f a p o pu l a r m a n ag in g fe a r b o o k , I have struggled with fear and anxiety for over 20 years. In that time, I was always on the lookout for helpful information in regards to finding the answers to my fears. Here are a few tips on what counselors can look for in helping their clients find useful information in managing their fears and mental health issues. 1. Quick Reads Are Best — Many people have hectic schedules and do not have time to read a 300-page book on managing their fears and anxieties. Always look for material that will not overwhelm your clients. 2. Non-Technical Information Works Best — The everyday person does not understand the technical jargon that many counselors use in writing their books. Always look for information that your clients can easily read and understand. 3. Price Is Important — Many people work two jobs nowadays and many can’t afford anything that is S ta n P o p ov i ch Stan Popovich is the author of “A Layman’s Guide to Managing Fear Using Psychology, Christianity and Non Resistant Methods”. Stan’s book is very popular on Amazon with over 230 positive book reviews and counting. For more information go to: http://www.managingfear.com/ expensive. Make sure that the informational resources you provide to your clients can match their everyday price range. 4. Give Your Clients Many Options — What works for one person may not work for another. Always look for information for your clients that provides many different techniques in how to deal with fear and anxiety. This will increase your client’s success in getting the results they need. 5. Let Your Clients Decide — Many professionals may see something that could be useful but because it doesn’t match his or her high standards, a professional may disregard that information. Let your clients make the choice of what they want to use. Always relate to your client’s needs. These are just some of the ways to help your clients find the information they need in managing their fears. Always be persistent in finding additional ways to help your clients. Pie ce o f Min d is a n initiativ e o f t h e Co m m u nit y E n gag e m e n t Co m mit t e e (CEC) o f t h e B ritis h Co l u m b ia Psych o l o g i c a l A s s o ciati o n . The aim is to inspire the community through artistic expression to live a psychologically healthy lifestyle. Last year’s event was held during Canadian Mental Health Week in May. It was a great success with over 130 people attending the opening exhibition at the Vancouver Public Library. The exhibition was on display for the entire month of May and it was a great platform to see inspirational pieces of art and to discuss mental health issues in the community. J o in us in pl a n nin g t his y e a r ’s e v e n t. Email us at: [email protected]. Visit: http://mypieceofmind.ca BC Psychologist 13 CAREERS CONNECTING Two-Day Clinical Hypnosis Training Workshop Saturday & Sunday February 8 & 9th 2014 UBC Robson Square This workshop will provide the basic skills of clinical hypnosis, including demonstrations and practice sessions for those who wish to add hypnosis to their repertoire of therapeutic skills. Simultaneously, intermediate/advanced skills in hypnosis utilization will be provided to the experienced hypnotherapist in areas such as hypnosis for acute and chronic pain management, anger control, & challenging life transitions. Visualization techniques to enhance hypnosis, rapid induction techniques and integrating hypnosis into your medical & dental practice is also covered. For more details visit www.hypnosis.bc.ca Or call 604 688 1714 Register before Jan. 8th for Early Bird Rate WORK SAFE AT WORKSAFEBC, we’re an award-winning employer working to make a difference in the lives of British Columbians by promoting safe and healthy workplaces. Join our team and be part of a dynamic organization. Senior Psychology Advisor – Richmond As part of an interdisciplinary case management team, you will conduct consultations and monitor assessment / treatment services to support the safe return-to-work of injured employees. Successful applicants will hold a doctorate in Clinical Psychology, Neuropsychology or Counseling Psychology, and have at least five years’ experience in a Workers’ Compensation or similar insurance setting as well as five years’ experience providing psychological/ neuropsychological assessment and treatment services. APPLY AT www.worksafebc.com/careers WorkSafeBC is an inclusive and accessible employer committed to employment equity objectives and invites applications from all qualified individuals. Only those under consideration will be contacted. If you’re unsuccessful, please accept our appreciation for your interest. Equine Assisted Psychotherapy mik e w e b s t e r, e d. d, r. p s ych . Dr. Webster has practiced as a police psychologist for over 35 years. He specializes in Crisis Management and works with law enforcement agencies both domestically and internationally. He has consulted on a number of high profile crises including Waco Texas, Jordan Montana, Lima Peru, and Gustafsen Lake British Columbia. F o r h u n d r e d s o f y e a rs human animals have been in a relationship with the horse that surpasses riding them for transport and employing them as workmates (Frewin & Gardiner, 2005). With its roots deep in history and mythology, the horse has come to represent strength and grace, spirit and valour. Most of us are unwittingly placed under the spell of these mysterious creatures of beauty and brawn. In addition to the emotion that the horse evokes in us, there seems to be specific equine characteristics that are of central importance in its success as an animal therapist. The horse exhibits an inconsistent contrast of power and fear. Our recognition of this contrast provides us with the opportunity to gain insight into self, horse, and the dance that is played out between the two. A mutually satisfying relationship will only derive from the trust and respect that each has for the other. When relating to an “unmanageable” horse, the best place to find the source of the problem is often in our own lack of insight and thoughtfulness (Kersten & Thomas, 2003). The horse will not judge us; it has no expectation or prejudice. It doesn’t care how popular, how successful, or how handsome we are. It reacts only to the immediacy and intent of our behaviour. The animal is big and strong,and always demands our respect. The horse’s presence can be intimidating; around it we must become mindful. The creature provides us with opportunities to conquer our fear, increase our confidence, and to enhance our self esteem. Unlike dogs and cats, who also act as animal therapists, the horse is a prey animal. It constantly scans its environment for signs of threat and danger. Its hypervigilance is very apparent and well documented. The horse can sense fear in a nearby herd-mate and immediately take flight. Its ability to read another animal’s (including the human animal) emotions and intent can be regarded as its apex survival mechanism. “Even the most secure horse knows that any two legged creature conveying the gestures of one emotion in order to hide another is either up to no good or delusional enough to be a danger to self or others” (Kohanov, 2001). The horse is a “truth teller”. It exhibits immediate non-verbal feedback. It has the innate ability to mirror our emotion and non-verbal communication. If we wish to get close, we must be able to read and modulate our own emotions, to create congruence between what we feel and what we reveal. The choreography we create is composed of the immediate feedback of the horse, our change of behaviour, and the development of a mutually trusting relationship. As our messages become clearer to the horse, we are able to get closer, strengthen the bond, and ultimately generalize our new learnings to our own kind. Equine Assisted Psychotherapy (EAP) is in the process of becoming recognized internationally as an effective treatment strategy for several different patient populations, from combat veterans to psychiatric inpatients. The written history of animals being used in the treatment of mental health appeared as early as 1792 (Triveldi & Perl, 1995). A long history of anecdotal reports on the benefits of animal assisted therapy, and a discussion of the growth of the method through the 1970s and 1980s can be found in Burch (1995). The use of companion animals in psychotherapy first appears in the peerreviewed psychological literature in the mid-1900s. Several empirically based studies assessing the impact of animals on the quality of human life are described by Fine (2000). The bulk of the literature supporting animal-assisted therapies seems to be based on case studies, surveys, or theoretical papers and is often published in languages other than English (Vidrine et al, 2002). Much of the above noted work can be described as a routine therapeutic process with one or more companion animals included in the consultation room. These studies produced positive results in the treatment of both psychological and physical symptoms in various populations, when companion animals were incorporated into the therapeutic milieu. (Brickel, 1980–1981; Beck, et al 1986; Folse, et al 1994; Mason & Hagan, 1999; Marr, et al, BC Psychologist 15 2000). Equine Assisted Psychotherapy has been applied to a variety of psychological problems (Taylor, 2001; Tramutt, 2003; Tyler, 1994; Vidrine, et al, 2002; Zugich, et al, 2002). Much of this work, while encouraging, is qualitative in nature. Several quantitative studies have shown positive results. Mann and Williams (2002) demonstrated a statistically significant reduction in overall symptoms (including mood disorders, behavioural disorders, and psychotic disorders) in an adolescent population using an equine assisted approach. In 2004, P.M. MacDonald discovered two programs that produced statistically significant results. The first reported increased self esteem and greater internal locus of control; while the second yielded decreases in hostility and global aggression. These findings were consistent with those of Bowers and MacDonald (2001) who reported significant decreases in depression. Reduced recidivism rates in juvenile offender populations have been reported by Mann (2001) and Myers (2002) following the incorporation of EAP into more traditional programs. Levinson (2004) described the benefits of EAP with Attention Deficit Disorder, outlining extended periods of focusing when either grooming or leading the horses. Equine Assisted Psychotherapy was shown to be effective in a mental health intervention with children who had experienced intra-family violence (Schultz, et al, 2007). Klontz et al (2007) reported reductions in psychological distress and enhancements in psychological well-being that were significant immediately following treatment, and stable at a six month follow-up. Finally, in a study examining externalizing, internalizing, maladaptive, and adaptive behaviours. Trotter et al (2008) described statistically significant improvements in seventeen behaviour areas using an equine assisted counselling approach. Although most of us are irresistibly drawn to this majestic creature of magnetic beauty and awesome power, I have refrained from waxing eloquently about the animal’s nomadic spirit and how we humans have bonded with it to form a “single herd of mutual influence and cooperation” (Kohanov, 2001). I am well aware that, at this moment, EAP lacks a history of solid research support. I am also aware of the reluctance of government funding sources to devote monies to what they consider “alternate therapies”. I do believe however, that the EAP research that does exist has, at the very least, strong face validity and justifies further study. In the case of horses as co-therapists, I think it is important to remember that at one time the concept of gravity was considered to be outside the reigning paradigm as well. references Beck, A.M., Seraydarian, L., & Hunter, G.F. (1986). Use of animals in the rehabilitation of psychiatric inpatients. Psychological Reports, 58, 63–66 Bowers, M.J., & MacDonald, P.M. (2001). The effectiveness of equine facilitated therapy with at—risk adolescents. Journal of Psychology and the Behavioural Sciences, 15, 62–67 Brickel, C.M. (1980–1981). A review of the roles of pet animals in psychotherapy and with the elderly. International Journal of Aging and Human Development, 12(2), 119–128 Burch, M.R. (1995). Volunteering with your pet: How to get started in AAT with any kind of pet. New York: Howell House. Fine, A.H. (2000). (Ed.) Handbook of animal–assisted therapy: Theoretical foundations and guidelines for practice. USA: Academic Press. Folse, E.B., Minder, C.C., Aycock, M.J., & Santana R.T. (1994). Animal–assisted therapy and depression in adult college students. Anthrozoos, 7(3), 188–194 Kersten, G. & Thomas, L. (2003). Why horses? In L. Thomas and G. Kersten (Eds.). Equine Assisted Mental Health Resource Handbook USA: Eagala Inc. Kohanov, L. (2001). The Tao of Equus: A woman’s journey of healing and transformation through the way of the horse. California; New World Library. Klontz, B.T., Bivens, A., Leinart, D., & Klontz, T. (2007). The effectiveness of equine assisted experiential therapy: results of an open clinical trial. Society and Animals, 15, 257–267 Levinson, F. (2000). Equine facilitated learning: A natural way to improved mental health,successful relationships, and balance in one’s life. Retrieved 04/10/13. www.wayofthehorse.org/Articles/equine-fac-learning.html MacDonald, P.M. (2004). The effects of equine facilitated therapy with at-risk adolescents: A summary of empirical research across multiple centers and programs. The Center for the Interaction of Animals and Society (CIAS). Philadelphia: University of Pennsylvania School of Veterinary Medicine. Mann, D.S. (2001) In L. Thomas, Horse play can be therapeutic: Equine assisted psychotherapy. Retrieved 04/10/13. www.strugglingteens.com/opinion/horseplay.html Mann, D.S., & Williams, D. (2002). Equine assisted family therapy for high risk youth: Defining a model of treatment and measuring effectiveness. Journey Home Inc. Walsenburg CO. Marr, C.A., French, L., Thompson, D., Drum, L., Greening, G., Mormon, J., Henderson, I., & Hughes, C.W. (2000). Animal–assisted therapy in psychiatric rehabilitation. Anthrozoos, 12(1), 43–47 Mason, M.S., & Hagan, C.B. (1999). Pet–assisted psychothatpy. Psychological Reports, 84, 1235–1247 Myers, L. (2002). In L. Thomas, Horse play can be therapeutic: Equine assisted psychotherapy. Retrieved 04/10/13. www.strugglingteens.com/opinion/horseplay.html Schultz, P.N., Remick-Barlow, G.A., & Robbins, L. (2007). Equine assisted psychotherapy: A mental health promotion/intervention modality for children who have experienced intra–family violence. Health and Social Care in the Community, 15 (3), 265–271 Taylor, S.M. (2001). Equine facilitated psychotherapy: An emerging field. Unpublished Master’s Thesis, Saint Michael’s College, Colchester VT. Tramutt, J. (2003) Opening the gate: Cultivating self awareness and self acceptance through equine assisted psychotherapy. Unpublished Master’s Thesis, Naropa University, Boulder CO Triveldi, L., & Perl, J. (1995). Animal facilitated counselling in the elementary school: A literature review and practical considerations. Elementary School Guidance and Counselling, 29 (3), 223–233 Trotter, K.S., Chandler, C.K., Goodwin-Bond, D., & Casey, J. (2008). A comparative study of the efficiency of group equine assisted counselling with at—risk children and adolescents. Journal of Creativity in Mental Health, Vol. 3 (3). Tyler, J.J. (1994). Equine psychotherapy: Worth more than just a horse laugh. Women and Therapy, 15 (3/4), 139–146 Vidrine, M., Owen-Smith, P., & Faulkner, P. (2002). Equine facilitated group psychotherapy: Applications for therapeutic vaulting. Issues in Mental Health Nursing, 23, 587–603 Zugich, M., Klontz, T., & Leinart, D. (2002). The miracle of equine therapy. Counsellor Magazine, 3 (6), 22–27 16 Winter 2014 Animal Maltreatment & Interpersonal Violence: r o n a l d a . l at o rre , ph . d. , r. ps ych . Dr. LaTorre is a Registered Psychologist who practices in the fields of clinical and forensic psychology. He is also a Registered Exotic Feline Handler with the Feline Conservation Federation. F o r t h e cus t o m o f t o rm e n tin g a n d kil lin g o f b e a s t s wil l , by d e g re e s , h a rd e n t h e ir min d s e v e n t owa rd s m e n . —J o h n L o ck e Keith Hunter Jesperson1 was born in Chilliwack. As young as age 5 or 6, he captured and tortured animals and enjoyed the feeling he got when he took their lives. Kayla Bourque2 was born in Romania and adopted as an infant into a family in Prince George. She captured, tortured and killed animals from the time she was 4 or 5. Mr. Jesperson attempted to kill another child when he was 10 years old; Ms. Bourque attempted to kill a child when she was 16. Mr. Jesperson attempted to become an RCMP constable but failed to complete the training. Ms. Bourque was enrolled in criminology and psychology at Simon Fraser University and on her way to becoming a forensic psychologist at the time she was arrested. Mr. Jesperson killed his first human in 1990, a vulnerable, possibly retarded woman using drugs and prostituting herself. He was nicknamed the Happy Face Killer for the many letters he sent to the media and signed with a happy face. He is a serial killer who admitted to killing over 100 people, likely a highly inflated number, and he remains in custody in an Oregon prison. Ms. Bourque intended to pursue a similar path and, when arrested, had a “kill kit” in her university residence. She bragged about and recorded her killing and torturing of family pets. She was in jail for 7 months for the abuse of animals and was released with 43 conditions in January of 2013. 1 Information about Keith Jesperson is gleaned from various sources in the public domain including the book: Olsen, J. (2002) I: The Creation of a Serial Killer. New York: St. Martin’s Press. 2 Information about Kayla Bourque is gleaned from various sources in the public domain including Excerpts from Proceedings, Reasons for Sentence of the Honourable Judge M.O. Maclean, Provincial Court of British Columbia, Court file NO. 225268-4-C, 28 November 2012 and Information to Obtain a Search Warrant, RCMP Police File: 2012-10260, 12 April 2012 In a play on her own name Kayla Bourque, she dubbed herself Killa Beserk but, on the Vampire Freaks webpage, she called herself Murdererotica. Blogs have referred to her as “Vancouver’s cutest psychopath”. It is remarkable that both the Happy Face serial killer and the Killa Beserk serial-killer-wannabe have histories involving significant torture and killing of animals. One of the earliest acknowledgments that animal maltreatment was linked to societal violence might be found in John Locke’s 1705 treatise on education: “…for the custom of tormenting and killing of beasts will, by degrees, harden their minds even towards men” (Locke, quoted in Lockwood and Ascione, 1999, p.5). Psychology and psychiatry turned their attention to the importance of animal abuse after animal maltreatment became a cornerstone of what would be termed the Macdonald triad. Macdonald (1963) reported that, in 100 men and women who had threatened homicide, there was a pre-existing history of a triad including childhood fire setting, enuresis past five years of age and cruelty to animals. Research specifically on the triad has shown less than robust results; some studies with large samples have failed to replicate the triad completely. Nonetheless, Heller, Ehrlick and Lester (1984) found that, while the triad did not stand up to replication, there was a correlation between one member of the triad, past animal cruelty, and being charged with a violent offense. Langevin (2003) found fire setting and animal cruelty more common among sexual killers than among other sexual offenders. In their review of extant literature, Petersen and Farrington (2009) concluded that, while studies have significant methodological shortcomings, there does appear to be a link between childhood cruelty to animals and subsequent domestic violence, child abuse and elder abuse. Even when alcohol abuse and antisocial traits were controlled, there remained a link between animal abuse after age 18 and interpersonal violence (Febres, 2012). The link between abuse of animals and the battering of one’s intimate partner does not appear to respect gender; both men and women who abuse their partners have a higher reported incidence of animal abuse (Febres, Shorey, Brasfield, Sucosky, Ninnemann, Elmquist, Bucossi, Andersen, Schonbrun & Stuart, 2012). BC Psychologist 17 Animal abusers also appear more prominent among those who have bullied their peers Schwartz, Fremouw, Schenk and Ragatz (2012). Flynn (1999) earlier found that college students who reported childhood or adolescent abuse of an animal were significantly more likely to support corporal punishment and more likely to approve of a husband slapping his wife. This finding may suggest that there is an underlying attitude among animal abusers that condones the use of violence generally and may even be a precipitant of interpersonal violence. A major limitation in this field has been the absence of a good longitudinal study. The condoning, enabling and even encouragement of violence toward animals, women and children has long historical roots. It is exemplified by the Old English proverb quoted in Ascione & Arkow, (1999): “A spaniel, a woman and a walnut tree: the more they’re beaten the better they be.” Historically, both animals and women were considered “property” under the law and early legislation aimed at protecting either was really more focused on protecting a man’s property than on any concern for the welfare of either (Stevenson, 2008; Zileny 2007). Zilney (2007) identifies the formal beginning of animal welfare as the establishment of the Society for the Prevention of Cruelty to Animals (SPCA) in England in 1824. Remarkably, the legislation for the prevention of cruelty to animals predated legislation for the protection of children. It was only in 1884 in England that the secretary of the Royal SPCA helped form the National Society for the Prevention of Cruelty to Children. Up to then, children were forced to work in coalmines for longer hours that were the pit mules. While having a slower beginning, concerns about battered women and battered children have come to the forefront while their battered animal companions lost ground. There does, however, appear to be new hope. It appears psychologists and psychiatrists are increasingly turning their attention to the maltreatment of animals. For the first time in its history, the American Psychology-Law Society included a session on animal maltreatment at its 2013 convention in Portland, Oregon. The DSM-5 (2013), in addition to retaining physical cruelty to animals as being a symptom of Conduct Disorder and zoophilia now an “Other Specified Paraphilic Disorder,” has added “Animal Hoarding” as a kind of quasi disorder. Specifically, the DSM-5 identifies Animal Hoarding as a “special manifestation” of Hoarding Disorder. The DSM-5 states: “Animal hoarding can be defined as the accumulation of a large number of animals and a failure to provide minimal standards of nutrition, 18 Winter 2014 sanitation and veterinary care and to act on the deteriorating condition of the animals (including disease, starvation or death) and the environment (e.g., severe overcrowding, extremely unsanitary conditions) (DSM-5, 2013, p. 249). Those criteria bear little resemblance to the criteria for Hoarding Disorder. Animal Hoarding as defined by the DSM-5, and in reality, is really more a special case of animal maltreatment than it is a special manifestation of Hoarding Disorder. But inclusion of animal hoarding in the DSM-5 signals the rise of animal maltreatment awareness in psychiatry and psychology. With 97% of the population considering pets as part of the family (Risley-Curtiss, Holley & Wolf, 2006) and more children likely to grow up in homes with a pet than in homes with both parents (Melson, 2001), it is not surprising that animal maltreatment is a social issue increasingly attracting the attention of psychologists and other mental health professionals. It is encouraging that the BCPA Forum previously raised the issue of the mandatory reporting of animal abuse and it is encouraging that this issue of the BC Psychologist is devoted to human-animal relations. references Ascione, F.R. & Arkow, P. (Eds.) (1999) Child abuse, domestic violence, and animal abuse: Linking the circles of compassion for prevention and intervention. West Lafayette, IN: Purdue University Press. Diagnostic and Statistical Manual of Mental Disorders: DSM-5. (5th ed.) (2013) Washington, DC: American Psychiatric Publishing. DiLillo, D. (2009) Is animal cruelty a “red flag” for family violence: Investigating co–occurring violence toward children, partners and pets. Journal Interpers. Violence, 24:1036 – 1056. Febres, J. (2012) Adult animal abuse among men arrested for domestic violence. Thesis presented for the Master of Arts degree, University of Kentucky, Knoxville. Febres, J. Shorey, R.C., Brasfield, H., Zucosky, H.C., Ninnemann, A., Elmquist, J., Bucossi, M.M., Andersen, S.M., Schonbrun, Y.C., & Stuart, G.L. (2012) Journal of Interpersonal Violence, 27, 3115 – 3126. Flynn (1999) Animal abuse in childhood and later support for interpersonal violence I families. Society and Animals. 7: 161 – 172. Greenspan, L. (Ed.) Martins Annual Criminal Code 2007. Ontario: Canada Law Book. Heller, M.S., Ehrlick, S.M. & Lester, D. (1984) Childhood cruelty to animals, firesetting and enuresis as correlates of competence to stand trial. Journal of General Psychiatry. 110: 151 – 153. Lockwood, R. and Ascione, F.R. (Eds.) (1999) Cruelty to Animals and Interpersonal Violence. West Lafayette, Indiana: Purdue University Press. Macdonald, J.M. (1963) The threat to kill. American Journal of Psychiatry, 120:125 – 130. Melson, G.F. (2001) Why the wild things are: Animals in the lives of children. Cambridge, MA: Harvard university press. Petersen, M.L. & Farrington, D.P. (2009) Types of Cruelty: Animals and childhood cruelty, domestic violence, child and elder abuse. In A. Linzey (Ed.) The Link between Animal Abuse and Human Violence. Portland, Oregon: Sussex Academic Press. Schwartz, R.L., Fremouw, W., Schenk, A. & Ragatz, L.L. (2012) Psychological profile of Male and Female Animal Abusers. Journal of Interpersonal Violence, 27, 846 – 861. Risley–Curtiss, C, Holley, L.C. & Wolf, S. (2006) The animal-human bond and ethnic diversity. Social Work. 51: 257 – 268. Sprinkle, J.E. (2008) Animals, Empathy, and violence: Can animals be used to convey principles of prosocial behaviour to children? Youth Violence & Juvenile Justice. 6: 47 – 58. Stevenson, R. (2009) Legislative reform to the animal cruelty offences in the Criminal Code: Will Bill C-373 really help animals in Canada? 35th Annual Meeting of the Western Society of Criminology, Sacramento, CA. Zilney, L.A. (2007). Linking animal cruelty and family violence. Youngstown, NY: Cambria press. Coming to Vancouver! April 4-5, 2014 EMOTIONALLY FOCUSED FAMILY THERAPY: Restoring Family Bonds Use the power of emotion and attachment to understand the systems in which your clients live. Four dynamic, experienced EFT trainers will bring EFFT to life. Instruction, video examples and experiential exercises. For more information and to register go to: http://vc.ca/events.php Don’t work directly with families? Your individuals and couples are strongly impacted both by their past and present family life. Regardless of the population you work with, this systemic and attachment-based workshop will enrich your clinical work. CLINICAL PSYCHOLOGY CENTRE Co-sponsored by Vancouver Couple & Family Institute and Clinical Psychology Centre, SFU BC Psychologist 19 Our Assistant Psychotherapists Collaborating with animals in helping humans M a r k E . Jackm a n , m a . , r. ps ych . & M a ry L o u is e Re il ly, ph . d. , r. ps ych . Mark Jackman and Mary Louise Reilly are psychologists in private practice, married to each other, and conduct psychotherapy at their secluded country office in North Saanich, BC. They specialize in couple and family therapy, cognitive therapy, clinical hypnosis, and health psychology. Prior to private practice, Mary Louise taught university courses for ten years, and Mark worked as a counselling psychologist in education. I sit in o u r s t u d i o o ffi ce , surrounded by nature on seven acres in Saanich, BC. Suddenly there is a bang on the glass French doors. There is Mo’ chuisle (Irish name sounds like “macushla”), our black-and-tan American Cocker Spaniel, knocking to come in. It is a very emotional and delicate moment in therapy, but the little spaniel is clearly insistent. First I apologize for the interruption. Then I ask the client if they like dogs. Yes. And would they like to meet Mo’ chuisle? Yes. Mo’ chuisle comes flying in and jumps on the client’s lap. She is so happy and energetic that the client cannot help but play with her. After only a minute or two, Mo’ chuisle runs to the door to be let out. The intervention is over. Each of us experienced Mo’ chuisle’s therapeutic interventions often in her short but amazing life. Every time she showed up, the client needed her. Mo’chuisle knew. No matter where she was roaming on the seven acres, she would be there at the right moment. On each occasion, the client would laugh, or cry, or say something like, “Perfect timing! That is just what I needed!” On one occasion, a client was in an emergency state remembering a trauma and her breathing was severely contracted. Mo’chuisle burst into the room and jumped on her lap. Instantly, the client began sobbing and the somatic tension released. On another occasion a client was unable to leave an unhappy relationship. While holding Mo’ chuisle, she understood her attachment anxiety, clinging tightly to all relationships since being adopted as an infant. Then she could let go. On other occasions clients recalled how important their animals and pets had been to them as children, how animals loved them when humans were 20 Winter 2014 unable to. These clients could now take the risk of opening their hearts more in their human relationships. Dogs have been assistant psychotherapists at least as far back as Freud, according to the dog expert Stanley Coren, Ph.D. He noted that Freud brought a series of dogs into his sessions, because he believed that dogs had a special ability to sense character and gave him valuable information about his clients. It is likely that many animals have this ability. A year ago we were given a 12 year-old wise cat named Rumi, who has also become our assistant psychotherapist. Rumi knows loneliness well, having been in a rescue shelter for three years before the previous owner adopted him. People love being around dogs, cats, horses, and working animals, and other pets because animals remain connected to what we have lost: the ease and flow of natural laws. Animals remind us of a way of being connected with nature and our true nature. They rest when they are tired. They do not have cognitive schemas that drive them to perfectionism, OCD, proving their worth, success, outer beauty, or high achievement. They don’t need life to be fair. They don’t have to be right. They may get in all sorts of trouble out of curiosity or intelligence, but not out of egotism or entitlement! They have all the same emotions we have, including shame and humiliation. Often people think they can belittle an animal with no consequence. How often have we been walking the trails to witness a dog owner berating or punishing the animal for not following the owner’s orders perfectly? Animals love to serve us. Sometimes that means taking on symptoms of depression, anxiety, and even physical illness. They can carry our pain — such incredible service. They are connected to emotional intelligence, and can sense human emotions even when the person lacks awareness. This ability can reduce anxiety and depression. Animals know false emotion from true. Animals do not judge or criticize, allowing us to feel safe with them. We are excited about developing our practice with assistant psychotherapists in the animal realm. We hope to learn how to cooperate with animals whose families and couples need help, as a therapeutic modality. We believe our assistant psychotherapists will help us to create more happy couples and families. Why not? We were trained by a very smart cocker spaniel. references Coren, S., & Walker, J. (1997). What Do Dogs Know? New York: Free Press. Pets in the Therapist’s Office t e d a lta r, ph . d. , r. ps ych . The President of the BC Psychological Association. Contact for the Board of Directors at [email protected] If yo u pi ck u p a s ta rvin g d o g a n d m a ke him pr os pe r o us , h e wil l n o t b it e yo u. T his is t h e prin cipa l d iffe re n ce b e t w e e n a d o g and a man. — M a r k T wain , Pu d d ’ n h e a d Wil s o n The terms “pet therapy” or “animal assisted therapy” has come to refer to a variety of practices and includes having friendly cats or well-trained dogs visit or stay in care homes for the elders, or visit rehabilitative centres, hospitals, prisons and schools for educative purposes. Therapists may even suggest for a child a relationship with a dog of their own, or refer a child to a centre where they may learn to ride horses. Exploiting the idea of animal assisted therapy, some marine centres with captive dolphins recruit children and adults with emotional or intellectual difficulties to swim with these poor entrapped beings. General enjoyment of people with animals by itself is not animal assisted therapy (Kruger & Serpell, 2010). In this article I will focus only on the simple practice where some therapists may have their personal companion animal(s) present in a therapy session with some clients for the purpose of facilitating a therapeutic process or outcome. I will assume that proper pet advocacy and care would here not be an issue. B rie f His t o ry The therapeutic relationship of non-human animals for humans is one of those neglected histories due to the inability of one side to speak our language. This is not to say that non-human animals don’t communicate or have an emotional and cognitive life. They are conscious beings who are subjects of a life like us. Our exploitation of non-human animals has prevented us from having a more compassionate and healthier relationship with the non-human world. We are the species whose myopic self-interests put all life in jeopardy, including, ironically, the life our own species. Maybe one of the few salubrious relationships we have with the non-human world is that of our relationship with pets. One of the first therapeutic relationships was seen with the use of dogs at the ancient Greek shrines of Asclepius (god of Medicine) who were trained to lick people at the anatomical site of their ailment or injury (Serpell, 2010). This idea of the healing power of a dog’s tongue persisted into the Christian era, as in the case of St. Roch who was thought to cure some plague sores when his dog licked those sores. In the fifteenth century there was recommendation to Elizabethans to be healed by the close companionship of a lap dog like a “Spaniel Gentle”. Unfortunately, this idea was suppressed by the Papal Inquisition and cats in particular became one of the many victims during two centuries of paranoia about witches and their familiars. Nevertheless, the idea did not become completely suppressed and the practice of pet keeping remained and the salutary effects of such could not but be recognized. The philosopher, John Locke, for example in his famous treatise on education, recommended pets for children to develop their sense of compassion and social responsibility. Children should from the beginning be bred up in an abhorrence of killing or tormenting any living creature; and be taught not to spoil or destroy any thing, unless it be for the preservation or advantage of some other that is nobler. . . .I cannot but commend both the kindness and prudence of a mother I knew, who was wont always to indulge her daughters, when any of them desired dogs, squirrels, birds, or any such things as young girls use to be delighted with: but then, when they had them, they must be sure to keep them well, and look diligently after them, that they wanted nothing, or were not ill used For if they were negligent in their care of them, it was counted a great fault, which often forfeited their possession, or at least they fail’d not to be rebuked for it; whereby they were early taught diligence and good nature. And indeed, I think people should be accustomed, from their cradles, to be tender to all sensible creatures, and to spoil or waste nothing at all. (Locke, 1699, section 116). It was not until the late eighteenth century that the York Retreat in England, started by William Tuke, documented in 1792 the use of non-human animals for the therapeutic benefit of the in-patients. The York Retreat was one of the first enlightened centres for “moral therapy” that held that benevolence and salubrious living conditions would help the “mad” far better than imprisonment and medical punishment (blistering, sudden cold water immersion, prolonged immobilization, etc.). Part of the BC Psychologist 21 program of restoring self-worth and self control was allowing patients the dignity to wear their own clothes, be free of manacles, do gardening and be allowed to walk the grounds that were populated by small domestic animals. It was thought that the small animals served to help socialize patients and provide comfort. This practice was taken up at Bethlem hospital in England which also attempted to increase patient morale further by allowing some pets to stay on the ward. Florence Nightingale also recognized the value of pets and indeed her first patient was a dog whose leg was badly hurt from boys throwing stones at the poor creature. The owner was going to hang the dog but Florence Nightingale managed to bring the dog back to health. In a footnote to her Notes on Nursing (1880) she noted the social comfort and rehabilitative end of a companion animal: A small pet animal is often an excellent companion for the sick, for long chronic cases especially. A pet bird in a cage is sometimes the only pleasure of an invalid confined for years to the same room. If he can feed and clean the animal himself, he ought always to be encouraged to do so. (p. 103) Franklin Lane, Secretary of the Interior, suggested in 1919 using dogs with psychiatric patients at St. Elizabeth’s Hospital in Washington. Pawling Army Air Force Convalescent Hospital used pets for recovering veterans in 1942. Pe t A s sis t e d T h e r a py It has been noted that Freud himself became a dog lover in 1928 and he would have his pet dog sit in on his sessions. Unfortunately, Freud was devastated with Lün-Yu was run over by a train some fifteen months later. After seven months of grief, Freud was ready to accept another dog, Jofi, Lün-Yu’s sister. Freud observed how his beloved dog, Lün-Yu, would have a calming influence on his patients and also on himself, particularly when he was undergoing operations for his mouth. He wrote to his colleague and friend, Marie Bonaparte, about Jofi: “I wish you could have seen with me what sympathy Jofi shows me during these hellish days, as if she understood everything” (quoted by S. Green, 2002). Unfortunately, psychoanalytic theory itself obscured this experience of mutual benefit, particularly with its iconology of animals symbolizing the id. It was not until 1961 at the American Psychological Association when Dr. Boris Levinson was the first to present case studies in the therapeutic field about the benefits of therapeutic animals. Reception was mixed with some being inspired by the presentation but also some others sarcastically asking if his dog shared in charging fees. Levinson’s (1969; 1979) books have been 22 Winter 2014 greatly influential and he has been called the “father” of animal assisted therapy. Besides recognizing the socializing influence of pets, Levinson thought that pets also helped to connect us with our basic self, particularly our capacity for that greatest empathy towards others including others in the non-human world. For Levinson, a relationship with a cat or dog can help some individuals to achieve a healthier relationship with themselves and with others. Hence, Levinson is suggesting, besides the socializing influence, a re-integrating influence of knowing oneself through one’s relationship with a pet. Levinson would bring his dog, Jingles, to his therapy sessions with children and noted the effect of his dog’s presence and interactions with the child in facilitating rapport with his young clients. Many therapists have subsequently noted this same positive influence of a companion not just on young people but also with the adults of all ages. R e s e a r ch Research in the area of pet assisted therapy broadly defined is growing and more needs to be completed. Not all practices are have been verified and claims of benefit from dolphin swims for autistic children and adults has not been supported by recent studies (Marino, 2007). Nevertheless, there now exists a large body of direct and indirect research that would support the practice of therapists having their companion animals be present with some clients. There is the indirect evidence from psychology experiments indicating increased social facilitation and increased positive mood effects through the presence of friendly animals. For instance, people in pictures with an animal are perceived as being more friendly, more relaxed and less threatening than they are perceived to be in pictures without the animal (Kruger & Serpell, 2010). When people were asked to walk with and without dogs in different settings, they reported increases in positive social interactions with strangers when accompanied by a dog (ibid). There is the large body of medical research that has documented the moderating effects of good social relationships on health. What may be a reflection of our current bias is that this body of research largely pertains to positive human relations while the human-pet relationship has been under-recognized and funding for such research is limited. This lack of recognition is sadly reflected in some of our social policies where, for example, elders are often required to give up their companion animals when their failing health and vigor requires assisted living. As one reviewer noted, “Considered in retrospect, it is difficult to escape the conclusion that the current inability or unwillingness of the medical establishment to address this topic seriously is a legacy of the same anthropocentrism that has dominated European and Western thinking since the Middle ages” (Serpell, 2010, p. 29) One of the first studies that was very influential in opening the field to more research was the correlational study by Freidman et al (1980) who found that 92 cardiac outpatients were found to survive longer if they also owned and cared for a pet. Eleven (28%) of the 39 patients who did not own pets died while only 3 (6%) out of the 53 pet owners died. Due to the possible confound that caring for dogs caused owners to exercise more, the authors did a comparison of those pet owners who owned pets other than dogs and there was no indication that this accounted for the difference in survival. It became apparent from this and the other studies that followed that pets are able to induce greater relaxation and de-arousal by their stimulating presence and that pets also provide a moderating effect on stress through their companionship with people (McConnell et al. 2011; Katcher & Beck, 2010, Hart, 2010). This is not to suggest that pets are to be considered a substitute for human social support, but having a pet can certainly help reduce the isolation and alienation that many individuals may feel. The physical presence of less demanding animals such as birds on a bird feeder has facilitated improved family involvement or a fish tank on ward has been shown to facilitate a reduction in agitation and an increase in eating among Alzheimer's patients (Katcher & Beck, 2010). Even the mere presence of a pet, particularly the petting of a pet, lowers blood pressure and heart rate (Friedman, et al., 1983). The presence of a beagle during a physical examination had a calming effect on the children (Nagengast et al., 1997). In an experimental study in which a negative experience was manipulated, pet ownership “offset the negativity from a rejection experience” (McConnell et al., 2011, p. 1250). Therapy is perceived to be friendlier and less threatening for children and adults when the therapist’s companion animal is present (Fine, 2010). Even the presence of birds on a psychiatric ward improved patient communication and socializing (Corson, 1977). Numerous studies have recorded a parasympathetic effect and possible improved immune function simply from watching or interacting with animals that we trust, while an opposite effect occurs when viewing animals that we perceive as threatening or dangerous (Matsuura et al., 2007). The calming effect that can add to the rapport and trust that a therapist may have with some clients has been long observed. As Melson noted, Watching animals at peace may create a coupling of decreased arousal with sustained attention and alertness, opening the troubled child to new possibilities of learning and growth. The child can then experience unconditioned love and models of good nurturing, practice caring sensitively for another, and assume mastery tempered with respect. . . Friendly animal presence, because of its evolutionary association with safety, bathes in a warmer glow the ambiguous, the unfamiliar. . . (Melson, 2001, p 130) E t hi c s In general, the value of non-human animals to many people is being documented but to go further and prescribe a companion animal to a person who never has had a pet or has a history of aggression or neglect could be harmful both to the client and the companion animal. Even companion animals can bite, scratch or even infect humans with some diseases such as toxoplasmosis from cats. Not any companion animal will suffice. In turn, clients themselves may be fearful of some animals or incompetent with them. Tzachi Zamir (2006) cites the Delta Society’s admonition not to have animals present when: 1. injuries from rough handling or from other animals may occur; 2. basic animal welfare cannot be assured (this includes veterinary care and access to water and exercise areas); and 3. the animal does not enjoy visiting. The above code applies to animal assisted activities, as when one employs pets to visit patients in institutions or care homes, and a similar code should also apply to therapists with their companion animals in the office. The animal should certainly show desire (Preziosi, 1997) to be in the same room as you and your client. We have historically underestimated and woefully misunderstood the intelligence and emotional and social life and world of non-human animals. Only recently have we studied more carefully non-human animals in their natural environment and devised more clever means to understand their remarkable and similar capacities to ourselves. Both the client’s and the companion animal’s needs must be fully respected. A more difficult concern to properly address is the prescribing, or even encouragement, of a companion animal for a client. It irresponsible to assign or recommend a pet not knowing in advance how this plan may turn out. This is where research in this area will remain limited due to the requirement that both the client and the companion animal are protected. Also, we must be mindful of the fact that one of the most unreported and poorly controlled areas where humans commit deplorable abuse and viciousness is that in the areas of animal neglect, sex with animals and BC Psychologist 23 outright torture and killing of animals. One should ensure that there be in place some means to monitor the health and well-being of any companion animal. One solution to the risk of maltreatment to animals is to use robotic animals which have already been shown to be of some help to some children and residential patients (Melson et al., 2009). As the robotics improve, we can expect that the effect size will also improve and become more comparable to the benefit of a living pet. The non-human animal cannot themselves testify to maltreatment or neglect. Only if there is a monitoring for physical evidence or collateral observations would we know of any such maltreatment. When animals are used in institutional settings, a visiting pet requires additional safeguards and here training and some form of registration would be recommended. While it is ethically less problematic for a therapist to have her or his companion animal present in therapy sessions with some clients, we must be mindful that this is not to be recommended for new therapists who need to develop their interpersonal skills long before ever having a companion animal present in the treatment of some clients. I myself have eight rescued cats, but I usually keep the cats out of my home office and I would always ask clients if they mind having any of my cats stay or enter into the room. Some clients are actually allergic to cats and for them I use a separate office that my cats are not permitted to enter. Certainly, my cats are kept out of the office with clients who come with young children or babies. Visible through my home office window is a bird feeder that also helps to relax clients as they note various birds landing on the feeder. Co n cl usi o n Companion animals present in a therapy session can be a useful aid in establishing rapport and increasing the comfort and openness of some clients. Of course, this is certainly not applicable to all clients and consent must be solicited and the presence of one’s companion animal never inflicted upon a client. Also, this is not an adjunct that I would recommend for new therapists and certainly it is never to be considered when clients are not pet lovers or comfortable with pets in the room. How a therapist relates to their companion animals can role model a kindness towards the non-human other that may add to the warmth and kindness that we know is an important non-specific factor in therapy success. The subject of a pet’s death can also be an important topic in therapy (Sharkin, 2003) since many clients have pets and their grief for a pet is one of the distresses for which our society provides little formal comfort or even recognition. references Corson, S.A., Corson, E.O., Gwynne, P.H. & Arnold L.E. (1977). Pet dogs as nonverbal communication links in hospital psychiatry. Comprehensive Psychiatry,V0l.18, pp. 61-72 Fine, A.H. et al. (2010). Application of animal-assisted interventions in counseling settings: An overview of alternatives. In Aubrey Fine (ed), Handbook on Animal Assisted Therapy, 3rd Edition. Academic Press. Friedmann et al. (1980). Animal companions and one-year survival of patients after discharge from a coronary care unit. Public Health Reports, 95: 307–12. Green, S. (2002). Freud's dream companions. The Guardian, Saturday 23 March. Available at: http://www.theguardian.com/theguardian/2002/mar/23/weekend7.weekend3 Hart, L (2010). Postive effects of animals for psychosocially vulnerable people: A turning point for delivery. In Aubrey Fine (ed), Handbook on Animal Assisted Therapy, 3rd Edition. Academic Press. Hooker, S.D., Freeman, L.H., & Stewart, P. (2002). Pet therapy research: A historical review. Holist. Nurs. Pract. 17(1): 17–23. Katcher, A.H. & Beck, A.M. (2010). Newer and older perspectives on the therapeutic effects of animals and nature. In Aubrey Fine (ed), Handbook on Animal Assisted Therapy, 3rd Edition. Academic Press. Kruger, K.A. & Serpell, J.A. (2010). Animal-assisted interventions in mental health: definitions and theoretical foundations. In Aubrey Fine (ed), Handbook on Animal Assisted Therapy, 3rd Edition. Academic Press. Levinson, B.M. (1969). Pet-Oriented Child Psychotherapy. Charles Thomas Levinson, B.M. (1972). Pets and Human Development. Charles Thomas. Levinson, B.M. & Mallon, G.P. (1996). Pet-Oriented Child Psychotherapy (2nd ed.). Charles Thomas. Locke, John (1699). Some Thoughts Concerning Education. Reprinted in 1964 by Heinemann. Available at online at http://www.bartleby.com/37/1/ Marino, L.; Lilienfeld, S. (2007). “Dolphin-Assisted Therapy: More Flawed Data and More Flawed Conclusions”. Anthrozoos: A Multidisciplinary Journal of The Interactions of People & Animals 20 (3): 239–249. Matsuura, A., Nagai, N., Funatsu, A., Yamazaki, A. & Hodate, K. (2007) Changes in automatic nervous activity before and after horse trekking measured by heart rate variability and salivary amylase activity, Abstracts, 11th International Conference on the Relationship Between Humans and Animals, p. 39,Tokyo, Japan, 5–8 October, 2007. McConnell, A.R. et al. (2011). Friends with benefits: On the positive consequences of pet ownership. J. of Personality and Social Psychology, 101(6): 1239–52. Melson, G.F. et al. (2009). Robotic pets in human lives: Implications for the human-animal boand and for human relationships with personified technologies. J. of Social Issues, 65(3): 545–67. Melson, G.F. (2001). Why the Wild Things Are: Animals in the Lives of Children. Harvard U. Pr. Nightingale, Florence (1869). Notes on Nursing: What it is, and what it is not. Appleton. Available at: http://digital.library.upenn.edu/women/nightingale/nursing/nursing.html Preziosi, R.J. (1997). For your consideration: A Pet Assisted Therapist Facilitator Code of Ethics. The Latham Letter, Spring, p. 5–6. Serpell, J. A. (2010). Animal-assisted intervention in historical perspective. In Aubrey Fine (ed), Handbook on Animal Assisted Therapy, 3rd Edition. Academic Press. Sharkin, B., Kutztown U, & Knox, D. (2003). Pet loss: Issues and implications for the psychologist. Professional Psychology: Research and Practice, Vol 34(4): 414–21 Tzachi Zamir (2006). The moral basis of animal-assisted therapy Society & Animals 14:2. Available at: http://www.animalsplatform.org/assets/library/610_moralsofanimalassistedthe.pdf 24 Winter 2014 The Intelligent Clinician’s Guide to DSM-5 Pre sented by D r. J oel Paris About the Workshop This workshop will review the nature of diagnosis in psychiatry and the history of the DSM process, describing the strong and weak points of this approach to classification of mental illness. It will then examine each of the major groupings of the manual, identify the major problems, and indicate where DSM-5 has made changes and where it has not. Learning Objectives 1. To understand the scientific and ideological bases of the DSM system 2. To examine limitations of the DSM, but to indicate how future research might illuminate diagnostic problems 3. To examine each of the major diagnoses in psychiatry and How to register for this workshop • Mail this form to: BC Psychological Association 402 – 1177 West Broadway Vancouver BC V6H 1G3 • Fax this form to 604 – 730 – 0502 • Go online: http://psychologists.bc.ca/civicrm/event/ info?id=109 Cancellation Policy: Cancellations must be received in writing by February 17th, 2014. A 20% administration fee will be deducted from all refunds. No refunds will be given after February 17th, 2014. q I will attend Paris' Workshop (required) q I agree to the Cancellation Policy (required) Name: Address: City: Postal Code: to review how DSM-5 deals with them. About the Presenter – Dr. Joel Paris Joel Paris was born in New York City, but has spent most of his life in Canada. He obtained an MD from McGill University in 1964, where he also trained in psychiatry. Dr. Paris has been a member of the McGill psychiatry department since 1972. Since 1994, he has been a full Professor, and served as Department Chair from 1997 to 2007. Dr. Paris is currently a Research Associate at the SMBD-Jewish General Hospital, and heads personality clinics at two hospitals. He is also Editor-in-Chief of the Canadian Journal of Psychiatry. Dr. Paris’ reserach interest is in borderline personality disorder, and is a Past President of the Association for Research on Personality Disorders. Over the last 20 years, Dr. Paris has been conducting research on the biological and psychosocial causes and the long-term outcome of BPD. Dr. Paris has 185 peer-reviewed articles, and is the author of 17 books and 44 book chapters. Dr. Paris is an educator who has won awards for his teaching. Email: Friday February 28th, 2014 9:30AM – 4:30PM @ Holiday Inn Vancouver Centre 711 West Broadway Vancouver, BC V5Z 3Y2 GST # 899967350. All prices are in CDN funds. Please include a cheque for the correct amont, not post-dated, and made out to “BCPA” or “BC Psychological Association”. If you prefer paying by credit card, please register online. Workshop fee includes handouts, morning & afternoon coffee, and lunch. Free Parking. Participant information is protected under the BC Personal Information Act. Continuing Education Credits: 6 Phone: Regular registration (Deadline: February 21st, 2014) q Regular price $270.90 (incl. GST) q BCPA Members and Affiliates $197.40 (incl. GST) Meal requirements q q q Regular meal Vegetarian meal Special needs or allergies (please include details below) also Editor of the International Journal of Existential Psychology and Psychotherapy. He has been invited all over the world to give workshops on Meaning Therapy. His lectures are known for his passion and humour. Pre sented by D r. paul wong Friday April 25th, 2014 9:00AM – 4:00PM @ University Golf Club 5185 University Boulevard Vancouver, BC V6T 1X5 Continuing Education Credits: 6 About the Workshop Meaning Therapy (MT) introduces a new paradigm of integrative therapy that treats the whole person, rather than mere cognitions or behaviours. It is integrative, holistic, and evidence-based with the positive psychology of meaning as its central organizing construct. As an extension of logotherapy, it will pay special attention to the existential and spiritual issues that underlie most personal issues and predicaments. MT will integrate existential psychology with CBT, narrative therapy, cross-cultural psychology, and positive psychotherapy. MT aims to restore human dignity and promote mental health in an increasingly dehumanizing and toxic culture dominated by materialism, consumerism, and cutthroat competition. Psychologists will learn how to use meaning-based interventions to address major clinical issues, such as depression, anxiety, and to empower their clients to live a purposeful and value-driven life. MT helps clients discover their true selves and hidden inner resources by switching from a self-focus to a meaning focus. It shows how a radical change in worldview and belief systems can transform a person’s life from the inside out. Learning Objectives • How to contrast the new meaning paradigm with the traditional paradigm of psychotherapy • How to heal the worst and bring out the best in people’s lives through meaning • How to employ a coherent conceptual framework with meaning as the central organizing construct in integrating a variety of therapeutic modalities • How to use innovative positive interventions, such as PURE and ABCDE, to restore hope, meaning, and passion for living, regardless of circumstances About the Presenter – Dr. Paul T. P. Wong Paul T. P. Wong, PhD, CPsych, has been a professor and clinician for more than three decades. His meaning therapy has gained world-wide recognition. He is the President of the International Network on Personal Meaning, and International Society for Existential Psychology and Psychotherapy. He is How to register for this workshop • Mail this form to: BC Psychological Association 402 – 1177 West Broadway Vancouver BC V6H 1G3 • Fax this form to 604 – 730 – 0502 • Go online: http://psychologists.bc.ca/civicrm/event/ info?reset=1&id=110 Cancellation Policy: Cancellations must be received in writing by April 14th, 2014. A 20% administration fee will be deducted from all refunds. No refunds will be given after April 14th, 2014. Early bird registration (Dec 1st, 2013 – March 3rd, 2014) q Regular price $246.75 (incl. GST) q BCPA Members and Affiliates $173.25 (incl. GST) Regular registration (March 4th – April 18th, 2014) q Regular price $270.90 (incl. GST) q BCPA Members and Affiliates $197.40 (incl. GST) Meal requirements q Regular meal q Vegetarian meal q Special needs or allergies (please include details below) q q I will attend Wong's Workshop (required) I agree to the Cancellation Policy (required) Name: Address: City: Postal Code: Phone: Email: GST # 899967350. All prices are in CDN funds. Please include a cheque for the correct amont, not post-dated, and made out to “BCPA” or “BC Psychological Association”. If you prefer paying by credit card, please register online. Workshop fee includes handouts, morning & afternoon coffee, and lunch. Free Parking is available. Participant information is protected under the BC Personal Information Act. Meaning Therapy : A new paradigm of integrating healing with personal growth ADVERTISE WITH British Columbia Psychological Association! 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