Summer 2012 THE IOWA PSYCHOLOGIST A publication of the Iowa Psychological Association iowapsychology .org State affiliate of the American Psychological Association From the President Greg Gullickson Thank you all for a successful and truly enjoyable spring conference in Ames this past April. Despite concerns that were raised about holding the conference during VEISHA, turnout was good, as was revenue from the conference. It was just as important to the planning committee, however, that attendees have a good time at the conference as they benefitted from excellent presentations and enjoyed the warm collegiality that I think most of us associate with IPA conferences. I thought members might be interested in an outside perspective on this. In her thank-you letter to the 1 association, our Friday presenter Valerie Gaus wrote: “During my visit I was very impressed by the dedication Iowa psychologists have to providing high-quality services to their patients as well as their students. The breadth and depth of experience each professional must have in order to meet the mental health needs of people in rural and underserved areas was eyeopening. The fact that psychologists in your state work VERY hard was both obvious and humbling to me. To see that you all do so with such warmth and humor only added to my admiration for your members. Last but not least, thank you for so many gestures of hospitality that made my stay all the more pleasant. . . . So many of your members went out of their way to ensure I was made to feel at home.” Other aspects of the conference were also very gratifying and will guide the organization in the planning of future conferences. It was wonderful to have a good student turnout. In spite of VEISHA activities preventing some students from attending, the luncheon with graduate students and internship From the President: To Next Page THE IOWA PSYCHOLOGIST Summer 2012 From the President Greg Gullickson were to be terminated in ninety days because Blue Cross Blue Shield had partnered with an entity known as New Directions “for the management of all aspects of behavioral health services including provider network contracting.” Predictably, the new contract with New Directions involved From Page 1 significant rate cuts for Florida psychologists. Many of you may already be well aware of such developments. Florida is not alone. As the author of the training directors was well attended, and approximately previously cited article goes on to say, “Although Florida twenty students presented posters. Although no students happens to be the state where the model is being given a trial took advantage of the “bed and breakfast” option for accommodations in Ames, several students expressed their run, it appears that this unholy witches’ brew is destined to appreciation that it was available, and they strongly urged be served nationally.” My intention in mentioning these that IPA continue to offer this as an option at future spring developments is not to sound alarmist but to emphasize how conferences. critical it is that we remain vigilant, resolved, and connected. Response to programming on healthcare integration was I find it reassuring that we have smart and committed positive. Both the Saturday professionals within IPA who are morning plenary session that tracking such developments At the State Leadership Conference in closely and keeping us informed. provided an overview of this topic Washington, DC, APA leaders and TIP articles and conference and the follow-up panel legislators told us that within several presentations will remain a presentation that focused on years psychologists will likely face applications were very well primary means for keeping demands for increased efficiency in received. As I mentioned in my members informed. providing services as well as rate cuts. last letter in TIP, APA has urged To this end, Thomas Ottavi, that we pursue the topic of Jason Smith, and I are very healthcare integration at the state level. (As some have said, in mindful of coordinating our efforts as conference committee a healthcare environment that will face significant change in chairs. One of our primary aims is to provide IPA members these next years, this is about psychology having “a place at with timely and helpful programming particularly in the area of healthcare integration. At the same time, we are eager for the table and not being on the menu.”) At the State Leadership Conference in Washington, DC, input from members about topics they want to see featured in upcoming conferences. APA leaders and legislators told us that within several years psychologists will likely face demands for increased efficiency As I mentioned in my last letter, we must embrace both in providing services as well as rate cuts. Those who think the blessing and the curse of living in an interesting time. this is unlikely would do well to review the lead article in the For the sake of our profession and our clients, I hope that most recent issue of The National Psychologist. It details together we can recognize the coming challenges that we how in 2011 Florida psychologists received a letter from Blue face as Iowa psychologists and support IPA as a resource for Cross Blue Shield of Florida announcing that their contracts navigating this shifting and precarious healthcare terrain. Fall 2012 IPA Conference Topic and Date Oct. 12, 2012 • Johnston IPA is finalizing a contract for a presentation by Dr. Armando Hernandez from a Midwest Behavioral Health Consultation group with over 20 years of combined experience in working with psychology integration into health care systems. We have a unique opportunity for these consultants with clinical experience to review our recent IPA survey on healthcare integration issues for membership. They will work to develop an effective and useful workshop on the most 2 current topics and issues for integrations of psychology for a range of psychology providers. Dr. Hernandez will conduct an interactive workshop that will provide a framework for collaborative practice, working consultation models, and integrated delivery methods for psychologists. Please look to join us for this all-day workshop. More information: primarycareshrink.com. THE IOWA PSYCHOLOGIST Summer 2012 3 Impaired – It Wasn’t Easy Kerrie Hill I want to tell you two stories in order to make the issue of the impaired psychologist more real. This is an issue that faces not just our profession, but specific colleagues and/or you. The first story is about my efforts to find and bring together resources on the issue. It is to illustrate the amount of effort it took as a fully functioning, not impaired psychologist to get information that could be helpful to an individual who is or is beginning to find that their personal resources are overwhelmed. The point being that it could be too big of a challenge for the distressed or impaired psychologist to find them and thus get some direction without our help. The second story is about an individual psychologist who became impaired, a cautionary tale of sorts. At our Spring Conference 2011, a year ago, during one of the panel presentation there was a general discussion among the attendees on impairment issues. The majority of us were seasoned psychologists. But even then there was some uncertainty among us about just what constituted impairment and just what we were required to do when we had questions about how another psychologist was faring. Prior to that I thought I knew enough. I know our ethics. And back in my training days I gave little thought to whether I would need to know more, need to make judgments to apply the ethics in this area. But 20 years of living and practicing as a psychologist has brought home to me that I need to know more than how to aspire. I need to know the nuts and bolts of dealing with a specific individual whose cognitive, emotional, and/or physical energy are dangerously low. After the conference I thought mostly about the individual in need. I thought I would help by simply helping create a list of psychologists who had experience, knowledge, and comfort in the role of the “psychologist’s psychologist” that could be available through IPA. However, there is a whole lot I had not considered (simple things aren’t always so simple). I had not thought about how it would expose IPA to the risk of being named in a malpractice suit if they gave out a name or a list. So my solution had to be reformulated. Executive Council heard my frustration, discussed the issue, and responded. A member of the council aided my research by sharing information about an intervention program she was aware of through the IBP. This program, the Professional Licensure Impaired Practitioner Program (IPP) is for all licensed Iowa professionals. It was created by DHS and is run by the Dept. of Public Health. It was reassuring that Iowa has the IPP, that there is a path the Board can routinely use when one of us is in trouble, that they want to give us a chance to return to competent functioning, that they do not have to invent an appropriate “treatment plan” for each individual that comes to their attention. That is the job of the program. But while IPP is a completely confidential program, being such a formal (not to mention State) program, I imagine fears about one’s license could make it harder to accept that one needs much help or to take that first step to get it. And it seems like it could be pretty threatening to one’s self-concept as well. I was not satisfied with this being the only option, the only information I provided to our members about getting help. So I made some more efforts. Going forward I found out some state psychological associations have formal Colleague Assistance Programs. They vary in how much they provide. They can provide assessment of the individual, develop an individual intervention plan, monitor compliance and decide if the individual needs to be reported to the licensing board. But these programs need formal policies and procedures. They also carry liability risks. Iowa is a small state with a relatively small psychological association. Getting such a program up and running would involve untold hours. It could be a goal some time in the future. Maybe something our near retirement or actually retired members, or graduate students might think about. But as a profession and as individuals we need something now. Again I had to re-conceive how I could help, and help now (not just someday). I thought it would help at least to develop a go-to resource to address the how, when, and why questions, a kind of road map of how to get or give help. And then that could be available Hill: To Next Page THE IOWA PSYCHOLOGIST Summer 2012 4 Impaired – It Wasn’t Easy Kerrie Hill So there is now (I hope it is posted in full by the time you read this) a resource about impairment for students and to our members through our web site. Helping was becoming member psychologist on our web site. It is something I plan on more difficult than I first thought. I was going to need to spend updating and adding to over time. more time, search, and write. But I wanted to give back. I now turn to the story of a licensed psychologist in Iowa As a clinician I was still most concerned about the that I have had several contacts with who fell into “the abyss” (as individual who is distressed and slipping –or is impaired. I she put it). She has given me permission to tell her story on the thought about what the individual psychologists personally need condition I not use her name and change identifying details. to know, what help would they need (besides how to find a Changing identifying details was easy and you are encouraged therapist). It seemed they certainly needed to to change any details that would make it have help to deal with what was impairing easier for you to put your self into her shoes About the Author them, especially their mental and/or physical (vs. the tendency to see how you are different health. It was easy to find a lot of and thus this would never happen to you). Dr. Hill works at Child information on prevention and self-care. When this part of her story started she Psychiatry Associates in There are great ideas of things to do to had been providing direct therapy services Des Moines. She has been restore one’s health, energy, and interest in for 10 to 15 years. She liked working with a member of IPA since 1990. one’s work. But those ideas and practices clients, finding it intellectually challenging alone are insufficient to address impairment. and rewarding. Improving individual lives I also thought it would be important to find some kind of was meaningful work for her. After licensure she had worked specific guide to aid in making judgments as to whether one is exclusively in outpatient settings and was reimbursed through impaired. But there seems to be no paper and pencil test. We insurance (vs. depending on grants and government funding of have our ethics and we have diagnoses. The latter do not tell us an agency). She had been seeing primarily middle class clients if we are impaired. We know we can competently function in for quite awhile and did not have to be on an on-call rotation. the wide variety of roles we as psychologists do even with She worked Monday through Friday, set her own hours, and mental and physical health disorders. controlled her own caseload. She kept her appointments to The Psychologists Association of Alberta tried to develop a between 8:00 a.m. and 5:00 p.m. self-assessment guide. They published it over 25 years ago. It is She reported she liked having time for herself, her family, out of print and I was only able to locate one copy. It exists in a her friends, and talked about a number of hobbies and library in Alberta Canada and they would not loan it out via activities she kept herself involved in. So she made sure to inter-library loan. I thought I had hit a dead end but after awhile protect the time she wanted for these from the opportunities I figured out a different way to get the information. I contacted and/or pressures to do “just a little more” professionally. She the Association directly and explained what I was trying to do had established a running habit in graduate school and had and the woman agreed to help me. Eventually she was (oh, so stuck with it. She liked making and eating healthy food. many technological missteps) able to mail me a Xeroxed copy. She had had some problems with depression in graduate But I was disappointed as it was not what I thought it might be. school. And she had taken care of it by seeking personal Basically it was addressing competency more than impairment in support and the use of medication. It had not delayed her that they had taken all of their ethical guidelines and formulated getting through all the hurdles of her training and getting questions in behavioral terms so you could decide if you meet licensed. So when she again started having trouble sleeping, the standard. It was four months before I had another lead when feeling drained, and her focus was a little off she recognized the I just stumbled across a Burnout Self-Appraisal Test from a signs. She started seeing a counselor for a while and asked her workshop I took in 1981. At first I was excited, but most of the family doctor to put her back on the antidepressant she had items focused on feelings and behaviors that suggested found helpful before. Again it helped, but sleeping remained a depression, only a single possible factor in becoming impaired. problem. So her doctor added a sleeping medication. After Of course there are other types of information needed to trying several different ones and different doses, they decided it deal with the whole issue of impairment. I found APA’s was time to see a specialist, a psychiatrist. Advisory Committee on Colleague Assistance Programs to be a She met regularly with her psychiatrist. She was a “good great resource. Through them I first spotted a link that nicely patient”. Not only was she open and verbal, she was compliant answered the bulk of the “what do you do if you think a (what we all wish our clients were). But as these things go, one colleague is impaired?” question. This led me to realize I could medication helped some of her symptoms but not others or made use a lot of links to develop the resources on our web site some of them worse (or had problematic side effects). So doses instead of having to write a book, so to speak. The job was were adjusted, different drugs in different categories were added doable. With that I got myself into the modern way of doing and different combinations were tried. The months added up. things. Tapping into the ACCA resources made it possible to Hill: To Next Page develop our member resource I call the “Impairment Zone”. From Page 3 THE IOWA PSYCHOLOGIST Summer 2012 From Page 4 She was starting to not look forward to meeting with her clients. But, there was always one more medication or combination to try. She respected her psychiatrist and thought the next adjustment would make the difference. But each new trial took 4-6 weeks before a fair judgment could be made if it was doing what she needed it to do. She was doing what looked like all the right things to care for her personal health: seeking professional care and following self-care recommendations (i.e., eating healthy, exercising regularly, avoiding caffeine and alcohol, and using good sleep hygiene practices). But she was not able to judge whether she needed to do something different in her work. All of the more observable indicators of where she was in the foggy “impairment zone” were not adequate or effective guides in this case. She came in every day, saw the same number of clients she always had, got her paperwork done in a timely manner, and returned phone calls. None of her colleagues noticed a change significant enough to approach her. She had some discussion with her psychiatrist about the possibility she should take some time off, but they did not come to a conclusion, there were still more treatment options they could try. And by that point she was too tired and isolated to figure out where else to turn to get further help in making a decision and making a plan to take a leave of absence. So unfortunately one Friday she simply hit the wall. She just could not fake it through one more therapy session. She took the weekend to think, admit to herself it was time, and made a hasty plan to take a leave of absence. Humor Naomi McCormick 5 Along the way, as you read this story did you think about if it was you instead of her what you would have (or even she should have) done differently? Did you think about what is different in your situation that would have prevented things from ever going so far –or perhaps the opposite, differences that could have made it go too far even faster? Did you think of things that as a colleague you might have noticed or that you already do that might have made her turn to you for help? What did she need that could have helped her know when to say when, when to say stop providing direct services to clients? One answer could be that elusive paper and pencil test (that isn’t among the resources you’ll find on our site). A different answer that I hope becomes a reality: a culture of openness. A test cannot replace clinical judgment. To judge impairment takes being able to discuss what is happening. A culture of openness could help individuals feel they can seek out a colleague to have that discussion with and not somehow exposing themselves to professional suicide. It may surprise you that the Iowa Bar Association is actively trying to create that culture of openness for their members. In their last 3 newsletters they have had attorneys “out” themselves by telling their story –not anonymously. The Iowa Supreme Court has approved taking a workshop on how depression and/ or chemical dependency affects attorneys personally as meeting one of their ethics CLE’s (CEU’s in our language). They are doing this to address the fact that about half of the attorneys that require disciplinary actions have either substance abuse and/or mental health problems. I don’t know the statistics for IA psychologists but expect they would be about the same. How do we create this culture of openness for ourselves? THE IOWA PSYCHOLOGIST Summer 2012 6 Positive Psychology and Adults on the Autism Spectrum Valerie L. Gaus, Ph.D. Comments from the Spring Conference Being diagnosed on the autism spectrum does not preclude a person from enjoying a In response to Valerie Gaus’s presentation mentally healthy life in adulthood. In my on “Cognitive-behavioral therapy for adult practice as a psychologist providing therapy to Asperger Syndrome and related conditions” adults and older teens on the spectrum, I have learned from my patients that life satisfaction and peace of mind can and is experienced by “This presentation was a great overview of many. Living with an autism spectrum Asperger’s Syndrome and the varied presentations disorder does bring with it some stressful of those affected. I felt the therapeutic situations, however, and it is common for suggestions and interventions were on-point and will be very useful in my work with college students people on the spectrum and their families to seek help from psychotherapists in dealing with with Asperger’s. I appreciated the focus on Positive Psychology with this population as well.” problems of daily living. Many are diagnosed with Asperger syndrome (AS) or “high“I’ve heard many times of ‘social stories’ but functioning” autism (HFA); both phenomena hadn’t integrated them into my work with ASD involve symptoms of autism observed in clients. This workshop was perfect timing in my people who are verbal and have average or above intellectual ability. Psychotherapists who developing competency. I will definitely be using all of the techniques that she presented. I already work to meet the needs of this expanding have particular clients in mind (both children and patient population may find guidance in the adults).” literature on both positive psychology and cognitive-behavior therapy (CBT), where there “The workshop was informative in differentiating are evidence-based approaches that can be the various areas of strength and challenge that AD useful in helping these individuals find relief spectrum individuals have and how they are from their daily stress while also capitalizing on manifested in a variety of our clients.” their strengths (Gaus, 2007, 2011a, 2011b). Patients typically come to a therapist for help with social problems that they are attributing to AS/HFA, and/or for help with secondary psychiatric disorders, most commonly Positive Psychology: A Strengths-Based anxiety or mood symptoms. The mental health Approach to Change problems seen in these individuals are often related Ironically, the characteristics that can put people to their attempts to fit in with society. Contrary to with AS/HFA at odds with others or at risk for the popular belief that people with autistic problems are the very same characteristics that spectrum disorders are aloof and disinterested in contribute to their talents and abilities. When people, many are very motivated to have friends therapy goals are being set, it is important to not only and lovers. Chronic stress comes with a identify the problems that are targeted for reduction, dramatically uneven profile of strengths and but also to highlight the assets and coping strategies deficits. Generally bright and often successful with that the adult patient has already developed before academic pursuits, they struggle in the coming into treatment. I have marveled at how interpersonal domain of functioning. I incredibly resourceful and clever these individuals can conceptualize all of these problems as stemming be in designing strategies, often without any help, to from basic information processing differences. negotiate their way through a world that is to them People with AS/HFA have an idiosyncratic way of very confusing and threatening. The individualized processing both social and non-social information treatment plan should always include interventions that has been present since birth or early geared toward helping the patient recognize the childhood. Their unique perception has in some things he or she has already done to successfully ways adversely affected their development and adapt and to build upon those self-taught skills. social experiences, resulting in undesirable Using a strengths-based, lifespan developmental consequences (Klin, Jones, Shultz & Volkmar, perspective, a therapist can collaborate with patients 2005). It causes them to exhibit behavior that can to help them alleviate the distress that they define. make them look different or to be unappealing to This is consistent with the philosophy of positive others and also leads to impairment in non-social psychology. areas of functioning, such as organization and selfdirection, which increases the level of stress. Gaus: To Next Page THE IOWA PSYCHOLOGIST Summer 2012 7 From Page 6 Positive psychology is a growing field that focuses on enhancing the mental and physical health of human beings by highlighting and strengthening assets. Researchers and clinicians try to understand the characteristics that are associated with happiness as well as resilience and survival through adverse circumstances. While these efforts have been largely geared toward the general population, professionals working with people on the autism spectrum have also found this approach useful. One important part of this movement has been a focus on defining autism characteristics as differences, not defects. Autism is not seen as a disease but does give a person a unique way of processing information about the world and the people in it. This philosophy has been helpful to me in my practice with my patients because, while this unique way of perceiving the world does indeed cause some of the problems that bring adults into my office, it also gives them strengths and talents. If I were to follow a disease model of autism, I would have to try to “eliminate the autism”. But to do so would be to sacrifice the assets that patients have because of their autism. The positive psychology approach allows me and my patients to use some of the autistic characteristics as tools and assets in the therapy. One of the most relevant concepts that grew out of positive psychology for adults on the spectrum is the definition of intelligence offered by Sternberg (2003). He suggests that people will be most successful if they possess the skills to do the following: • Define success in one’s own terms, which may or may not correspond to societal or conventional definitions of success • Adapt to, modify and choose the environments one is in • Do all of the above by capitalizing on strengths and correcting or compensating for weaknesses While this definition pertains to all people, it is very useful to adult patients on the spectrum in order to help them clarify their goals and identify obstacles. The Utility of Cognitive-Behavior Therapy CBT refers to a set of strategies for dealing with mental health problems that has existed for over 40 years and has a huge empirical literature supporting its validity as a psychotherapy approach with typical (not autistic) patients. This large collection of therapeutic approaches all assume cognitive activity affects emotions and behavior and that people can learn to monitor and alter that activity in order to bring about changes in mood and behavior. CBT has been shown to be effective for a wide variety of mental health problems seen in typical adults, such as major depression, generalized anxiety disorder, panic disorder, agoraphobia, social phobia and post-traumatic stress disorder (Butler, Chapman, Forman & Beck, 2006). People on the spectrum are at great risk for all of the mental health problems that have been successfully treated using CBT (e.g., Attwood, 2006; Gaus, 2007; Ghaziuddin, 2005). CBT teaches people to monitor their own thoughts and perceptions with the hopes that they will become more aware of their interpretive errors. There is no reason to believe people with AS/HFA cannot learn to do this with a therapist’s help. They can learn to re-conceptualize social interactions and become more able to more accurately “read” the behavior of others. Once they understand others' motives and the rationale for the "codes of conduct" that exist in various social situations, they can more easily monitor their own behavior and adjust their responses to other people and situations. They can also be taught to recognize and modify maladaptive patterns of information processing which contribute to their stress, anxiety and depression. As with any typical patient in CBT for a mental health problem, the therapist's job is to teach the adult with AS/ HFA to identify and modify the cognitive activity that is causing problems in living, but not to change the individual's entire personality. For people with AS/HFA, this means to: • Teach new cognitive and behavioral skills that were never learned • Teach compensatory strategies for deficits that cannot be changed • Facilitate self-acceptance • Teach strategies to decrease or prevent symptoms of co-morbid mental health problems, such as anxiety disorders and depression Conclusion By combining the philosophy of positive psychology and CBT techniques for assessment and intervention, therapists working with adults on the spectrum can help them to define their own goals, become more knowledgeable about their own strengths and weaknesses and then use that information to increase life satisfaction. References Attwood, T. (2006). The complete guide to Asperger's syndrome. London: Jessica Kingsley Publishers. Butler, A.C., Chapman, J.E., Forman, E.M., & Beck, A.T. (2006). The empirical status of cognitive-behavior therapy: A review of meta-analyses. Psychology Review, 26(1), 17-31. Gaus, V.L. (2007). Cognitive-behavioral therapy for adult Asperger syndrome. New York: Guilford Press. Gaus, V.L. (2011a). Adult Asperger syndrome and the utility of cognitive-behavioral therapy. Journal of Contemporary Psychotherapy, 41(1), 47-56. Gaus, V.L. (2011b). Living well on the spectrum: How to use your strengths to meet the challenges of Asperger syndrome/highfunctioning autism. New York: Guilford Press. Ghaziuddin, M. (2005). Mental health aspects of autism and Asperger's syndrome. London: Jessica Kingsley Publishers. Klin, A., Jones, W., Schultz, R., & Volkmar, F. (2005). The enactive mind - from actions to cognition: Lessons from autism. In F.R. Volkmar, R. Paul, A. Klin, & D. Cohen (Eds.), Handbook of autism and pervasive developmental disorders: Vol. 1. Diagnosis, development, neurobiology, and behavior (3rd ed., pp. 682-703). Hoboken, NJ: Wiley. Sternberg, R.J. (2003). Driven to despair: Why we need to redefine the concept and measurement of intelligence. In L.G. Aspinwall & U.M. Staudinger (Eds.), A psychology of human strengths: Fundamental questions and future directions for a positive psychology (pp. 319-329). Washington DC: American Psychological Association. THE IOWA PSYCHOLOGIST Summer 2012 From the Executive Director Carmella Schultes In early March along with IPA leaders in an Iowa delegation I attended the APA State Leadership Conference in Washington, D.C. One of the speakers I most enjoyed was Mary Beyer who spoke in a plenary session about the how associations are changing and where to shift our focus to continue to be vibrant and relevant to our members. The prevailing take home message was that associations need to concentrate on helping members work less stressfully, work more productively and work more profitably. Leadership and management need to morph from a mindset of association as a club or community to association as a business. And clean house, even creating a “to don’t do” list. As always, SLC can both inspire and overwhelm me and it takes a few weeks of processing to put the messages from SLC in the context of IPA allowing me to cherry pick what I think is applicable and what I think is not applicable from their message. I recognize that there are radical changes for professional associations that are already here or just on the horizon. They include: 1) generational changes, 2) member time restraints, 3) member money restraints, 4) competition from for profit groups, and 5) a need for associations to specialize and compartmentalize. And here is where it gets overwhelming … these changes are occurring on a national scale but IPA leadership and management need to adapt to them within the culture of our geography and profession. I cannot imagine that I will not still tell a prospective member that IPA is a professional home and that IPA has a real sense of community that they need to be part of. This is Iowa, right? That’s what we have always been about. But I hope to begin to develop within myself and your leadership a new perspective on what new young members are looking for when they join IPA. We must remain relevant and we must offer value so I do believe going forward we must use as a litmus test for all of our initiatives, how our investments in our projects reduce stress for our members, make them more profitable, or make them more productive. It is a tall order. Your help is welcome. For starters, please let me know: If you are chairing a non-functioning or unnecessary committee. With limited resources and a desire to reduce member stress, we should be open to discarding what is no longer working. If you see yourself as flexible, bright, creative and consensus building. We need you on our team because other for-profit groups that we are competing with are identifying their best leaders and we have to do the same to expect to be competitive. • • 8 • What you need in your business to be more productive and more profitable if you see a way we can provide it. Our advocacy is the major thrust in protecting the profession from threats to your productivity and profitability. Expect to see more training from us on how you can be more comfortable participating in our legislative day and in self advocating. Also be aware that we are reassessing our advocacy efforts and exploring how to involve more students (with mindfulness of their schedules). We know that student voices are powerful. We need them on the hill with us. What else our website can do to promote your practice. Currently we offer reciprocal linkage. If you have a site you would like posted to ours let me know. We also have a contact form for each of you so that public viewers looking for a psychologist can find you. Finally we offer 1 month free posting of any classified ad for our members and after the first month we extend a 50 percent discount. To wrap up, I will just share a fact that I brought back from SLC that gives some perspective to the importance of advocacy. Research has shown that a 30 second lie by the opposition takes 5 minutes (ration of 1:10) to refute. If the opposition is spending 1 million on a campaign to attack our profession, we must spend 10 million to counter it and the refutation must appear in the same media format that the attack was launched. As a profession, if we are going to seriously advocate for our patients, we need to step it up. • THE IOWA PSYCHOLOGIST Summer 2012 9 Does confirming post-identification feedback affect evaluators’ abilities to discriminate between accurate and inaccurate witnesses? Leah Speed & Laura Smalarz, Iowa State University Eyewitness misidentifications are the leading cause of wrongful convictions in the United States, yet eyewitness testimony continues to be heavily relied upon by jurors in court cases. One problem with jurors’ reliance on eyewitness testimony is that witnesses are susceptible to the influences of confirming post-identification feedback—when witnesses are told they made the correct identification (Wells & Bradfield, 1998). Research consistently reveals that confirming postidentification feedback inflates eyewitnesses’ confidence and distorts their recollections of the witnessing experience (Bradfield-Douglass & Steblay, 2006). Although research has demonstrated that confirming feedback inflates evaluators’ beliefs in the accuracy of inaccurate eyewitness testimony (Bradfield-Douglass et al., 2010), no study to date has investigated whether confirming feedback produces different evaluations of accurate versus inaccurate witnesses. The present study aimed to fill this gap by conducting a two-phase study to test whether post-identification feedback affects evaluators’ abilities to discriminate between accurate and inaccurate witnesses. During Phase 1, stimulus materials were collected for Phase 2. In this first phase, participantwitnesses watched a video of a crime and attempted to identify the perpetrator from a photo lineup. Accuracy was manipulated by giving half of the participants a lineup that contained the perpetrator and the other half of participants a lineup that did not contain the perpetrator. Following the identification, half of the participants were told they made the correct identification (regardless of their actual accuracy), and half were told nothing. All participants then provided videotaped testimony about the witnessed event and the person whom they identified as the perpetrator of the crime. During Phase 2, participant-evaluators watched the videotaped testimony of witnesses from Phase 1 (four videos total—one from each condition). After watching each video, participant-evaluators indicated whether they believed the witness had made an accurate or an inaccurate identification. Participant-evaluators were not told that some witnesses had been given confirming feedback. Results indicated that feedback increased the extent to which evaluators believed witnesses’ testimony, however it did not do so uniformly among accurate and inaccurate witnesses. Rather, feedback significantly inflated the believability of inaccurate witnesses, About the Authors Leah Speed (left) is a senior majoring in psychology at Iowa State University. Laura Smalarz is starting her fourth year in the Social Psychology Ph.D. program at Iowa State. Her research focuses on social influences in eyewitness identification and criminal interrogation. but had little to no effect on believability among accurate witnesses. The results of this study indicate that the detrimental effects of confirming post-identification feedback translate into the evaluations of eyewitness testimony. Inaccurate witnesses who received confirming feedback were believed to have been accurate as frequently as were accurate witnesses, regardless of whether the accurate witnesses had received feedback. Inaccurate witnesses who received confirming feedback took on the appearance of accurate witnesses. This is the first study to demonstrate that postidentification feedback critically reduces jurors’ abilities to discriminate between accurate and inaccurate witnesses. Future research will examine potential moderators of the effects of confirming feedback on evaluations of accurate versus inaccurate witnesses, which will assist in suggesting legal remedies. THE IOWA PSYCHOLOGIST Summer 2012 10 IPA Membership Survey on Healthcare Integration Jeritt R. Tucker, MS, & Thomas M. Ottavi, Ph.D. In April, a survey was sent through e-mail list-serve to members of the Iowa Psychological Association. Sixty-eight members responded (about 35% of active IPA members) to this request and completed a survey including their demographic information, current practices in coordinating with primary care, and concerns about healthcare reform. The results of this survey are reported below. Demographic Information For those responding to the survey, the average number of years as a licensed psychologist was 18.56, with 3 of the 68 respondents being pre-licensure. On average, respondents spent 56% of their professional work in direct clinical service; 15% in supervision, training, or administration; 14% in consultation with other agencies; 8% in teaching; and 6% in research or grant writing. About the Authors Jeritt Tucker is a second-year doctoral student in Iowa State’s counseling psychology program. His research and professional interests are primarily in the domains of group psychotherapy, international applications of counseling theory and practice, and the stigma of seeking psychological help. Thomas Ottavi is IPA Past President. privacy, shifting psychotherapy’s focus away from the therapeutic Current coordination with primary care relationship, and imposition of standardized managed care. Sixty-eight percent (n = 46) of respondents were working in The next largest area of concern (n = 7) was the idea that coordination with primary care or health clinics for referrals or psychologists would not be in a good position when compared other services at the time of the survey. These clinics included a with other healthcare professionals during and as a result of such variety of settings: university medical centers and student health reform. These centered on psychologists being “second-rate” services, family medicine clinics, ob-gyn, adult internal medicine, citizens, seen as mid-level providers, and otherwise being pediatric practices, psychiatric providers, devalued. A final common area of Veterans Affairs clinics, nursing homes, Figure 1 concern (n = 6) was the addition of oncology clinics, pain management clinics, paperwork through electronic records and weight clinics, and endocrinologists. How ready or prepared do you feel for the compliance with insurance requirements For those psychologists working in upcoming changes related to healthcare as well related reductions in payment. reform? coordination with primary care, this Unprepared 15 22% typically represented 38% of their Summary Partially Prepared 40 59% practice. They received approximately It is clear that coordinating with Mostly Prepared 10 15% 32% of their referrals from medical primary care is already common Completely Prepared 3 4% providers and they referred practice amongst psychologists in Iowa. TOTAL 68 100% approximately 21% of their clientele to For those who do work directly with some sort of medical care setting. What amount of change do you anticipate primary healthcare clinics, a significant Healthcare reform will have on your percentage (over one third) of their current practice? Concerns about healthcare practice comes from and is referred out None 12 18% to these settings. As such, it makes sense reform Little 9 14% that Iowan psychologists are concerned Twenty-two percent (22%) felt Some 37 57% unprepared for upcoming changes about the impacts that healthcare A Great Deal 7 11% related to healthcare reform, 59% felt reform will have on their practice. TOTAL 65 100% partially prepared, and only 19% felt There is much uncertainty about how mostly or completely prepared. This was despite the fact that reform will impact current psychological practice in Iowa, the majority of practitioners (68%) anticipated some or a and many report being unprepared for these changes. great deal of change in their current practice (see Figure 1). As psychologists identify concerns around drastic changes to Accordingly, the large majority (76%, n = 50) foresaw long-standing therapeutic practice, no longer being granted the wanting more workshops on the topic of healthcare reform same autonomy, being seen as secondary to other clinicians, and beyond those offered at the IPA Spring 2012 conference. increasing paperwork and compliance demands, it is clear that The majority of fears and knowledge gaps in the healthcare reform represents a significant concern to integration of psychology with healthcare reform centered on psychologists in Iowa. It will be important for IPA, and other changes to psychology as a practice (n = 8). Such fears agencies across the state, to work to solidify these concerns and included possible elimination of 50-minute sessions, changes in to bring them to the table in the evolving healthcare arena. THE IOWA PSYCHOLOGIST Summer 2012 From the Iowa Psychological Foundation Suzanne Zilber, Ph.D., IPF President This year is the 20th anniversary of the Iowa Psychological Foundation. It is fitting that we as a board have stepped back and surveyed the IPA membership for what types of projects they get excited about. While IPA and IPF are separate organizations, our missions are very similar and there is much cooperation between us. The IPF offers a tax deductible vehicle for IPA members to support IPA specific initiatives as well as projects unique to the IPF. In addition to supporting the work of psychologists, the IPF’s mission is to cultivate public understanding of the crucial role psychology plays in strengthening the health, productivity, and happiness of all Iowans. Fifty-eight IPA members completed the survey: 37 online and 21 at the conference April 20th. The survey suggests that we need to communicate more frequently and the preferred mode is email. The IPF Board continues to be excited about completing work on the Media-Wise project, focusing on educating parents directly about the effects of media on children, with the goal of strengthening the health and happiness of Iowans. The survey results suggest there is strong IPA member interest in keeping early psychologists in Iowa and educating public policy makers. IPF cannot engage in lobbying policy makers but we can be involved in creating educational materials. IPA membership would look forward to more onsite auctions at the fall or spring meetings. These are wonderful community building events but not great fundraising events for the foundation. If the IPA membership wants to collaborate with the IPF board to create something like that in the future, we should talk. Given this feedback, we will start communicating at least quarterly by email to update you on progress we are making toward the Board’s identified initiatives. Most recently we provided the funding for the IPA Student Poster Competition, and awards went to three student winners: Emily Johnson, Leah Speed, and Gerald Jones. Our most recent positive news is that the IPA board voted to allow the IPF to earn revenue through purchases you make on the IPA website with a major online retailer that sells all types of products. Contracts prohibit me from naming the website, but you will see it on the IPA homepage. Please create a web bookmark to use this portal for all your purchases. And of course, you are always welcome to make a direct donation. Donations can be mailed to IPF, 48428 290th Ave., Rolfe, IA 50581. THE IOWA PSYCHOLOGIST Executive Director: Carmella Schultes 48428 290th Avenue, Rolfe, IA 50581 712-848-3595 • 712-358-1621 (mobile) 712-848-3892 (fax) [email protected] 11 The Iowa Psychologist is published four times a year by the Iowa Psychological Association and distributed to IPA members for purposes of disseminating a wide variety of information of particular relevance to Iowa psychologists. Unless otherwise noted, positions/ opinions are those of the individual contributors. The publication of any advertisement in TIP is neither an endorsement of the product or service nor of the advertiser. We reserve the right to reject, omit, edit or cancel any ad or copy submitted for publication. Advertising rates: • Full page – $345 • 1/2 page – $230 • Two column – $25 per inch • One column – $15 per inch A 10 percent discount is available for advertising in more than one issue. Advertising copy (with payment) must be received by the following deadlines: March issue – February 15 June issue – May 15 September issue – August 15 December issue – November 15 All submissions must be typed and may be sent to the editor as e-mail attachments (Microsoft Word preferred). Deadlines for issue content are the same as the advertising deadlines. To submit con- tent or for more information, contact: Stewart W. Ehly 358 Lindquist Center, University of Iowa Iowa City, Iowa 52242 319.335.5335 • 319.621.7553 (cell) [email protected] Publications of APA, APA Divisions or APA State Affiliates may copy in whole or in part from The Iowa Psychologist provided the item is not identified in TIP as coming from another source. THE IOWA PSYCHOLOGIST Summer 2012 12 Homelessness and the Fairweather Lodge Program Charles Bermingham Homelessness is a term which evokes a variety of reactions. There are many people and organizations interested in helping individuals who are homeless find a way to establish a better standard of living. One such program working across the country to aid individuals in this way is the Fairweather Lodge program. This article will give a brief explanation of the Fairweather Lodge model and its implementation in the Iowa City area by several prominent organizations. Additionally the impact of this program on this author’s perception of homelessness will be considered. The model for the Lodge program has existed since 1963 when Dr. George Fairweather conceived it and implemented the Community Lodge Program (http://www.theccl.org/Fairweather.htm). The Lodge is not transitional housing, rather permanent housing should an individual choose. Individuals accepted into Lodge programs traditionally suffer from a range of mental illnesses, unhealthy interpersonal relationships, physical health concerns, substance abuse, poor job seeking/maintenance skills, homelessness, and histories of trauma. In many instances veterans suffer from these symptoms and are drawn to Lodge programs. Often these reoccurring concerns, which often lead to homelessness, increase as these veterans live on their own, which creates a predictable and toxic cycle (Gordon, Hass, Luther, Hilton, & Goldstein, 2010). The Lodge program attempts to allow members to break these cycles by providing an opportunity for interdependent living and employment. This style of living involves learning/re-learning basic living and interpersonal skills, as well as how to function efficiently in a variety of worksites. Individuals work towards living together in a single-home without any live-in staff, while still having the option to contact staff if needed, working collaboratively at work-sites, maintaining medication compliance, and building relationships with one another. The residents pay rent, are responsible for cooking, cleaning, maintenance, and setting and holding others accountable for rules via a consensus model, all of which are taught throughout the training period. The physical location of the home is generally in a family neighborhood and it is indistinguishable from any other house around it. The goals are for individuals to find social support, healthy relationships, active psychological coping skills, problems solving skills, and more through the Lodge program training and eventually living in a Lodge with other graduates. The Lodge outcome research shows good psychological outcomes, high About the Author Charles J. Bermingham is a student at the University of Iowa in the Counseling Psychology doctoral program. medication compliance, good work performance, and low recidivism (http://www.theccl.org/ Fairweather.htm). Nationally, the Fairweather Lodge model has been successful, yet this Lodge is the first in Iowa. With its proximity to the Iowa City VA Medical Center and University of Iowa Hospitals and Clinics, it is highly likely that more homeless Veterans will be identified and be eligible to participate in the Lodge training program. The University of Iowa, Department of Veterans Affairs and the Shelter House are collaborating to help the Iowa City Lodge program to succeed. The Department of Veterans Affairs is a strong partner in this project and The Department of Veterans Affairs Health Services Research and Development Service (HSR&D) recently published a critical review of the literature on homelessness and Veterans (April 2011). Although comprehensive, two issues were tangentially addressed: rural homeless Veterans and problems related to permanent and stable housing. Homelessness as a problem implies that having a stable home would be a simple solution (Cunningham, Henry, & Lyons, 2007; Tessler, Rosenheck, & Gamache, 2002; Wenzel et al., 1993). Yet, individual and autonomous living is not the solution for all homeless Veterans. Some Veterans certainly would thrive once they settle in a safe apartment or home, have a job, and find meaningful social relationships and interpersonal contacts (First, Rife, & Toomey, 1994; Forchuk et al., 2010; Gamache, Rosenheck, & Tessler, 2001). The Lodge model provides an opportunity for those individuals who might struggle in an autonomous living situation to thrive in an interdependent living situation. My initial interactions with people in this program strongly impacted my view of individuals who are homeless. My experiences with the Lodge helped me dispel the stereotype of homeless individuals being Bermingham: To Next Page THE IOWA PSYCHOLOGIST Summer 2012 References Cunningham, M., Henry, M., & Lyons, W. (2007). Vital mission: Ending homelessness among veterans. National Alliance to End disconnected from the world and unable to hold engaging conversation. I found that the men in the Lodge program are well Homelessness 1-36. First, R.J., Rife, J.C., & Toomey, B.G. (1994). Homelessness in connected to other members in the community and also keep up rural areas: Causes, patterns, and trends. Social Work, 39(1), 97-108. modern forms of communication via cell phones and email. Forchuk, C., Montgomery, P., Berman, H., et al. (2010). Gaining Although the contact these individuals have with others was not as ground, losing ground: The paradoxes of rural homelessness. Canadian frequent as what members of my graduate school community Journal of Nursing Research, 42(2), 139-152. engage in, it was much more than I expected. Also surprising to me was the eloquence with which many of these members are Gamache, G., Rosenheck, R., & Tessler, R. (2001). The proportion of able to converse with others. Especially noticeable was the detail veterans among homeless men: A decade later. Social Psychiatry and Psychiatric with which many of the individuals are able to describe their Epidemiology, 36(10), 481-485. doi: 10.1007/s001270170012. Gordon, A.J., Hass, G. L., Luther, J.F., Hilton, M.T., & Goldstein, history and emotional pain. Every individual I have come across is G. (2010). Personal, medical, and healthcare utilization among homeless different; however I generally learned that these members desire veterans served by metropolitan and nonmetropolitan veteran facilities. social contact, hold engaging conversations, and have diverse histories which led them to their current situations. Homelessness Psychological Services, 7(2), 65-74. doi: 10.1037/a0018479. Tessler, R., Rosenheck, R., & Gamache, G. (2002). Comparison of was not an ideal situation for any of these individuals, but the ways in which they were able to get their basic needs met during periods homeless veterans with other homeless men in a large clinical outreach program. Psychiatric Quarterly, 73(2), 109-119. doi: 10.1023/A: of homelessness is evidence of a very adaptive resourcefulness. I have witnessed how this resourcefulness can translate into very 1015051610515. productive work both in the training and in the jobs they work at The Coalition for Community Living (2009). Fairweather Lodge. as part of the program. I have seen that, contrary to stereotypes, http://www.theccl.org/Fairweather.htm. Wenzel, S.L., Gelberg, L., Bakhtiar, L., Caskey, N., Hardie, E., these individuals have the capability and often desire to work, as well as the capacity to hold engaging conversation and contribute Redford, C., & Sadler, N. (1993). Indicators of chronic homelessness positively to society, and the Lodge program provides a supportive among veterans. Hospital & Community Psychiatry, 44(12), 1172-1176. environment for these individuals to succeed in these ways. From Page 12 IPA Website Update Phil Laughlin The paragraph found immediately below was included in a 2010 TIP article prepared by the executive director and this writer on the History of IPA from 2000-2010: “The IPA Website was created in the late 1990’s. The first webmaster was Rex Shahriari and the server was provided free by Central College in Pella, Iowa. Rex took a sabbatical in 2002. He was followed by John Kvapil from the Quad Cities area. Approximately four years later Chris White in Ames, Iowa, became the webmaster. She upgraded the site and this was maintained by her successor, Scott Graham, also of Ames. Scott resigned in 2010 and passed the baton to Cyndi Schaefer, of Wauwatosa, Wisconsin. She worked energetically with the IPA Website Committee to significantly overhaul and update the web site; she continues to maintain it at present. Membership utilization of the website is evolving. The IPA Facebook site is directly accessible on the website.” At present, the host site for the web page is being changed. The transition will take a month or two, but by the time this article is read the transitioning should have been completed. Thereafter, a series of articles will be prepared that address various particulars about the site that should be informative to the readership. A significant focus over the past two years has been to develop the archival function of the site. A History section was created that includes a number of articles specific to 13 About the Author Phil Laughlin is a retired VA psychologist and a lifetime member of IPA. He currently chairs the IPA web site committee. He is pictured with his wife Ruth at the celebration of their 50th wedding anniversary. developments within IPA since its inception. Governing Documents and Governing Monitors sections were created that include founding organizational documents and financial and membership trends. Minutes of executive council and membership meetings are now included and all future minutes of these meetings will be added on a timely basis. A TIP archives is now in place and will include all future issues. The webmaster is performing extremely well and working closely with the executive director and the web site committee. Anyone wishing to participate on the committee has simply to inform the executive director. THE IOWA PSYCHOLOGIST Summer 2012 Carl Rogers and Gloria: An Exploration of Person-Centered Therapy Barbara C. Sieck During my second year of my Counseling Psychology PhD program at the University of Iowa, my classmates and I watched the 1965 movie Three Approaches to Psychotherapy. The film, produced by Dr. Everett Shostrum, presented Dr. Carl Rogers, Dr. Fritz Perls, and Dr. Albert Ellis providing therapy to a "real life" woman named Gloria. Although much of the post-film discussion revolved around the dramatic differences in the three therapist's styles, I could not stop thinking about the impact the film must have had on Gloria herself. How did she experience the three therapists? Was she able to truly give informed consent to the whole process? Was she being exploited? What happened to her once filming was completed? What would she have thought about the fact that - 45 years later - a group of psychology students were privy to her inner most thoughts? These questions led me down several paths. I read an excellent book, written by Gloria's daughter, Pamela J. Burry, called Living with 'The Gloria Films': A Daughter's Memory that offered a comprehensive picture of Gloria's life and provided insight into the impact the film had on both Gloria and her family. I wrote a research paper exploring therapist's responsibilities when writing about their own clients. (The paper, titled "Obtaining Clinical Writing Informed Consent Versus Using Client Disguise and Recommendations for Practice," was recently published in the Online First Publication of Psychotherapy: Theory, Research, Practice, Training.) And I wrote the following paper which examined Person Centered Therapy through the lens of Carl Rogers' videotaped therapy session with Gloria. “Many therapists today have not had enough experience in farming…too many therapists think they can make something happen…I like much better the approach of an agriculturalist or a farmer…I can’t make corn grow, but I can provide the right soil and plant it in the right area and see that it gets enough water; I can nurture it so that exciting things happen. I think that’s the nature of therapy…” – Carl Rogers (Moon, 2007, p. 278). In 1965, Dr. Everett Shostrum invited three world-renowned psychiatrists – Carl Rogers, Albert Ellis, and Fritz Perls – to demonstrate their unique forms of psychotherapy with the same client. Gloria, a 30 year-old recently-divorced woman, began each of the three sessions by describing her ambivalence about sharing details of her sexual relationships with her young daughter (Shostrum, 1965). Three Approaches to Psychotherapy, the training film that resulted from these sessions, illustrated the strong impact a theoretical orientation can have on the therapeutic process. Because of his 14 beliefs about human nature and the process of therapy, each psychiatrist created a very different relationship with Gloria. Reflecting on the experience several years later, Gloria described her interaction with Carl Rogers, who practiced personcentered therapy, in this way: “Something happened in those few short minutes which has stayed with me ever since. He simply helped me to recognize my own potential – my value as a human being” (Dolliver, Williams & Gold, 1980, p. 141). This paper will use the relationship between Carl Rogers and Gloria to explore the different components of the person-centered approach, including the necessary conditions needed for successful practice, the emphasis on being nondirective, and the roles of specific techniques and transference. The paper will also examine critiques of both the theory and the Rogers’ portion of the film. Studying Gloria and Rogers’ interactions and relationship will lead to a comprehensive analysis of person-centered psychotherapy. Central to Carl Rogers’ conceptualization of person-centered therapy is the belief that humans have an innate desire to grow, develop, and reach their full potential (Sanders, 2007). This desire, which Rogers called “self-actualization,” occurs through an “organismic valuing process,” which is an organism’s “inherent tendency to value experiences which maintain and enhance” it (Sanders, 2007, p. 10). If people are permitted to flourish with no outside interferences, Rogers believed that they would feel good about themselves and continue to grow in a positive direction. Conflict occurs, however, when individuals begin to internalize the values of others into their own sense Sieck: To Next Page THE IOWA PSYCHOLOGIST Summer 2012 15 Carl Rogers and Gloria: An Exploration of Person-Centered Therapy Barbara C. Sieck Throughout the session, Rogers works to connect with his client by understanding her. At one point, Gloria describes wanting to reach self-acceptance, but feeling that her behavior of self, resulting in the development of conditions of worth. prevents her from this goal. Rather than offering a hypothesis, When a person’s sense of self-worth becomes dependent on or interpreting her behavior, Rogers simply tells her that he’d societal forces, a discrepancy occurs between one’s real self and like to understand why this occurs (Rosenzweig, 1996). In one’s ideal self. Rogers refers to this discrepancy as expressing his willingness to listen to Gloria, he encourages her incongruence, and he believed that it is the source of distress to listen to herself (Rogers, 2007). For Rogers, psychological and psychological maladjustment (Archer & McCarthy, 2007). contact involves the therapist’s commitment to join with the Person-centered therapy differs tremendously from the client in search of understanding. medical model: rather than diagnosing and treating a specific Client Incongruence problem, Rogers emphasized a more holistic approach (Moon, After the condition of psychological contact is met, the 2007). He believed that psychotherapy should provide an person-centered approach asserts that the client must be opportunity for the client to intensely express and experience distress and for the therapist to affirm the client’s feelings (Barrett, experiencing some form of incongruence or vulnerability. Incongruence exists when there is a divergence “between the 2007) Within person-centered therapy, an individual does not self-structure (largely the self-image or the self as perceived…) “learn” how to be happy, nor is this person “‘restored’ to a and the lived experience of the person” (Sanders, 2007, p. 10). previously non-distressed…state” (Sanders, 2007, p. 12). Since Although incongruence can manifest itself in many different “personality [is] not a state or a thing but a journey,” a client is ways, the person-centered approach considers this vulnerability encouraged to move forward, with the help of new experiences to be the single source of psychological distress (Sanders, 2007). and support, in a more positive direction (Sanders, 2007, p. 12). A common theme in Gloria’s session is her internal conflict about how she wants to be viewed by her children. Gloria The Necessary and Sufficient Conditions notes that her children see their father as “sweet,” and she When Gloria reflected on her involvement in Three would like to be viewed in a similar way. Yet Gloria sees herself Approaches to Psychotherapy, she identified a deceptively as more “ornery” and she wonders whether her children would simple desire: “What I needed most at that point in my life was love her if they knew her true self (Zimring, 1996, p. 69). permission to be me” (Dolliver, Williams, & Gold, 1980, pg. Gloria reports having moments of clarity, which she describes 141). Rogers believed that in order for a client to grant herself as “utopia,” in which she knows how she would like to act and that permission (and, thus, experience psychological change) see herself. But she goes on to say that thinking about it, “gives there are six necessary conditions that must be met. The client me a choked-up feeling…because I don’t get that as often as I’d and therapist must be in psychological contact, the client must like” (Rosenzweig, 1996, p. 62). Therein is the source of be in a state of incongruence, the therapist must be congruent Gloria’s incongruence, and the reason that she has entered and genuine, the therapist must experience unconditional therapy. positive regard towards the client, the therapist must demonstrate empathy towards the client’s internal frame of Therapist Congruence reference, and the client must perceive the therapist’s Just as the necessary conditions for therapy includes a unconditional positive regard and empathic understanding client’s incongruence, the person-centered approach holds that (Sanders, 2007). Rogers asserted that if these six conditions the therapist must strive to be congruent and genuine (Sanders, were met, a client could expect to achieve “greater integration, less internal conflict… [and] more energy utilizable for effective 2007). This requires the therapist to be fully present in the moment and have “the ability to listen…without being living” (Kirschenbaum & Henderson, 1989, p.218). impeded by the reverberations in oneself ” (Moon, 2007, p. 278). This does not mean that the therapist is unconcerned Psychological Contact Roger’s first condition appears to be straightforward: “The with his or her own thoughts and feelings. Instead, a congruent person is one who is able to accept and process experiences two persons are in (psychological) contact” (Sanders, 2007, p. without getting lost in them (Sanders, 2007). Rogers wrote, “If 15). Yet within the person-centered approach, contact means much more than proximity. Rather than being directed by the I am in a relationship with another individual I would like to know what I am experiencing in my gut. I would like to be therapist, the client leads the way. Rogers models this concept aware of what I am experiencing in relationship with the client; in the beginning of his session with Gloria. After introducing himself, he gently says, “I’ll be glad to know whatever concerns I would like to be able to express that to the client, if it seems you” (Rosenzweig, 1996, p. 57). He is making it clear to Gloria appropriate” (Rogers, 2007, p. 3). Clients tend to experience their therapist’s congruence both through words (primarily in that the therapy itself is meant to “accommodate each client’s preferred way of being in relationship with a therapist” (Moon, 2007, p. 283). Sieck: To Next Page From Page 14 THE IOWA PSYCHOLOGIST Summer 2012 16 Carl Rogers and Gloria: An Exploration of Person-Centered Therapy Barbara C. Sieck From Page 15 “I statements”) and through non-verbal cues (Cornelius-White, 2007 p. 174). During his session with Gloria, Rogers reveals his congruence in multiple ways. He consistently demonstrates his genuineness and openness nonverbally through “intonation, pacing, gestures and physical presence” (Weinrach, 1990, p. 283). However, he also indicates his congruence verbally, through the use of metaphors. As was discussed earlier, Gloria tended to describe her ideal sense of self, in which she was less concerned about how others viewed her and more in tune with her own feelings, as “utopia” (Wickman & Campbell, 2003b, p. 20). Gloria: “Ah, I mention this word a lot in therapy, and… most therapists grin at me, or giggle or something when I say Utopia. But when I do follow a feeling, and I feel this good feeling inside me, that’s sort of Utopia, that’s what I mean. That’s the way I like to feel, whether it’s a bad thing, or a good thing. But I feel right about me. This is what I want to cover.” Rogers: “I can sense that, in those Utopian moments, you really feel kind of whole. You feel all in one piece…” (Wickman & Campbell, 2003b, p. 21). Rogers illustrated his congruence and openness towards Gloria by building on her metaphor, rather than rephrasing or otherwise modifying her description. By demonstrating his willingness to meet Gloria where she was and contribute to her already developed self-understanding, he situated himself as a supportive presence. Rather than “giggling” or “grinning” at Gloria’s self-conceptualization, he aligned with her (Wickman & Campbell, 2003b). Unconditional Positive Regard One of the most well-known conditions needed for psychological change is the therapist’s unconditional positive regard for the client. Rogers compared this feeling to the love and value a parent feels for a child, regardless of the child’s occasional negative actions or behavior (Rogers, 2007). Moon (2007) refers to unconditional positive regard as the therapist’s “willingness to receive any and all communications from the client as being the client’s experiences…all without judgment” (p. 278). The motivation behind this condition is to create a new experience for the client. If the client feels that her sense of self is prized and appreciated by an outsider, it is hoped that she will be more willing to prize and appreciate herself (Sanders, 2007). In Three Approaches to Psychotherapy, Rogers exhibited successful and unsuccessful instances of unconditional positive regard for Gloria. As Gloria contemplates a lie about her sex life that she told her daughter, Rogers continually reflects and affirms her emotions without judgment. Giving Gloria a safe space to share thoughts that she believes are shameful seems to give her just the support she needs. When she tells Rogers that she “senses that he is backing her up,” he replies, “[Y]es, I do believe in backing up people in what they want to do” (Rosenzweig, 1996, p. 62). This exchange helps Gloria accept and value her own beliefs about herself. Zimring (1996) asserts that Rogers fails to achieve unconditional positive regard in other sections of the film. He specifically identifies several instances in which Rogers does not respond to Gloria’s negative emotions (such as when she begins the session with the statement that she is feeling nervous) or self-disparaging beliefs (about having sex with other men or lying to her daughter). When a therapist responds selectively to a client’s comments, he or she is implicitly placing more value on certain feelings than others. Zimring (1996) describes the consequences that can occur: “If the therapist does not recognize the client’s experience of weakness or helplessness, the client will not feel that these negative aspects of the self are as respected or accepted” (p. 68). This may lead to a client feeling shamed or invalidated for having certain feelings, which is counter to the goal of unconditional positive regard. Empathic Understanding The person-centered approach strongly values the therapist’s ability to communicate empathic understanding towards the client (Sanders, 2007). Rogers cautions that empathy is a “process rather than a state” and describes it as “entering the private perceptual world of the other and becoming thoroughly at home in it” (Rogers, 2007, p. 2). This process requires the therapist to continually reevaluate whether he or she is experiencing the client’s feelings (Moon, 2007). A key element of empathic understanding requires that the therapeutic frame of reference is the client’s subjective experience. Focusing on the client’s unique understanding of the world encourages the client to value herself and her emotions. Conversely, if therapy focuses on “the client’s objective world and problems…[the therapist reinforces] the importance of that world for them” (Zimring, 1996, p. 71). Focusing on the objective point of view enhances, rather than diminishes, the client’s incongruence. At certain points in the film, Rogers effectively communicates empathic understanding by encouraging Gloria to focus on her subjective, internal frame of reference, but at other times, he makes statements that seem to emphasize the objective point of view (Zimring, 1996). Late in the film, Gloria began to discuss her disappointment regarding her relationship with her father, and “Rogers describes Gloria’s feeling this way; ‘Well, I’m permanently cheated’” (Rosenzweig, 1996, p. 63). When Rogers focused on Gloria’s feelings and spoke from her perspective, she continued to delve into her emotions and have new insights. Zimring (1996) writes that when this occurred, “[Gloria’s] subjective landscape became richer” (p. 73). Yet when Rogers speaks from his own point of reference, Gloria tends to focus less on her own emotions. For example, at one Sieck: To Next Page THE IOWA PSYCHOLOGIST Summer 2012 Carl Rogers and Gloria: An Exploration of Person-Centered Therapy Barbara C. Sieck From Page 16 point, Rogers tells her that “[L]ife is risky…It’s a hell of a responsibility” (Rosenzweig, 1996, p. 61). While Rogers was probably attempting to align with her fears about life, his statement reflected his own perspective and encouraged Gloria to ask for his opinion (Zimring, 2006). However subtly, this moves the client away from accepting her own view of the world, and towards the view of the therapist. The client may experience less empathic understanding when the therapist inserts his own opinion. Client’s Perception of Therapeutic Relationship The final condition necessary to achieve psychological change requires the client to perceive “at least to a minimal degree,” the therapist’s unconditional positive regard and empathic understanding (Sanders, 2007, p. 15). This highlights the dyadic nature of the therapeutic relationship: it does not matter how supportive and open a therapist is if the client does not experience those emotions. This is illustrated when Gloria describes her complex feelings about Rogers himself. She says that she feels close to him and Rogers reciprocates this emotion by saying, “Well, all I can know is what I am feeling, that is, I feel close to you in this moment” (Rosenzweig, 1996, p. 63). However, Gloria then doubts these close feelings by characterizing them as “pretend.” In this case, Rogers demonstrated empathic understanding and unconditional positive regard, but Gloria was unable to receive these feelings (Bohart, 1991). Gillon (2007) cautions that within personcentered therapy, the therapist is not expected to be able to regard a client with empathy and positive regard all the time, nor is the client expected to always experience that empathy and positive regard. Instead, this is an ongoing negotiation within the relationship, as illustrated with Gloria’s ambivalence regarding Rogers’ feelings about her. that lead to psychological change. A common theme among all of the conditions, however, is the principle of nondirectivity (Gillon, 2007). Although some critics suggest that non-directivity “renders a therapist passive in the face of all client desires or intents,” advocates of the non-directive approach suggest that it should be viewed more as an underlying principle than as a steadfast rule (Gillon, 2007). Inherent in the principle of non-directivity is the belief that the client is the expert, rather than the traditional belief that the therapist should be the authority (Sanders, 2007). Ten years before his death, Rogers wrote: “I still feel that the person who should guide the client’s life is the client. My whole philosophy and whole approach is to strengthen him in that way of being, that he’s in charge of his own life and nothing I say is intended to take that capacity or opportunity away from him” (Sanders, 2007, p. 16). The Strengths and Limitations of Person-Centered Therapy Techniques A common perception of the person-centered approach is that the extent of the therapist’s role is to passively restate the client’s comments (Brink & Farber, 1996). However, analyses of several of Rogers’ clinical interviews and therapy sessions have found just the opposite to be true: it seems that the personcentered approach is comprised of several different techniques (Brink & Farber, 1996; Moon, 2007; Wickman & Campbell, 2003a). Common techniques used by Rogers included affirming his attention with sounds like “M-hm, m-hm;” confirming a client’s intent (such as “Is that what you meant?”); repeating a client’s words to add emphasis; interpreting a client’s statements to create deeper understanding; embracing the use of silence in sessions; and self-disclosing” (Brink & Farber, 1996, p. 16-23). Rogers used these, and other, methods with Gloria. Early in the film, Gloria acknowledged that she was anxious about filming the session, and Rogers attended to her unstated Other Components of Person-Centered Therapy emotions by replying, “I hear the tremor in your voice” (Brink Rogers conceptualized the six conditions as “attitudes to be & Farber, 1996, p. 19). Also, Rogers frequently situated himself held [rather than] skills to be assembled and as a non-expert, such as when he replied to one of Gloria’s practiced” (Sanders, 2007, p. 15). Other attitudes in personquestions: “And I guess…this is the kind of very private thing centered therapy include the therapist’s commitment to playing that I couldn’t possibly answer for you” (Wickman & Campbell, a non-directive role in the therapeutic process, as well as 2003a, p. 180). In another section of the film, Rogers emphasizing the here-and-now versus transferential combined the techniques of providing reassurance and selfinteractions. Additionally, Rogers felt particularly strongly that disclosing when, in response to Gloria’s statement that she his therapy not be taught to future psychologists as a series of rarely felt confident, he said, “I suspect none of us get [that microskills (Wickman, 2003a). Although researchers have feeling] as often as we’d like” (Brink & Farber, 1996, p. 19). identified specific techniques that frequently occur in personAnd Rogers made frequent use of meta-statements (like, “I centered sessions, Rogers felt that the therapy should be guess I’d like to say”), which allowed him to share his point of understood as “an encounter between two persons…not a view, while simultaneously softening awkward statements formulaic ‘treatment’” (Sanders, 2007, p. 15). (Moon, 2007, p. 280). A Non-Directive Stance In his writing, Rogers delineated six discrete conditions 17 Sieck: To Next Page THE IOWA PSYCHOLOGIST Summer 2012 18 Carl Rogers and Gloria: An Exploration of Person-Centered Therapy Barbara C. Sieck From Page 17 Although researchers have identified these techniques as key components of person-centered therapy, Rogers often expressed concern that his therapeutic approach was being taught “through reductionist means such as microskills” (Wickman & Campbell, 2003, p. 178a). He believed that the motivation behind all of a therapist’s statements and behaviors should be to further understand and accept the client (Moon, 2007). Thus Rogers’ “attitude toward his clients was a consistent, direct expression of his therapeutic values, with his specific techniques being suited to the individuality of his clients within their unique circumstances at the time seen” (Brink & Farber, 1996, 24). approach’s views on transference to be problematic. Weinrach (1991) asserts that Rogers’ focus on the immediate nature of the therapeutic relationship deemphasizes the significance of past experiences similarly to the way that Freud minimized the impact of the present. Critiques of the Person-Centered Approach Several years after Three Approaches to Psychotherapy was filmed, Gloria continued to believe that she greatly benefited from her experience with Rogers (Dolliver, Williams, & Gold, 1980 pg. 141). Yet not everyone feels this singular veneration for the therapy. Common critiques include the approach’s tendency to discount both the therapist’s biases and the context in which the client lives, as well as the theory’s tendency to privilege Transference certain cultural values (Lago, 2007; Waterhouse, 1993). In articulating his thoughts on transference, Rogers makes So much of person-centered therapy involves the a distinction between two categories of client responses to the relationship between the therapist and client. Rogers believed therapist: the first are the client’s feelings about the therapist’s that it was in this relationship that psychological change occurs behavior, and the second are the emotions that a client projects (Sanders, 2007). Yet the person-centered approach doesn’t from another source onto the therapist (Kirschenbaum & appear to consider the factors that contribute to the therapist Henderson, 1989). While psychoanalysts would consider this and client’s identities. Lago (2007) suggests that the theory distinction to be extremely important, the person-centered does not address the therapist’s comfort, competence, or approach suggests that the division is unnecessary. Rogers experience working with clients from different backgrounds. If writes: “…‘transference’ feelings [and] therapist-caused the therapist, “however inadvertently and unconsciously, reactions…are best dealt with in the same way. If the therapist repeats behaviors and views that have had negative impacts is sensitively understanding and genuinely acceptant and nonupon the client previously,” the relationship can shift from a judgmental, therapy will move through those source of care to a source of pain (Lago, 2007, p. 254). Recent feelings” (Kirschenbaum & Henderson, 1989, 130). Personresearch that analyzed interviews with an African-American centered therapy is more concerned with giving the client a client in the 1970s found that Rogers was “uncharacteristically new experience in which all of his or her feelings are directive” with this client, suggesting that no therapist is unconditionally accepted; thus, the source of those feelings is immune from bias (Brodley in Lago, 2007, p. 255). deemed to be beside the point (Bohart, 1991). Feminist critiques of the person-center approach suggest Near the end of Three Approaches to Psychotherapy, that the theory fails to recognize that not all individuals have Gloria and Rogers have the following exchange: the agency to make changes in their lives (Waterhouse, 1993). Gloria: “… all of a sudden while talking to you I thought, While Rogers asserts that experiencing a warm and supportive ‘Gee, how nice I can talk to you and I want you to approve of environment in which feelings are validated can lead to change, me and I respect you, but I miss that my father couldn’t talk to he ignores the very real societal structures that privilege some me like you are.’ I mean, I’d like to say, ‘Gee, I’d like you for my and oppress others (Waterhouse, 1993). Even the personfather.’ I don’t even know why that came to me.” centered approach’s emphasis on embracing and experiencing Rogers: “You look to me like a pretty nice daughter. But you all emotions can ignore important contextual factors. really do miss the fact that you couldn’t be open with your Waterhouse (1993) gives the example of an abusive husband dad” (Weinrach, 1990, p. 282). who expresses his emotions by terrorizing his wife or children. Rogers’ decision to respond to Gloria in an affirming and Inherent in person-centered therapy is the belief that accepting way illustrates his commitment to displaying “psychological well-being involve[s] a movement towards unconditional positive regard and empathic understanding. greater independence, self-regulation, and autonomy” (Cooper, Bohart (1991) imagines an alternative response, in which 2007, p. 85). Since this principle is not valued by all cultures, Rogers focused on the transferential nature of Gloria’s the theory is at risk for imposing dominant norms and values comment: “Now Gloria’s expression of caring is not to be on all people. Similarly, the importance for Rogers of being trusted; it is a reflection of her pathology” (Bohart, 1991, 500). non-directive may not be appropriate for populations that Instead, Rogers facilitated an experience in which Gloria felt believe the therapist should guide the session with expert respected and validated before returning to her feelings about knowledge (Lago, 2007). her relationship with her father. Some psychologists consider the person-centered Sieck: To Next Page THE IOWA PSYCHOLOGIST Summer 2012 19 Carl Rogers and Gloria: An Exploration of Person-Centered Therapy Barbara C. Sieck From Page 18 Gillon, E. (2007). Person-centred counseling psychology [electronic resource]: An introduction. London: Sage Publications. Retrieved from Conclusion http://site.ebrary.com.proxy.lib.uiowa.edu/lib/uiowa/docDetail.action? Although Rogers acknowledged the influence of docID=10256909. psychoanalysis on person-centered therapy, he deeply rejected Kirschenbaum, H. & Henderson, V. L. (Eds.). (1989). The Carl its tendency to refer to individuals as patients (Schmid, 2007). Rogers reader. Boston: Houghton Mifflin Company. In his view, “[a] patient…feels that the doctor is probably the Lago C. (2007). Counselling across difference and diversity. In M. authority who will tell him what to do. A client, on the other Cooper, M. O’Hara, P. F. Schmid, & G. Wyatt (Eds.), The handbook of hand, is a self-respecting person who comes to someone else for person-centred psychotherapy and counseling (pp. 251-265). New York: service” (Rogers, 1992, p. 2). Each component of personPalgrave Macmillan. centered therapy, such as empathic understanding and Moon, K. A. (2007). A client-centered review of Rogers with Gloria. unconditional positive regard, works to facilitate an Journal of Counseling & Development, 85, 277-285. environment in which an individual can listen to her feelings Rogers, C. R. (2007). The basic conditions of the facilitative and value herself as a human being. When Gloria described therapeutic relationships. In M. Cooper, M. O’Hara, P. F. Schmid, & G. her experience with person-centered therapy, it appeared that Wyatt (Eds.), The handbook of person-centred psychotherapy and those six necessary and sufficient conditions were met. She counseling (pp. 1-6). New York: Palgrave Macmillan. wrote: “[M]y body felt perfectly grounded with Carl Rogers. I Rosenzweig, D. (1996). The case of Gloria (1964): Summary. In felt whole, intact, in other words, a person…All the words B. A. Farber, D. C. Brink, & P. M. Raskin (Eds.), The psychotherapy of couldn’t possibly express the importance of that to Carl Rogers: Cases and commentary (pp.57-64). New York: The Guilford me” (Dolliver, Williams, & Gold, 1980 pg. 141). Press. Sanders, P. (2007). Introduction to the theory of person-centred therapy. In M. Cooper, M. O’Hara, P. F. Schmid, & G. Wyatt (Eds.), References Barrett-Lennard, G. T. (2007). Origins and unfolding of the person- The handbook of person-centred psychotherapy and counseling (pp. 9-18). centred innovation. In M. Cooper, M. O’Hara, P. F. Schmid, & G. Wyatt New York: Palgrave Macmillan. Schmid, P.F. (2007). The Anthropological and Ethical Foundations (Eds.), The handbook of person-centred psychotherapy and counseling (pp. of Person-Centered Therapy. In M. Cooper, M. O’Hara, P. F. Schmid, & 127-139). New York: Palgrave Macmillan. Brink, D. C. & Farber, B. A. (1996). A scheme of Rogers’ clinical G. Wyatt (Eds.), The handbook of person-centred psychotherapy and counseling (pp. 30-46). New York: Palgrave Macmillan. responses. In B. A. Farber, D. C. Brink, & P. M. Raskin (Eds.), The Shostrum, E. L. (Producer). (1965). Three approaches to psychotherapy of Carl Rogers: Cases and commentary (pp.15-24). New psychotherapy [Film]. Orange, CA: Psychological Films. York: The Guilford Press. Waterhouse, R. L. (1993). Wild women don’t have the blues: A Bohart, A. C. (1991). The missing 249 words: In search of feminist critique of person-centred counseling and therapy. Feminism & objectivity. Psychotherapy, 28(3), 497-503. Psychology, 3(1), 55-71. Bohart, A. C. (2007). The actualizing person. In M. Cooper, M. Weinrach, S. G. (1990). Rogers and Gloria: The controversial film O’Hara, P. F. Schmid, & G. Wyatt (Eds.), The handbook of personand the enduring relationship. Psychotherapy, 27(2), 282-290. centred psychotherapy and counseling (pp. 47-63). New York: Palgrave Weinrach, S. G. (1991). Rogers’ encounter with Gloria: What did Macmillan. Rogers know and when?. Psychotherapy, 28(3), 504-506. Cooper, Mick (2007). Experiential and phenomenological Wickman, S. A. & Campbell, C. (2003a). An analysis of how foundations. In M. Cooper, M. O’Hara, P. F. Schmid, & G. Wyatt (Eds.), The handbook of person-centred psychotherapy and counseling (pp. Carl Rogers enacted client-centered conversations with Gloria. Journal of Counseling & Development, 81, 178-184). 64--76). New York: Palgrave Macmillan. Wickman, S. A. & Campbell, C. (2003b). The coconstruction of Cornelius-White, J. (2007). Congruence. In M. Cooper, M. congruence: Investigating the conceptual metaphors of Carl Rogers and O’Hara, P. F. Schmid, & G. Wyatt (Eds.), The handbook of personGloria. Counseling Education & Supervision, 43, 15-24. centred psychotherapy and counseling (pp. 168-181). New York: Palgrave Wyatt, G. (2007). Psychological contact. In M. Cooper, M. O’Hara, P. Macmillan. F. Schmid, & G. Wyatt (Eds.), The handbook of person-centred psychotherapy Dolliver, R. H., Williams, E., & Gold, D. C. (1980). The art of and counseling (pp. 140-153). New York: Palgrave Macmillan. Gestalt therapy: or What are you doing with your feet now? Psychotherapy: Zimring, F. (1996). Rogers and Gloria: The effects of meeting some, Theory, Research & Practice, 17(2), 136-142. but not all, of the “necessary and sufficient” conditions. In B. A. Farber, Essig, T. S. & Russell, R. L. (1990). Analyzing subjectivity in D. C. Brink, & P. M. Raskin (Eds.), The psychotherapy of Carl Rogers: therapeutic discourse: Rogers, Perls, Ellis, and Gloria revisited. Cases and commentary (pp.65-73). New York: The Guilford Press. Psychotherapy, 27(2), 271-281. Spring Conference 2012 THE IOWA PSYCHOLOGIST Summer 2012 Dr. John Dilley and Dr. Sam Graham exiting a session for a break. Dr. Suzanne Zilber, President of IPF, and Dr. Jim Thorpe stood ready to answer questions and accept contributions at the IPF table. Dr. Lisa Streyffeler and Dr. Elaine Hoversten return to the session with a little sustenance. Dr. Amy Fuller Stockman uses break times to do some texting. 20 Dr. Robert Hutzell accepts the Meritorious Achievement Award. THE IOWA PSYCHOLOGIST Summer 2012 A Call for 2012 Ann Ernst Retired Psychologist Public Service Award Nominees This award honors a psychologist, active or retired, who has made on a pro bono basis, significant contributions of a psychological nature that have benefited society as a whole. The contribution(s) may have been a single major contribution or reflect a consistent history of volunteer service to the community at large. A call for letters of nomination will be distributed to voting members no later than July 1. The letters of nomination will be reviewed by the Council at its August meeting. The Executive Council may select a person to receive the award, which may be given annually at the Fall Conference. The Elections/Honors Task Force and the Executive Director will be responsible for ordering an appropriate award. With this nomination form, please enclose a letter of recommendation for the person you nominate. Postmark deadline for consideration is Aug. 1, 2012. Mail to: IPA Ann Ernst Public Service Award 48428 290th Ave Rolfe, IA 50581 Email: [email protected] I nominate the following candidate(s) for the 2012 IPA Ann Ernst Retired Psychologist Service Award: Nominee: _________________________________________________________________________ Nominee: _________________________________________________________________________ Nominee: _________________________________________________________________________ Your name: ________________________________________________________________________ Former Recipients of this Award: Ann Ernst (2006), Charles McDonald (2008), Mike Rossman (2010), Darshan Singh (2010) 21 THE IOWA PSYCHOLOGIST Summer 2012 Call for Nominations to IPA Executive Council Nominations are currently being solicited for position openings on the IPA Executive Council. This is an excellent opportunity to nominate yourself or any other member whose strengths, experience and ideas could make a significant contribution to IPA. Good leaders are people who are creative, consensus building, bright, and flexible individuals. These nominations will be used by the Elections Committee to prepare a slate of candidates. THIS CALL FOR NOMINATIONS WILL NOT BE SENT IN A SEPARATE MAILING. IF YOU WISH TO MAKE A NOMINATION PLEASE USE THIS FORM. If you are an IPA member with voting privileges, you may volunteer yourself or nominate a colleague to serve as a member of the Council. Please indicate if the person has agreed to be a nominee. Sorry, but student members and associate members of less than 5 years are not eligible to nominate candidates for office. Nominations must be signed to be valid, and should be sent to the IPA Office by Aug. 24, 2012. 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Your signature: _______________________________________________________________________ 22 Send completed form to: IPA Call for Nominations 48428 290th Ave. Rolfe, IA 50581 Office: 712-848-3595 Fax: 712-848-3892 Mobile: 712-358-1621 Email: [email protected] THE IOWA PSYCHOLOGIST Summer 2012 IPA Leadership 2012 EXECUTIVE COUNCIL President Recording Secretary Past President Treasure President-Elect APA Representative IPA Representative IPA Representative IPA Representative State Advocacy Federal Advocacy APAGS Representative Greg Gullickson David Towle Thomas Ottavi Daniel Courtney Jason Smith Elizabeth Lonning David Beeman Catalina D’Achiardi-Ressler Kevin Krumvieda Greg Febbraro Brenda Payne Sara Schwatken LIASIONS Medical Assistance Advisory Council Morgain Hall Disaster Relief Network Veronica Lestina Psychology in the Workplace Network Dan Earle Iowa Board of Psychology (IBP) Morgain Hall APA Rural Mental Health Ruth Evans APA Women’s Issues Network Cindy Anderson IDPH Health & Longterm Care Access Michele Greiner IDPH Prevention & Chronic Care Council Michele Greiner APA Committee on Women in Psychology Lauri Lehn COMMITTEE CHAIRS Ethics Federal Advocacy State Advocacy Membership Finance Editorial/Newsletter Public Education Elections Task Force Developing Psychologists Diversity Initiative Psychopharmacology Education Internship Ad Hoc IPA Website Training Director Integrated Healthcare Task Force David Johnson Brenda Payne Greg Febbraro Brenda Crawford Dan Courtney Stewart Ehly Don Damsteegt Thomas Ottavi Scott Young Jane Daniel Elizabeth Lonning Michele Greiner Phil Laughlin Michele Greiner Jon Weinand COMMUNICATIONS PSYCH-Electronic The Iowa Psychologist Listserv Carmella Schultes Stewart Ehly James Marchman IPA Meetings 2012 Date July 30-Aug. 1 Aug. 2-5 Aug. 25 Oct. 11 Oct. 12 Dec. 1 Time TBA TBA 10 a.m.-noon 5-8 p.m. 8:30 a.m.-4:30 p.m. 10 a.m.-noon Event CESPPA Meeting APA Convention Executive Council Executive Council Fall Conference Executive Council Notice to Readers The Iowa Psychologist newsletter editorial staff is seeking peer reviewers who are willing to read a small number of manuscripts and offer feedback as needed to authors. Reviewers will help form decisions on acceptance of materials. Please contact Stewart Ehly ([email protected]) to indicate interest. 23 Location TBA Orlando, Fla. Kirkwood CC, Cedar Rapids Hilton Garden Inn, Johnston Hilton Garden Inn, Johnston Clarion, Amana Invitation to Iowa Colleges & Universities All psychology programs in Iowa are invited to submit manuscripts on undergraduate and graduate activities, including educational, research, and service programs. Please feel free to contact the editor, Stewart Ehly ([email protected]), to receive additional information. All submissions are in electronic form (Microsoft Word if possible) and can be attached to an email sent to the editor.
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