Santa Monica’s Headspace Health laid off dozens of therapists. Their patients don’t know where they went

Jaimie Ding

The Los Angeles Times

Originally posted 7 July 23

When Headspace Health laid off 33 of its therapists June 29, patients were told their providers had left the platform.

What they didn’t know was their therapists had lost their jobs. And they suddenly had no way to contact them.

Several therapists who were let go from Headspace, the Santa Monica meditation app and remote mental health care company, have raised alarm over their treatment and that of their patients after the companywide layoff of 181 total employees, which amounts to 15% of the workforce.

After the layoffs were announced in the morning without warning, these therapists said they immediately lost access to their patient care systems. Appointments, they said, were canceled without explanation, potentially causing irreparable harm to their patients and forcing them to violate the ethical guidelines of their profession.

One former therapist, who specializes in working with the LGBTQ+ community, said one of his clients had just come out in a session the day before he lost his job. The therapist requested anonymity because he was still awaiting severance from Headspace and feared retribution.

“I’m the first person they’ve ever talked to about it,” he said. “They’re never going back to therapy. They just had the first person she talked to about it abandon them.”

He didn’t know he had been laid off until 10 minutes after his first appointment was supposed to start and he had been unable to log into the system.

The info is here.

Some thoughts and analysis from me.  There are clear ethical and legal concerns here.

Abandoning patients: Headspace Health did not provide patients with any notice or information about where their therapists had gone. This is a violation of the ethical principle of fidelity, which requires healthcare providers to act in the best interests of their patients. It also leaves patients feeling abandoned and without a source of care.

Potential for harm to patients: The sudden loss of a therapist can be disruptive and stressful for patients, especially those who are in the middle of treatment. This could lead to relapses, increased anxiety, or other negative consequences. In more extreme, but realistic cases, it could even lead to suicide.

In addition to the ethical and legal problems outlined above, the article also raises questions about the quality of care that patients can expect from Headspace Health. If the company is willing to abruptly lay off therapists without providing any notice or information to patients, it raises concerns about how they value the well-being of their patients. It also raises questions about the company's commitment to providing quality care.  Headspace may believe itself to be a tech company, but it is a healthcare company subject to many rules, regulations, and standards.

Copy the In-group: Group Membership Trumps Perceived Reliability, Warmth, and Competence in a Social-Learning Task

Montrey, M., & Shultz, T. R. (2022). 

Psychological Science, 33(1), 165–174. 

https://doi.org/10.1177/09567976211032224

Abstract

Surprisingly little is known about how social groups influence social learning. Although several studies have shown that people prefer to copy in-group members, these studies have failed to resolve whether group membership genuinely affects who is copied or whether group membership merely correlates with other known factors, such as similarity and familiarity. Using the minimal-group paradigm, we disentangled these effects in an online social-learning game. In a sample of 540 adults, we found a robust in-group-copying bias that (a) was bolstered by a preference for observing in-group members; (b) overrode perceived reliability, warmth, and competence; (c) grew stronger when social information was scarce; and (d) even caused cultural divergence between intermixed groups. These results suggest that people genuinely employ a copy-the-in-group social-learning strategy, which could help explain how inefficient behaviors spread through social learning and how humans maintain the cultural diversity needed for cumulative cultural evolution.

From the Discussion

In fact, if people are predisposed to copy in-group members, perhaps even when their perceived competence is low, this could help explain the spread of inefficient or even deleterious behaviors. For example, opposition to vaccination is often disseminated through highly clustered and enclosed online communities (Yuan & Crooks, 2018) who use in-group-focused language (Mitra et al., 2016). Likewise, fake news tends to spread among politically aligned individuals (Grinberg et al., 2019), and the most effective puppet accounts prefer to portray themselves as in-group members rather than as knowledgeable experts (Xia et al., 2019). Our research also sheds light on why social media platforms seem especially prone to spreading misinformation. By offering such fine-grained control over whom users observe, these platforms may spur the creation of homogeneous social networks, in which individuals are more inclined to copy others because they belong to the same social group.

The research is here.

Poll: Most Americans believe the Covid-19 vaccine approval process is driven by politics, not science

Ed Silverman
statnews.com
Originally published 31 August 20

Seventy-eight percent of Americans worry the Covid-19 vaccine approval process is being driven more by politics than science, according to a new survey from STAT and the Harris Poll, a reflection of concern that the Trump administration may give the green light to a vaccine prematurely.

The response was largely bipartisan, with 72% of Republicans and 82% of Democrats expressing such worries, according to the poll, which was conducted last week and surveyed 2,067 American adults.

The sentiment underscores rising speculation that President Trump may pressure the Food and Drug Administration to approve or authorize emergency use of at least one Covid-19 vaccine prior to the Nov. 3 election, but before testing has been fully completed.

Concerns intensified in recent days after Trump suggested in a tweet that the FDA is part of a “deep state” conspiracy to sabotage his reelection bid. In a speech Thursday night at the Republican National Convention, he pledged that the administration “will produce a vaccine before the end of the year, or maybe even sooner.”

The info is here.

Please see top line: 80% of Americans surveyed worry that approving vaccine too quickly would worry about safety.  The implication is that fewer people would choose the vaccine if safety is an issue.

How Could the CDC Make That Mistake?

Alexis C. Madrigal & Robinson Meyer
The Atlantic
Originally posted 21 May 20

The Centers for Disease Control and Prevention is conflating the results of two different types of coronavirus tests, distorting several important metrics and providing the country with an inaccurate picture of the state of the pandemic. We’ve learned that the CDC is making, at best, a debilitating mistake: combining test results that diagnose current coronavirus infections with test results that measure whether someone has ever had the virus. The upshot is that the government’s disease-fighting agency is overstating the country’s ability to test people who are sick with COVID-19. The agency confirmed to The Atlantic on Wednesday that it is mixing the results of viral and antibody tests, even though the two tests reveal different information and are used for different reasons.

This is not merely a technical error. States have set quantitative guidelines for reopening their economies based on these flawed data points.

Several states—including Pennsylvania, the site of one of the country’s largest outbreaks, as well as Texas, Georgia, and Vermont—are blending the data in the same way. Virginia likewise mixed viral and antibody test results until last week, but it reversed course and the governor apologized for the practice after it was covered by the Richmond Times-Dispatch and The Atlantic. Maine similarly separated its data on Wednesday; Vermont authorities claimed they didn’t even know they were doing this.

The widespread use of the practice means that it remains difficult to know exactly how much the country’s ability to test people who are actively sick with COVID-19 has improved.

The info is here.

A pandemic plan was in place. Trump abandoned it - and science

Jason Karlawish
statnews.com
Originally posted 17 May 20

Here is an excerpt:

And then on Jan. 21, 2017, Donald Trump became president.

Beginning the morning after his inauguration, a spectacular science-related tragedy has unfolded. The Trump administration has systematically dismantled the executive branch’s science infrastructure and rejected the role of science to inform policy, essentially reversing both Republican and Democrat presidential administrations since World War II, when Vannevar Bush, an engineer, advised Presidents Franklin D. Roosevelt and Harry S. Truman.

President Trump’s pursuit of anti-science policy has been so effective that as the first cases of Covid-19 were breaking out in Wuhan, China, no meaningful science policy infrastructure was in place to advise him. As a consequence, America is suffering from a pandemic without a plan. Our responses are ineffectual and inconsistent. We are increasingly divided by misinformation and invidious messaging. And it’s not even over.

Facts will drive scientific decisions, not the other way around

On April 27, 2009, on the eve of his 100th day in office, Obama made a five-block trip from the White House to 2101 Constitution Ave. There, in the Great Hall of the National Academy of Sciences, he spoke about his administration’s commitment to science.

“Science is more essential for our prosperity, our security, our health, our environment, and our quality of life than it has ever been before,” he announced. He introduced the members of PCAST and explained how his administration would engage the scientific community directly in the work of public policy.

“I want to be sure that facts are driving scientific decisions — and not the other way around,” the president said. The audience broke into laughter.

Obama explained that his science advisers were already briefing him daily on the emerging threat of swine flu, which some were projecting could kill thousands of Americans.

The info is here.

Reviving the US CDC

Editorial
The Lancet
Volume 395, 10236
Originally published 16 May 20

The COVID-19 pandemic continues to worsen in the USA with 1·3 million cases and an estimated death toll of 80 684 as of May 12. States that were initially the hardest hit, such as New York and New Jersey, have decelerated the rate of infections and deaths after the implementation of 2 months of lockdown. However, the emergence of new outbreaks in Minnesota, where the stay-at-home order is set to lift in mid-May, and Iowa, which did not enact any restrictions on movement or commerce, has prompted pointed new questions about the inconsistent and incoherent national response to the COVID-19 crisis.

The US Centers for Disease Control and Prevention (CDC), the flagship agency for the nation's public health, has seen its role minimised and become an ineffective and nominal adviser in the response to contain the spread of the virus. The strained relationship between the CDC and the federal government was further laid bare when, according to The Washington Post, Deborah Birx, the head of the US COVID-19 Task Force and a former director of the CDC's Global HIV/AIDS Division, cast doubt on the CDC's COVID-19 mortality and case data by reportedly saying: “There is nothing from the CDC that I can trust”. This is an unhelpful statement, but also a shocking indictment of an agency that was once regarded as the gold standard for global disease detection and control. How did an agency that was the first point of contact for many national health authorities facing a public health threat become so ill-prepared to protect the public's health?

The article is here.

How Trump failed the biggest test of his life

Ed Pilkington & Tom McCarty
The Guardian
Originally posted 29 Mar 20

Here is an excerpt:

Those missing four to six weeks are likely to go down in the definitive history as a cautionary tale of the potentially devastating consequences of failed political leadership. Today, 86,012 cases have been confirmed across the US, pushing the nation to the top of the world’s coronavirus league table – above even China.

More than a quarter of those cases are in New York City, now a global center of the coronavirus pandemic, with New Orleans also raising alarm. Nationally, 1,301 people have died.

Most worryingly, the curve of cases continues to rise precipitously, with no sign of the plateau that has spared South Korea.

“The US response will be studied for generations as a textbook example of a disastrous, failed effort,” Ron Klain, who spearheaded the fight against Ebola in 2014, told a Georgetown university panel recently. “What’s happened in Washington has been a fiasco of incredible proportions.”

Jeremy Konyndyk, who led the US government’s response to international disasters at USAid from 2013 to 2017, frames the past six weeks in strikingly similar terms. He told the Guardian: “We are witnessing in the United States one of the greatest failures of basic governance and basic leadership in modern times.”

In Konyndyk’s analysis, the White House had all the information it needed by the end of January to act decisively. Instead, Trump repeatedly played down the severity of the threat, blaming China for what he called the “Chinese virus” and insisting falsely that his partial travel bans on China and Europe were all it would take to contain the crisis.

The info is here.

The Trump administration’s botched coronavirus response

German Lopez
vox.com
Updated 25 March 20

Here is an excerpt:

It’s also something that the federal government has done well before — recently, with H1N1 and Zika. “It’s been surprising to me that the administration’s had a hard time executing on some of these things,” Ashish Jha, director of the Harvard Global Health Institute, previously told me.

But it’s the kind of thing that the Trump administration has screwed up, while instead trying to downplay the threat of Covid-19. Trump himself has tweeted comparisons of Covid-19 to the common flu — which Jha describes as “really unhelpful,” because the novel coronavirus appears to be much worse. Trump also called concerns about the virus a “hoax.” He said on national television that, based on nothing more than a self-admitted “hunch,” the death rate of the disease is much lower than public health officials projected.

And Trump has rejected any accountability for the botched testing process: “I don’t take responsibility at all,” he said this month.

Jha described the Trump administration’s messaging so far as “deeply disturbing,” adding that it’s “left the country far less prepared than it needs to be for what is a very substantial challenge ahead.”

Even as the Trump administration has tried to escalate its efforts to combat the pandemic, Trump has continued to downplay concerns. Recently, he’s suggested that social distancing measures — asking people to stay home and keep their physical distance from one another — could be lifted within weeks, instead of the months experts say is likely necessary. “What a great timeline that would be,” Trump said.

The info is here.

Psychologist Who Waterboarded for C.I.A. to Testify at Guantánamo

Carol Rosenberg
The New York Times
Originally posted 20 Jan 20

Here is an excerpt:

Mr. Mohammed’s co-defendants were subject to violence, sleep deprivation, dietary manipulation and rectal abuse in the prison network from 2002, when the first of them, Ramzi bin al-Shibh was captured, to 2006, when all five were transferred to the prison at Guantánamo Bay. They will also be present in the courtroom.

In the black sites, the defendants were kept in solitary confinement, often nude, at times confined to a cramped box in the fetal position, hung by their wrists in painful positions and slammed head first into walls. Those techniques, approved by George W. Bush administration lawyers, were part of a desperate effort to force them to divulge Al Qaeda’s secrets — like the location of Osama bin Laden and whether there were terrorist sleeper cells deployed to carry out more attacks.

A subsequent internal study by the C.I.A. found proponents inflated the intelligence value of those interrogations.

The psychologists were called by lawyers to testify for one of the defendants, Mr. Mohammed’s nephew, Ammar al-Baluchi. All five defense teams are expected to question them about policy and for graphic details of conditions in the clandestine overseas prisons, including one in Thailand that for a time was run by Gina Haspel, now the C.I.A. director.

Mr. al-Baluchi’s lawyer, James G. Connell III, is spearheading an effort to persuade the judge to exclude from the trial the testimony of F.B.I. agents who questioned the defendants at Guantánamo in 2007. It was just months after their transfer there from years in C.I.A. prisons, and the defense lawyers argue that, although there was no overt violence during the F.B.I. interrogations, the defendants were so thoroughly broken in the black sites that they were powerless to do anything but tell the F.B.I. agents what they wanted to hear.

By law, prosecutors can use voluntary confessions only at the military commissions at Guantánamo.

The info is here.

State Supreme Court upholds decision in Beckley psychiatrist case

Jessica Farrish

The Register-Herald
Originally posted 8 Nov 19

West Virginia Supreme Court of Appeals on Friday upheld a decision by the West Virginia Board of Medicine that imposed disciplinary actions on Dr. Omar Hasan, a Beckley psychiatrist.

The original case was decided in Kanawha County Circuit Court in July 2018 after Hasan appealed a decision by the West Virginia Board of Medicine to discipline him for an improper relationship with a patient. Hasan alleged the board had erred by failing to adopt recommended finding of facts by its own hearing examiner, had improperly considered content of text messages and had misstated various facts in its final order.

Court documents state that Hasan began providing psychiatric medication in 2011 to a female patient. In September 2014, the patient reported to WVBOM that she and Hasan had had an improper relationship that included texts, phone calls, gifts and “sexual encounters on numerous occasions at various locations.”

She said that when Hasan ended the relationship, she tried to kill herself.

WVBOM investigated the patient’s claim and found probable cause to issue disciplinary actions against Hasan for entering a relationship with a patient for sexual satisfaction and for failing to cut off the patient-provider relationship once the texts had become sexual in nature, according to court filings.

Both are in violation of state law.

The info is here.

Trump eyes mental institutions as answer to gun violence

Kevin Freking

Associated Press
Originally published August 30, 2019

Here is an excerpt:

But Trump’s support for new “mental institutions” is drawing pushback from many in the mental health profession who say that approach would do little to reduce mass shootings in the United States and incorrectly associates mental illness with violence.

Paul Gionfriddo, president and chief executive of the advocacy group Mental Health America, said Trump is pursuing a 19th century solution to a 21st century problem.

“Anybody with any sense of history understands they were a complete failure. They were money down the drain,” said Gionfriddo.

The number of state hospital beds that serve the nation’s most seriously ill patients has fallen from more than 550,000 in the 1950s to fewer than 38,000 in the first half of 2016, according to a survey from the Treatment Advocacy Center, which seeks policies to overcome barriers to treatment.

John Snook, the group’s executive director, said Trump’s language “hasn’t been helpful to the broader conversation.” But he said the president has hit on an important problem — a shortage of beds for the serious mentally ill.

“There are headlines every day in almost every newspaper talking about the consequences of not having enough hospital beds, huge numbers of people in jails, homelessness and ridiculously high treatment costs because we’re trying to help people in crisis care,” Snook said.

The info is here.

A Missed Opportunity for the Malpractice System to Improve Health Care

Aaron Carroll
The New York Times
Originally posted May 27, 2019

Here are two excerpts:

First, the good news: These doctors quit at higher rates than other physicians. And they also tend not to pick up and move somewhere else to start fresh (which many thought they’d do given that licenses and malpractice are regulated at the state level).

But the overwhelming majority of doctors who had five or more paid claims kept on going. And they also moved to solo practice and small groups more often, where there’s even less oversight, so those problematic doctors may produce even worse outcomes.

We have long known that some doctors are likelier than others to be sued. Those who practice in certain higher-risk specialties — like surgery, obstetrics and gynecology, and emergency medicine — are more likely to be sued than those in lower-risk specialties like family medicine, pediatrics and psychiatry. Men are more likely to be sued than women. Lawsuits seem to peak when doctors are around 40.

(cut)

Those who accumulated more claims were more likely to stop practicing medicine. Even though they were more likely to retire, more than 90 percent of doctors who had at least five claims were still in practice.

Physicians with more claims were also not any more likely than those with fewer or no complaints to move to another state and continue practicing. This is actually one of the reasons the practitioner data bank was created — to prevent doctors from running away from their history by moving between states. In that respect, it appears to be working.

What’s worrisome, though, is that physicians with more claims shifted their type of practice. Those with five or more claims had more than twice the odds of moving into solo practice.

The info is here.

Air Force Psychologist Found Guilty of Sexual Assault Under Guise of Exposure Therapy

Caitlin Foster
Business Insider
Originally published Dec. 10, 2018

A psychologist at Travis Air Force Base in California was found guilty on Friday of sexually assaulting military-officer patients who were seeking treatment for post-traumatic stress disorder, The Daily Republic reported.

Heath Sommer may face up to 11 years and eight months in prison after receiving a guilty verdict on six felony counts of sexual assault, according to the Republic.

Sommer used a treatment known as "exposure therapy" to lure his patients, who were military officers with previous sexual-assault experiences, into performing sexual activity, the Republic reported.

According to charges brought by Brian Roberts, the deputy district attorney who prosecuted the case, Sommer assaulted his patients through "fraudulent representation that the sexual penetration served a professional purpose when it served no professional purpose," the Republic reported.

The info is here.

Bolton says 'excessive' ethics checks discourage outsiders from joining government

Nicole Gaouette
CNN.com
Originally posted October 31, 2018

A day after CNN reported that the Justice Department is investigating whether Interior Secretary Ryan Zinke has broken the law by using his office to personally enrich himself, national security adviser John Bolton told the Hamilton Society in Washington that ethics rules make it hard for people outside of the government to serve.

Bolton said "things have gotten more bureaucratic, harder to get things done" since he served under President George H.W. Bush in the 1990s and blamed the difficulty, in part, on the "excessive nature of the so-called ethics checks."

"If you were designing a system to discourage people from coming into government, you would do it this way," Bolton said.

"That risks building up a priestly class" of government employees, he added.

"It's really depressing to see," Bolton said of the bureaucratic red tape.

The info is here.

My take: Mr. Bolton is wrong.  We need rigorous ethical guidelines, transparency, enforceability, and thorough background checks.  Otherwise, the swamp will grow much greater than it already is.

Health care, disease care, or killing care?

Hugo Caicedo
Harvard Blogs
Originally published October 1, 2018

Traditional medical practice is rooted in advanced knowledge of diseases, their most appropriate treatment, and adequate proficiency in its applied practice. Notably, today, medical treatment does not typically occur until disease symptoms have manifested. While we now have ways to develop therapies that can halt the progression of some symptomatic diseases, symptomatic solutions are not meant to serve as a cure of disease but palliative treatment of late-stage chronic diseases.

The reactive approach in most medical interventions is magnified in that medicine is prone to errors. In November of 1999, the U.S. National Academy of Science, an organization representing the most highly regarded scientists and physician researchers in the U.S., published the report To Err is Human.

The manuscript noted that medical error was a leading cause of patient deaths killing up to 98,000 people in the U.S. every year. One hypothesis that came up was that patient data was being poorly collected, aggregated, and shared among different hospitals and even within the same health system. Health policies such the Health Information Technology for Economic and Clinical Health Act (HITECH) in 2009 and the Affordable Care Act (ACA) in 2010, primarily focused on optimizing clinical and operational effectiveness through the use of health information technology and expansion of government insurance programs, respectively. However, they did not effectively address the issue of medical errors such as poor judgment, mistaken diagnoses, inadequately coordinated care, and incompetent skill that can directly result in patient harm and death.

The blog post is here.

VA knowingly hires doctors with past malpractice claims, discipline for poor care

Donovan Slack
USA Today
Originally published December 3, 2017

Here is an excerpt:

A VA hospital in Oklahoma knowingly hired a psychiatrist previously sanctioned for sexual misconduct who went on to sleep with a VA patient, according to internal documents. A Louisiana VA clinic hired a psychologist with felony convictions. The VA ended up firing him after they determined he was a “direct threat to others” and the VA’s mission.

As a result of USA TODAY’s investigation of Schneider, VA officials determined his hiring — and potentially that of an unknown number of other doctors — was illegal.

Federal law bars the agency from hiring physicians whose license has been revoked by a state board, even if they still hold an active license in another state. Schneider still has a license in Montana, even though his Wyoming license was revoked.

VA spokesman Curt Cashour said agency officials provided hospital officials in Iowa City with “incorrect guidance” green-lighting Schneider’s hire. The VA moved to fire Schneider last Wednesday. He resigned instead.

The article is here.

Is It Time to Call Trump Mentally Ill?

Richard A. Friedman
The New York Times
Originally published February 17, 2017

Here are two excerpts:

A recent letter to the editor in this newspaper, signed by 35 psychiatrists, psychologists and social workers, put it this way: "We fear that too much is at stake to be silent." It continued, "We believe that the grave emotional instability indicated by Mr. Trump's speech and actions makes him incapable of serving safely as president."

But the attempt to diagnose a condition in President Trump and declare him mentally unfit to serve is misguided for several reasons.

First, all experts have political beliefs that probably distort their psychiatric judgment. Consider what my mostly liberal profession said of Senator Barry Goldwater, the Republican nominee for president in 1964, right before the election. Members of the American Psychiatric Association were surveyed about their assessment of Goldwater by the now-defunct Fact magazine. Many savaged him, calling him "paranoid," "grossly psychotic" and a "megalomaniac." Some provided diagnoses, like schizophrenia and narcissistic personality disorder.

They used their professional knowledge as a political weapon against a man they had never examined and who certainly would never have consented to their discussing his mental health in public.

Goldwater sued (successfully) and, as a result, in 1973 the A.P.A. developed the Goldwater Rule. It says that psychiatrists can discuss mental health issues with the news media, but that it is unethical for them to diagnose mental illnesses in people they have not examined and whose consent they have not received.

(cut)

There is one last reason we should avoid psychiatrically labeling our leaders: It lets them off the moral hook. Not all misbehavior reflects psychopathology; the fact is that ordinary human meanness and incompetence are far more common than mental illness. We should not be in the business of medicalizing bad actors.

The article is here.

Dysfunction Disorder

Joaquin Sapien
Pro Publica
Originally published on January 17, 2017

Here is an excerpt:

The mental health professionals in both cases had been recruited by Montego Medical Consulting, a for-profit company under contract with New York City's child welfare agency. For more than a decade, Montego was paid hundreds of thousands of dollars a year by the city to produce thousands of evaluations in Family Court cases -- of mothers and fathers, spouses and children. Those evaluations were then shared with judges making decisions of enormous sensitivity and consequence: whether a child could stay at home or if they'd be safer in foster care; whether a parent should be enrolled in a counseling program or put on medication; whether parents should lose custody of their children altogether.

In 2012, a confidential review done at the behest of frustrated lawyers and delivered to the administrative judge of Family Court in New York City concluded that the work of the psychologists lined up by Montego was inadequate in nearly every way. The analysis matched roughly 25 Montego evaluations against 20 criteria from the American Psychological Association and other professional guidelines. None of the Montego reports met all 20 criteria. Some met as few as five. The psychologists used by Montego often didn't actually observe parents interacting with children. They used outdated or inappropriate tools for psychological assessments, including one known as a "projective drawing" exercise.

(cut)

Attorneys and psychologists who have worked in Family Court say judges lean heavily on assessments made by psychologists, often referred to as "forensic evaluators." So do judges themselves.

"In many instances, judges rely on forensic evaluators more than perhaps they should," said Jody Adams, who served as a Family Court judge in New York City for nearly 20 years before leaving the bench in 2012. "They should have more confidence in their own insight and judgment. A forensic evaluator's evidence should be a piece of the judge's decision, but not determinative. These are unbelievably difficult decisions; these are not black and white; they are filled with gray areas and they have lifelong consequences for children and their families. So it's human nature to want to look for help where you can get it."

The article is here.

How Diederik Stapel Became A Science Fraud

By Neuroskeptic
Discover Magazine Blog
Originally published January 20, 2015

Two years ago, Dutch science fraudster Diederik Stapel published a book, Ontsporing (“Derailment”), describing how he became one of the world’s leading social psychologists, before falling from grace when it emerged that he’d fabricated the data in dozens of papers.

The entire blog post is here.

How To Spot A Bad Therapist: 10 Major Signs

By Tamara Hill
PsychCentral Blog

Here is an excerpt:

It is often much easier to spot a good therapist than it is to spot a bad therapist. We all look for kind, loving, compassionate, and caring people to connect with. Yet, we are hardly able to pinpoint when we are being taken advantage of for a variety of reasons. It’s who we are and how we have been molded in society and even in our families to think about “professionals.” The first few nonverbal signs we look for when we meet someone new is genuine smiling, eye contact, and maybe touch (a touch on the arm or hand) to convey friendliness, and a positive tone of voice. When we do not see these things, we often do one of two things:

1. Ignore the behavior: Because the therapist may offer cheap rates, may be close to home, or offers other incentives, you may be more willing to ignore any signs of incompetence.
2. Make excuses: “Maybe she/he is having a bad day,” or “maybe he/she just doesn’t like me.” “Maybe he/she needs time to warm up to me!” Does this sound familiar?

The entire article is here.

Editor's Note: While a psychologist may not do any of the 10 signs, there are probably other activities that we do during therapy that may be countertherapeutic or unhelpful.  Asking for honest feedback from patients about what we are doing well and not doing well may help your overall skill level and competence.  Many times, psychologists ask patients to self-reflect.  Maybe it is important for psychologists to take the time to self-reflect.