Understanding and Combating Human Trafficking: A Psychological Perspective

Sidun, N. M. (2025).

American Psychologist.

https://doi.org/10.1037/amp0001516

Abstract

Human trafficking is a global crisis that represents one of the gravest violations of human rights and dignity in modern times. Defined by international and U.S. frameworks, trafficking involves the exploitation of individuals through fraud, force, or coercion for purposes such as labor, sexual exploitation, or organ harvesting. Psychology provides a unique lens to understand, prevent, and address this issue by examining the underlying psychological mechanisms used by traffickers and the profound effects on survivors. Traffickers leverage psychological manipulation—grooming, coercion, and trauma bonding—to control victims, while survivors endure severe mental health consequences, including posttraumatic stress disorder, complex trauma, depression, and anxiety.

Psychologists play a pivotal role in combating trafficking through research, education, advocacy, and clinical practice. Research informs prevention by identifying vulnerabilities and effective interventions. Education raises public awareness and equips professionals to recognize and support victims.Advocacy shapes policies that uphold human rights and strengthen antitrafficking laws. Clinicians provide essential trauma-and trafficking-informed care tailored to survivors, utilizing evidence-based practices and adjunctive psychological interventions that foster healing and resilience while addressing immediate and long-term impacts. In conclusion, psychology is integral to eradicating human trafficking. By bridging research, practice, and policy, psychology contributes significantly to global antitrafficking efforts, ensuring a lasting impact on addressing this pervasive human rights violation.

Public Significance Statement

This article presents an overview of human trafficking and how psychology can assist in understanding various aspects of trafficking. It describes how psychology is well-positioned to help prevent, recognize, and support the elimination of human trafficking.

Deepfake detection with and without content warnings

Lewis, A., Vu, P., Duch, R. M., & Chowdhury, A.

(2023). Royal Society Open Science, 10(11).

https://doi.org/10.1098/rsos.231214

Abstract

The rapid advancement of ‘deepfake' video technology—which uses deep learning artificial intelligence algorithms to create fake videos that look real—has given urgency to the question of how policymakers and technology companies should moderate inauthentic content. We conduct an experiment to measure people's alertness to and ability to detect a high-quality deepfake among a set of videos. First, we find that in a natural setting with no content warnings, individuals who are exposed to a deepfake video of neutral content are no more likely to detect anything out of the ordinary (32.9%) compared to a control group who viewed only authentic videos (34.1%). Second, we find that when individuals are given a warning that at least one video in a set of five is a deepfake, only 21.6% of respondents correctly identify the deepfake as the only inauthentic video, while the remainder erroneously select at least one genuine video as a deepfake.

Here are some thoughts: 

The rise of deepfake technology introduces significant challenges for psychologists, particularly in the areas of trust, perception, and digital identity. As deepfakes become increasingly sophisticated and hard to detect, they may foster a general skepticism toward digital media, including online therapy platforms and digital content. This skepticism could affect the therapeutic alliance, as clients might become more wary of the reliability and authenticity of online interactions. For therapists who conduct virtual sessions or share therapeutic resources online, this growing distrust of digital content could impact clients’ willingness to engage fully, potentially compromising therapeutic outcomes.

Another key concern is the vulnerability to misinformation that deepfakes introduce. These realistic, fabricated videos can be used to create misleading or harmful content, which may distress clients or influence their beliefs and behaviors. For clients already struggling with anxiety, paranoia, or trauma, the presence of undetectable deepfakes in the media landscape could intensify symptoms, making it more difficult for them to feel safe and secure. Therapists must be prepared to help clients navigate these feelings, addressing the psychological effects of a world where truth can be distorted at will and guiding clients toward healthier media consumption habits.

Deepfake technology also threatens personal identity and privacy, presenting unique risks for both clients and therapists. The potential for therapists or clients to be misrepresented in fabricated media could lead to boundary issues or mistrust within the therapeutic relationship. If deepfake content were to circulate, it might appear credible to clients or even influence their perception of reality. This may create a barrier in therapy if clients experience confusion or fear regarding digital identity and privacy, as well as complicate therapists' ability to establish and maintain boundaries online.

The psychological implications of deepfakes also prompt ethical considerations for psychologists. As trusted mental health professionals, psychologists may find themselves addressing client concerns about digital literacy and emotional stability amid a fast-evolving digital environment. The ability to understand and anticipate the effects of deepfake technology could become an essential component of ethical and professional responsibility in therapy. As the digital world becomes more complex, therapists are positioned to help clients navigate these new challenges with discernment, promoting psychological resilience and healthy media habits within the therapeutic context.

When Therapists Lose Their Licenses, Some Turn to the Unregulated Life Coaching Industry Instead

Jessica Miller

Salt Lake Tribune

Originally published 17 June 24

A frustrated woman recently called the Utah official in charge of professional licensing, upset that his office couldn’t take action against a life coach she had seen. Mark Steinagel recalls the woman telling him: “I really think that we should be regulating life coaching. Because this person did a lot of damage to me.”

Reports about life coaches — who sell the promise of helping people achieve their personal or professional goals — come into Utah’s Division of Professional Licensing about once a month. But much of the time, Steinagel or his staff have to explain that there’s nothing they can do.

If the woman had been complaining about any of the therapist professions overseen by DOPL, Steinagel’s office might have been able to investigate and potentially order discipline, including fines.

But life coaches aren’t therapists and are mostly unregulated across the United States. They aren’t required to be trained in ethical boundaries the way therapists are, and there’s no universally accepted certification for those who work in the industry.

The information is here.

Here are some thoughts on the ethics of this trend:

The trend of therapists who have lost their licenses transitioning to the unregulated life coaching industry raises significant ethical concerns and risks. This shift allows individuals who have been deemed unfit to practice therapy to continue working with vulnerable clients without oversight or accountability. The lack of regulation in life coaching means that these practitioners can potentially continue harmful behaviors, misrepresent their qualifications, and exploit clients without facing the same consequences they would in the regulated therapy field.

This situation poses substantial risks to clients (and the integrity of coaching as profession). Clients seeking help may not understand the difference between regulated therapy and unregulated life coaching, potentially exposing themselves to practitioners who have previously violated ethical standards. The presence of discredited therapists in the life coaching industry can erode public trust in mental health services and coaching alike, potentially deterring individuals from seeking necessary help. Moreover, clients have limited legal recourse if they are harmed by an unregulated life coach, leaving them vulnerable to financial and emotional distress.

To address these concerns, there is a pressing need for regulatory measures in the life coaching industry, particularly concerning practitioners with a history of ethical violations in related fields. Such regulations could help maintain the integrity of coaching, protect vulnerable clients, and ensure that those seeking help receive services from qualified and ethical practitioners. Without such measures, the potential for harm remains significant, undermining the valuable work done by ethical professionals in both therapy and life coaching.

The impact of economic inequality on conspiracy beliefs

Salvador Casara, B. G., Suitner, C., & Jetten, J.

(2022). Journal of Experimental Social 

Psychology, 98, 104245.

https://doi.org/10.1016/j.jesp.2021.104245

Abstract

Previous literature highlights the crucial role of economic inequality in triggering a range of negative societal outcomes. However, the relationship between economic inequality and the proliferation of conspiracy beliefs remains unexplored. Here, we explore the endorsement of conspiracy beliefs as an outcome of objective country-level (Study 1a, 1b, 1c), perceived (Study 2), and manipulated economic inequality (Studies 3a, 3b, 4a, 4b). In the correlational studies, both objective and perceived economic inequality were associated with greater conspiracy beliefs. In the experiments, participants in the high (compared to the low) inequality condition were more likely to endorse conspiratorial narratives. This effect was fully mediated by anomie (Studies 3a, 3b) suggesting that inequality enhances the perception that society is breaking down (anomie), which in turn increases conspiratorial thinking, possibly in an attempt to regain some sense of order and control. Furthermore, the link between economic inequality and conspiracy beliefs was stronger when participants endorsed a conspiracy worldview (Studies 4a, 4b). Moreover, conspiracy beliefs mediated the effect of the economic inequality manipulation on willingness to engage in collective action aimed at addressing economic inequality. The results show that economic inequality and conspiracy beliefs go hand in hand: economic inequality can cause conspiratorial thinking and conspiracy beliefs can motivate collective action against economic inequality.

From the General Discussion

It is also important to consider whether economic inequality triggers the endorsement of general or more specific conspiracy beliefs. Data from Studies 3a and 3b showed that the manipulation of economic inequality affects the endorsement of a wide range of conspiracy beliefs— general conspiracy beliefs as well as conspiracies that relate to the specific fictional society. In Studies 4a and 4b, we found that inequality enhanced the belief in conspiracies perpetrated by different groups in the specific fictional society (i.e., politicians, scientists, multinational companies, and pharmaceutical industries) while it did not affect participants’ conspiracy worldview. Future research should focus on the impact of economic inequality on the endorsement of specific versus more general conspiracy theories. It may well be the case that the relation between economic inequality and conspiracy belief endorsement is stronger when participants consider specific conspiracy beliefs that blame an outgroup for heightened anomie that results from economic inequality. Such conspiracy beliefs best serve the function of mobilizing collective ingroup action that might hold the promise of providing people with a sense of collective agency (or control; see Bukowski et al., 2017).

These results have important implications. First, those who are prone to believe in conspiracy theories are sometimes viewed as driven by irrationality — a vision that is indeed supported by a vast literature about the negative consequences of conspiracy beliefs (e.g., Jolley & Douglas, 2014; Lewandowsky et al., 2013; Van der Linden, 2015). Other findings show that conspiracy beliefs are associated with dispositional constructs that are prodromal of mental disease, such as schizotypy and delusional thinking (Barron et al., 2018; Darwin et al., 2011). However, factors that trigger conspiracy beliefs are not always irrational and they may be driven by anomie-prompted socio-structural perceptions about societies, such as economic inequality. 

The research is here.

Therapist Targeted Googling: Characteristics and Consequences for the Therapeutic Relationship

Cox, K. E., Simonds, L. M., & Moulton-Perkins, A. 

(2021).  Professional Psychology: 

Research and Practice. Advance online publication. 

https://doi.org/10.1037/pro0000405

Abstract

Therapist-targeted googling (TTG) refers to a patient searching online to find information about their therapist. The present study investigated TTG prevalence and characteristics in a sample of adult psychotherapy clients. Participants (n = 266) who had attended at least one session with a therapist completed an anonymous online survey about TTG prevalence, motivations, and perceived impact on the therapeutic relationship. Two-thirds of the sample had conducted TTG. Those participants who were having therapy privately had worked with more than one therapist, or were having sessions more often than weekly were significantly more likely to conduct TTG; this profile was particularly common among patients who were having psychodynamic psychotherapy. Motivations included wanting to see if the therapist is qualified, curiosity, missing the therapist, and wanting to know them better. Nearly a quarter who undertook TTG thought the findings impacted the therapeutic relationship but only one in five had disclosed TTG to the therapist. TTG beyond common sense consumerism can be conceptualized as a patient’s attempt to attain closeness to the therapist but may result in impacts on trust and ability to be open. Disclosures of TTG may constitute important therapeutic material. 

Impact Statement

This study suggests that there are multiple motivations for clients searching online for information about their therapist. It highlights the need for practitioners to carefully consider the information available about them online and the importance of client searching to the therapeutic relationship.

Here is the conclusion:

In this study, most participants searched for information about their therapist. Curiosity and commonsense consumerism might explain much of this activity. We argue that there is evidence that some of this might be motivated by moments of vulnerability between sessions to regain a connection with the therapist. We also suggest that the discovery of challenging information during vulnerability might represent difficulties for the patient that are not disclosed to the therapist due to feelings of guilt and shame. Further work is needed to understand TTG, the implications on the therapeutic relationship, and how therapists work with disclosures of TTG in a way that does not provoke more shame in the patient, but which also allows therapists to effectively manage therapeutic closeness and their own vulnerability.

Downloading COVID-19 contact tracing apps is a moral obligation

G. Owen Schaefer and Angela Ballantyne
BMJ Blogs
Originally posted 4 May 20

Should you download an app that could notify you if you had been in contact with someone who contracted COVID-19? Such apps are already available in countries such as Israel, Singapore, and Australia, with other countries like the UK and US soon to follow. Here, we explain why you might have an ethical obligation to use a tracing app during the COVID-19 pandemic, even in the face of privacy concerns.

(cut)

Vulnerability and unequal distribution of risk

Marginalized populations are both hardest hit by pandemics and often have the greatest reason to be sceptical of supposedly benign State surveillance. COVID-19 is a jarring reminder of global inequality, structural racism, gender inequity, entrenched ableism, and many other social divisions. During the SARS outbreak, Toronto struggled to adequately respond to the distinctive vulnerabilities of people who were homeless. In America, people of colour are at greatest risk in several dimensions – less able to act on public health advice such as social distancing, more likely to contract the virus, and more likely to die from severe COVID if they do get infected. When public health advice switched to recommending (or in some cases requiring) masks, some African Americans argued it was unsafe for them to cover their faces in public. People of colour in the US are at increased risk of state surveillance and police violence, in part because they are perceived to be threatening and violent. In New York City, black and Latino patients are dying from COVID-19 at twice the rate of non-Hispanic white people.

Marginalized populations have historically been harmed by State health surveillance. For example, indigenous populations have been the victims of State data collection to inform and implement segregation, dispossession of land, forced migration, as well as removal and ‘re‐education’ of their children. Stigma and discrimination have impeded the public health response to HIV/AIDS, as many countries still have HIV-specific laws that prosecute people living with HIV for a range of offences.  Surveillance is an important tool for implementing these laws. Marginalized populations therefore have good reasons to be sceptical of health related surveillance.

Do You Google Your Shrink?

By Ana Fels
The New York Times - Opinionator
Originally published April 4, 2015

Here are two excerpts:

Patients’ access to huge amounts of information about therapists’ lives can’t help but change both members of the therapeutic dyad. It can have, for instance, a chilling effect on the therapist’s work outside the office. As a psychiatrist who occasionally writes and speaks, I now have to think about the impact of these activities on prospective patients. If I write a feminist article, will I end up with only female patients?

(cut)

The blurring of boundaries between the personal and professional can get quite creepy. A patient told me, in greater detail than I wished to know, about her Match.com date with a psychoanalyst with whom I’ve had professional dealings. It was an encounter that almost certainly would not have occurred in the pre-Internet-dating era, and it will be hard ever to think of him in quite the same way.

The entire article is here.

Ethics is for human subjects too: Participant perspectives on responsibility in health research

By Susan Cox and Michael McDonald
Social Science & Medicine
Volume 98, December 2013, Pages 224–231

Abstract

Despite the significant literature as well as energy devoted to ethical review of research involving human subjects, little attention has been given to understanding the experiences of those who volunteer as human subjects. Why and how do they decide to participate in research? Is research participation viewed as a form of social responsibility or as a way of obtaining individual benefits? What if anything do research subjects feel they are owed for participation? And what do they feel that they owe the researcher? Drawing on in-depth individual interviews conducted in 2006 and 2007 with 41 subjects who participated in a variety of types of health research in Canada, this paper focuses on subject perspectives on responsibility in research. Highlighting the range of ways that subjects describe their involvement in research and commitments to being a ‘good’ subject, we present a typology of narratives that sheds new light on the diverse meanings of research participation. These narratives are not mutually exclusive or prescriptive but are presented as ideal types typifying a set of circumstances and values. As such, they collectively illuminate a range of motivations expressed by human subjects as well as potential sources of vulnerability. The typology adds a new dimension to the literature in this area and has significant implications for researchers seeking more human-subject centred approaches to research recruitment and retention, as well as research ethics boards trying to better anticipate the perspectives of prospective participants.

Highlights

• Participant responsibility is a neglected aspect of research ethics.
• Responsibility can be conceptualized according to degree of agency and altruism.
• Participants' narrative accounts yield four main orientations to responsibility.
• These reveal differing motivations and sources of vulnerability.

The entire article is here.

In Deal, Hundreds of Mentally Ill People Will Leave Confinement of Nursing Home

By Anemona Hartcollis
The New York Times
Published September 12, 2011

Hundreds of mentally ill people who have been confined to nursing homes, sometimes in prisonlike conditions, would move to apartments or other housing within three years under a legal settlement with New York State.

The settlement resolved a case that was filed in Brooklyn federal court in 2006 and that accused the state of violating the spirit of its own longstanding rules for housing mentally ill people.

In researching the case, the plaintiffs found that psychiatric centers and nursing homes had developed “turnaround agreements, which essentially were written agreements to transfer patients back and forth,” Veronica S. Jung, senior staff attorney for New York Lawyers for the Public Interest, which helped to represent plaintiffs, said Monday.

“This certainly raises broader, troubling questions about the role of nursing homes, and their financial stakes, within the mental health care system,” Ms. Jung said.

The settlement came as the judge in the case, Brian M. Cogan, set a trial date for early October, Ms. Jung said.

“It did seem pretty clear that the specter of going to trial in the next few days probably motivated the state to move more quickly in negotiations,” Ms. Jung said. The state has agreed to pay $2.5 million in legal fees and costs to the plaintiffs’ counsel.

Andrew J. Zambelli, counselor to Gov. Andrew M. Cuomo, said the state had settled the case because “it just jibed with our kind of policy viewpoint — care for the vulnerable, into the community, using money appropriately.”

Under longstanding legal principle in New York and elsewhere, the mentally ill cannot be confined unless they are considered a threat to themselves or others, and should be housed in the least restrictive setting appropriate for their needs.

Under the terms of the settlement, the Cuomo administration has agreed to reform the process used to assess whether patients are capable of living in the community and want to live there. The state has also promised to hire independent contractors who would be trained to make the assessments.

The entire story can be found here.

Patient Data Posted Online in Major Breach of Privacy

By Kevin Sack
The New York Times

Published September 9, 2011

A medical privacy breach led to the public posting on a commercial Web site of data for 20,000 emergency room patients at Stanford Hospital in Palo Alto, Calif., including names and diagnosis codes, the hospital has confirmed. The information stayed online for nearly a year.

Since discovering the breach last month, the hospital has been investigating how a detailed spreadsheet made its way from one of its vendors, a billing contractor identified as Multi-Specialty Collection Services, to a Web site called Student of Fortune, which allows students to solicit paid assistance with their schoolwork.

Gary Migdol, a spokesman for Stanford Hospital and Clinics, said the spreadsheet first appeared on the site on Sept. 9, 2010, as an attachment to a question about how to convert the data into a bar graph.

Although medical security breaches are not uncommon, the Stanford breach was notable for the length of time that the data remained publicly available without detection.

Even as government regulators strengthen oversight by requiring public reporting of breaches and imposing heavy fines, experts on medical security said the Stanford breach spotlighted the persistent vulnerability posed by legions of outside contractors that gain access to private data.

The spreadsheet included names, diagnosis codes, account numbers, admission and discharge dates, and billing charges for patients seen at Stanford Hospital’s emergency room during a six-month period in 2009, Mr. Migdol said. It did not include Social Security numbers, birth dates, credit-card numbers or other information used to perpetrate identity theft, he said, but the hospital is offering free identity protection services to affected patients.

The breach was discovered by a patient and reported to the hospital on Aug. 22, according to a letter written four days later to affected patients by Diane Meyer, Stanford Hospital’s chief privacy officer. The hospital took “aggressive steps,” and the Web site removed the post the next day, Ms. Meyer wrote. It also notified state and federal agencies, Mr. Migdol said.

“It is clearly disturbing when this information gets public,” he said. “It is our intent 100 percent of the time to keep this information confidential and private, and we work hard every day to ensure that.”

Diane Dobson, of Santa Clara, Calif., said her “jaw dropped” on Saturday when she intercepted the letter from Ms. Meyer addressed to her 21-year-old son, who she said had received emergency psychiatric treatment at Stanford in 2009. Ms. Dobson said it could have been disastrous if her son, who lives at home, had learned that his name was linked to a mental health diagnosis.

“My son, I can tell you, is fragile and confused enough that this would have sent him over the edge,” Ms. Dobson said, saying she decided to speak publicly now because of her frustration with the breach. “Everyone with an electronic medical record is at risk, and that means everyone.”

The entire story can be read here.