Greek woes drive up suicide rate to highest in Europe

By Helena Smith
The Guardian

Homeless man begs for money

The suicide rate in Greece has reached a pan-European record high, with experts attributing the rise to the country's economic crisis.

Painful austerity measures and a seemingly endless economic drama is exacting a deadly toll on the nation. Statistics released by the Greek ministry of health show a 40% rise in those taking their own lives between January and May this year compared to the same period in 2010.

Before the financial crisis first began to bite three years ago, Greece had the lowest suicide rate in Europe at 2.8 per 100,000 inhabitants. It now has almost double that number, the highest on the continent, despite the stigma in a nation where the Orthodox church refuses funeral rights for those who take their lives. Attempted suicides have also increased.

"It's never just one thing, but almost always debts, joblessness, the fear of being fired are cited when people phone in to say they are contemplating ending their lives," said Eleni Beikari, a psychiatrist at the non-governmental organisation, Klimaka, which runs a 24-hour suicide hotline.

Klimaka received around 10 calls a day before the crisis; it now gets more than 100 in any 24-hour period.

"Most come from women aged between 30 and 50 and men between 40 and 45 despairing over economic problems," said Beikari. "In my experience it's the men, suffering from hurt dignity and lost pride, who are most serious."

The entire story is here.

Responding to Research Wrongdoing: A User-Friendly Guide

We have added a link to our "Ethics Resources, Guides, and Guidelines" page. 

The entire guide can be found here as well.  In 2010, this guide won an award for Innovation from the Health Improvement Institute for Excellence in Human Research Protection.

The Foreword is posted to give an idea of what is in the guide.

Foreword

Every once in awhile a product comes along that is destined to make a difference. This Guide is such a product. Informed by data generated through surveys and interviews involving more than 2,000 scientists, the Guide gives voice to those researchers willing, some with eagerness and others with relief, to share their stories publicly in their own words. There are stories from scientists who want to do the right thing, but are unsure how to go about it or concerned about negative consequences for them or their junior colleagues. There are accounts from researchers who took action, and are keen to share their successful strategies with others. On the flip side, there are those who hesitated and now lament not having guidance that might have altered the course of past events.

In response to these compelling stories, the Guide adopts a problem-solving approach that looks for ways to preempt wrongdoing in research, to create options for scientists faced with suspicions or evidence of irresponsible science, and to assist researchers in working through those options in a manner that reinforces the integrity of the science without risking career or friendships. The Guide pulls no punches. While it is intended to help researchers achieve a successful resolution of what are often very messy matters, it recognizes that this may not always be possible. It is this honest assessment that will appeal to scientists looking for fair-minded and useful guidance, not pious prescriptions that bear no resemblance to the real world.

Perhaps the most encouraging aspect of the research reported in the Guide is that scientists included in the study proclaimed "overwhelming support for the concept of a researcher’s individual responsibility to intervene when suspecting wrongdoing, especially if it rises to the level of a ‘serious nature’ (94%)." Surely, there is no argument that reporting research wrongdoing and preserving the integrity of the research record will depend largely on the willingness of individuals to intervene. Recognition of one’s professional responsibility to act is a necessary step in that direction, but it is not enough. What is also needed is a good compass that points in the right direction, warns of hazardous terrain ahead, locates where support is available, and helps people assess and reason through their choices. Just as the compass greatly improved the safety and efficiency of travel dating back to the 11th century, so too will this Guide greatly help scientists navigate the challenges they encounter when taking the moral high ground.

Mark S. Frankel
Director, Scientific Freedom, Responsibility and Law Program
American Association for the Advancement of Science

Dr. Frankel served as a consultant to the authors of the Guide.

Virtue Ethics and Social Psychology

From a lecture at Ohio State University in November 2003 at the Merson Center.

The paper is available in the public domain here.

Virtue Ethics and Social Psychology

My psychoanalyst’s twisted final session

Once a legend in his field, he was clearly losing his grip. Still, why did he have such a hold on me?

By Simon Yisrael Feuerman

Published by Salon.com

It was with some trepidation that I called Dr. M.

I had read his articles in various psychoanalytic journals and heard his name tossed around at conferences and institutes. He was one of the princes of psychoanalysis and supervision, a member of the old school. He knew people who had been analyzed by Freud and was a colleague of some of the last century’s bad/good boys of psychoanalysis – Hyman Spotnitz, Lou Ormont, Ethel Clevans, Phyllis Meadow.

Nineteen years I had been with a previous analyst and supervisor with whom I had an irreparable break. Nineteen years may sound like a long time for most people, but in the rarefied world of New York psychoanalysis, 19 years is merely a beginning.

Finally, I had made the phone call. And now I was at Dr. M’s Upper West Side office for my interview. I had built a practice that was already sizable, but would I rate for his famous supervision group?

I had arrived about 10 minutes early and expected to read in the waiting room until the appointed hour. By tradition, an analyst will open his door precisely at the right time, neither early nor late.

To my surprise, he came out 10 minutes before our appointment time. Anticipating a silent rebuke I quickly said, “I apologize for coming early.”

“I apologize for seeing you early,” he said. “Come in.”

He had a shock of white hair. He was handsome. Looking at him in that dimly lit hallway in the late spring of 2009, I was taken aback. Why, he must be 90 years old, at least. (He was 89.) His body sent my body a message: I am dying. But at the very same time the vigor in his booming voice said something else entirely. It took hold of me. I was confused: While on the one hand he looked as though he might be nearing the end of his life — the office was dusty, his pants were hiked up too high, subtle but telltale signs of a man losing touch — his voice said, “Beginnings!” New life.

He talked, I talked. I talked, he talked. We had a rhythm. He seemed to be building an enthusiastic lather about having me as his newborn as though he were a man of 30 being given a baby to hold outside the delivery room. There was, you could say, a kind of love in the air.

And it made me somewhat uneasy. In fact, I was quite certain that I had made a mistake. I wanted to run away fast. I did not want to be in this man’s group. Perhaps I feared that I would have to face his death and my own here. I wanted to go to a group that promised me everlasting life. I did not want a dying analyst. I was looking for potency, vitality, virility. I had quite a bit myself, but sought it in others too.

As if magically sensing my turmoil, he stood up. “Enough for today,” he barked. “I would like you to join my group, but say in about nine months. Not before.”

I was astonished. Was he a master, I thought, one of these wonder-worker analysts who can read the mind and even ride like a bronco, two wildly opposing winds of thought in a man? Such things were possible in my world. I had great faith in analysts and their mad magic, their alchemy, their abilities to turn lead into gold and ambivalence and even death into life.

The rest of this interesting story is here.

House Republicans Reject Senate Compromise for the "Doc Fix"

House Republicans rejected a Senate compromise bill that would have extended the 2 percent payroll tax break for two months along with the "doc fix", voting 229 to 193.  In a convoluted motion, House Republicans voted to send the measure to a conference committee, which will not occur in the near future. 

Basically, House Republicans killed a bill that would have prevented a 27 percent cut to Medicare payments, generically known as the "doc fix" provision. 

As of January 1, 2012, Medicare reimbursements will be cut by 27%.

Legislative Concerns at the Current Moment

Hi Blog Followers!!

Just to let folks know, I called my Republican Representative, Todd Platts, to express my extreme displeasure that the Speaker of the House, Mr. Boehner, will not run an up or down vote on the current Senate bill that will extend Medicare payments for 2 months (as well given the middle class tax relief).  The Senate bill had 90% of the votes in favor of this bill.  In other words, it is truly bipartisan.

For psychologists who participate in Medicare, they will receive a 32% cut in reimbursement as of January 1, 2012 if this bill is not voted on or if this bill is defeated.

The reimbursement cut is part of both PPA's and APA's agenda.

The best that we can hope for is that the current bill is passed.  My Representative's health liaison aide indicated that they are aware of the problem for ALL Medicare recipients, not just those with mental health issues.  She also indicated that she does not know if the Speaker can be swayed.

If you have a Republican Representative, my suggestion is to contact him or her to encourage speaker Boehner to run the bill.  Time is of the essence.

Here is a reminder of the Legislative Action Alert sent on November 30, 2011.


John Gavazzi, PsyD ABPP
Concerned Psychologist

======================================

Ethics is more than a code.  Ethical behavior extends beyond treating our patients to advocating on behalf of our patients.

Even if you do not work with Medicare patients, many insurance companies base reimbursement schedules on Medicare rates.

TO:   All Psychologists 

RE:    Three Weeks to Stop Medicare Cuts

Legislative leaders have begun to discuss options to address critical, time-sensitive issues by the end of the year, including the expiration of unemployment benefits, the Alternative Minimum Tax patch, tax extenders and Medicare extenders.

Now is the time for psychologists to make their voices heard and remind Congress that their patients and practices will soon face a 5% cut to psychotherapy payments in addition to a 27.4% Sustainable Growth Rate (SGR) cut to all services scheduled for 2012 if they fail to act. 

Congress has blocked the SGR cut 12 times since 2001 and the APA Practice Organization has successfully secured the psychotherapy restoration 3 times since 2008, but practitioners face a tougher climate this time around in light of the unprecedented focus on deficit reduction and the broadening divide between legislative leaders.

Your profession needs you to take action NOW to ensure legislators are attentive to these critical priorities.

Take Action Now!

Click here to urge your Senators and your US Representative to halt Medicare cuts to psychological services.

Please TAKE ACTION by Tuesday December 6.

Feel free to leave a comment on this blog so that other psychologists know how easy and simple the process really is......as well as the importance of this advocacy effort!

Message:

 My patients and practice are only a few weeks away from major reimbursement cuts that will impact patient access and put my small business at risk.  As a psychologist and constituent, I urge you to extend the Medicare mental health add-on through 2012.

 Congress has repeatedly found extension of the 5% psychotherapy payment restoration necessary to address the unintended impact of CMS's last Five-Year Review on access to Medicare mental health services.  An extension is necessary until completion of the current Five-Year Review of psychotherapy codes, which has been delayed into 2012.

 As Congress works toward end-of-year action on several pressing priorities, please make my patients and the mental health extender a priority, as well as halting the 27.4% Sustainable Growth Rate (SGR) cut.  Thank you for your time and consideration.

 Additional Background:

CONGRESS SHOULD PROTECT MEDICARE MENTAL HEALTH PAYMENT

To ensure the viability of the Medicare outpatient mental health benefit, Congress should extend through 2012 the restoration of cuts to Part B mental health services made in 2007.

Mental Health Extender.  Congress restored payments temporarily but they now need to be extended.  Through the Medicare Improvements for Patients and Providers Act of 2008, Congress partially restored the cuts made by the Centers for Medicare & Medicaid Services (CMS) "Five-Year Review" through 2009. Subsequent laws then extended the restoration through December 2011. The valuation of psychotherapy codes in the 2011 Five-Year Review has been delayed into 2012.  Congress should pass new legislation to extend payments through 2012, until the Five-Year Review is completed.

Effect on Beneficiaries. Extending psychologist payments cut by the Five-Year Review is crucial to protecting access to Medicare mental health services.  Psychologists and social workers provide almost all of the Medicare psychotherapy and testing services, but many have indicated that they may have to reduce their caseloads or leave Medicare if they are faced with these reimbursement cuts. The cost of protecting mental health services is very low, increasing costs by only $30 million per year.

Cut By MEI Rebasing.  A CMS technical advisory panel will be asked to examine the effect of a 4% cut to Medicare part B reimbursement for psychologists in January 2011 due to "rebasing" of the Medicare Economic Index (MEI).  In the 2011 fee schedule, CMS used more recent survey data that showed practice expense and malpractice became a larger share of the payment formula while provider's time became smaller. This increased payments for some services, particularly of professionals who utilize expensive technology.  Due to budget neutrality requirements, CMS reduced other reimbursement work values, which hit services of psychologists and social workers the hardest because they are typically provided at lower cost and lower overhead.

These cuts are not related to the Sustainable Growth Rate.  Psychologists were saved from a second and even more devastating reduction when Congressional action halted the projected 25% SGR cut through December 31, 2011.  Ultimately Congress must replace the flawed SGR formula with one that responsibly and permanently addresses provider payments.

Psychologists will leave Medicare.  In a 2008 survey, 11% of psychologists reported that they have dropped out of Medicare participation and a primary reason cited was low reimbursement rates.

Abortion 'does not raise' mental health risk

By Jane Dreaper, 
Health correspondent, BBC News

Abortion does not raise the risk of a woman suffering mental health problems, a major review by experts concludes.

Data from 44 studies showed women with an unwanted pregnancy have a higher incidence of mental health problems in general.

This is not affected by whether or not they have an abortion or give birth.

But anti-abortion campaigners said the review sought to "minimise" the psychological effect of terminating a pregnancy.

Experts from the National Collaborating Centre for Mental Health (NCCMH) used the same research methods they use to assess evidence on other mental health issues for NICE.

The work - funded by the Department of Health - came after concerns that abortion may adversely affect a woman's mental health.

Usually, a woman's risk of suffering common disorders such as anxiety or depression would be around 11-12%.

But the researchers said this rate was around three times higher in women with unwanted pregnancies.

'Equal risks'

The director of NCCMH, Prof Tim Kendall, said: "It could be that these women have a mental health problem before the pregnancy.

Whether these women have abortions or give birth, their risk of mental health problems will not increase”

"On the other hand, it could be the unwanted pregnancy that's causing the problem.

"Or both explanations could be true. We can't be absolutely sure from the studies whether that's the case - but common sense would say it's quite likely to be both.

"The evidence shows though that whether these women have abortions - or go on to give birth - their risk of having mental health problems will not increase.

"They carry roughly equal risks.

"We believe this is the most comprehensive and detailed review of the mental health outcomes of abortion to date worldwide."

The whole story is here.

Board suspends license of accused prison psychologist

By Cathy Locke
clocke@sacbee.com The Sacramento Bee

The California Board of Psychology announced that it has suspended the license of Laurie Ann Martinez, a psychologist employed by the state Department of Corrections and Rehabilitation who is accused of falsely telling police that she was sexually assaulted.

The entire story is here.

California Prison Psychologist Charged With Faking Rape

The Associated Press
Originally Published December 9, 2011

Laurie Ann Martinez

She split her own lip with a pin, scraped her knuckles with sandpaper and had her friend punch her in the face. Investigators say she even ripped open her blouse, then wet her pants to give the appearance she had been knocked unconscious.

But it was all part of what authorities said Friday was an elaborate hoax by the woman to convince her husband she was raped so they could move to a safer neighborhood.

Charges filed by the Sacramento County district attorney allege Laurie Ann Martinez, a prison psychologist, conspired with the friend to create the appearance that she was beaten, robbed and raped by a stranger in April in her Sacramento home.

Martinez, her friend and two co-workers eventually told police the whole thing was a setup to convince Martinez's husband that they needed to move from a blighted, high-crime area three miles north of the state Capitol.

It didn't work. Instead, the couple filed for divorce six weeks after the April 10 incident, according to court records.

"If all you wanted to do is move, there's other ways than staging a burglary and rape," said Sacramento police Sgt. Andrew Pettit. "She went to great lengths to make this appear real."

Martinez, 36, a psychologist for the California Department of Corrections and Rehabilitation, reported she had come home that day to find a stranger in her kitchen, authorities said.

"As she tried to run away, the suspect grabbed her and hit her in the face," court records say in describing what she told police. "She lost consciousness and then when she awoke she found her pants and underwear pulled down to her ankles."

Missing from her home were two laptop computers, Martinez's purse, an Xbox video game console, a camera and numerous credit cards that Martinez said the stranger had stolen.

In reality, the items were all at the home of her friend, Nicole April Snyder, authorities allege. Investigators say Martinez had Snyder punch her in the face with boxing gloves they bought for that purpose.

The entire story is here.