Digital Data on Patients Raises Risk of Breaches

By Nicole Perlroth
Published 12/18/11
The New York Times: Technology

One afternoon last spring, Micky Tripathi received a panicked call from an employee. Someone had broken into his car and stolen his briefcase and company laptop along with it.

So began a nightmare that cost Mr. Tripathi’s small nonprofit health consultancy nearly $300,000 in legal, private investigation, credit monitoring and media consultancy fees. Not to mention 600 hours dealing with the fallout and the intangible cost of repairing the reputational damage that followed.

Mr. Tripathi’s nonprofit, the Massachusetts eHealth Collaborative in Waltham, Mass., works with doctors and hospitals to help digitize their patient records. His employee’s stolen laptop contained unencrypted records for some 13,687 patients — each record containing some combination of a patient’s name, Social Security number, birth date, contact information and insurance information — an identity theft gold mine.

His experience was hardly uncommon. As part of the 2009 stimulus bill, the federal government provides incentive payments to doctors and hospitals to adopt electronic health records. Some 57 percent of office-based physicians now use electronic health records, a 12 percent jump from last year, according to the Centers for Disease Control.

An unintended consequence is that as patient records have been digitized, health data breaches have surged. The number of reported breaches is up 32 percent this year from last year, according to the Ponemon Institute, a security research group. Those breaches cost the industry an estimated $6.5 billion last year. In almost half the cases, a lost or stolen phone or personal computer was responsible.

The entire story can be read here.

LV teacher gets state prison for sex with student

By MCT Information Services

The Pocono Record

Originally published December 20, 2011

A former Allen High School teacher wept in anguish Tuesday as a Lehigh County judge shocked the woman and her supporters by sending her to state prison for having sex with a 17-year-old student on prom weekend.

Ms. Marvelli

Gabrielle Suzanne Marvelli, 39, of Quakertown looked stunned as Judge Maria L. Dantos sentenced her to nine months to five years in state prison. About 15 friends and family members cried and shook their heads as Marvelli, who had been free on bail, was led off to prison. Marvelli wept loudly.

"You violated everything that a teacher is supposed to be," Dantos told Marvelli moments before issuing the sentence.

Marvelli had been seeking probation. Instead she got the maximum sentence under the law.

(cut)

The student, a senior who Marvelli had previously taught, was a week shy of his 18th birthday and Marvelli was on the staff at Allen when the tryst occurred.

The entire story is here.

Former Utah teacher gets prison for sex with student

By Roxana Orellana
The Salt Lake Tribune
Originally published December 16, 2011

Former drama teacher Jeremy Flygare delivered a tearful apology for having a sexual relationship with a 17-year-old student. But the girl’s mother called Flygare’s statements just another performance from an actor who has manipulated others and lied.

Jeremy Flygare

"Your honor, please send him to prison. He has no fear for the law. Has no respect for kids," the victim’s mother said in court. "This is going to be on our family for life, not for like a year."

On Friday, Judge Thomas Kay sentenced Flygare to prison for up to 15 years.

Flygare, 33, was charged in 2nd District Court with three counts of first-degree felony rape, which is punishable by up to life in prison.

The story is here.

Patrick Lott, Middle School Principal, Arrested For Allegedly Recording Boys Showering

By Laura Hibbard

The Huffington Post

Patrick Lott, 54

Patrick Lott, Bernardsville Middle School assistant principal, has been arrested for allegedly recording boys showering at Immaculata High School in Somerset County, N.J., where he was a volunteer, the NewJersey Journal reports.

Lott was arrested last week after authorities used a Superior Court search warrant to find videos of the nude teenagers in his home.

The whole story can be found here.

Mentally Ill flood ERs as States Cut Services

By Julie Steenhuysen and Jilian Mincer

Reuters

Originally published December 26, 2011

On a recent shift at a Chicago emergency department, Dr. William Sullivan treated a newly homeless patient who was threatening to kill himself.

"He had been homeless for about two weeks. He hadn't showered or eaten a lot. He asked if we had a meal tray," said Sullivan, a physician at the University of Illinois Medical Center at Chicago and a past president of the Illinois College of Emergency Physicians.

Sullivan said the man kept repeating that he wanted to kill himself. "It seemed almost as if he was interested in being admitted."

Across the country, doctors like Sullivan are facing a spike in psychiatric emergencies - attempted suicide, severe depression, psychosis - as states slash mental health services and the country's worst economic crisis since the Great Depression takes its toll.

This trend is taxing emergency rooms already overburdened by uninsured patients who wait until ailments become acute before seeking treatment.

"These are people without a previous psychiatric history who are coming in and telling us they've lost their jobs, they've lost sometimes their homes, they can't provide for their families, and they are becoming severely depressed," said Dr. Felicia Smith, director of the acute psychiatric service at Massachusetts General Hospital in Boston.

Visits to the hospital's psychiatric emergency department have climbed 20 percent in the past three years.

The entire story is here.

Sybil in Her Own Words

By Patrick Suraci
The HuffingtonPost.com

I always wondered why universities deemed it necessary to teach Ethics courses. Wasn't this something you learned from your parents and childhood, as your superego, in Freudian terms, developed? Now I have learned the need to teach many people without values, especially narcissists, the ethical impact of their behavior towards other people.

This was made clear when I recently published Sybil In Her Own Words: The Untold Story of Shirley Mason, Her Multiple Personalities and Paintings. It is a follow-up to the case of a woman who had 16 personalities, then called Multiple Personality Disorder. Flora Schreiber wrote this story titled Sybil. The therapist, Dr. Cornelia Wilbur used unorthodox, but not unethical, treatment for ten years, such as, psychoanalysis, hypnosis and Sodium Pentothal which resulted in the complete integration of the 16 personalities. Sybil was the pseudonym for Shirley Mason who was born on January 25, 1923, in Dodge Center, Minnesota. She was an artistically gifted and shy only child. Her family was well known in this little town; therefore, her mother's bizarre behavior was overlooked. During Shirley's treatment the alternate personalities emerged and told of the abuse by her mother. Whenever her mother committed an atrocious attack on Shirley, she would split and development another personality to cope with the trauma.

Attacking the veracity of Sybil published in 1973 did not begin until April 24,1997, when Dr. Herbert Spiegel gave an interview to the New York Review of Books. He stated that Sybil was not a multiple, but rather an hysteric. He claimed to have hypnotized her, performed regression studies and filmed her for the class he taught at Columbia University, thus, discovering that Sybil's therapist, Dr. Cornelia Wilbur, had been: "helping her (Sybil) identifying aspects of her life, or perspectives, that she then called by name. By naming them this way she was reifying a memory of some kind and converting it into a 'personality'..." In fact, he accused Dr. Wilbur of implanting false memories, giving credence to this developing fanatical movement.

There entire article is here.

Another post on this topic can be found here.

APA's Guidelines on Multiculturalism

Multicultural Guideline

Diversity Based Psychology: What Practitioners and Trainers Need to Know

Diversity Based

This document was found in the public domain here.

Dr. Robert Gordon's Comment on DSM

Recently, Dr. Robert Gordon posted a comment on the Pennsylvania Psychological Association's listserv about the upcoming DSM-5 revision.

I have been writing to the DSM 5 committee my suggestions and concerns. However, I do not like the DSM. I use a combination of the ICD and PDM. The DSM is American psychiatry's political motive to put mental health care under their umbrella.

As I commonly state in court, "The DSM is a product of a particular guild and it has no legal or scientific authority. My diagnostic opinion is based on the best available research."

 Yet, in over 100 years, the American Psychological Association has not been able to do better. We argue a lot among ourselves, but we have failed to produce a diagnostic system that is better than the DSM.

The international psychodynamic community produced the excellent Psychodynamic Diagnostic Manual (PDM 2006).

WHY A NEW DIAGNOSTIC MANUAL?

Robert Gordon, PhD ABPP

The Psychodynamic Diagnostic Manual (PDM Task Force, 2006) is the first psychological diagnostic classification system that considers the whole person in various stages of development. A task force of five major psychoanalytic organizations and leading researchers, under the guidance of Stanley I. Greenspan, Nancy McWilliams, and Robert Wallerstein came together to develop the PDM. The resulting nosology goes from the deep structural foundation of personality to the surface symptoms that include the integration of behavioral, emotional, cognitive, and social functioning.

The PDM improves on the existing diagnostic systems by considering the full range of mental functioning. In addition to culling years of psychoanalytic studies of etiology and pathogenesis, the PDM relies on research in neuroscience, treatment outcome, infant and child development, and personality assessment.

The PDM does not look at symptom patterns described in isolation, as do the International Classification of Diseases (ICD) and the Diagnostic and Statistical Manual of the American Psychiatric Association (DSM). Research on brain development and the maturation of mental processes suggests that patterns of behavioral, emotional, cognitive, and social functioning involve many areas working together rather than in isolation. Although it is based on psychodynamic theory and supporting research, the PDM is not doctrinaire in its presentation. It may be used in conjunction with the ICD or DSM. The PDM Task Force made an effort to use language that is accessible to all the schools of psychology. It was developed to be particularly useful in case formulation that could improve the effectiveness of any psychological intervention.

The PDM has received very favorable reviews from mostly the psychoanalytic community (Clemens, 2007; Ekstrom, 2007; Migone, 2006; and Silvio, 2007).  However, even non-psychodynamic psychologists that were introduced to the PDM as part of MMPI-2 and ethics/risk management workshops had a positive reaction to the new diagnostic system.  Ninety percent of 192 psychologists surveyed (65 Psychodynamic, 76 CBT and 51 Family Systems, Humanistic/Existential, Eclectic with no primary preference) rated the PDM as favorable to very favorable (Gordon, 2008).

The entire article is here.