Pauline Wallin
The Practice Institute
Originally posted August 19, 2018
Here is an excerpt:
In summary, while platforms such as Talkspace and BetterHelp provide you with ready access to working with clients online, they also limit your control over your relationships with your clients and in how you work with them.
Before signing on with such platforms, read the terms of service thoroughly. Search online for lawsuits against the company you're considering working with, and read reviews that are not on the company's website.
Also, talk with the risk management consultant provided by your malpractice insurer, who can alert you to legal or ethical liabilities. For your maximum legal protection, hire an attorney who specializes in mental health services to review the contract that you will be signing. The contract will most likely be geared to protecting the company, not your or your license.
The info is here.
Friday, August 31, 2018
Physicians aren’t ‘burning out.’ They’re suffering from moral injury
Simon G. Talbot and Wendy Dean
STAT News
Originally published July 26, 2018
Here is an excerpt:
The term “moral injury” was first used to describe soldiers’ responses to their actions in war. It represents “perpetrating, failing to prevent, bearing witness to, or learning about acts that transgress deeply held moral beliefs and expectations.” Journalist Diane Silver describes it as “a deep soul wound that pierces a person’s identity, sense of morality, and relationship to society.”
The moral injury of health care is not the offense of killing another human in the context of war. It is being unable to provide high-quality care and healing in the context of health care.
Most physicians enter medicine following a calling rather than a career path. They go into the field with a desire to help people. Many approach it with almost religious zeal, enduring lost sleep, lost years of young adulthood, huge opportunity costs, family strain, financial instability, disregard for personal health, and a multitude of other challenges. Each hurdle offers a lesson in endurance in the service of one’s goal which, starting in the third year of medical school, is sharply focused on ensuring the best care for one’s patients. Failing to consistently meet patients’ needs has a profound impact on physician wellbeing — this is the crux of consequent moral injury.
The information is here.
STAT News
Originally published July 26, 2018
Here is an excerpt:
The term “moral injury” was first used to describe soldiers’ responses to their actions in war. It represents “perpetrating, failing to prevent, bearing witness to, or learning about acts that transgress deeply held moral beliefs and expectations.” Journalist Diane Silver describes it as “a deep soul wound that pierces a person’s identity, sense of morality, and relationship to society.”
The moral injury of health care is not the offense of killing another human in the context of war. It is being unable to provide high-quality care and healing in the context of health care.
Most physicians enter medicine following a calling rather than a career path. They go into the field with a desire to help people. Many approach it with almost religious zeal, enduring lost sleep, lost years of young adulthood, huge opportunity costs, family strain, financial instability, disregard for personal health, and a multitude of other challenges. Each hurdle offers a lesson in endurance in the service of one’s goal which, starting in the third year of medical school, is sharply focused on ensuring the best care for one’s patients. Failing to consistently meet patients’ needs has a profound impact on physician wellbeing — this is the crux of consequent moral injury.
The information is here.
Thursday, August 30, 2018
Priest abuse survivor slams church's lack of 'morality'
Lindsey Ellefson
CNN.com
Originally posted August 15, 2018
Here is an excerpt:
"Priests were raping little boys and girls, and the men of God who were responsible for them not only did nothing; they hid it all. For decades. Monsignors, auxiliary bishops, bishops, archbishops, cardinals have mostly been protected; many, including some named in this report, have been promoted," the grand jury report said.
Though Dougherty maintained that the Vatican is treating the Catholic church less as "a moral, faith-based organization" than "a business," he told Hill that he is "at peace" now that the report is out.
Dougherty, whose abuse began when he was 10 and who gave his first statement on the ordeal in 2012, noted that Tuesday marked "the end of a very long journey." Although he has been public about his experience for some time, he said, he is "standing on the shoulders of many, many" others who came before him.
The info is here.
CNN.com
Originally posted August 15, 2018
Here is an excerpt:
"Priests were raping little boys and girls, and the men of God who were responsible for them not only did nothing; they hid it all. For decades. Monsignors, auxiliary bishops, bishops, archbishops, cardinals have mostly been protected; many, including some named in this report, have been promoted," the grand jury report said.
Though Dougherty maintained that the Vatican is treating the Catholic church less as "a moral, faith-based organization" than "a business," he told Hill that he is "at peace" now that the report is out.
Dougherty, whose abuse began when he was 10 and who gave his first statement on the ordeal in 2012, noted that Tuesday marked "the end of a very long journey." Although he has been public about his experience for some time, he said, he is "standing on the shoulders of many, many" others who came before him.
The info is here.
Are We Really as Awful as We Act Online?
Agustin Fuentes
National Geographic Magazine
Originally published in August 2018
Here is an excerpt:
This process has deep evolutionary roots and gives humans what we call a shared reality. The connection between minds and experiences enables us to share space and work together effectively, more so than most other beings. It’s in part how we’ve become such a successful species.
But the “who” that constitutes “whom we meet” in this system has been changing. Today the who can include more virtual, social media friends than physical ones; more information absorbed via Twitter, Facebook, and Instagram than in physical social experiences; and more pronouncements from ad-sponsored 24-hour news outlets than from conversations with other human beings.
We live in complicated societies structured around political and economic processes that generate massive inequality and disconnection between us. This division alone leads to a plethora of prejudices and blind spots that segregate people. The ways we socially interact, especially via social media, are multiplying exactly at a time when we are increasingly divided. What may be the consequences?
Historically, we have maintained harmony by displaying compassion and geniality, and by fostering connectedness when we get together. Anonymity and the lack of face-to-face interaction on social media platforms remove a crucial part of the equation of human sociality—and that opens the door to more frequent, and severe, displays of aggression. Being an antagonizer, especially to those you don’t have to confront face-to-face, is easier now than it’s ever been. If there are no repercussions for it, that encourages the growth of aggression, incivility, and just plain meanness on social media platforms.
The information is here.
National Geographic Magazine
Originally published in August 2018
Here is an excerpt:
This process has deep evolutionary roots and gives humans what we call a shared reality. The connection between minds and experiences enables us to share space and work together effectively, more so than most other beings. It’s in part how we’ve become such a successful species.
But the “who” that constitutes “whom we meet” in this system has been changing. Today the who can include more virtual, social media friends than physical ones; more information absorbed via Twitter, Facebook, and Instagram than in physical social experiences; and more pronouncements from ad-sponsored 24-hour news outlets than from conversations with other human beings.
We live in complicated societies structured around political and economic processes that generate massive inequality and disconnection between us. This division alone leads to a plethora of prejudices and blind spots that segregate people. The ways we socially interact, especially via social media, are multiplying exactly at a time when we are increasingly divided. What may be the consequences?
Historically, we have maintained harmony by displaying compassion and geniality, and by fostering connectedness when we get together. Anonymity and the lack of face-to-face interaction on social media platforms remove a crucial part of the equation of human sociality—and that opens the door to more frequent, and severe, displays of aggression. Being an antagonizer, especially to those you don’t have to confront face-to-face, is easier now than it’s ever been. If there are no repercussions for it, that encourages the growth of aggression, incivility, and just plain meanness on social media platforms.
The information is here.
Wednesday, August 29, 2018
How Sex Robots Could Revolutionize Marriage—for the Better
Marina Adshade
slate.com
Originally posted August 14, 2018
Here is an excerpt:
The question then is: What happens to marriage when sexbot technology provides a low-cost alternative to easy sexual access in marriage? One possibility is a reversal of the past century of societal change, which tied together marriage and sexual intimacy, and a return to the perception of marriage as a productive household unit.
Those who fear that sexbot technology will have a negative impact on marriage rates see sexbot technology as a substitute to sexual access in marriage. If they are correct, a decrease in the price of sexual access outside of marriage will decrease the demand for sexual access in marriage, and marriage rates will fall. It could just as easily be argued, however, that within marriage sexual access and household production are complements in consumption—in other words, goods or services that are often consumed together, like tea and sugar, or cellular data and phone apps. If that is the case, then, consumer theory predicts that easy access to sexbot technology will actually increase the rate of lifetime marriage, since a fall in the price of a good increases the demand for complements in consumption, just as a fall in the price of cellular data would likely increase demand for phone streaming services. Moreover, if sexual access through sexbot technology is a complement to household production, then we could observe an increase in the quality of marriages and, as a result, a reduction in rates of divorce.
The info is here.
slate.com
Originally posted August 14, 2018
Here is an excerpt:
The question then is: What happens to marriage when sexbot technology provides a low-cost alternative to easy sexual access in marriage? One possibility is a reversal of the past century of societal change, which tied together marriage and sexual intimacy, and a return to the perception of marriage as a productive household unit.
Those who fear that sexbot technology will have a negative impact on marriage rates see sexbot technology as a substitute to sexual access in marriage. If they are correct, a decrease in the price of sexual access outside of marriage will decrease the demand for sexual access in marriage, and marriage rates will fall. It could just as easily be argued, however, that within marriage sexual access and household production are complements in consumption—in other words, goods or services that are often consumed together, like tea and sugar, or cellular data and phone apps. If that is the case, then, consumer theory predicts that easy access to sexbot technology will actually increase the rate of lifetime marriage, since a fall in the price of a good increases the demand for complements in consumption, just as a fall in the price of cellular data would likely increase demand for phone streaming services. Moreover, if sexual access through sexbot technology is a complement to household production, then we could observe an increase in the quality of marriages and, as a result, a reduction in rates of divorce.
The info is here.
The ethics of computer science: this researcher has a controversial proposal
Elizabeth Gibney
www.nature.com
Originally published July 26, 2018
In the midst of growing public concern over artificial intelligence (AI), privacy and the use of data, Brent Hecht has a controversial proposal: the computer-science community should change its peer-review process to ensure that researchers disclose any possible negative societal consequences of their work in papers, or risk rejection.
Hecht, a computer scientist, chairs the Future of Computing Academy (FCA), a group of young leaders in the field that pitched the policy in March. Without such measures, he says, computer scientists will blindly develop products without considering their impacts, and the field risks joining oil and tobacco as industries whose researchers history judges unfavourably.
The FCA is part of the Association for Computing Machinery (ACM) in New York City, the world’s largest scientific-computing society. It, too, is making changes to encourage researchers to consider societal impacts: on 17 July, it published an updated version of its ethics code, last redrafted in 1992. The guidelines call on researchers to be alert to how their work can influence society, take steps to protect privacy and continually reassess technologies whose impact will change over time, such as those based in machine learning.
The rest is here.
www.nature.com
Originally published July 26, 2018
In the midst of growing public concern over artificial intelligence (AI), privacy and the use of data, Brent Hecht has a controversial proposal: the computer-science community should change its peer-review process to ensure that researchers disclose any possible negative societal consequences of their work in papers, or risk rejection.
Hecht, a computer scientist, chairs the Future of Computing Academy (FCA), a group of young leaders in the field that pitched the policy in March. Without such measures, he says, computer scientists will blindly develop products without considering their impacts, and the field risks joining oil and tobacco as industries whose researchers history judges unfavourably.
The FCA is part of the Association for Computing Machinery (ACM) in New York City, the world’s largest scientific-computing society. It, too, is making changes to encourage researchers to consider societal impacts: on 17 July, it published an updated version of its ethics code, last redrafted in 1992. The guidelines call on researchers to be alert to how their work can influence society, take steps to protect privacy and continually reassess technologies whose impact will change over time, such as those based in machine learning.
The rest is here.
Tuesday, August 28, 2018
As calls to the Suicide Prevention Lifeline surge, under-resourced centers struggle to keep up
Vivekae Kim
PBS.org
Originally posted August 5, 2018
Here is an excerpt:
To accommodate the rising call volume, Dr. Draper, the director of the Lifeline, says local crisis centers need more resources–and that a lack of resources contributes to centers leaving the network or shutting down. From 2008-2012, nine centers dropped out of the network and from 2013-2017, 23 centers dropped out. Just this year, three centers shut down.
Remaining centers do what they can to stay functioning. This often means taking on extra contracts, like running local crisis lines, to support their suicide prevention work.
Crisis Call Center, a Lifeline backup center in Nevada, operates a sexual assault support service program and a substance abuse hotline. They also provide child protective service reports and take elder protective service reports after hours. Rachelle Pellissier, its executive director, says they have to “cobble together” these different funding streams to offset the costs of the suicide prevention calls they take.
“We really need about $1.1 million to run this organization,” said Pellissier.
Centers like Provident in Missouri rely on their local United Way. The money they receive from the Lifeline, even as a backup center with more support, “pays for maybe two salaries of my 15 person team,” said Jane Smith, the director of life crisis services for Provident. “We’re a money-losing entity at Provident.”
If backup centers are unable to take a call, that call is routed from one backup center to the next, until a counselor can talk. “All the calls can be answered. The only question is, how long do people wait?” Draper said.
The info is here.
PBS.org
Originally posted August 5, 2018
Here is an excerpt:
To accommodate the rising call volume, Dr. Draper, the director of the Lifeline, says local crisis centers need more resources–and that a lack of resources contributes to centers leaving the network or shutting down. From 2008-2012, nine centers dropped out of the network and from 2013-2017, 23 centers dropped out. Just this year, three centers shut down.
Remaining centers do what they can to stay functioning. This often means taking on extra contracts, like running local crisis lines, to support their suicide prevention work.
Crisis Call Center, a Lifeline backup center in Nevada, operates a sexual assault support service program and a substance abuse hotline. They also provide child protective service reports and take elder protective service reports after hours. Rachelle Pellissier, its executive director, says they have to “cobble together” these different funding streams to offset the costs of the suicide prevention calls they take.
“We really need about $1.1 million to run this organization,” said Pellissier.
Centers like Provident in Missouri rely on their local United Way. The money they receive from the Lifeline, even as a backup center with more support, “pays for maybe two salaries of my 15 person team,” said Jane Smith, the director of life crisis services for Provident. “We’re a money-losing entity at Provident.”
If backup centers are unable to take a call, that call is routed from one backup center to the next, until a counselor can talk. “All the calls can be answered. The only question is, how long do people wait?” Draper said.
The info is here.
How Evil Happens
Noga Arikha
www.aeon.co
Originally posted July 30, 2018
Here is an excerpt:
An account of the inability to feel any emotion for such perceived enemies can take us closer to understanding what it is like to have crossed the line beyond which one can maim and kill in cold blood. Observers at the International Criminal Court (ICC) at the Hague note frequently the absence of remorse displayed by perpetrators. The clinical psychologist Françoise Sironi, who assesses perpetrators for the ICC and treats them and their victims, has directly seen what Lifton called the ‘murder of the self’ at work – notably with Kang Kek Iew, the man known as ‘Duch’, who proudly created and directed the Khmer Rouge S-21 centre for torture and extermination in Cambodia. Duch was one of those who felt absolutely no remorse. His sole identity was his role, dutifully kept up for fear of losing himself and falling into impotence. He did not comprehend what Sironi meant when she asked him: ‘What happened to your conscience?’ The very question was gibberish to him.
Along with what Fried calls this ‘catastrophic’ desensitisation to emotional cues, cognitive functions remain intact – another Syndrome E symptom. A torturer knows exactly how to hurt, in full recognition of the victim’s pain. He – usually he – has the cognitive capacity, necessary but not sufficient for empathy, to understand the victim’s experience. He just does not care about the other’s pain except instrumentally. Further, he does not care that he does not care. Finally, he does not care that caring does, in fact, matter. The emotionally inflected judgment that underlies the moral sense is gone.
The information is here.
www.aeon.co
Originally posted July 30, 2018
Here is an excerpt:
An account of the inability to feel any emotion for such perceived enemies can take us closer to understanding what it is like to have crossed the line beyond which one can maim and kill in cold blood. Observers at the International Criminal Court (ICC) at the Hague note frequently the absence of remorse displayed by perpetrators. The clinical psychologist Françoise Sironi, who assesses perpetrators for the ICC and treats them and their victims, has directly seen what Lifton called the ‘murder of the self’ at work – notably with Kang Kek Iew, the man known as ‘Duch’, who proudly created and directed the Khmer Rouge S-21 centre for torture and extermination in Cambodia. Duch was one of those who felt absolutely no remorse. His sole identity was his role, dutifully kept up for fear of losing himself and falling into impotence. He did not comprehend what Sironi meant when she asked him: ‘What happened to your conscience?’ The very question was gibberish to him.
Along with what Fried calls this ‘catastrophic’ desensitisation to emotional cues, cognitive functions remain intact – another Syndrome E symptom. A torturer knows exactly how to hurt, in full recognition of the victim’s pain. He – usually he – has the cognitive capacity, necessary but not sufficient for empathy, to understand the victim’s experience. He just does not care about the other’s pain except instrumentally. Further, he does not care that he does not care. Finally, he does not care that caring does, in fact, matter. The emotionally inflected judgment that underlies the moral sense is gone.
The information is here.
Monday, August 27, 2018
Unwanted Events and Side Effects in Cognitive Behavior Therapy
Schermuly-Haupt, ML., Linden, M. & Rush, A.J.
Cognitive Therapy and Research
June 2018, Volume 42, Issue 3, pp 219–229
Abstract
Side effects (SEs) are negative reactions to an appropriately delivered treatment, which must be discriminated from unwanted events (UEs) or consequences of inadequate treatment. One hundred CBT therapists were interviewed for UEs and SEs in one of their current outpatients. Therapists reported 372 UEs in 98 patients and SEs in 43 patients. Most frequent were "negative wellbeing/distress" (27% of patients), "worsening of symptoms" (9%), "strains in family relations" (6%); 21% of patients suffered from severe or very severe and 5% from persistent SEs. SEs are unavoidable and frequent also in well-delivered CBT. They include both symptoms and the impairment of social life. Knowledge about the side effect profile can improve early recognition of SEs, safeguard patients, and enhance therapy outcome.
The research is here.
Cognitive Therapy and Research
June 2018, Volume 42, Issue 3, pp 219–229
Abstract
Side effects (SEs) are negative reactions to an appropriately delivered treatment, which must be discriminated from unwanted events (UEs) or consequences of inadequate treatment. One hundred CBT therapists were interviewed for UEs and SEs in one of their current outpatients. Therapists reported 372 UEs in 98 patients and SEs in 43 patients. Most frequent were "negative wellbeing/distress" (27% of patients), "worsening of symptoms" (9%), "strains in family relations" (6%); 21% of patients suffered from severe or very severe and 5% from persistent SEs. SEs are unavoidable and frequent also in well-delivered CBT. They include both symptoms and the impairment of social life. Knowledge about the side effect profile can improve early recognition of SEs, safeguard patients, and enhance therapy outcome.
The research is here.
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