Author Archives: Susan

US: A Review

by Alvin G. Burstein

Jordan Peele’s follow-up, Us, to his highly acclaimed Get Out shares its predecessor’s blend of horror and comedy, but is more thought provoking. Race is not a critical focus for this second film. Us left me thinking about the relationships among horror, terror and the surreal. The ethical questions it raises are not about race, but about cloning, raised by invoking the agesold eerie fascination with doppelgangers. That it intends to provoke moral unease is evidenced by the opening reference to Jeremiah, 11:11. There Jeremiah, the angriest of the biblical prophets, thunders, “Therefore thus saith the Lord, Behold, I will bring evil upon them, which they shall not be able to escape; and though they shall cry unto me, I will not hearken unto them.” In other words, “God is not forgiving.” That is a view alien to contemporary Western religion.

Horror flics present the audience with scenes that are shocking, on the edge of repellant, but do not directly impact the viewer. Terror, on the other hand, is an internal state, panic on steroids, anxiety exploded into a meltdown of the ability to function. Why is the genre a huge money-maker in the entertainment biz? The psychoanalytic pioneer, Ottto Rank, argued that the experience of being born is overwhelmingly traumatic. One is pummeled out of uterine placidity, a cushioned function like today’s near self-driving autos, into a new space of glare and clatter, gasping, for the first time, for breath. Absent verbal capacity to record, this unspeakable terror remains buried in our minds, emerging only in highly attenuated forms. Horror flics, like rollercoasters, provide a way of playing with terror, a form of catharsis. Surrealism is the label for the plastic arts or literature that deliberately violate logic and physical laws. Salvador Dali’s melting clocks and Franz Kafka’s Metamorphosis come to mind. Surrealism plucks at the strings of terror, forcing us into a struggle to understand, to defy confusion, to defuse the threat of incomprehension.

To explain this surreal film would be a contradiction in terms. I can label some of its disparate elements, in addition to the elements named above. There are opening references to realities like the existence of myriad abandoned tunnels under our continent and the 1968 happening of six or seven million Americans literally joining hands across the continent. There is also a reference to a fictional failed government effort to clone humans for military purposes. There is a bloodied prophet holding a ragged sign containing a reference to the prophet’s jeremiad. There are cages full of laboratory rabbits. There are dopplegangers trying to stab to death their originals and, later, forming a human chain across Santa Cruz. And there is a fairground Hall of Mirrors with a marquee bearing the words Find Yourself.

I don’t think it’s a spoiler to add that the plot unfolds when the protagonist, as a young child, strays from her family, enters the hall of mirrors, and falls down that rabbit hole. And a final question: Is Us a surreal mockery of Jeremiah’s ranting, or a jeremiad directed at us?

 

Stress Solutions

by Susan Andrews, PhD

What do Obesity, Chronic High Stress, Heart Disease, Diabetes, Hypertension, and Depression have in common?

IF you guessed Sleep Deprivation, my hat’s off to you. And, IF you get 7 to 8 hours of sleep a night, raise your hand high. While there is no “magic number” of hours that we should sleep, it is now firmly established that you cannot lose weight if you do not sleep a solid 7-8 hours a night. Research says the average American misses 200-300 hours of needed sleep each year. This is known as a sleep debt.

Studies suggest that healthy adults have a basal sleep need of 7 to 8 hours every night. Where things get complicated is the interaction between the basal need and sleep debt. For instance, you might meet your basal sleep need on any single night or a few nights in a row, but still have an unresolved sleep debt that may make you feel more sleepy and less alert at times, particularly in conjunction with circadian dips, those times in the 24-hour cycle when we are biologically programmed to be more sleepy and less alert, such as overnight hours and midafternoon.

Cortisol is not the only factor that inhibits weight loss but it is a big one. Some physicians are willing to flatly state that you cannot lose weight if you do not get to bed early and get a solid 7 or 8 hours. What getting a good night’s sleep can do for you:

  • A good night’s sleep has a positive effect on your blood pressure, meaning that for most of us it goes down at night. If your hours of sleep are interrupted or too short, your blood pressure may never fall low enough.
  • Insulin resistance is reduced by good sleep. Dr. Michael Breus, a psychologist and sleep specialist, emphasizes the fact that even short-term sleep loss (being awake for approximately 36 hours) can cause blood glucose levels to be higher than normal.
  • A routine schedule for sleeping will help your body keep its internal biological clock running smoothly. You will be more alert, with good reaction time and physical ability, in other words, less accident prone.

 

Psychologists can help by exploring the sleep habits in the patients they are treating. A study in the Journal of Clinical Sleep Medicine, looking at adults with insomnia, found that more than 85% of the study sample who completed 3 or more sleep-focused treatment sessions were able to nod off faster and stay asleep longer. A 6- month follow-up revealed that those patients who had 3 or more sessions spent significantly less money on health care and had fewer doctor visits – compared to the 6 months before their therapy sessions focused on sleep habits. The weekly therapy sessions included relaxation exercises and education on topics such as activities to avoid doing 2 hours before bedtime (like exercise, heavy meals, and smoking). Now, the focus of ways to improve your sleep are adding the need to put your cell phone or other blue light generators down 30 minutes to an hour before bed.

Judge Caldwell Reverses His 2017 “Reeks” Decision

Two lawsuits involving Dr. Eric Cerwonka have resulted in decisions in recent months.

In 2017 Cerwonka appealed the results of a decision by the state board that revoked his license. At a preliminary hearing for a Motion to Stay, Judge Michael Caldwell of the 19th Judicial District Court vacated and made void the Board’s decision. Caldwell was reported to say, in a sidebar discussion, “I read the briefs and I read the pleadings. I just can’t send this up to the Court of Appeals, the violations of Due Process are rampant.”

However, in February Judge Caldwell reversed his 2017 decision.

This came after the Board’s attorney, Ms. Amy Lowe, appealed to the State of Louisiana First Circuit Court of Appeal to argue two of the due process matters: 1) the board used attorneys from the same law firm, and 2) the board’s prosecuting attorney had been previously involved with Cerwonka in a child custody case and fee dispute.

In April 2018, the Court of Appeal agreed with Lowe and the matter was then returned to district court for further proceedings.

In another lawsuit, related to the LSBEP complaint, a husband and wife brought a civil suit against Cerwonka in the 15th Judicial District in Lafayette. The plaintiffs sought damages for injuries due to alleged sexual misconduct and malpractice by Cerwonka.

That trial ended in October 2018 when the Lafayette jury concluded that there was no cause of an injury to either the wife or the husband due to Cerwonka’s actions.

However, the jury did find that “… Dr. Cerwonka was negligent, i.e., acting below the level of the ordinary employee, under similar circumstances by the members of his profession,” in his treatment of the wife. No negligent acts were attributed to Cerwonka for the husband and the jury awarded no damages to either the husband or the wife plaintiff.

On January 29, 2019, shortly before Judge Caldwell gave his February decision, the attorneys for the couple who had filed the Lafayette civil suit, submitted a Motion and Order to File Amicus Curiae Brief–a Friend of the Court, with Judge Caldwell in Baton Rouge.

In the 36-page Brief, the attorneys for the Lafayette couple, Edward Walters, Jr. and J.E. Cullens, Jr., presented arguments and opinions against Cerwonka, including excerpts from the Lafayette trial and depositions.

Currently, the LSBEP is also waiting on another legal battle over time limits, which has been on appeal but apparently dormant since 2015.

The time limits case, Dr. Cerwonka’s case, and another investigation of Dr. Alicia Pelligrin which was dismissed under the encouragement of the Board’s general council, contributed in part to skyrocketing legal fees coming out of the Board’s 2014, 2015, and 2016 complaints subcommittee.

According to public records the Board’s escalating legal fees stemmed primarily from fees from the Board Prosecutor, held at that time by Mr. James Raines. Over 2015 to 2016, and into January 2017, Mr. Raines prosecuted 16 cases. Three of these 16 cases amounted to $146,987 of fees from Mr. Raines.

The Board worked in closed meetings during 2018 to create reforms to its complaints subcommittee process. Mr. Raines no longer appears to be one of the Board’s contract attorneys.

Dr. Moore Top Vote Getter for State Psychology Board

Dr. Michelle Moore received the top number of votes in the recent election to fill an upcoming seat on the Louisiana State Board of Examiners of Psychologists. The position is the 2019–2014 opening left by the normal completion of service by current Chair Dr. Jesse Lambert.

Dr. Moore received 111 of the 225 votes cast, of a possible 791 who received ballots. Dr. Gina Beverly received the next highest number of votes, 73. Drs. Lauren Rasmussen and Lisa Tropez-Arceneau received 35 and 24 votes respectively. Dr. Moore will be recommended to the Governor by the Louisiana Psychological Association, as the top vote getter, sources said.

In a related story, current LSBEP member Dr. Leah Crouch will be resigning due to an upcoming relocation to Korea this May, as was announced at the most recent LSBEP meeting. Another election will be scheduled, reported Dr. Kim VanGeffen.

Dr. Michelle Moore has been a consistent figure in the psychology community and holds several prestigious positions including Clinical Associate Professor of Psychiatry, LSU Health Sciences Center, New Orleans, LA, Department of Psychiatry, Section of Psychology, and Training Director of Clinical Psychology Internship Program.

From 2016 to present her research and scholarship has included: Working with ReNEW Charter School Network to provide needed clinical services to students either in special education or seeking evaluations for possible special education services; Primary Investigator and Mentor, Asian-American Mental Health among Medical Students; and Primary Investigator, Collaborating with Community Partners Collaborating with other psychology faculty at LSUHSC to assess the effectiveness of utilizing professionals in the New Orleans community to train psychology interns on various specialty topics.

Her publications include “An Examination of an Interactive Substance Abuse
Prevention Program for High School Students,” Journal of Child and Adolescent Substance Abuse; “Finding Your Voice Through Publications.” Louisiana Psychological Association; and Colorful Emotions: A Workbook to Help Children Express Their Feelings.

She is a member of the American Psychological Association; Association of Psychologists in Academic Health Centers; Louisiana Psychological Association; Southeastern Psychological Association; and Association of Psychology Postdoctoral and Internship Centers.

“In my current role as Training Director for the internship program at LSU Health Sciences Center, School of Medicine,” Dr. Moore said in her statement, “I have the pleasure of directly training students and trainees who are the future of our profession. Being in this position, I would bring a unique perspective to the Board from the graduate program applications we review, the training of psychology interns and fellows and how we are preparing individuals for independent practice. […]”

And, “Our licensing requirements exist to protect the public and ensure that we are bringing ethically minded psychologists into practice in Louisiana. We also want the public to feel confident about the practice of psychologists across the state and for all of those currently practicing to have great respect for upholding their responsibility as a psychologist. As psychologists, we should always ensure that we have a seat at the table and are ready to have our voices heard.”

Gov. Announces Work Training Program For Medicaid Recipients

Gov. Edwards announced the creation of a work training program for Medicaid recipients. He joined Dr. Rebekah Gee, secretary of the Louisiana Dept. of Health (LDH) and Louisiana Delta Community College Chancellor Dennis Epps to sign a Memorandum of Understanding (MOU) to officially create a collaborative pilot work training initiative between LDCC in Monroe and LDH. The overall goal of the pilot is to develop a work training promotion program model that can be customized by communities across Louisiana.

“We are excited to be able to announce this pilot program that will build on the existing success of the State’s Medicaid Expansion efforts,” said Gov. Edwards. “It offers a practical and Louisiana-specific approach to connect expansion recipients to viable training opportunities that will lead to better jobs and better-earning potential. Creating a program that is helpful but not punitive is something we have consistently been working on. State lawmakers came together and spoke loud and clear on this issue. And with the recent court decisions against the faulty design of similar programs in other states, we are even more convinced that this is the correct path to take. I want to thank everyone who has made this possible and especially Rep. Katrina Jackson and Representative Frank Hoffman for their leadership and guidance in this effort.”

The pilot will include two LDCC campuses – the main campus in Monroe and the campus in the city of West Monroe. The first invitations to participate will be distributed this summer and will continue throughout the year. The pilot will be implemented in two stages, and the time participants will have to complete the program depends on which course of study they select. A total of five training programs will be offered:

Certified Nurse Assistant (CAN)/Behavioral Health Technician (239 Hours); Commercial Vehicle Operations (CVO) (160 Hours); Environmental Services Technician (120 Hours); Forklift & OSHA 10 (Wagner Special) (24 hours); Mortgage Documents Specialist (18 Hours)

Argosy University Folds; APA Pledges to Support Doctoral Students Caught Up

Officials at the American Psychological Association said they will do what they can to support students at the 10 doctoral programs at Argosy campuses across the country following the closing of that university in March.

“With the mandated closing of Argosy University, the American Psychological Association has pledged to do everything it can as an accreditor to facilitate the transition of psychology doctoral students into other APA-accredited programs at the institutions standing ready to receive them,” noted the press release by K. Mills on March 10.

Sources stated that Argosy has been struggling financially for some time. On February 27 the Washington Post reported, “Court documents attribute the missing money to the financial unraveling of Dream Center Education Holdings, a nonprofit group that acquired Argosy, South University and Art Institute campuses in 2016. The Los Angeles company struggled to turn the for-profit colleges into thriving nonprofit schools, and spent months trying to close and sell campuses to meet financial obligations. When it fell short, Dream Center in January entered into receivership, a form of bankruptcy.”

The court-appointed receiver sent a letter to the Education Department showing cash flow where Argosy used $4.2 million of financial aid funds to pay staff, $2.1 million to pay vendors, and $1.7 to fund operations, according to the Post.

Dr. Margaret Smith, now with the Chicago School at Xavier, said, “I previously taught for 10 years at the Illinois School of Professional Psychology at Argosy University Chicago and have been concerned since students reached out to me when the receivership occurred. It’s been a highly traumatic experience for the doctoral students enrolled in the program, as well as faculty who’ve been there prior to it ever being Argosy, when they were a free standing program.”

According to the APA press release, “The American Psychological Association has been working with programs, institutions and the Department of Education in an effort to ensure that psychology doctoral students affected by Argosy’s alleged misdeeds are able to complete their degrees,” said APA President Rosie Phillips Davis, PhD. “Our No. 1 concern is that these students and their teachers are not further penalized by the rapid demise and closing of the Argosy campuses. Some of these students were months away from graduating and entering the workforce to provide mental health care and other vital contributions to society. The top priority for the Department of Education and institutions around the country must be to ensure that the futures and the investments by these students are not jeopardized.”

Responding to calls and emails from affected students, faculty, and other concerned parties. APA established a Psychology Student Action Center (psychstudentactioncenter@a pa.org and 202-336-6014) to direct members of the Argosy community to appropriate resources and created a webpage with referral information and FAQs.

Chafetz Named Outstanding 2019 Tulane Alumnus

The Tulane School of Science and Engineering has named Dr. Michael Chafetz for its prestigious Outstanding Alumni Award for 2019, announced last month by Dean Kimberly Foster and program director Candise Guedry. The selection was made by the Science & Engineering Board of Advisors Alumni Awards Committee, chaired by the Science & Engineering Board President Shep Perrin.

The alumni awards ceremony will be held on Thursday April 4, 6 PM – 8 PM in the Lavin-Bernick Center for University Life.

Michael Chafetz, PhD, ABPP, is principal and director of Algiers Neurobehavioral Resource, LLC. His research and clinical activities involve forensic matters, and he is frequently asked to provide neuropsychological expertise in state and federal courts in Louisiana and Texas. He has provided neuropsychological expertise in over a dozen capital cases, several other criminal cases, and in highly contested civil litigation matters.

Chafetz’s research has focused on the use of validity instruments in low IQ individuals and has led to numerous forensic publications in neuropsychology, forensic psychology, and child abuse journals. His book  Intellectual Disability: Criminal and Civil Forensic Issues was published in 2015 by Oxford University Press in the American Academy of Clinical Neuropsychology Workshop Series. This book has been used by neuropsychology colleagues across the country who have testified in capital cases involving validity issues in low IQ individuals.

His research came to the attention of U.S. Senator Tom Coburn in 2012, and Dr. Chafetz consulted with a senior staff member on Senator Coburn’s 2013 letter to then Social Security Commissioner Michael Astrue on the need to provide more accurate psychological assessment in Social Security Disability cases. The Chafetz research had shown that a high proportion of Social Security Disability claimants were feigning impairments. Through specific comparisons, it had become clear that the low IQ Social Security claimants who had failed validity tests were not false-positives who had been mislabeled as feigners, as similarly low IQ individuals motivated to appear normal easily passed these same tests. Senator Coburn was especially concerned that the Social Security Administration (SSA) had removed the use of these validity tests from the disability arena.

In their Congressional Response in September 2013, the Office of the Inspector General for Social Security affirmed the Coburn letter, essentially saying that it would be wise for SSA to further evaluate their policy on the use of validity testing in disability cases. This prompted SSA to call for an Institute of Medicine (IOM) committee to study the problem. The IOM published their favorable statement on the use of validity testing for SSA disability cases in 2015, the same year that Chafetz was the lead author on an American Academy of Clinical Neuropsychology sponsored paper giving guidance to SSA on the same topic.

Dr. Chafetz is a Fellow at the National Academy of Neuropsychology. He served on the Board of the American Academy of Clinical Neuropsychology from 20122017. He was the 2012 Distinguished Psychologist for the Louisiana Psychological Association and the 2018 LPA awardee of the Contributions to Psychological Science award. He provided consultation and expertise for the Association of Administrative Law Judges in their Grievance against SSA in 2016. Through his work on illness-deception, he has been invited to speak at various state psychological associations, APA, NAN, AACN, administrative law judge conferences, and internationally at the Karolinska Institute in Sweden.

National Psychology PAC to Host Louisiana Senator Cassidy in Washington DC

Dr. Lacey Seymour, Louisiana Federal Advocacy Coordinator and Past-President of the Louisiana Psychological Association, announced in late February that the national Psychology Political Action Committee has chosen Louisiana Senator Bill Cassidy as its honoree for 2019.

Senator Cassidy will be the guest of honor at a dinner to be held March 10, in Washington, DC, coinciding with the leadership conference for the American Psychological Association.

“Senator Cassidy has been a supporter of mental health legislation on both a federal and state level,” Dr. Seymour told psychologists in a recent letter. “Since his election, Senator Cassidy has championed legislation that addresses access to mental health care for our most vulnerable citizens by removing barriers to care.”

Among his achievements, Senator Cassidy worked to design and pass the “Helping Families in Mental Health Crisis Reform Act of 2016” and first advocated mental health reforms while he served in the House of Representatives. In 2015, he introduced mental health reform legislation that became the template for the Mental Health Reform Act of 2016. He helped strengthen accountability at HHS by creating an Assistant Secretary of Mental Health and improved interdepartmental activities related to those with serious mental illness.

The measures Cassidy promoted have helped access to services through integration of primary and behavioral care, and helped establish grants that provide screenings for young children at risk of developing a serious mental illness. Cassidy’s efforts helped ensure that federal funded programs are evidence based and use best practices.

Working with a bipartisan group of senators, he introduced in 2017 the Treat and Reduce Obesity Act to require Medicare coverage for intensive behavioral therapy provided by psychologists and other mental health professionals.

Last year he worked to get a resolution adopted in the Senate recognizing suicide as a serious public health problem and expressing support for September as National Suicide Prevention Month. Also in 2018, he co-sponsored the COMBAT Act to provide certified opioid treatment services to be covered by Medicare.

“This fall,” said Seymour, “Senator Cassidy hosted the Louisiana Mental Health Summit, bringing together federal, state, and local leaders to discuss and promote the implementation of proven methods to improve mental health care in Louisiana and the country. He is currently raising awareness of the impact of dyslexia and mental health issues on incarcerated individuals in an effort to decrease recidivism,” she said.

“Dr. Cassidy has been an ardent champion for mental and behavioral health in Congress and was the lead Senate sponsor of major mental health reform legislation enacted in 2016. Last year he led the fight to preserve Medicare payment for psychological and neuropsychological testing services,” said Seymour.

“I am thrilled that the Psychology PAC has chosen to honor Senator Cassidy,” Dr. Seymour said. “It is a privilege to have a congressman from our state chosen to be recognized with this prestigious honor. It is important that we work together to represent psychologists across our state in showing our gratitude for the work Senator Cassidy has done and to elicit support for the important work in mental health that is yet to come.”

Senator Cassidy is a physician, specializing in gastroenterology. Before entering politics, he co-founded the Greater Baton Rouge Community Clinic, providing free dental and health care to the uninsured. He began his political career in 2006 in the Louisiana State Legislature and won election to the U.S. House of Representatives in 2008, before becoming a Senator in 2014.

Dr. Seymour is heading up a group of psychologists who will attend the fundraiser on March 10, to show support for Cassidy in his re-election bid. Dr. Seymour is asking for contributions and involvement by Louisiana psychologists. She can be reached at LaceyLSeymour@gmail.com

New Rule Allows More Private-Sector Care for Veterans

New regulations being considered by the Veterans Affairs will allow Veterans who live more than 30 minutes from a VA medical clinic or those who must endure a delay more 20 days for health care will be allowed to use private-sector medical services. If approved, Veterans who must drive for 30 minutes to get to a Veterans Affairs facility will be allowed to seek primary care and mental health services outside the department’s system.

The proposed regulations are open for public comments.

In an article in Military Times, Leo Shane reported that new rules would replace the current standards now in place, for 40 miles and 30 days and “dramatically expand the number of outside health care appointments that VA will have to fund in coming years.”

The standards also would allow Veterans to receive urgent care outside the VA system.

VA Secretary Robert Wilkie said, “Most Americans can already choose the health care providers that they trust, and President Trump promised that veterans would be able to do the same,” Wilkie said. “With VA’s new access standards, the future of the VA health care system will lie in the hands of veterans, exactly where it should be.”

“Strict and confusing qualification criteria like driving distances and proximity to VA facilities that don’t offer needed services will be replaced by eligibility guidelines based on what matters most: the convenience of our veteran customers,” Wilkie said in his statement.

The report by Shane noted that some in Congress are concerned that the changes may negatively impact the VA. “… shifting too many VA resources to outside clinics and doctors’ offices could slowly drain away needed resources from the department’s facilities and lead to privatizing VA’s core mission of providing health care for veterans.”

The changes come as part of the “access standards” signed into law under the MISSON Act last year.

According to the new standards, eligibility criteria and final standards were based on VA’s analysis of all of the best practices both in government and in the private sector and tailored to the needs of our Veteran patients. Included are:

• Access standards will be based on average drive time and appointment wait times.

• For primary care, mental health, and noninstitutional extended care services, VA is proposing a 30-minute average drive time standard.

• For specialty care, VA is proposing a 60-minute average drive time standard.

• VA is proposing appointment wait-time standards of 20 days for primary care, mental health care, and non-institutional extended care services, and 28 days for specialty care from the date of request with certain exceptions.

Eligible Veterans who cannot access care within those standards would be able to choose between eligible community providers and care at a VA medical facility.

Lawmakers were to be briefed on the new draft standards but that “Capitol Hill staffers and several prominent Veterans groups have complained that much of the work in writing the standards in recent months has been done behind the scenes, without sufficient input from the larger veterans community,” said the report.

New APA Guidelines Spark Debate, Criticism

The American Psychological Association has triggered debate with its Guidelines for Psychological Practice with Boys and Men, published in August 2018 and followed with an essay posted on the APA website CE Corner in January, with a statement that “… traditional masculinity is psychologically harmful …,” by Stephanie Pappas.

According to the authors, the Guidelines provide “general recommendations for psychologists who seek to increase their awareness, knowledge, and skills in psychological practice with boys and men.” Other beneficiaries of the guidelines include all consumers of psychological practice including clients, students, other health professionals, institutions and agencies, write the authors.

The Guidelines are authored by Fredric Rabinowitz, Matt Englar-Carlson, Ryon McDermott, Christopher Liang, and Matthew Kridel, with assistance from Christopher Kilmartin, Ronald Levant, Mark Kiselica, Nathan Booth, Nicholas Borgogna, and April Berry.

“Masculinity ideology is a set of descriptive, prescriptive, and proscriptive of cognitions about boys and men,” write the authors.

“Although there are differences in masculinity ideologies, there is a particular constellation of standards that have held sway over large segments of the population, including: antifemininity, achievement, eschewal of the appearance of weakness, and adventure, risk, and violence. These have been collectively referred to as traditional masculinity ideology (Levant & Richmond, 2007).”

“The present document articulates guidelines that enhance gender- and culture sensitive psychological practice with boys and men from diverse backgrounds in the United States,” write the authors.

For its definition section the Guidelines cover topics of gender, cisgender, gender bias, gender role strain, masculinity ideology, gender role conflict, oppression, privilege, psychological practice, and gendersensitive.

In the 30 plus page document, available at APA, the 10 Guidelines are: 1) Psychologists strive to recognize that masculinities are constructed based on social, cultural, and contextual norms; 2) Psychologists strive to recognize that boys and men integrate multiple aspects to their social identities across the lifespan; 3) Psychologists understand the impact of power, privilege, and sexism on the development of boys and men and on their relationships with others.

And, 4) Psychologists strive to develop
a comprehensive understanding
of the factors that influence the interpersonal relationships of boys and men; 5) Psychologists strive to encourage positive father involvement and healthy family relationships; 6) Psychologists strive to support educational efforts that are responsive to the needs of boys and men; 7) Psychologists strive to reduce
the high rates of problems boys and men face and act out in their lives such as aggression, violence, substance abuse, and suicide.

And also, 8) Psychologists strive to help boys and men engage in health-related behaviors; 9) Psychologists strive to build and promote gender-sensitive psychological services; 10) Psychologists understand and strive to change institutional, cultural, and systemic problems that affect boys and men through advocacy, prevention, and education.

Dr. Edward Adams, past president of Division 51 on Men and Masculinities of the American Psychological Association, defended the guidelines as supporting cooperation, respect, appreciation, and courage.

Dr. John Grohol, founder of the popular PsychCentral published a review of the guidelines with a neutral, positive, and brief explanation of the meanings.

Primary author, Fredric Rabinowitz, Professor of Psychology at University of Redlands, links to two January media articles, “Traditional Masculinity Can Hurt Boys, Say New A.P.A. Guidelines,” a The New York Times, and “Traditional masculinity’ labeled ‘harmful’by major psychologist organization,” reported by public radio in Southern California.

However, the guidelines and essay attracted criticism from various groups. In a January article in National Review, “Grown Men Are the Solution, Not the Problem,” David French wrote “We are in the middle of an intense culture war focused around men.”

In another report, Steven Pinker, a professor of psychology at Harvard, criticized the Guidelines saying that the authors reject biological and genetic factors, and also embrace a folk myth that expressing negative emotions is better than restraining them with selfcontrol.

Andrew Sullivan, in a critique in the New York Intelligencer, titled “The Pathologized Male,” noted “It felt demeaning to read. To tell you the truth, it reminded me of the way psychologists used to treat gay men: as pathological, dangerous, and in need of reparative and conversion therapy.” And he wrote, “If this document were designed to encourage men to seek psychotherapy, it is a catastrophe.”

Similar comments appeared across the web. “We should be able to celebrate masculinity and its positive attributes while making it clear that there are behaviors that are unacceptable, without insulting and demonizing men.” And another said, ” I don’t think we should be shaming anyone for who they are.”

On January 14, APA tried some damage control with, “A Closer Look at the APA Guidelines for Psychological Practice with Boys and Men,” with a section on “Embracing Masculinity.”

“Psychologists who treat men and boys already know that their male clients aren’t stereotypes. They have feelings, needs and desires. They’re adaptable. They possess many positive masculine characteristics. The guidelines are designed to give psychologists a framework to help men and boys embrace their masculinity in ways that are helpful, rather than harmful, to their health and quality of life.”

APA “In the News” links to an article “How ‘Traditional Masculinity’ Hurts Those Men Who Believe in it the Most,” by a Washington Post columnist.

And APA gives the headline, “Many people responded as if APA’s guidelines were an indictment not of rigid, traditional masculinity but of all masculinity, and of men themselves.”

The essay by Pappas appears to be removed from the January APA news, and in CE Corner the learning objective about traditional masculinity being harmful has been noted to be edited for clarity from the original version.

CDC Year End Report: Mortality Rates Higher in Most Causes of US Deaths

A year end CDC analysis of data reveals that life expectancy for Americans continues to decline. Despite U.S. health costs being the highest around the world, mortality rates increased for 7 of the 10 leading causes of death in the U.S. reported the CDC in a review for 2018.

Drug overdoses continued to increase – 47,600 drug overdose deaths involved any type of opioid, including heroin and illicit opioids, representing over two-thirds of all overdose deaths. U.S. overdose death rates linked to synthetic opioids, likely from illicitly manufactured fentanyl (IMF), increased more than 45 percent from 2016 to 2017 while death rates from heroin and prescription opioids remained stable and high.

CDC said suicide rate among the U.S. working-age population increased 34 percent between 2000 and 2016. Additionally, suicide rates rose in nearly every state between 1999 and 2016. Suicide is the 10th leading cause of death and its rise has contributed to lowered life expectancy.

CDC released data showing a steep and sustained increase in sexually transmitted diseases (STDs), including nearly 2.3 million cases of chlamydia, gonorrhea, and syphilis.

New cases of STDs surpassed the previous record by more than 200,000 cases and marked the fourth consecutive year of sharp increases in these STDs.

Chronic disease continues to remain a priority, said the report. Heart attacks, strokes, heart failure and other related conditions caused 2.2 million hospitalizations, resulting in $32.7 billion in costs and 415,000 deaths, according to CDC.

Officials noted these health problems are largely preventable. Many of these events were in adults ages 35-64.

According to the latest data for Louisiana, 2014, the leading causes of death were heart disease, then cancer, accidents, respiratory disease, stroke, and Alzheimer’s disease. Louisiana ranks 5th, 4th, 12th, 23rd, 4th and 6th respectively in the nation for these causes of death.

Pennington’s Dr. Tiffany Stewart in Spotlight for Innovative Health Programs

Clinical Psychologist and Pennington Biomedical research scientist, Dr.  Tiffany Stewart, is applying her innovations for a community health program at the Knock Knock Children’s Museum, located at 1900 Dalyrmple Drive, Baton Rouge.

The program is a collaborative effort between the Baton Rouge Mayor’s Healthy BR Initiative, the Museum, Pennington, and other community organizations, noted a release in January.

Dr. Stewart, who directs the Pennington Biomedical Behavior Technology Laboratory, and her team will provide the program called “Sisu & You: Healthy Kids and Healthy Family Workshop.” Sisu is the Finnish word for resilience.

The workshop will be held on the fourth Thursday of each month through May and is free for children ages five to 15.

Parents are encouraged to join their children in “connecting ideas with actions for a lifetime of health and happiness.”

“How we view our bodies is a key component of successful health behaviors and significantly affects our quality of life,” said the developers. “This workshop series teaches children and adults to keep their bodies healthy through nutrition, fitness, sleep, and body image.”

The Behavior Technology Laboratory at Pennington is dedicated to Translational Research: Dr. Stewart and her team focus on taking health behavior change programs and technologies from the workbench of science and craft them into programs everyone and anyone can use.

She and her team investigate the novel assessment, prevention, and intervention approaches for eating disorders, obesity, and body image disturbance on health behaviors and chronic disease outcomes.

Dr. Stewart’s work has attracted multimillion dollar funding from the National Institutes of Health and the Department of Defense. She develops programs and technologies to improve nutrition, fitness, and sleep of U.S. Army Soldiers and their family members.

Recently her work with the US Army was showcased in an article by Stephanie Riegel for the Baton Rouge Business Report.

Stewart’s Healthy Eating, Activity, and Lifestyle Training Headquarters or H.E.A.L.T.H., is part of the Weight Measurements and Standards for Soldiers Project.

H.E.A.L.T.H. is an ongoing, fifteen-year collaborative effort between Pennington and the Department of Defense, designed to aid Soldiers in maintaining healthy weight status, fitness status, combat readiness, and Warfighter performance.

H.E.A.L.T.H. includes programs to aid soldiers’ family members in reaching overall health and fitness goals and incorporates cutting edge interactive technology such as with the Internet and Smartphones, so soldiers and their family members can use it wherever they are in the world.

H.E.A.L.T.H. is considered a population health program, used and tested in two pilot projects, at Ft. Bragg, NC, and New England Reserves, and is being tested in the Louisiana Army National Guard.

The program is currently being disseminated Army-wide as part of the U.S. Army Surgeon General’s Performance Triad Initiative to improve nutrition, fitness, sleep, overall health, and resilience for our technologically advanced fighting force and their families. Approximately 15,000 individuals have used the H.E.A.L.T.H. program.

Stewart explained, “The mission of the H.E.A.L.T.H. program is to translate evidenced–based concepts into a nutrition and fitness tool that Soldiers can use to not only improve Warfighter health and performance, but the overall health well-being of their family members.”

Another of Stewart’s programs has been to improve body image, nutrition, and eating disorders in female collegiate athletes. “Female Athlete Body Project: A Randomized Controlled Trial”, is a partnership with Louisiana State University Athletics, American University in Washington, D.C., and Trinity University in San Antonio, TX.

Research suggests that disordered eating among female athletes is prevalent, and is especially dangerous in female athletes because it increases risk for the Female Athlete Triad (i.e., low energy availability/disordered eating, menstrual disorders, and decreased bone mineral density/ osteoporosis and subsequent injury).

Research supports the use of a program targeting small lifestyle modifications in the prevention of ED onset and in reducing ED and obesity risk factors.

Dr. Stewart is also an inventor and entrepreneur, and named 2015 Woman of Excellence by the Louisiana Legislative Women’s Caucus Foundation. She was also commended by the Louisiana Legislature in a House Concurrent Resolution for her work and research, and for “spearheading unique, large, multi-site prevention studies that have included the development and deployment of novel approaches for health behavior change, …”.

In the private sector, Stewart is Founder and Chief Scientific Officer of Body Evolution Technologies Inc., a venture capital-funded entrepreneurial project dedicated to taking e-health assessment, prevention, and treatment programs and technologies from the lab to those who would benefit most, “… especially among young women as they face enormous pressures concerning body-image, weight, eating behavior, and selfesteem.”

Body Evolution Technologies was designed to commercialize evidencebased health behavior technology and is an entrepreneurial venture, formed as a result of scientific discovery at Pennington, and funded by angel and venture capital investors. The programs and assessment tools are integrated within a social network environment to reinforce learning and promote adherence. See programs at http://www.emergebodyimage.com/, an e-health, online platform.