Author Archives: Susan

All That Breathes

A Review

by Alvin G. Burstein, PhD

All That Breathes is said to be a documentary, and it almost is. It is a Hindi-language film directed by Shaunak Sen and coproduced by him, Aman Mann and Teddy Leifer for Rise Films. I say almost a documentary because it goes beyond recording to make philosophical and moral  points, elides some realities, and hints at a dramatic issue. The film has won worldwide awards at Cannes Film Festival and Sundance as well as ratings in the high nineties by both critics and  audiences by the Rotten Tomato ratings aggregating service.

The dramatic center is the relationship between two brothers, joined in a heroic effort that is on the edge of collapse: saving Black Kites, raptors that abound in Delhi. The elided issue is that a  very frequent cause of the raptors’ injuries is the use of manja, kite strings with glass imbedded  used in the ironically named kite flying/warring sport popular in Delhi. Manja is not only a  hazard to the raptors, but also to humans flying the kites and, especially, to riders of the rapidly  moving two-wheelers that crowd Delhi streets.

The two brothers, Mohammed Saud and Nadeem Shehad, are conjoined not just by blood, but  by one of what C. S. Lewis describes as one of the four basic loves: a shared dedication. The  New York Times chronicled that dedication in a 2020 article headlined Meet the Bird Medics of  New Delhi. You can read it at www.nytimes.com/2020/02/07/science/kites-birds-conservation-india.html. Arguably, the article sparked the transformation of the brothers’ rescue effort from  a personal mission to an international charity with its own website www.raptorrescue.org.

A key dramatic element in the film is the decision of the younger brother, Mohammed, to emigrate to  the United States, leaving his older brother—along with a few helpers—to the hands-on  struggle to save birds. Nadeem, whose wife, Tabassum, does what she can while caring for their two children, tries to support his efforts, but she makes it clear that she fears he is “ruining his  life.” Although Mohammad says he can contribute to the effort from abroad, his brother clearly feels abandoned, reflected in a key scene, the “freezing” of an international facetime call  between the two.

The film’s central focus is on the interconnectedness of all living things—everything that  breathes. It works to underscore the point that our planet is a shared space. It also sees a paradox. One of the brothers, I think Nadeem, remarks that humans’ speciesism makes them  the loneliest species. I don’t know Shaunak Sen’s religious beliefs, but the film seems to be a testimony to ahimsa, a Hindu commitment to non-violence, respect for all things that breathe. I  found that moving.

Perhaps less centrally, the film also involves human perversities—dangerous kite war  celebrations that persist despite injuring human and non-human creatures so seriously that they became technically illegal, and riots in which professors of non-violence attack non- believers. These are the kinds of self-destructive behaviors that make a Freudian death instinct persuasive.

Dr. Hung-Chu Lin at the International Convention for Psychological Science

Psychological Scientists Attend International Event

Psychological scientists from Louisiana joined the nearly 1500 researchers that came together in Brussels, Belgium for the 2023 International Convention of Psychological Science. Organized as a branch of the Association for Psychological Science, researchers from Louisiana contributed to the 70 countries and six continents that were represented at this year’s event, held March 9 to 11.

Hung-Chu Lin and co-authors Manyu Li, Amy L. Brown, and Paula Zeanah, all from University of Louisiana at Lafayette, presented “Sexual Wellbeing: The Pathway from Childhood Adversity Via Cognitive-Emotional Functioning. According to the abstract: Multidimensional nature of sexual wellbeing (SWB) was examined for its latent indicators including sexual self-esteem, comfort with sexual consent, and sexual self-efficacy. Structural equation modeling revealed an indirect pathway from childhood adversity to SWB via current cognitive-emotional functioning (CEF), suggesting that enhancing current CEF as a means for improving SWB.

Hung-Chu Lin from University of Louisiana Lafayette, presented “Temporal Relations of Perception and Emotions in Response to Infant Crying: Observations Nested within Subjects.”

From the abstract: Using a digitally edited 4-minute-long cry bout of a 4-week-old male infant as the stimulus, this study described within-subject sequential relations of cry perception, empathic concern, and personal distress across time. The findings underscore mutual influences and shed light on the dynamic and complex nature of responding to infant crying.

Julia D. Buckner, Caroline Scherzer and Paige Morris, all from Louisiana State University, along with Andrew H. Rogers and Michael J Zvolensky from University of Houston, presented “Sex Differences in Opioid Misuse Among Adults with Chronic Lower Back Pain: The Impact of Negative Affect and Opioid-Use Motives. The abstract noted: Among 207 adults with chronic lower back pain who use opioids, men endorsed more anxiety, depression, opioid misuse, and enhancement, coping, and social motives than women. Men endorsed more severe opioid misuse via the serial effects of anxiety and these motives and depression and coping (not
enhancement, social) motives.

Faith Stoneking and Julia D. Buckner from Louisiana State University presented, “Social Anxiety and Cannabis Use: The Impact of Body Dissatisfaction.” The abstract noted: Among 252 adults reporting current cannabis use, social anxiety was significantly correlated with more cannabis problems and body dissatisfaction. The relationship between social anxiety and cannabis problems was moderated by body dissatisfaction such that social anxiety was only related to more cannabis problems at higher levels among men and women.

Hillary Colleen Sinclair, Jonathan Yevuyibor, Shriya Thakkar, Kristina Little and Andrew Burns, all from Louisiana State University, presented, “ ‘That’s Just the Way It Is:’ Understanding Obstacles and Facilitators in Interventions to Reduce Underage Drinking in Louisiana.” From the abstract: We conducted 5 focus groups with Louisiana Coalitions overseeing underage drinking interventions. Coalitions identified enduring cultural factors as their primary obstacle to effectively reducing underage drinking. Conversely, intervention team diversity was credited for intervention successes. COVID was a challenge but also an opportunity to enhance group resilience and innovation.

Colleen Sinclair from Louisiana State University and Sydney Wicks from University of Mississippi presented “Refining the Enemy Impact Inventory Scale: Integrating Ostracism Detection Theory to Better Understand the Impact of Enemy Relationships.” Their abstract noted: Research has examined the influence of friendships on well-being. Less is known about the impact of enemyships. The present study focused on integrating Ostracism Detection Theory in the development of the Enemy Impact Inventory- Revised and establishing the reliability and validity of the scale.

The Times talked with Dr. Hung-Chu Lin about attending the event. She is Professor, Department of Psychology and Chair, the Institutional Review Board, SLEMCO/LEQSF Regents Endowed Professor in Liberal Arts, at University of Louisiana Lafayette.

“It was an amazing experience,” Dr. Lin said. “Meeting and interacting with European scholars was incredibly enriching and left me feeling inspired and energized. As always, attending an international conference like this one offers the opportunity to network with international scholars and the chance to learn from different cultural and societal contexts that enrich and broaden my research perspectives.”

Was there anything else she enjoyed about the trip? “I got to visit the museum of one of my favorite artists, the Gelgian painter and sculptor, Rene Magritte,” she said.

 

 

 

 

 

 

La Behavioral Health Notes Emergency in Children’s MH Needs

 

According to a March press release, the Louisiana Department of Health (LDH), Office of Behavioral Health, is introducing five new initiatives focused on the behavioral health of children and adolescents and their families. These initiatives focus on improved access to early childhood, adolescent, and family behavioral health services.

The COVID-19 pandemic has magnified the challenges facing adolescents’ and children’s mental health, said officials, causing altered experiences at home, school, and during in-person social interactions. The pandemic also highlighted the need for increased access to healthcare and social services as an alarming number of young people struggle with feelings of helplessness, depression, and thoughts of suicide.

According to the announcement, the American Academy of Pediatrics, American Academy of Child and Adolescent Psychiatry, and the Children’s Hospital Association have declared a national state of emergency in child and adolescent mental health.

Improving and expanding mental health services for Louisianans of all ages is the culmination of years of deliberate planning and focus, and I’m proud my administration has taken on this task in a thoughtful and targeted way,” said Governor Edwards. “The Louisiana Department of Health’s work to expand crisis services, add capacity for substance use treatment, and use evidence-based treatment for other behavioral health needs will help us address the trauma and other challenges brought on by the pandemic and the many disasters Louisianans have become so accustomed to.”

LDH Secretary Dr. Courtney Phillips said, “It has been our top priority over the past few years to confront the crises Louisiana residents have been facing with behavioral health strategies that improve the quality of life for our residents and hold the promise of a brighter future for Louisiana’s children. The five initiatives we are announcing today are critical new additions to the current array of specialized behavioral health services, and I am confident that our behavioral health partners will be able to use them to increase access to services and ultimately improve health outcomes.”

According to the announcement, OBH is building upon services currently available to Medicaid eligible children and adolescents through five additional initiatives currently under development through Fiscal Year 2024.

Initiative 1: Expanding substance use residential treatment facilities for women and dependent children – Pregnant women, and women with dependent children, are among the most vulnerable of all populations in need of stable residential services for substance use disorder (SUD) treatment. Louisiana currently has 3 statewide providers. However, in order to geographically diversify and expand capacity of treatment programs that allow children up to
12 years old to accompany their mothers, OBH will identify additional providers to fill statewide gaps in services to establish additional treatment beds.

Initiative 2: Implementing Early Childhood Supports and Services (ECSS) – ECSS will provide screening, evaluation, and referral services and treatment for children from birth through age 5 and their families through evidence-based behavioral health treatment. This includes support for enhancing positive caregiving relationships and comprehensive care coordination addressing family needs, including families’ environmental risks and social determinants of health. OBH intends to pilot ECSS with an early adopting entity, while pursuing a contractor for long-term management of the statewide program through a request for proposal (RFP), which is expected to be released in calendar year 2023.

Initiative 3: Building the foundation for statewide youth crisis services – Expanding upon the Medicaid adult crisis services continuum introduced in LDH’s Fiscal Year 2022 business plan, LDH is committed to extending Mobile Crisis Response (MCR) and Community Brief Crisis Support (CBCS) services to youth. With an anticipated launch in spring 2024, MCR is an initial
intervention for individuals in a self-identified crisis; while CBCS is a face-to-face ongoing 
crisis intervention response, designed to provide stabilization and support. LDH has identified start-up funding for providers and the budget proposal includes funding for Medicaid coverage of these services in late fiscal year 2024, said officials.

Initiative 4: Treating trauma through the implementation for Dialectical Behavioral Therapy –(DBT) programs DBT is an evidence-based, comprehensive intervention designed to treat adults and adolescents with severe mental disorders and out-of-control cognitive, emotional, and behavioral patterns that often result from early and/or chronic experiences of trauma, neglect, and abandonment. LDH will begin provider DBT training in the fall with initial implementation of service delivery expected in late calendar year 2023.

Initiative 5: Cultivating Psychiatric Residential Treatment Facility (PRTF) services to treat youth with co-occurring developmental disabilities PRTFs are non-hospital facilities offering intensive inpatient and educational services to individuals younger than age 21 who have various behavioral health issues. OBH is currently developing this programming for a highly specialized PRTF with up to 25 beds, with treatment focusing on co-occurring mental health and developmental disabilities. This population will achieve better outcomes in a highly specialized setting tailored to their needs, said the officials.

 

 

 

 

 

 

Dr. Susan Tucker Returns to Shreveport

After a year in Mississippi as Mental Health Director for Mississippi Department of 
Corrections, Dr. Susan Tucker, innovative program designer, has returned to Louisiana to serve as Chief Operating Officer at Whole Health Treatment Center in Shreveport.

Dr. Tucker has been at the forefront of innovations for Louisiana for over two decades decades. She has earned state and national recognition for these achievements, including from the Vera Institute of Justice. She was also commended by Louisiana legislators for her work and the related cost savings of $15 million by earned “good time credits” through participation in the psychological programs designed by Tucker.

“I am so happy to announce I am the COO for Whole Health Treatment Center in Shreveport, Louisiana,” said Dr. Tucker. “It is a part of Intensive Specialty Hospital. I am so thrilled about this IOP/OP program for offering offenders re-entering the community, substance use disorders, and dual diagnosis, and alternatives to prison programs.”

North Louisiana Whole Health Treatment Center is committed to holistic care brings together an experienced multidisciplinary team to offer the most innovative and impactful treatment options possible.

Dr. Susan Tucker was the Assistant Warden at Forcht Wade Correctional Center-Clinical Substance Abuse Treatment Facility in Keithville, Louisiana, near Shreveport. She also served as clinical psychologist and the Assistant Warden at the Bossier Parish Medium Security Facility. 

She and her team used innovative approaches, modern communication technology, community coordination, and a keen awareness for doing what works, to improve lives, families, and
community safety.

Having worked in Mississippi this past year, Dr. Tucker said, “I am extremely proud of Louisiana as I see them as successfully being on cutting edge of prison reform.”

In late 2022, the Governor’s office pointed to a Pew news report highlighting the positive impacts of criminal justice reforms have had on Louisiana. Reporting for PEW, Michelle Russell wrote, “The state’s prison population has fallen 24%, driven entirely by a decline in people convicted of nonviolent offenses. Louisiana’s reforms sought to steer people convicted of less serious crimes away from prison and shorten the time incarcerated for those who could be safely supervised in the community. In the summer of 2017, before the new laws took effect, there were about 35,500 people under the Louisiana Department of Corrections’ jurisdiction held in prisons or local jails throughout the state. By the summer of 2022, that number had fallen nearly a quarter to about 27,000.”

Dr. Tucker has focused on treatment and research innovations that reduce recidivism. Her work is based in the fact that most inmates have a substance abuse problem, and few get the right kind of treatment. Due to her continuous efforts to work with inmates and provide services, and overall reforms, Louisiana no longer holds the title as “Incarceration Capital of Nation.”

The Times asked Dr. Tucker to tell us what her thoughts about the improvements.

“So, to a large degree,” Dr. Tucker said, “I believe the Louisiana Justice Reform Package is a broad move in the right direction. The legislation is reducing prison populations in the state and developing community partnerships to reduce recidivism. It is a logical and effective way to address an all-time high incarceration rate that was costly and offered little benefit. This bi-partisan reform package has seen a reduction in property and violent crimes. The reform of sentencing laws was long overdue for 1st or 2nd time drug offenses with no violent or sex crimes. This allowed shorter sentences and early release of thousands of offenders,” she said.

“The pandemic offered some additional challenges which slowed, if not impeded some of the progress of this reform movement,” Dr. Tucker explained. “With the decrease in community Mental Health centers and outpatient substance abuse treatment subsequently in our communities due to the pandemic, community resources were limited and sometimes void.
Probation and Parole offices had an increase in their caseloads of early releases and increase in probation cases as opposed to Innovator and Program Designer, Dr. Susan Tucker, incarceration. With the pandemic, the supervision of the probation and parole cases and the lack of community resources created a lag in our initial goal of justice reform,” Dr. Tucker explained.

“However,” she said, “the legislation for reform is in place, new P/P officers are being hired to manage new community supervision cases and resources have increased in the communities. If, in fact, the pandemic has helped our goal, it is the increase in telehealth. We are now able to reach those offenders in rural areas and those low-income communities that often did not receive services.”

“As so many agencies struggled through the pandemic, “Dr. Tucker said, “so did Louisiana Department of Corrections. We are now seeing a ‘return to our new normal’. We have ‘regrouped’ and are headed in the right direction again.”

How does this relate to the programs that she initiated and promoted in Louisiana?

“As you might guess, it’s hard to just walk away from the rehabilitation program I developed and ran for 23 years in LADOC. Rather than simply ‘warehousing offenders’ who will eventually be released into our communities,” Dr. Tucker said. “We are focusing on offering intensive treatment, skill development, and educational opportunities, as well as post release support and care.”

Dr. Tucker explained, “The philosophical approach to our treatment includes focusing on the thinking patterns, emotional reactions, and behavioral events that often lead to self-defeating patterns and eventually to criminal activity. We utilize psychological assessment instruments to illuminate areas of concern, including low cognitive ability, personality disorders or features, mood disorders, and thought disorders. We individualize a treatment program for that offender, and he works closely with his assigned counselor to meet the goals that treatment plan.”

Dr. Tucker said she is thrilled to be part of the reform here in Louisiana, as the COO for Whole Health Treatment Center in Shreveport, part of Intensive Specialty Hospital system. “The continuum of care is as ‘whole’ as it can get,” she said. “We can take a homeless person, male or female, directly off the street and treat them medically, physically, mentally, substance use, detox, and we can get them on Medicaid, Disability, or in Vocational Training through LRS.”

“We also provide transportation and housing! We treat substance use disorders with CBT, Risk Management, and Medication Assisted Treatment. This hospital has spared no expense in allowing us to develop a full continuum of care in a beautiful setting with professional counselors and an effective administrator,” Dr. Tucker said.

“The Clinical Director is Karen Baird, a well-established clinician and administrator. We are lucky to have such a dedicated and knowledgeable director. The entire group is enthusiastic, creative, and on the cutting edge of effective treatment. I am proud to be affiliated with such a treatment-oriented agency.”

What are her current major goals and programs?

“My goal for the rest of my public service life will focus on pre-trial alternative programs and re-entry programs exactly like what Whole Health Treatment center is doing,” she said. “It is imperative to continue to help the justice reform movement of removing the punitive aspect of incarceration and offer solutions for change in the pursuit of justice.

“There is a need for the implementation of fitness for duty assessments for correctional officers and police officers. To ensure the capability of new hires is reflective of a solid officer with the ability to stay calm and manage a difficult situation successfully with the least amount of force,” Dr. Tucker said.

“In addition, reaching mentally ill and substance users in rural areas is an important piece of this where minimal to no treatment access is available,” she said. “Obviously, more resources are needed in our schools for training on mental health, violence, and substance use disorders. The increase in the Seriously Mental Ill in prisons and jails is a direct reflection of our lack of community access to appropriate care.”

From her perspective, in terms of public health, what are the most important things that psychologists should be aware?

“Much work is needed from psychologists regarding how the mentally ill are managed with regard to the criminal justice system. We need more training of police/correctional staff about how to engage with mentally ill on the streets or while in custody.”

In 2015, Harvard honored Dr. Tucker’s Work the Ash Center for Democratic Governance and Innovation of the John F. Kennedy School of Government at Harvard University named Dr. Tucker and her treatment programs as one of this year’s recipients of the prestigious Bright Ideas awards for innovation. In the article, Stephen Goldsmith, director of the Innovations in
American Government Program at the Ash Center said, “The Bright Ideas program  demonstrates that often seemingly intractable problems can be creatively and capably tackled by small groups of dedicated, civic-minded individuals.”

Dr. Tucker’s programs have earned state and national recognition for results. The group received The Residential Substance Abuse Treatment grant for eight years. In 2010 they
were awarded the governor’s grant for prevention. Also, in 2010 the Vera Institute of Justice, an organization dedicated to improving justice systems through research and innovation, noted that Forcht Wade Correctional Center’s family program, should be a model for the nation.

 

 

 

 

 

 

 

Bills Flowing in for April 10 Start of 2023 Legislative Regular Session

The 2023 Regular Legislative Session is booming already with hundreds of bills being filed and the kickoff day set for April 10. New measures are being introduced and some familiar themes are reappearing in the Legislators’ efforts.

Rep. Green is introducing HB 226 which eliminates the death penalty. Rep. Travis Johnson is seeking Medicaid coverage for mental health and substance-abuse services via the Psychiatric Collaborative Care Model. SB 34, authored by Sen. Bernard, requires that the state add “Suicide Lifeline dial 988” to on the driver’s license, and Representative Larvadain aims to add firefighters to his previous effort that created peer support training methods for those in law enforcement. Rep. Hilferty is introducing HB 242 which would prohibit corporal punishment in elementary and secondary schools unless authorized by a parent.

See pages 5–6 for a number of other bills that are being introduced this year.

 

 

 

 

 

 

 

A Man Called Ove/Otto

A Review

by Alvin G. Burstein

In 2012, The Swedish author Fredrik Backman published a novel, A Man Called Ove. His book was on the The New York Times best seller list for almost a year. A film version appeared in 2015 that won multiple awards and is reportedly the most frequently viewed Swedish film.  Unsurprisingly, 2023 saw the appearance of an American version, A Man Called Otto.

Because the protagonist is a quintessentially cranky old man, what may be surprising is that the American film stars Tom Hanks, who in both his public persona and in most of his starring roles appears as almost quintessentially likeable. That paradox tempted me into binge viewing both  Ove and Otto. I wanted to see how Hanks handled the challenge and how the American version of the film might differ from its predecessor. So, I shall focus on the differences and similarities  of the two films. Both are available on Amazon Prime, the latter is also playing at theatres.

The basic plot is the same. A long-time employee is forced into retirement and finds himself  diminished in his central role in his residential community. He is recently widowed. If Freud is  right about the central role of work and love in mental health, Otto/Ove has experienced massive blows. It may well be that one of the reasons for the popular appeal of the story  inheres in its capturing the painful injustice of ageism in modern society. In neither film,  however, is the protagonist portrayed in a way designed to elicit the classic tragic reactions of pity and fear. They are almost stock comic characters: the cranky old man hollering for the kids to get off his  lawn.

But there are important differences between Ove and Otto. Both movies open with the  protagonist making a purchase. But Otto is purchasing five feet of rope that he intends to use in his suicide, Ove is purchasing a bouquet that he intends to take to his wife’s grave on his  customary visit. Both get into a dispute with the cashier. Otto because the rope is sold by the
yard and he doesn’t want to pay for six feet when he needs only five. Ove has picked out  bouquets with a “two for…” price and he doesn’t want two,

As both scenes unfold, Otto’s grumpiness has a clearly angry edge, while Ove’s objections seem  more morally or logically grounded. He takes both bouquets to the cemetery. This difference is amplified in another variation. Both movies make heavy use of flashbacks to flesh out the  protagonists’ history and character. Ove’s begin in childhood and portray the early loss of his mother and father. Otto’s begin in young adulthood, with his being rejected for military service. I think overall, one feels more sympathy for Ove.

While Otto is not a carbon copy of Ove, their stories are alike in the extraordinary, almost Chaplinesque combination of comedy and pathos. We find ourselves laughing at them, while our hearts ache at the blows they suffer. If you want my advice about which one to watch, I would say A Man Called Otto, if only because in the flashbacks young adult Otto is portrayed by Hanks’ son, Truman. You don’t want to miss the opportunity to wonder at and about that.

Stress Solutions

Early Life Stress Can Affect Brain Development and Mental Health

Early Life Stress (ELS) is defined as the exposure to a single or to multiple events during childhood that exceed the child’s coping mechanisms and leads to extended periods of stress,  such that the child’s innate ability to recover from the body’s response to the stress is  overwhelmed. Childhood stressors include abuses of all kinds, neglect, hunger, witnessing  violence and other household dysfunction. Unfortunately, poverty, parent divorce, illness,  death, and substance abuse are counted as ELS and so many children are subjected to those. A clear estimate of how many children experience ELS has been hard to gather. One study in 2007 estimated that 3.5 million or 22.5% of all children in this country came to the attention of  child protection services. And we all know how low the true rate of disclosure is.

ELS is a devastating fact of life and one that can have long-term consequences. Little has been  done to fashion early intervention programs that can be helpful in preventing and treating ELS.  One of the most helpful ways to begin to develop such treatments is to more fully understand  what Early Life Stress can do to children as they grow into adults.

Cognitive or brain-related consequence of such stress need to be better known. One report  indicated that nearly 32 percent of adult psychiatric disorders are due to Early Life Stress.  Various forms of early adversity account for about 67 percent of risk for suicide. Exposure to  multiple episodes of ESs can significantly increase the risk of mental illness and disease. Sexual abuse between the ages of 9 and 14 has been linked to smaller hippocampal volumes and  prefrontal cortex dysfunction.

Since the early 1990s, a large body of work has focused on the impact of chronic stress in  pregnant women on the developing child’s brain. A strong relationship has been identified  showing that chronic stress during pregnancy can lead to an inability for the child and later  adult to cope with even normal stressors. Many children come into the world at risk of learning  disabilities, attention problems and high levels of anxiety because their mothers were super-stressed and did not recognize how their stress levels might change the way their baby’s brain developed. Exactly how chronic stress during pregnancy affects cognitive functioning and  emotional well-being in the developing child through specific neurobiological pathways is still poorly understood.

However, the importance of the connection between ELS and chronic stress in pregnant women and the subsequent impact on their children in the form of a life-long impact on their  intelligence, memory, executive function, and emotional IQ needs to be broadly disseminated in the hope of future prevention through education.

Volunteering Expert, Dr. Richard Flicker, Takes Lead for Baton Rouge Area Society Psychologists

Dr. Richard Flicker, an industrial–organizational psychologist who is heavily involved in his community and volunteering, will serve as president of the Baton Rouge Area Society of Psychologists, known as BRASP. This will be the second term for Dr. Flicker, who also served as president in 1998. He was elected while being absent from the meeting for the first time in two years, he explained to the Times. Even so. Dr. Flicker is a strong advocate of community involvement. “I believe that there are many ways each and every psychologist can fulfill the challenge issued by George Miller’s 1969 address to the American Psychological Association –– to give psychology away,” Dr. Flicker said. “Volunteerism in the form of active membership in civic, religious and charitable organizations is one way to give psychology away. It doesn’t always require being the leader, but the visibility and influence afforded by leadership roles allows us to have a greater positive impact,” he said.

“The 80/20 Rule – not the one applying to determining adverse impact in employment discrimination cases – but the one which states that 20% of the members of any group contribute 80% of the work ––or money or time. We need to be sure that we’re in that 20%
and not the other 80% who mainly complain.”

Dr. Flicker’s goals for his BRASP presidency include efforts to have interesting and informative speakers at the monthly meetings.

At their February meeting, BRASP hosted Erica McLellan, Assistant Attorney General and Section Chief of the Sexual Predator Unit at Louisiana Department of Justice. She discussed the role of psychologists in this area of the criminal justice system, the psychological impact of sex crimes on the victims and their families, and what is involved in the investigation/prosecution.

For the March meeting, Morgan Lamandre, Esq., President & CEO, Sexual Trauma Awareness and Response, will speak about advocacy, counseling and legal services available to youth and adult survivors of sexual violence. For April, the speakers will be Dr. John Kirwan, Executive Director of LSU’s Pennington Biomedical ResearchCenter and George Bray, Jr. Endowed Super Chair in Nutrition.

Dr. Flicker also wants to make meetings fun and welcoming by adding a couple of features to our monthly agenda, including a “Question of the Month” and a “Joke of the Month.”

“I’ve tried to find jokes that are relevant to the speaker and/or topic of the speaker’s presentation,” said Dr. Flicker, “and have sometimes modified jokes to make them relevant. Some get big chuckles, and of course, many get groans because they’re just corny.”

He will also create a working budget, review the by-laws, and wants to improve monthly attendance and increase membership.

What other leadership activities has he been involved with over the last years?

“Too many. I am the first president of the Brotherhood of the new Unified Jewish Congregation of Baton Rouge. A year ago the two Jewish congregations in Baton Rouge merged into one congregation.

“As an I/O psychologist, I saw this as a challenge in organizational development – same challenge the congregation faced – overcoming any ‘us vs. them’ mindset when two former entities became one.

“The biggest project was chairing the annual Christmas Shopping Spree at Macy’s for about three dozen children in the Big Buddy program,” he said. “The I/O psychologist in me kicked in as I came up with several ways to improve the implementation of the event itself. The feedback afterwards was tremendous as far as how organized the event came off. And we exceeded ou fundraising goal, giving each of the Big Buddy kids more money (Macy’s gift cards) than ever before to put gifts under the Christmas tree for their entire families…”.

Dr. Flicker is also president-elect of the Exchange Club of Baton Rouge and chair of the annual Adopt-A-Teacher project which in 26 years has provided grants to 622 new elementary school teachers in the East Baton Rouge Parish School System, grants totaling in excess of a quarter of a million dollars.

“As a small civic club, this project has only been possible because of the generosity of several businesses, other non-profit groups and individuals,” Dr. Flicker said. “I’m proud to say that BRASP has made a significant financial contribution to this project for the past 25 years, as have several individual psychologists. In return, BRASP (and those psychologists) are listed in our major newspaper, The Advocate, as well as being listed on the printed program and having their name read aloud at the School Board meeting which is broadcast live and rebroadcast repeatedly on the local cable access channel.

Dr. Flicker is also a past president and the current Treasurer is the Inter-Civic Council of Greater Baton Rouge which is comprised of representatives of over 30 civic and charitable non-profit organizations.

“In my role as treasurer, I play an active role in planning and implementing the annual Golden Deeds Award banquet, now in its 82nd consecutive year with attendance ranging from 300 to 400 plus people every year.”

He also volunteers for the American Red Cross and serves as a member of the Professional Advisory Group for Our Lady of the Lake Regional Medical Center’s soon to be launched Clinical Pastoral Education graduate degree program.

What is he doing professionally these days?

“Well, after the spring semester in 2020, I resigned my full-time faculty position in the Psychology Department at Southern University,” he said. “I initially was hired in 2001 to teach full time for one year after a tenured faculty member decided to retire one week before the fall began. At that time, I was teaching half-time in the Management Department at LSU. Somehow that one year gig at Southern lasted nineteen years; the first two of which I continued half-time at LSU in the evenings. People keep asking me if I’m retired. My response has been, I’m not retired; I’m just tired.’ ”

“Since leaving Southern, my part-time consulting practice has been a nice supplement to my social security check since volunteer work doesn’t pay very much – at least not in dollars.

Richard Flicker, PhD changed his path from math & physics to psychology after reading Dostoevsky’s Crime and Punishment. “I couldn’t put it down,” he said “It changed my life.” He attended City College of City University of New York, and majored in consumer and industrial psychology. He took this interest with him to Purdue. There he studied with respected IO professors,

Tiffin and McCormick. From the first day, he was thrown into teaching three sections of Introductory. “It was the last thing I thought I’d do. This will come as a shock to anyone who knows me; I had a real phobia of public speaking.” Toward his senior year, he was supervising 16 grad students who taught 4000 students. “That’s how the academic setting became a career path.” 

In 1975, he moved to Shreveport from New York and took a position at the new, small campus of LSU-S, where the priorities were first teaching, then community service, and then research. APA President George Miller’s ’69 message of “giving away psychology,” had had a profound affect on him. But it wasn’t until LSU-S, and the friendly, philosophical brown bag luncheons where faculty talked about community involvement, that he found his way of giving.

Dr. Flicker began public speaking, his first talk at the Exchange Club. They asked him back and before long, he was President. It was his first real leadership position and a connection that remains with him today, among his many activities. He currently serves as President of the Texas Louisiana Gulf Coast District Exchange Clubs, a multi-group organization, just one in a
long list of leadership roles for him.

Involved in his community through the Exchange Club, plus teaching, consulting, speaking, and the training he provided in “Leadership Shreveport” program, he became willingly immersed in his new culture. All this, he said, “acquainted me with my community. We had the Mayor, we had the Police Chief, we had the Fire Chief, we were doing projects with the Congressman. That’s what exposed me to the community and made me realize, ‘It’s my community.’”

What does he think are the most important issues facing psychology right now?

“Plato wrote that ‘our need will be the real creator.’ That phrase eventually morphed into the proverb ‘necessity is the mother of invention.’ The COVID-19 pandemic forced individuals and organizations in almost all sectors of our society to adapt, or go extinct. Many changes made necessary by the pandemic had unanticipated silver linings – being extremely positive,” Dr.  Flicker said.

“However, like all things in life, with the positives there are negatives/side effects. The role of psychologists as change agents, whether on an individual or large scale organizational basis, provides incredible opportunities to contribute to the overall mental health of our nation. Technology already created a generation or two of people who don’t know how to function in face-to-face social situations. While technology became an asset as the pandemic required minimizing face-to-face contact, it further exacerbated the poor interpersonal skills required in society,” he said.

“Another challenge facing psychology is overcoming the anti-science, anti-intellectual attitude created by our recent toxic political environment. Psychologists are not alone in having to overcome the mistrust that appears to define almost half of our population. In a society where ‘alternative facts’ and ‘conspiracy theories’ are the new normal for so many people, re-establishing credibility as scientists, educators and practitioners of our profession may be the greatest issue facing psychology,” he said.

Dr. Flicker would like to extend an invitation to anyone who would like to attend BRASP and/or receive meeting notifications. He can be reached at flicker@premier.net.

 

 

 

 

 

 

Association of American Physicians and Surgeons Issues Statement on Gender-Affirming Care in Minors

In a February 25 press release, the Association of American Physicians and Surgeons (AAPS), a national organization of physicians in all specialties founded in 1943, issued the following statement:

” ‘Gender-affirming care’ in minors is medically and ethically contraindicated because of a lack of informed consent. There are inherently unknown and unknowable long-term risks, and the consequences of removing normal, healthy organs are irreversible.”

In the announcement the APPS officials also noted:

“Physicians and medical professionals should refuse to be mandated or coerced to participate in procedures to which they have ethical or scientific objections or which they believe would
harm a patient.”

“The construct of gender fluidity in the current cultural discourse is controversial.”

“There has been an explosive increase in persons who identify with the construct of gender
different from sex, at an age where identity is easily malleable and brain development is not fully concluded.”

“Conflicting motivations have led to a growing industry dedicated to providing “gender- affirming” procedures that are generally irreversible and have a high probability of causing sterilization. These procedures include puberty “blockers,” sex hormones, and surgery, such as castration, penectomy, and mastectomy. They commit a patient to a lifelong need for medical, surgical, and psychological care.”

 

 

 

 

 

 

 

Louisiana Company Recognized by LG NOVA for Innovative Digital Health Concept

In a February press release, company officials announced that QuickTake Health was one of the start-ups chosen by LG Electronics’ North American Innovation Center (NOVA), for its “Mission for the Future,” a global search for companies with innovative concepts and transformative solutions that provide a positive impact on people and planet, to come explore collaboration opportunities with LG NOVA.

QuickTake Health was founded in Lake Charles, Louisiana, in 2021 by Dr. John Noble,  orthopaedic surgeon and Chief Medical Officer, and Rand Ragusa, Company President. During the pandemic, Ragusa had worked for a company that provided digital thermal temperature reading kiosks at medical office entrances across the state after the COVID19 shutdown in 2020. This seamless process led him to consider about how other vital sign data, such as height,
weight, and blood pressure, could possibly be collected in the same automated, efficient way using technology.

“Our goal was to build a quicker, smarter way to document vital signs and improve the patient experience,” said Dr. Noble. “We have put a lot of processes in place at Center for Orthopaedics to increase our personal interaction with patients, but we were often delayed waiting on vital signs to be entered into the patient record. The idea of creating a digital, one-stop station that could capture the health data we – and all medical offices – need seemed long overdue.”

Research shows that 56% of a health workers’ time in a normal work week is spent on administrative tasks rather than caring for patients. Pen and paper still play a big role in
data entry, even though the COVID-19 pandemic has forced healthcare organizations to adapt to new technology. In addition, ongoing shortages of skilled frontline workers heighten many types of risks, including medical errors.

“We knew there had to be a better solution; a way to automate the workflow for vital sign collection,” said Ragusa.

The QuickTake system is powered by advanced camera technology, biometric sensors, and EHR (electronic health record) integration. A patient simply steps onto the QuickTake platform and their vital signs are instantly collected and transferred directly to their medical record.

 

 

 

 

 

Ψ We Remember Dr. Ron Boudreaux

Dr. Ronald F. Boudreaux died February 4, 2023, at the age of 79. He had struggled with complications of Parkinson’s for two decades. Over his 40-year career, Dr. Boudreaux lead the state in establishing a comprehensive system of public health services for children and youth who suffered from severe emotional problems. Dedicated to the practice of public mental health, he built coalitions to integrate services across the state for serving children and their families, created advocacy groups such as the Federation of Families, and spear-headed innovative programs which embraced the scientific evaluation of effectiveness for the benefit of the citizens. Dr. Boudreaux created the standards of child and adolescent care for Louisiana  and wiith excellence, integrity, and humility. He was a joyful and positive influence on all those he encountered along the way.

In 2020 the Louisiana Psychological Association, state affiliate of the American Psychological Association, honored Dr. Boudreaux with the President’s Lifetime Achievement Award.

“In honor of Dr. Boudreaux’s dedicated service and pioneering career in establishing a comprehension system of public mental health services for children, youth and families in Louisiana, and as the Chief Psychologist for the state Office of Mental Health (OMH). Dr.  Boudreaux’s professional career is truly exemplary of the dedicated public service of a psychologist who has significantly advanced the state of the art of public mental health for children, youth and families in Louisiana. And yet, he has remained a very humble man of character. The Louisiana Psychological Association wishes to acknowledge Dr. Boudreaux’s pioneering professional contributions and to wish him well in his retirement.”

Close friend and work associate, Dr. Randall Lemoine, said, “I was blessed to have been a colleague of Ron’s during most of my 30+ year tenure as a psychologist at the State Office of Mental Health. During that time, I personally witnessed and admired Ron’s leadership, his professionalism, and his passion for service to those most in need. Ron’s contributions to public mental health programs for children and youth were unsurpassed––he literally put child/youth mental health services ‘on the map.’

Dr. Lemoine, now in private practice and also retired from the state, was Director, Division of Business Intelligence and Information Management for the Louisiana Office of Behavioral Health.

“Also, to my knowledge, Ron was the first statewide Chief Psychologist,” said Dr. Lemoine, “a trail blazer raising the stature of psychologists in pubic service. After he retired from state service, Ron’s dedication, compassion and skill as a clinical child psychologist in private practice were renowned in our Baton Rouge community. I am grateful to have had opportunities to visit with Ron during his final years at Saint James Place, during which time we got to reminisce about his remarkable career and the ‘good ole days’ of public mental health,” said Dr. Lemoine.

Current President of the Louisiana Psychological Association and professor at University of Louisiana Lafayette, Dr. Paula Zeanah, noted that Dr. Boudreaux “… held leadership positions in the Office of Behavioral Health. Notably, he ushered in an important era in mental health services by leading the development of services for infants and young children, Early Childhood Supports and Services. Prior to ECSS, young children were not served in community mental health clinics,” Dr. Zeanah said. “I had great respect and admiration for his deep commitment to children’s mental health in Louisiana. He was friendly and professional, had a calm yet strong presence, and was a pleasure to work with.”

Dr. Boudreaux’s distinguished public mental health career began in 1970’s as a staff psychologist and program grant lead on the adolescent unit at Central Louisiana State Hospital in Pineville. He then served as the Chief Executive Officer of Green Well Springs Adolescent Hospital in Baton Rouge.

In the 1980s, Dr. Boudreaux became the director of children’s services for the state Office of Mental Health. He served as the Program Director for CASSP – the Child and Adolescent Service System Program, a federal grant-funded program to transform the then traditional community mental health clinic-based service system to what is now recognized as the standard of care; i.e., child and family community-based services and supports offered throughout community settings, including homes and schools.

The Child and Adolescent Service System Program increased the availability of community-based, comprehensive, coordinated systems of care for seriously emotionally disturbed children and adolescents. State-level activities included needs assessment and planning, modification of the state mental health system, interagency collaboration, constituency building, technical assistance and training, and local system development.

Dr. Boudreaux spearheaded development of innovative services such as child and family intervention teams, home-based crisis intervention programs, care management, and parent respite programs. He worked closely with judges to establish juvenile justice programs and reforms. And, he facilitated the development of a standard definition for the educational exceptionality of Emotional/Behavioral Disorder for use by the State Department of Education Bulletin 1508 to promote services and supports in schools.

In the 1990s, Dr. Boudreaux’s work to establish a comprehensive system of care for children, youth and families continued under the Federal Block Grant State Mental Health Plan. He continued to build coalitions to integrate services across the state child-serving agencies, and through advocacy groups, such as the Federation of Families and the State Mental Health
Planning Council. He spearheaded a novel program evaluation of the quality and effectiveness of services (LaFete) through teams of parents trained to interview family service recipients and to report their findings in a service report card with quality improvement recommendations.

Dr. Boudreaux was very active in developing and implementing policies and procedures to divert children from hospitalization to less restrictive, more effective community-based care.

During this time, Dr. Boudreaux was also promoted to the Chief Psychologist for state mental health system, and in this capacity provided policy/procedure development and operational command for psychological services across the state, including internship programs.

Dr. Boudreaux retired from the Office of Mental Health after 40 years of public service. During his career, he also completed a fellowship through Tulane University’s School of Medicine in
infant mental health, with a concentration in attachment theory research in infant-parent bonding. His research and clinical training programs created widespread access to critical support for underprivileged families in crisis.

In addition to his public sector career, he counseled thousands of Baton Rouge area children and families through his private practice. He concluded his career – post retirement from the
State – working with Dr. Donna Farguson at Family Focus, a multidisciplinary mental health practice, in the early childhood assessment and treatment office.

According to family and friends from his obituary in the Advocate, Dr. Boudreaux was affectionately known as “Boud-dha” and “Paw Paw” to his family.

The family notes that he was a native of Lafayette, and from ninth grade until undergraduate graduation from Catholic University, Washington DC, was enrolled in the seminary to become a priest. Upon graduation, he became determined to be a psychologist instead. He earned a PhD in clinical psychology from Louisiana State University in 1971.

“Ron had a way of making everyone feel heard, seen, loved and appreciated. To his children, he was their “rock,” and to his friends and family he was an incredibly warm, caring, kind and compassionate man. He could also make you cry laughing with his Cajun “Boudreaux” jokes and stories, hearkening back to his beloved Lafayette roots. Every Christmas Eve, he would light up children’s faces when he told ‘The Cajun Night Before Christmas’ in his jolly Cajun accent as thick as his mama’s roux,” noted the family.

“He built furniture, fences and barns with his own hands, was an excellent photographer, loved watercolor, and thoroughly enjoyed sports, especially playing tennis. Ron loved his family, hisprofession, reading, travel, music of all sorts-from Cajun to classical, cooking, good food, and good friends. He couldn’t begin the day without a mug of black coffee, loved the sound of the gulf surf, a good glass of red wine or single malt scotch.

“During the last twenty-five years of his life, he took up pilates, boxing, Tai Chi and indulged his love for travel, visiting Vietnam, Republic of Georgia, Egypt, eastern Europe, Chile, Tuscany,
Provence, and Spain, and many parts of the United States with his longtime ‘lady friend’ (his description) Mary Ann Sternberg.”

Dr. Boudreaux was preceded in death by his parents Florence (Daigle) and Felix Boudreaux of Lafayette. He is survived by his son Jonathan Michael Boudreaux and grandchildren Aaron and Araya; daughter Nicole Boudreaux Kleinpeter and grandchildren Camille and Thomas (Baton Rouge); his brother Kurt Boudreaux and wife Sherry and family (Lafayette); and longtime friend Mary Ann Sternberg (Baton Rouge).

Friend and colleague, Dr. W. Alan Coulter, organizational school psychologist, said, “Ron was a very effective, positive voice for children’s mental health. He significantly advanced awareness for infant mental health in Louisiana. Ron was wisely skeptical and abhorred organizational politics, although he practiced those politics very well. Personally, Ron was the gentlest Cajun bear who gave great hugs and free wisdom.”

Dr. Tony Speier, who served in the state mental health organization with Dr. Boudreaux for many years, wrote, “A grand and kind person who opened doorways every day for many in lifeand as joyful as any man and friend. Thanks Ron for being ever–blessed and thanks for your blessings.”

Dr. Kelley Pears, PTSD psychologist with the Alexandria VA Healthcare System, said, “Ron was an inspiration to my generation of psychologists. He was welcoming, friendly, bright and funny. Blessings to his family & friends.”

 

 

 

 

 

 

Dr. Ledet’s Innovations Aim to Reach Women Experiencing Stress

Dr. Sumer Ledet, licensed clinical and medical psychologist, and expert in anxiety disorders, is using innovative, psycho-educational methods to reach women who struggle with being overwhelmed due to their responsibilities as mothers, partners, and breadwinners.

Dr. Ledet’s education and experience has provided her with extensive evidence-based training  in a variety of anxiety disorders including PTSD, OCD, Panic Disorder, and Generalized Anxiety  Disorder. She has depth training in Prolonged Exposure and Cognitive Processing Therapy. Following years of training and experience in Cognitive Behavioral Therapy methods she has immersed herself in the theory and practice of Acceptance and Commitment Therapy.

Dr. Sumer Ledet’s psycho-educational training is a comprehensive, multi–method program for women stressed by their responsibilities as mothers, partners, and breadwinners. Her “Get  Present System,” a virtual group program for overwhelmed working mothers, helps with psychological issues and at the same time is reducing stigma associated with reaching out for  help, making psychology more accessible to more people.

Dr. Ledet has focused on treating anxiety disorders in private practice since 2012 and has  directed her efforts more specifically toward women, including women who do not meet full  criteria for any diagnosable condition.

“Many women feel tired, drained, invisible, anxious, and generally unhealthy,” said Ledet. “Many women are distracted and struggling with insomnia. Many women feel guilty and irritable. Most  of the same women are highly educated, successful in their chosen career, have healthy well  cared for children and happy partners, but they are ––often privately–– suffering and struggling,” she said.

“The culture demands so much of working mothers and the pressure is immense. Women feel  like they aren’t measuring up, and then label themselves failures. This is extremely common  and frankly heart-wrenching,” she said.

Her class includes five pillars that Dr. Ledet teaches to increase the individual’s ability to remain  in the present moment and to focus attention on valued actions. “The pillars also cover self-care and self-compassion,” she said, “as many overwhelmed women that I have worked with tend to overlook their own basic needs and to treat themselves harshly when they make mistakes.”

“I transitioned my business 100% online since COVID and plan to stay the course,” she said,  continuing to share high-quality, evidence-based, and often free content. “In my opinion, my strength is simplifying the ‘psychobabble’ so it is easily understandable and usable for real  women living busy lives,” she said.

Get Present, her eight-week independent study class, is a comprehensive, deep dive into  fostering self-care, self-compassion, and values-based action.

Dr. Ledet’s Innovations Aim to Reach Women Experiencing Stress and Anxiety, continued Dr. Ledet began teaching overwhelmed women online and began making educational Facebook videos on her Dr. Sumer Ledet Psychological Services Facebook page [@drsumerledet]. Then, toward the end of 2020, she started an ‘Insiders Community’ where she sends free weekly exclusive email content to this same group of women.

“I really want to reach a broader audience and teach the skills that have helped hundreds of my  clients, without the high price tag,” she said. “I no longer take insurance and it would cost  thousands in individual therapy to acquire this skill set…”

Back in 2012, Dr. Ledet started listening to a podcast all about holistic nutrition called Balanced  Bites. “I got really into it, learned a ton, and began to wonder how the two young women  hosting the podcast had grown such a large audience and successful business online,” she said. “Several years later, I found free education from successful online entrepreneurs like Amy Porterfield and Jenna Kutcher. Their work set a fire inside me to impact a larger audience, not  restricted to the closed doors of a therapy room.”

By 2019, she purchased an inexpensive microphone and started recording educational videos  for Facebook. “I wasn’t quite sure what I wanted to create, but I knew I wanted to begin to build  an audience for spreading education about managing and healing from anxiety,” she said.

“Because I had run a private practice since 2012 as an anxiety disorder expert, I knew there were tons of women who didn’t necessarily meet criteria for an anxiety disorder, but were nonetheless wracked by overwhelm, confusion, and dysphoria about how to manage all of the  demands of life,” she said. “I desperately wanted to normalize this phenomena and provide resources to find a path toward peace and fulfillment. Having become a busy mom of two  myself by 2019, I felt a deep compassion for the ever-present but under-discussed struggles of these women.”

She kept creating videos and learning about how to improve the quality and clarity of her message online. “In September 2020, I made my first investment into my online business and  purchased Digital Course Academy, which taught me the process for how to create and market  my first digital course. I followed the steps, and it was so much more work that I had bargained  for. It was really draining, and by the time I launched the program, I was exhausted,” she said.

“Even still, it was a successful first launch. I enrolled 37 women into my digital course, The Get Present System (GPS), by early 2021. Originally, GPS was an 8-week program for busy moms who were struggling with overwhelm and anxiety but wanted a step-by-step path toward peace and fulfillment.”

She continued to spread the message with free content via email and social media marketing. “But,” she explained, “I knew I would need a slightly different approach to make the online course world a sustainable part of my business.” That was around the time she made a second investment into online course business, purchasing a program by @katieandfloyd about creating an automated system to market and sell online courses and programs.

“At the end of 2021, I experienced a significant spiritual transformation in my own life,” she said, “and I felt called to incorporate a Christian, faith-based aspect to my online programs. I followed the steps I had learned with @katieandfloyd, and the process was, once again, much more tedious and time-consuming than anticipated

In early 2022, I launched my second program, created specifically for Catholic moms desiring more peace and fulfillment, called the Break Free Blueprint (BFB). It was similar to GPS, but BFB had a strong faith component that shaped the evidence-based frameworks. It paired Catholic wisdom and tools with science-backed strategies to help Catholic moms break free from anxiety,” Dr. Ledet said.

For this launch, she increased the price, the length of the program, and the intimacy of the experience using question & answer sessions, audits of the work participants completed, prizes in the mail as they made their way through the program, and a community forum for support. The women had great results, and it was a truly enriching experience for all of us,” she said.

“I have continued to share free education with my online community, and it has been such a fulfilling and rewarding experience for me. I get messages all the time from people who feel inspired by the free education I provide. I love to learn, love to write, and love to share content to encourage and inspire others. It is definitely a calling and a passion project,” Dr. Ledet said.

This year, as a next step, she plans to update her website to create a “store-front” where moms can purchase self-study versions of the programs. “I am considering options such as sponsored social media ads and podcasting for continued marketing. I have created several free resources to help overwhelmed moms get connected to my content,” she said.

“So, I certainly don’t have all the answers, but I am continuing to learn and explore strategies for how to impact more overwhelmed Catholic moms without the intimidating and often cost and time prohibitive experience of private therapy.

“As you can imagine, there are so many ethical and legal questions to consider. I’ve consulted with many colleagues as I navigate these murky waters. I have also become part of a small group of psychologists with online businesses, and we meet, ‘mastermind style,’ to problem solve dilemmas unique to psychologists in the online business world,” Dr. Ledet said.

She warns anyone considering this path that it is more work that the gurus make it out to be, but if you can align the work to what you deeply value, it will be worth it, she explained. “I am learning to ride the wave of trial-and-error without getting discouraged. My predictable income comes from other sources so that I don’t feel a large degree of pressure around this work.  When I do make money with my content, it feels like such a gift.”

She still does not feel like she has found a complete system that is sustainable for her business and health. “I prioritize practicing what I preach, and with two little kids at home, this continues to be tricky. In addition, I have struggled with my own health and chronic pain condition for many years. In a way, this is a gift because I can truly empathize with my students and share what is working in my own life,” she said.

“I’m happy to share my wins and lessons learned so far on this journey with you,” said Dr. Ledet. “I’m also happy to share details about the ethical and legal aspects that I’ve considered and addressed through informed consent, LLC creation, documentation, and consultation.”

Those interested in starting an online component of their business can reach out to her at info@sumerledet.com

 

 

 

 

 

 

Legislators Filing Bills for April 10 Start of 2023 Regular Session

The 2023 Regular Legislative Session will convene at noon on Monday, April 10, 2023. Final  Adjournment is no later than 6:00 pm on Thursday, June 8, 2023. The deadline for pre-filing bills is March 31. Legislators have begun to file their bills. Among those are the following:

Representative Selders is proposing in House Bill 55 to improve treatment of incarcerated  individuals with mental health needs, referred to as “The Mental Healing Justice for Incarcerated People Act.”

The proposed law states that legislative intent is access to high-quality mental health services,  regardless of the setting, and that the state wholly supports efforts to assist incarcerated  individuals suffering from severe and persistent mental illnesses, including post-incarceration syndromes, in their efforts to navigate incarceration and reentry into society.

Present law (R.S. 15:830) provides that the department may establish resources and programs for the treatment of inmates with a mental illness or an intellectual disability, either in a separate facility or as part of other institutions or facilities of the department.

House Bill (HB) 55 amends present law to make the establishment of resources and programs mandatory.

The proposed law provides that the qualified mental health persons within the  multi-disciplinary service team shall establish a training program to be conducted annually. The responsibilities of the multi-disciplinary service team include the following:
(1) Prompt screenings of the entire inmate population for post-incarceration syndrome through the use of computer-administered interviewing technology.[…]
(2) Use of computeradministered interviewing to conduct screenings […]
(3) In-prison and outpatient services for all of the following:
(a) Methods for accessing mental health staff during a mental health crisis; (b) Implementation  of prevention interventions for suicide and self-injurious behavior; (c) Procedures for placement of a patient in a level of care in accordance with his mental health needs; (d) Detection, diagnosis, and treatment of post-incarceration syndrome, among other mental illnesses, with medication management or counseling. […]

HB 31, authored by Representative Romero provides for additional offenses that require  registration as a sex offender. The proposed law changes the definition of “criminal offense  against a victim who is a minor” to include the present law offenses of cruelty to juveniles (R.S.  14:93) and second degree cruelty to juveniles (RS. 14:93.2.3).

Representative Boyd is putting forth HB 40 which prohibits intentional employment discrimination based on gender identity and sexual orientation.

Present law provides that it shall be unlawful for an employer to discriminate against any  individual based on Legislators Filing Bills for April 10 Start of 2023 Regular Session, continued race, color, religion, sex, national origin, or natural, protective, or cultural hairstyle.

The proposed law adds that it is unlawful for an employer to also discriminate against any individual based on sexual orientation and gender identity.

Present law provides that it shall not be unlawful for an employer to discriminate against any individual based on religion, sex, or national origin in certain instances where religion, sex, or national origin is a bona fide occupational qualification that is reasonably necessary for that  particular business or enterprise.

Proposed law provides that no provision shall be interpreted to infringe upon the freedom of  expression, association, or the free exercise of religion.

HB 41 authored by Representative Frieman requires health benefits and payment parity equal  to in-person services for occupational therapy delivered through telehealth. The proposed law requires a health coverage plan (plan) to pay for covered occupational therapy services provided via telehealth to an individual insured person.

HB 41 prohibits a plan from certain restrictions, including the following: (1) Requiring a previously established in-person relationship or the provider to be physically present with a  patient or client, unless the provider determines that it is necessary to perform that service in  person. (2) Requiring prior authorization, medical review, or administrative clearance for  telehealth that would not be required if that service were provided in person. (3) Requiring  demonstration that it is necessary to provide services to a patient or client as telehealth. (4) Requiring a provider to be employed by another provider or agency […] (5) Restricting or  denying coverage based solely on the communication technology or application used to provide the telehealth service. However, proposed law authorizes a plan to restrict occupational therapy services via telehealth when the services are provided solely by telephone. […]

Senator Cloud is putting forth Senate Bill 7 which provides each library established in accordance with present  law or pursuant to a home rule charter shall adopt and implement a policy to limit the access of minors to sexually explicit material.

The proposed law requires the policy to include: (1) A requirement that community standards  for the population served by the library be considered when acquiring library material through donation or purchase; (2) A library card system that allows a parent or guardian to select a card that indicates whether or not a minor is permitted to check out sexually explicit material physically available in the library.

SB 12, by Senator Fields, requires each postsecondary education institution, elementary,  middle, and high school to have an automated external defibrillator (AED) on its premises in an  easily accessible location. The proposed law requires that an AED and a trained AED user be at  each athletic event sponsored by a postsecondary institution and elementary, middle, or high school.

 

 

 

 

 

 

 

Medical Psych Advisory Committee Discusses Supervision Dilemmas

The Louisiana State Board of Medical Examiners, convened a Regular Call meeting of the Medical Psychology Advisory Committee on January 27, 2023. The Medical Psychology
Advisory Committee met via live-streaming video and teleconference for the public session. New Business included: “1. LSBEP – Supervision of psychology licensure candidates.”

According to the medical board, members of the Medical Psychology Advisory Committee include Glenn Ally PhD MP – Secretary Treasurer, James Blackburn MD, Darla M. R. Burnett, Ph.D., M.P., Vincent Culotta, Jr. MD, ex officio, Warren C Lowe PhD MP, and K. Chris Rachal PhD MP.

The press release included the agenda as follows:

INTRODUCTIONS – Identification of participants and audibility per La. R.S. 42:17.1(C)(3). Finding that Agenda meets criteria under La. R.S. 42:17.1(A)(2)(d).

PUBLIC COMMENTS, pursuant to La. R.S. 42:17(C)(1).

OLD BUSINESS – Approval of Minutes from meeting on August 16, 2022

NEW BUSINESS                                                                                                                                1. LSBEP – Supervision of psychology licensure candidates
2. Replacement of MPAC physician member

Dr. Ally called the meeting to order and reviewed the agenda. He brought to the 
floor new business involving the Louisiana State Board of Examiners of Psychologists [LSBEP] and supervision of psychology licensure candidates.

Dr. Ally said, “As some of you may know LSBEP has attempted to suggest that medical psychologists cannot supervise potential licensees. And, suggests that the only way that medical psychologists should be able to supervise potential licensees is by being licensed also by LSBEP.

“We’ve kind of disputed that. It’s been a long-standing practice that that medical
psychologists have been able to supervise provisional licenses and potential licensees. I’m not talking about individuals already licensed but those that are provisional and those that are potential licenses.

“We’ve had meetings with LSBEP, LSBME, LAMP, a number of folks, attorneys were involved with this. The bottom line is the LSBEP backed off of that policy they were attempting to put forward. 

“However, Warren indicated to me that a supervisee had his provisional status sort of, wasn’t turned down, but they said they could not approve his provisional  proposal because he was being supervised are because he intended to be supervised by a medical psychologist. They are not saying that they will not approve him but they are not approving the pre-proposal. So they are not getting into the game of saying they are not going to approve you, if you have been supervised by medical psychologist, but we can’t approve the proposal. So that is where we’re getting stuck with this.

“The LSBEP attempted to pass a lengthy set of rules along with many other professional associations. In doing that they had attempted to suggest that only a psychologist licensed under their statute could supervise. We were able to insert into that, that medical psychologists could supervise.

Dr. Ally read from Revised Statute 37:2356.2, section D:

D. A provisional licensed psychologist shall maintain a relationship with a licensed psychologist or a medical psychologist licensed in accordance with R.S. 37:1360.51 et seq. for the purposes of clinical supervision. The supervising psychologist or medical psychologist shall have legal functioning authority over the professional activities of the provisional licensed psychologist.

“So I think that’s pretty clear that we are able to supervise but again LSBEP is raising this issue one more time. I don’t know how LAMP wants to address this but I think we’ll need to address it one more time.”

Committee members discussed the confusion between the rules and the statute.

Dr. Ally said, “I do know that LSBEP has been for quite a long time now wanting to get medical psychologist licensed under their board once again. It doesn’t behoove us to do that at this point in time, risking two licensures, risking two exposures of liability. It just doesn’t make sense for us. However, having said that, some medical psychologist do maintain two licenses under both boards.”

Dr. Lowe read a portion of a letter that the supervisee received from the LSBEP.

“LSBEP has reviewed your supervised practice plan with a medical psychologist, which unfortunately was not approved. Dr. so-and-so, the MP, is not a licensed psychologist under the jurisdiction of LSBEP thus you are not eligible for a provisional license. The board does not pre-approve supervision and relationships between an applicant supervisee and the supervisor if the supervisor is not licensed under the jurisdiction of this board.

“However the board will review and consider the acceptability of any supervised experience that is conducted under the licensing jurisdiction such as the LSBME on completion of the supervision provided the supervision meets the requirements of the Louisiana  Administrative Code. The supervisor will need to submit the post-doctoral supervision documentation upon completion of the supervision.”

Dr. Lowe said, “They are not denying that MPs can be supervisors of LSBEP potential licensees but what they’re saying is we’re not going to approve it ahead of time, we’re not going to give you a provisional license and we may not approve it after the fact, which is the only place we’re going to review it.

“I’m only putting this on the agenda because I want everyone to be aware of this, the way they have gotten around or made it difficult for MPs to supervise.

“You have to be, I think, risk inclined to have an MP supervise you not knowing ahead of time that it’s going to be approved and it might not be approved plus you interrupt your opportunity to be a provisional licensee.

The members discussed whether this is against the current statutes and provisional license. Dr. Lowe said, “This will eventually fall to LAMP and LAMP will have to decide what and if they want to try to remedy this someway.”

Dr. Ally said, “From my perspective I hesitate at this point in time to open up our statute for any revisions but at some point in time we may have to do that and try and make some clarification. We can’t undo their statute or we can wait for an opportunity if they try to revise their statute to amend their statute or rules which we have done in the past. I’m speaking for LAMP now.

“That something that LAMP will have to consider and look and address. As MPAC our responsibility is to enforce the statutes, the laws, and interpret them as they are on the books now.

The meeting can be viewed via YouTube. Go to the website at www.lsbme.la.gov, and from the home page, click on “Advisory Committees” and then “Medical Psychology” where a YouTube link to the meeting will be posted at the appointed time of the meeting.

During the meetings of this type, according to the notice, Individuals who wish to make a public comment before or during the meeting may do so by emailing:
publiccomment@lsbme.la.gov. 

 

 

 

 

Dr. Murray Weighs In on the Behavioral Immune System

Tulane’s Dr. Damian Murray co-authored the Association for Psychological Science
lead article, Psychological Science in the Wake of COVID-19 Social, Methodological, and  Metascientific Considerations.

The premier article was published in Perspectives on Psychological Science in March 2022.

Dr. Murray explained the importance of the behavioral immune system and along with national and international contributors, noted that the COVID-19 pandemic has extensively changed the landscape of psychological science, and it is continuing to raise important questions about the conduct of research.

How did Dr. Murray become involved as a resource for the article?

“I was simply approached by the lead author, as he was familiar with my work and my being among a (formerly much smaller) group of researchers studying the implications of disease threat for cognition, behavior, and culture,” explained Dr. Murray.

The article considers how the psychology of pathogen threat may elucidate many social
phenomena in the wake of COVID-19. One question of concern brought up about this was, “Why should psychological scientists care about COVID-19 and the day-to-day research?”

Dr. Murray explains that, complementary to our immune systems, people focus on avoiding disease-causing objects, including other people whenever possible, which is referred to as a type of “behavioral immune system.” This concept is explained by Murray & Schaller in their 2016 chapter for Advances in Experimental Social Psychology, titled, “The Behavioral Immune System: Implications for Social Cognition, Social Interaction, and Social Influence.”

“Broadly, the behavioral immune system,” said Dr. Murray, “is a set of cognitive, motivational, and behavioral mechanisms that help to minimize the possibility of getting sick in the face of recurrent infectious disease threats.” As an historical note he added, “This may have been more aptly termed the Psychological Immune System, but that had already been claimed.”

Dr. Murray and co-authors explain that a fundamental goal of any organism is to protect itself from threat, and humans must navigate both realistic such as biological threats to health and symbolic threats such as those to group identity, moral values, and worldviews. Because they pose both realistic and symbolic threats, pandemics have high potential to influence many cognitions and behaviors, explained Dr. Murray.

Until recently psychologists have mostly dismissed the implications of pathogen threat for social cognition and behavior. In general, disease avoidance does not involve a great deal of deliberative thought, given that it is motivated by disgust or embedded cultural norms, reported Dr. Murray and co-authors in a 2017 research article.

However, viewed from the functional perspective, most social phenomena have disease-related causes and/or consequences which include relationships, motivations, moral cognition, and even cultural systems and political institutions, explain Murray & Schaller.

What are some of the most interesting research findings in this area?

“I used to answer this question by saying that disease influences the fundamental ways in which we socialize,” said Dr. Murray, “but now that we’ve all been through a world-altering pandemic that seems like common knowledge. I guess now I would say that I consider the most interesting findings to be those outcomes in the areas that people don’t intuitively link to disease, like conformity or moral judgment,” he said. “Are you more likely to condemn someone who morally transgresses when you’re worried about disease? Are you more likely to conform to even the tritest of social norms when you’re more concerned about disease? The research says ‘yes’ to both of these questions,” said Dr. Murray.

When it detects threat, the behavioral immune system activates anti-infection behavior, such as by eliciting disgust and promoting social avoidance, according to Murray & Schaller. The authors state that when this happens, COVID-19 alerts psychologists to uncertain conditions of infection risk that, to date, have been underappreciated and understudied.

What are some of the most practical applications, or main takeaways, regarding the behavioral system that readers might need to know?

“It’s hard to overstate just how important a factor disease has been in how and why we are the humans we are today,” said Dr. Murray. “With access to remarkable modern medicine, it’s easy to forget that throughout human history, infectious disease has been the biggest
threat to our well-being and thriving…it’s been the source of more deaths than all famines, wars, and natural disasters combined,” he said.

“So, in the lab our work is showing that yes—when people are temporarily made aware of a disease threat, they are more likely to vote with the majority, are more likely to condemn those that violate moral norms, and more likely to say that they would prefer fewer sexual partners in the next 5 years (and/or in their lifetimes),” said Dr. Murray.

“I think the bigger takeaways are that we see these effects play out at the societal level as well,” he said. “People living in countries or regions that have had historically higher levels of disease are (on average, of course) more likely to conform to the majority, more likely to
condemn moral-violators, and prefer fewer sexual partners. And even most importantly we see these psychological effects manifest in how countries and societies operate: more disease is associated with less trust of your neighbors, more authoritarian governance, and more restrictions on personal freedoms,” said Dr. Murray.

“We’ve found this when looking at both samples of contemporary nation states and samples of more traditional societies. Another huge downstream effect of disease threat (via its effects on less creative thinking) is less cultural innovation. You see this manifest in pretty much any innovation metric available…Nobel prizes, patents, global innovation scores, whatever.”

What are some of the other interesting findings in Dr. Murray’s publications?

“We’ve been doing a bunch of work over the past few years looking at how becoming a parent influences our political attitudes,” said Dr. Murray. “Most of this work has been led by Nick Kerry, a fantastic former grad student of the lab. As we know, motivations shift when one becomes a parent…as a parent you’re all of a sudden responsible for a very vulnerable other human, and you will be for many years.

“When we started this work,” said Dr. Murray, “we reckoned that maybe you’d see that motivational shift reflected in political attitudes, specifically in attitudes in the domain of social conservatism. Given that socially conservative attitudes emphasize group cohesion, familial stability, and more punitive punishments for people who might pose threats, we
predicted that parenthood is associated with higher political conservatism. This is exactly the pattern we find study after study—not just in America but all around the world. And this pattern is exclusive to social (and not economic) conservatism,” Dr. Murray said. “I think that this is fascinating work because so much work on parenting focuses on the other causal
arrow of how parents influence their children’s attitudes and behaviors. Our work shows how effects work in the opposite direction too; children influence their parents’ psychology simply by virtue of being children.”

How did he become involved in evolutionary psychology?

“I find ‘evolutionary psychology’ to be a term so fraught with baggage and misunderstanding that I don’t use it to categorize research programs or areas,” Dr. Murray said.

“Coming from early training in the biological sciences it never made sense to me why so many branches of psychology were uninterested in human origins, history, development, and culture. An evolutionarily-informed approach to the study of human cognition and behavior is complimentary to—not mutually exclusive of—the more proximal or situational
perspectives we see in the psychological sciences. It simply addresses our most fascinating ‘why’ questions at a different level of analysis,” said Dr. Murray.

“For example, if you were to try to answer the question, ‘Why do people fall in love?’ A common approach could be to look for all of the environmental and social triggers that cause people to fall in love. A complimentary evolutionary perspective could form answers to this question in a different way, by listing the ways in which the tendency to fall in love helped humans survive and thrive throughout history,” he said.

“It takes answers at both levels to best understand why people do what they do. Just as there’s no such thing as ‘non-evolutionary biology,’ neglecting the evolutionary level of analysis in psychology gives us an incomplete understanding of human cognition and behavior,” Dr. Murray said.

“So more basically my involvement/continued interest in evolutionary perspectives on psychology is that it more persistently asks the deeper ‘why’ question. We don’t get satisfactory answers to that ‘why’ question otherwise.”

Some of his current publications include:

Kerry, N., & Murray, D. R. (in press). Politics and parenting. In V. A. Weekes-Shackelford
&T. K. Shackelford (Eds.), The Oxford Handbook of Evolutionary Psychology and Parenting. Oxford, UK: Oxford University Press.

Kerry, N., & Murray, D. R. (2020). Politics and parental care: Experimental and mediational tests of the causal link between parenting motivation and social conservatism. Social Psychological and Personality Science, 11, 284-292.

Murray, D. R., *Prokosch, M., & *Airington, Z. (2019). PsychoBehavioroImmunology:
Connecting the behavioral immune system to its physiological foundations. Frontiers in Psychology, 7, 10:200. 10.3389/fpsyg.2019.00200

Murray, D. R., Haselton, M. G., Fales, M. R., & Cole, S. W. (2019). Falling in love is associated with immune system gene regulation. Psychoneuroendocrinology, 00, 120- 126.

Damian R. Murray, PhD, is an Associate Professor, Department of Psychology, at Tulane University. He has a PhD in Social Psychology and a PhD in Minor Quantitative Methods, from University of British Columbia, Vancouver, BC.

According to his bio at Tulane, Dr. Murray’s research programs follow two themes:

1) The consequences of a disease-avoidance motive for interpersonal relationships, social attitudes, personality, and cultural differences, and

2) The dynamics of new interpersonal relationships—the individual differences that predict formation, stability, and satisfaction in new romantic relationships, and the implications of these relationships for physiology and health.