CANADIAN CLINICAL PSYCHOLOGIST PSYCHOLOGUE CLINICIEN CANADIEN
>ij~s~agefro.m the Chair.~ Keith Wilson,a ·M8SUgedUPr6sicl..~j·K8ithWII~on,a .:,;.> . :':'.":.~. ;,::- :.,:";:;'-;. :.-:', .' \ ", ,," .. ;.,.::~:' , Ken BowerRemem~rect-Q;ckSreffyp~" ..
..• NowwerefaCingtbe·C~l18equen~: .~"~~i~k Cummings p. . . ( , '.gf)~q~idelin8S o~ R8Co~ered Mern0ries& on N~~De8c~minatoryT",abnent , '-t~j"mentsry by Jean Pettlfoj~~' '<,' ":"',~". : '/ ...... ".':"." . '.' 'Charl.Morin - APA Dia,tinguishGd Sc.ientific'Award'P1~:: . • •.Srian Cox- AAB,.~~~~.,s;arc;h~~Avnard:,Pf2: ...... •..•... ..•. '. '.'
: '. ~. .", . : .",... " .' ···Convention Update ~'I . Netwoifdng ,,, " '~lif1ic.I'Section Busin..... •••.....; Can f6t'N()n1ihati~ns.fo~1997 ~98Executiv8p,s
PRIX KEN BoWERS .pour rechercheeffectu6e par unetudjant P 11 . Callfo~'Nomi~~~C»hS'forStud~rltResearch~the ··KEN.aOwERS Award ~,.. Fe"ovis~tth~q;irilcar~ectio~,~. .... •. . ...
Call for Nominations for FelloWS ofthe Clinical Section piS
Demande de ,presentation de mi~es en candidaturesectiion p1.
Members ofttie,ClinicalSectiOn. p11 .' " ._, .. > ..- ," Editors Note'P1' . MESSAGE FROM THE CHAIR MESSAGE DU PRESIDENT Keith Wilson Keith Wilson
In this issue ofCanadian Clinical Psychologist, you will Le present numero du Psychologue clinicien canadien fmd a call for nominations for people who would be willing renferme un appel de candidatures qui s'adresse aux per- to serve on the Executive Committee in the position of sonnes disposees a sieger au Comite executifa titre de either chair-elect or member-at-Iarge. This provides me president designe ou de representant des membres. Ceci with an opportunity to introduce the current members ofthe m'amene a vous presenter les membres actuels du Comite Executive, and also to update the membership on some of executifet de vous mettre au fait de certains projets en our ongoing projects and responsibilities. cours et des responsabilites connexes.
The position ofmember-at-large is presently held by Paul Paul Hewitt, de la University ofBritish Columbia, occupe Hewitt, from the University ofBritish Columbia. In this actuellement Ie poste de representant des membres. II est position, Paul is responsible for maintaining the Section charge d'assurer I'essor du bulletin d'information de la Newsletter as a thriving concern (in partnership with our Section (en collaboration avec David Hart, notre inimitable inimitable editor, David Hart). Paul will be stepping down redacteur en chef). Paul quittera Ie Comite executifen juin, from the Executive in June, and we are hoping to fmd an et nous esperons lui trouver un remplalYant enthousiaste. La enthusiastic volunteer to take his place. We know that Paul tache ne sera pas facile, car, apres tout, Paul est un special- will be tough to replace; after all, he's a leading expert on iste du perfectionnisme! the topic ofperfectionism! Candace Konnert, de la University ofCalgary, est tre- Candace Konnert, from the University ofCalgary, is our soriere. Non seulement veille-t-elle a ce que vos deniers treasurer. In addition to making sure that your dues are soient depenses judicieusement, mais elle gere egalement spent wisely, Candace maintains an active research un programme de recherche active en psychologie du vieil- program in the psychology ofageing. lissement.
Charles Morin from Laval University, now is the chair Charles Morin, de l'Universite Laval, est president elect. You will fmd a profile ofCharles later in this issue. designe. Vous trouverez une notice biographique de Many ofyou may already know Charles -- his research in Charles ailleurs dans ce numero. Bon nombre d'entre vous the treatment ofinsomnia has earned him an early career connaissez peut-etre deja Charles; ses recherches sur Ie award from the American Psychological Association. traitement de I'insomnie lui ont valu un prix en debut de carriere de I'American Psychological Association. Finally, we have "the Wilson boys", as John Service likes to call us. Allan, from the Nova Scotia Hospital in Halifax, Entin, il y a les Wilson boys selon I'expression de John is our past chair. Although Allan will also end his term on Service. Allan, du Nova Scotia Hospital a Halifax, est the Executive in June, he will maintain an active advocacy president sortant. II termine son mandat au Comite executif role in his capacity as the recently elected vice-president of en juin, mais iI continuera de promouvoir activement la CRHSPP (congratulations Allan). In this exalted company, psychologie en tant que vice-president designe du RC- my position as chair has been an easy one to fill. In my pass, poste qu'il occupe depuis peu. Nos felicitations Al- "day job," I am a clinical psychologist at The Rehabilitation lan! Dans cette joyeuse cohorte, il ne m'est pas difficile de Centre in Ottawa. remplir mon mandat de president. Le jour, je suis psycho- logue clinicien au Centre de readaptation d'Ottawa. The role ofthe Executive Committee is to oversee the business ofthe Clinical Section. This largely comprises the Le Comite executifa pour mandat de surveiller les activites publication ofthe newsletter, the arrangement ofsection de la Section de la psychologie c1inique, ce qui comprend sponsored activities for the CPA annual convention, principalement la publication du bulletin d'information, responding to CPA requests on matters that require the I'organisation des activites parrainees par la Section pour Ie input ofthe clinical psychology community, and supporting congres annuel de la SCP, Ie traitement des demandes advocacy initiatives that promote clinical psychology. adressees a la SCP sur des questions qui exigent I'apport de Most recently, these initiatives have included mailing psychologues c1iniciens et I' appui des projets de promotion copies ofour information brochure, "The Clinical de la psychologie c1inique. Tout recemment, nous avons Psychologist in Canada," to members ofprovincial envoye par la poste des exemplaires de notre brochure legislatures. We are also sponsoring a position paper on d'information Le psychologue clinicien au Canada aux empirically validated treatments that will outline the membres des legislatures provinciales. Nous parrainons r Section's stance with regard to the emerging developments aussi I'elaboration d'un enonce de principe sur les traite- (Continued on page 3) (Continued on page 3) Other major awards were given for wort descnOcd in his Professor Kenneth S. Bowers ofthe University ofWaterloo publications including two books (Hypnosis for the Seri Psychology Department died on Thursday, July 4, 1996 OUlIy Curious, in 1976 and the Uaconsciou ReconsJd after a year's suffering with brain cancer. Kenneth leaves ered in 1984, the 1Btter in collaboration with Oem Meichen his wife Patricia, also a professor in the psychology pr0 baum). He has published many cbaptcn and a large num· gram, three SODS and their families. beT ofscientific papers, and presented conference papers and spcciallecture. Dr. Bowers was born in the State ofntinois in 1937 and earned an lDldergraduatc degree majoring in Philosophy CoUeagues have described Ken Bowers as one ofthe top and minoring in both Zoology and Chemistry at the Univer theorists and researchers in the field ofhypnosis. He is sity ofDlinois in 1959. He continued at lllinois for his Ph. credited with the development ofa theory ofhypnotic re D. in Clinical Psychology which was awarded in 1964. membering that has been labeled the "theory ofdissociated Ken came immediately to the Waterloo campus and to em control". He also remembered for hisPqdIolt1gblRe bark on an iJlUItrious.academ.ic career. He was on duty by view paper in 1973 entitled "Situationism in Psychology: tile fall term of1964-65 with an assistant professor rank AD Analysis and a Critiquo", A coUeague described that and -also a part-time service role in the campus student paper as a "true tour de force that stopped in its tracks the counselling service. Ken had been one ofthe architects of then rampant .,. denial ofindividual differences". This the University ofWaterloo Clinical Training Program and paper is highly respected by personality tbeorists and is a on occasion served as its Ch.airpenon. He was deemed a part oftbe legacy Ken Bowers loft us. highly vaIw:d colleague by other faculty and a superior mentor by his students. In his final days, Dr. Bowen put forward ahyciologbd ) Bu/kIln article that is having a substantial imped on under Dr. Bowen was perceived as an academically adventurous standing ofthe false memory syndrome area. 'In the views individual whose wode gravitated towards topics ofgreat ofbis colleagues at Waterloo, throughout Canada and the mystery (the worldngs ofhypnosis, the inbicacies ofun continent, his loss is 8 very unfol"tUDate and abrupt conclu conscious processes, operational definitions ofpersonal sion to a career that was reaching its peak level ofperfor intuitions, as weJl as question pertinent to psychosomatic mance. disorders). His work .earned him many awards. He re ceived the F. S. Baily Award as the best undergraduate phi losophy studcot in 1959 at the University ofDJillois. As a graduate student, he had a U.S. Public Health Fellowship for several yean, and his post-graduate research earned the The Executive ofthe Clinical Section at its January best research project and the best theoretical paper ofthe meeting I... Message from the Chair I... Message du President (Continuedjrom page 2) (Continuedjrom page 2) on this topic. ments avalidation empirique, qui decrira la position de la Section al'egard des nouveaux developpements en la Ifyou have an interest in contributing to the preservation matiere. and growth ofthe discipline in these ways, why not consider standing for election into one ofthe positions on Si vous desirez contribuer au maintien et Ii la croissance de ) the Executive Committee? la discipline, pourquoi ne pas poser votre candidature Ii l'un des postes du Comite executif? Now we're facing the consequences ,-- A Conversation with Nicholas Cummings --1( The following interview appeared in November 1996 issue people had in the professionalism of the health care practi of the AAAPP newsletter, Cummings, N. (1996). Now tioner that it took that long. were/acing the consequenus. Tbe Scientist Practitioner, Hayes: Fee for service mental health care was dominated 6 (1), 9-13. by doctoral practitioners, it was dominated by small group practices, it was dominated by high fees. What do you think Editor's Note: 1read this article on the SSCP mail list. con are the three or four biggest differences between the mod cluded it would contribute to our understanding ofchanges oc em world were heading into and where we have been in the curring in Canada. requested and was given permission to 70s and 80s? reprint, As a courtesy andfor your information, at the end ofthe Cummings: Every industry, as supply increases, prices go interview is some information about AAAPP and how to join ii, down. The one exception was health care and the reason for that was that the professional controlled both the supply Nicholas Cummings is aformer presidenr ofille American Psy and the demand. So the more physicians we had, the more chological Association and has been one ofthe leaders ofthe movement to integrate psychology into behavioral health services demand. Ifyou got too many doctors and they had to divide offered within managed care settings, Cummings worudfor many smaIler and smaIler parcels of patients they would up the years at Kaiser-Permanante, one ofthe first health maintenance number and cost of procedures and the lab tests and every organizations in the country, He then took this Icnowledge into a thing that they were doing. So consequently, the demand highly successful private business. Biodyne, which can be seen never went down because we have a lot ofdoctors. The now as an opening wedge in the movement towards managed care government was waiting all those years for the day that the in menlal health services, His Foundation, funded in partfrom the supply ofdoctors would solve the problem: "boy, then were proceeds from the sale ofBiodyne, recently awarded the first Psy going to see health care prices drop." But what they didn't che prize. the largest cash prize in psychology, to Rutgers psy bank on and what every economist now knows "When doc chologist Arnold Lazarus. The following interview was conducted at Dr, Cummings home by outgoing AAAPP president Steven tor controls both supply and demand, prices go up." . Hayes on October 3. /996. For example, research addressed this question: "what is the biggest predictor ofhow many patients per capita will be Hayes: You've been involved in managed care for along hospitalized in psychiatric facilities?" The answer was the time. There's a group ofthe practice base in psychology number ofpsychiatrists in that community. It had nothing that thinks that what were facing right now is a temporary to do with need. And this penneated the whole fee for ser glitch, that were somehow going to go back to the glory vice system. days offee for service psychology. I'm interested in what Now we have removed the control from the professional so you think looking ahead over the long term, about whether that the doctor neither controls supply nor demand. Now or not what were seeing here is really a fundamental re they desperately try to control supply. They want to figure aJignment ofhow mental health services are going to be de how to cut down on the number ofpractitioners that are livered and paid for. Is this a temporary problem that psy graduating and so forth, but that has limited impact and de- chologists are facing? mand now is totalIy out oftheir hands. Cummings: Quite the contrary. I Its in the industrialized system that think you're seeing the industrializa '·Hi:.:hl no\\, \\l'n' ill thl' \lodd T Ford \lat:l', we've now evolved, Right now, tion ofhealth care. What we see now \\l' an' ncmhl'n' IIl'ar the Lamhor:!hi/li' and were in the Model T Ford stage, is not going to be what we see in ten thl' I'lIr,rhl" that \\l'n' !!oillC Itl 'l'l' ~l':lr, we are nowhere near the Lam or twenty years anymore than what we from /111\\." borghinis and the Porsches that see now in an automobile has any re- were going to see years from now. semblance to Henry Fords Model T. Once Henry It is a start, The remarkable thing is that even Ford invented the assembly line we never went back to the the beginning, changes in this industry have tremendously horse and buggy. We've emerged from a cottage industry slowed the accelerating inflation curve that was just going to an industrialized industry and once industrialization offthe wall. In many instances they've actualIy reduced takes place there's no going back. One ofthe questions I'm costs, constantly asked is, "why are we industrializing?" That's Hayes: Specifically within the behavioral health care, es not the question. The question is, "what took us a hundred pecially with fully capitated systems and staffmodel sys years after manufacturing to industrialize and fifty years af tems, use ofthe "lowest competent provider" is now the ter retail?" Here you have something that takes twelve per rule ofthe day. In that context are we past a place in which cent ofthe gross national product and it took a hundred doctoral level psychologists are going to be the dominant years to industriaJize. That is the real phenomenon. I think deliverer ofpsychological services? it speaks to the tremendous confidence that the American (Continued on page 5) THE. NEVVSLETTER OF THE CLINICAL SECTION OF CPA / JOUPN:'L DE L-' SECTION DE PS'r'CHOLOG,[' CUN/OUE DE L,. SCP 5 ... Conversation with Nicholas Cummings (Continuedfrom page 4) APA's determination to keep psychotherapy exclusively at Cummings: Yes, we have. I hate to say that, but we have. the doctoral level. Ifwe had gone the route that I suggested What's really going to make this possible is the develop in 1974 our problems would be solved now. We wouldn't ment of better protocols and guidelines that masters level have this glut ofPh.D. psychologists who want to do psy technicians will be able to follow. My own research we chotherapy one-on-one and still have a practice. The mas found years ago that the best protocol will cover some ters level people would be in their rightful place, the Ph.D.s where between 30 and 35 percent ofthe population for would be in their rightful place and the APA wouldn't be in which it is intended. The other 60, 65 percent needs clinical this terrible crisis. judgment. And that's where the doctoral level providers Hayes: I wonder ifwere not doing the same thing allover must be. again with the idea that we should have more and more Hayes: And then wouldn't a major part ofthe job ofthe specialty training and limit practice within specialty do doctoral level person be to tum that 65 percent into 60 and mains. The ational College for example, or the develop then 50 and then 40 and so on? Its not going to be just nor ment ofdifferent accreditable specialties and competencies. mal delivery services even with complex cases but its treat Or prescription privileges, which would add another two or ment in order to do treatment development. three years 10 what we are already doing in six or seven Cummings: You're absolutely right. You don't have the years. Meanwhile we some really trying to crush masters automotive engineer down on the assembly line level people to the point that they are even elimi- putting in rivets. The doctoral level psy- nated in the states where they have any chologists will be developing the prot kind of psychological associate licens "But \H' han' to makt· room cols, and testing the protocols. The ing. It seems like our major professional 111~lstcrs goal will always be to raise that 30 per for len'l prn"idl'rs:' adjustments have been in the opposite cent ofprotocol responsive cases to 40, direction ofwhat you're talking about. to 50, to 60, hopefully to 90. There's a Cummings: Your question is really a level at which we might get alarmingly close to the cook very astute one. The APA is trying to salvage the bad deci book stage. That is far offand there will always be room sions we made in the 60s and 70s. Uwe Rheinhart, the for clinical judgment. Princeton health economist, says the age ofspecialization is But we have to make room for masters level providers. This over, that the LPN is going to be doing the work ofthe RN, is going to surprise you. Group practices owned by doctoral the RN is going to be doing the work ofthe physician, the practitioners have more non-doctoral people than group GP is going to be doing the work ofthe specialist, and the practices owned by managed care companies. Once he or specialist is going to be driving taxicabs. So what is the she is at risk, psychologists sees the light and say: "Why APA doing;· its creating more and more specialization! The should I be putting a Mercedes engine on a bicycle?" And prescription privilege thing can go either way. We might so they gear the level oftraining to the task that has to be end up adding more years, which would be a ridiculous done. way to go, but on the other hand prescription privileges Hayes: But psychology has spent the last twenty years go have been extended downward rather than upward. Nurses ing in the opposite direction. Organized psychology seemed are prescribing, optometrists are prescribing, podiatrists are to have the idea that we needed to get rid ofthe masters prescribing, and in many states, pharmacists are now pre level people, crank up the supply ofdoctoral people, scribing so that this would be more ofa reduction ofspe change the model away from scientist-practitioners, and cialization, I think. Unless the APA, in its inimitable style, add layer upon layer ofspecialization and practice restric makes this an incredible super specialty... which they're tions. As a result, how many doctoral psychologists even likely to do because they consistently go in the wrong di have the training to fit into the world that is coming? Do rection, no question. you think that we have prepared for our students to do what Hayes: Lets deal with prescription privileges because is now needed, either in the university-based programs or that's something that AAAPP has been involved in . We professional school programs? have exerting leadership to slow down the movement to Cummings: No, no. We're training great psychologists for wards it. And one ofthe things that bas moved AAAPP to the 1980s! Were not prepared for the 90s or the year 2000 take a position is we fear that really what were trying to whatsoever. Henry Seaman at the National Psychologist protect with the prescription privilege movement is the resurrected an editorial if mine in the APA Monitor that Mom and Pop level ofhealth care. It isn't that were going came out in 1974 where I pleaded with the APA to assign a to now fit into the industrialized health care system as a rightful role to the doctoral level psychologists, a rightful cost-effective, value-added professional that can also pre role to the masters level psychologists, forget about the scribe. It seems to me that the fantasy is that were going to Psy.D. because the Psy.D. is nothing more than an excuse have our private practice offices being filled now by people to have doctoral level practitioners. He or she would still be who are coming in for fifteen minute med-checks at eighty called doctor but it was clearly an accommodation ofthe (Continllrtd on pagrt 8) CPA Adopts Two New Sets of Guidelines - Commentary by Jean Pettifor ~======;--;::======~(" Guidelines for Non-Discriminatory Practice Adopted November 1996 A strength ofthe guidelines is the referencing to the princi ples and standards ofthe Canadian Code ofEthics for Psy There are many groups ofpeople representing specific in chologists. The issues in the recovered memory/false mem terests that believe that they have been excluded, or suf ory debate all have an underlying moral framework of how fered discrimination within the larger society, because they to provide beneficial rather than harmful services. Each of are different, devalued and considered deviant. Such groups the seven general statements is described in terms of its ap may be identified by their ethnicity, gender, sexual orienta plication to addressing recovered memories and each is ref tion, socio-economic status or disabilities. The demands for erenced to the Canadian Code. social justice include protesting exclusion, patriarchy, and discrimination, and, supporting inclusion, respect, egalitari The general statements are listed below: anism and participation. The concerns relate to research 1. The psychologist's primary purpose is to serve the best methodologies and interpretation ofresults, to teaching and interst ofthe client. professional training, and to access to appropriate services. 2. Psychologists clarify their roles as therapists and coun Some groups, most notably women, have obtained special sellors and avoid multiple relationships that may impair guidelines and standards approved by professional bodies. their professional objectivity. The Canadian Psychological Association has approved a 3. The psychologist obtains specialized competence in ad number of policies and guidelines on gender issues. Our dressing recovered memories. generic ethical principles emphasize respect and caring for 4. The psychologist acknowledges and strives to overcome alI people without discrimination and emphasize the need unjust discrimination. for professionals to be self-reflective and sensitive to their 5. The psychologist maintains professional objectivity and own attitudes, beliefs and biases in order to be accepting of impartiality in presenting legal evidence. diversity. However, this is the first time that CPA has 6. The psychologist always informs clients about the limits adopted guidelines for non-discriminatory practice that are ofconfidentiality generally, and, in considering potential generic to alI kinds ofdiscrimination and all kinds ofpopu litigation, informs clients specifically about the limitations lations. on confidentiality. ( 7. The psychologist has a responsibility, which may be un The strength ofthe Guidelines for Non-Discriminatory dertaken in various ways, for helping to eliminate negative Practice is that they are linked directly to the Canadian aspects ofsociety, but in Code of Ethics for Psychologists, which provides the moral doing so must never place the welfare ofindividual clients framework for all psychological activities. Each ofthe four at risk. principles, Respect for the Dignity of Persons, Responsible Caring, Integrity in Relationships, and Responsibility to So For complete copies o/both documents contact the Cana ciety, are described as they apply to diverse populations. dian Psychological Consistent with the code ofethics, professionals are ex Association, #205, 151 Slater, Ottawa, Ontario KlP 5H3 pected to take extra responsibility that vulnerable people Telephone: 613-237-2144, Fax: 613-237-1674 are treated with respect and caring. The tone is proactive. The narrative is followed by 21 guidelines for ethical prac tice with diverse populations. Guidelines for Psychologists in Addressing Recovered Memories Adopted August 1996 The guidelines were developed for psychologists who en counter clients dealing with forgotten ore recently remem bered life events. The goal is to promote competent care in therapeutic work with clients, as well as to provide guide lines for evaluating the appropriateness ofpractices should there be questions about the competence ofthe practitioner. The primary purpose is to support psychologists in serving the public good, rather than engaging in controversy over the "false memory syndrome" or the relevance ofempirical research on memory. The guidelines are aspirational to aid in practical decision making rather than mandatory rules or exhaustive behaviours. Yield belter andfaster results zdth... TM - The Million • With patients that may have a personality disorder: Clinical The MCMI-III can help confinn your diagnosis and Multiaxial provide additional information about how to deal with Inventory-IIIT'" the patient in treatment. 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In Toronto, call (416)424-1700, FAX (416) 424-1736, or write to us at MHS, 6S Overlea Blvd., Suite 210,Toronto, ON M4H I PI ...Conversation with Nicholas Cummings (Continuedfrom page 5) the quick-fix first. They fmally come into psychotherapy to or ninety dollars instead ofhaving to fight for a managed get some relief for their symptoms and their pain. So I ( care company to allow us to charge eighty dollars an hour don't think medication will ever put us out ofbusiness. Ab when we feel like we should be charging a hundred and solutely not. But it behooves us to make our treatment pro twenty for psychotherapy. There is a problem here but this cedures more and more cost effective. We can no longer af- response might, ifwe don't act carefully, take us in the op ford long tenn therapy for the sake ofthe doctor. There are posite direction ofshowing that we can provide an econom patients that should get longer term therapy about fifteen ically justifiable benefit in the health care system based on percent. But this is because these people should get longer what we actually know. tenn care not because the therapist needs it. Cummings: If we take it in that direction it will be more Hayes: It seems as though we have built, in our university ofthe same. I've predicted that fifty percent ofdoctoral studies and also in our practice base, a model that ignores level psychologists will not be in practice by the year 2005. all kinds ofbehavioral health problems simply because they If psychologists get prescription privileges we might lose don't fit a particular syndrome or classification, or there twenty five percent ofthem and the other twenty-five per isn't a sixteen session protocol that can be delivered once a cent will come out of psychiatry. The managed care com week fifty minutes. An example that is dear to your heart is pany is going to say to psychiatry, "Why should we pay primary care. And yet it seems as though we just walked your higher fees when you can get a psychologist to do it?" away from this issue and have abandoned it to others. It is Just like they tell us in psychotherapy now, "Why should I as if it is not psychology is there is not a separate office and pay your fees when I can get a masters level person to work a separate waiting room. cheaper." So I'm afraid that most people who are looking Cumming: Psychotherapists ofthe future will only be for prescription privileges are looking for a way to some doing one-on-one psychotherapy with about twenty-five how save private practices. percent of the patients. And the rest will be group therapy Hayes: Fairly quickly within managed care doesn't it seem and maybe fifty percent will be psycho-educational models. clear that our competition would not be psychiatry but The Hawaii study, for example, showed with chronic con- RNPs? And do we really want to compete ditions such as asthma and emphysema with a doctorate plus additional train and diabetes and so forth, that psy ing with RNs? '1"'llraillin~ (kparlm(,llh in p,~ch"l"g.\ ha\!.' chotherapy raised costs, but a Cummings: Ifwe use prescrip- 110 idl'a \\hal', hapJll'llillC 0111 in Ihal \\orld. five session psycho-educational ( tion privileges as a very small part of model reduced costs tremendously. our practice, as an adjunct to psychotherapy, People who have chronic conditions, people we wouldn't have that problem. Its when the tail wags the who have pain, people who have anxieties and phobias they dog that we could be in trouble. There was a movement that cant understand love to be educated about their own condi I headed around 1970 in the APA to look at the prescription tion. issue. The committee came out with a report saying that if Hayes: What kind of implications does that have for orga psychology did indeed get prescription privileges it would nizing our training programs? What are the barriers that we stop doing as much research and innovation in psychother have to face inside the discipline to move into the primary apy. And immediately I saw that this was right and I re care setting and to very, very short tenn interventions for versed my position. Psychology became the preeminent problems that are not even considered to be "psychiatric" psychotherapy profession because not having the access to syndromes? prescriptions and having the ability to do research we have Cummings: I've seen tremendous, ifnot a dismal igno come up with psychotherapies nobody even dreamed of rance. Most training departments in psychology have no twenty-five years ago. We will probably lose that. Once idea what's happening out in that world. My bunch is that it you have the prescription pad it is such an easy way out just probably is going to get bener as these program are broken to reach across you desk and pull the damn thing out. from the bottom up. When students fmd out they don't Hayes: There are a number of people who think that psy have jobs they don't have incomes, they don't have a chotherapy can't cost-justify itself in the health care system livelihood when they graduate and the word filters down because its always going to be cheaper just to write a pre then new graduates coming in are going to demand changes scription. Even within psychology you can see a real loss of just like the new breed ofmedical students changed the faith. Are we on the losing side ofa cost-benefit debate that medical schools a decade ago. And ofcourse managed care will lead us into irrelevancy? changed medicine only a decade before there was a behav Cummings: I don't think so. You know, when I was CEO ioral health so now it is our turn. I think its going to come ofthe company that had 14.5 million subscribers and we from the students. Unfortunately University faculty live on were seeing thousands and thousands and thousand patients their own momentum they keep doing whatever they've al from coast to coast most ofthe people we saw in psy ways been doing. chotherapy had already had medication fail. They went for (ConJinued on page 9) ... Conversation with Nicholas Cummings (Continuedfrom page 8) tomer and said, "We have all ofthese things that nobod l Hayes: How do you see the health care system reorganiz else has." So were going through that period where every ing itself as an industry as a business? body's playing the cards close to the vest. When we get Cummings: We will have universal care. The question is over that, then I think were going to start pooling knowl "How will it be done." And managed care may make it eco edge and doing a better job of linking practice to that. nomically possible. Managed care is the centerpiece for all Hayes: One ofthe things AAAPP is trying to do is to try health plans that look toward universal health care in the to get people in the room and begin to take down some of United States. Government medicine has not worked. It in the proprietary boundaries. We have a conference in troduced a new kind of rationing that nobody anticipated. ovember to begin to do that [see story ofpage 2 of The Europe is looking at what were doing and now they are try Scientist Practitioner. 6 (I )]. How are we going to go from ing to privatize it. They're going to keep the single payer this very proprietary stage to one in which is a more open system. England has gone ahead with what they call fund linkage between the best avaiJable knowledge and the stan holding. 60 percent ofthe phy~icians will be fundholders dards ofcare that are built into delivery systems? by April 1997. They get a pot ofmoney for taking care ofa Cummings: I have a tremendous faith in the en population. In the United States, managed care has done an trepreneurial system. Eventually the marketplace will de incredible job ofbringing down costs. They really have. Its cide who is the best but we have to get through this stupid creating a whole host ofother problems that we're now in period where about 75% ofthe companies in exjstence to the process ofsolving. One thing I think you're going to day are going to dje. Its that simple. They're too many see over the next five, six, seven years is regulation. Gov companies doing the same thing, trying to differentiate ernment is going to enter the field through regulation. You themselves. Right now this competition is fueling tremen never have an industry that goes from ground zero to sev dous potential knowledge that one ofthese days is going to enty percent ofthe market in ten years that doesn't end up break loose and were all going to become the recipients. getting regulated. It happened to the railroads I remember in 1950 when we learned to and it happened to the telephone. freeze food and housewives Hayes: AAAPP has fostered an wt' o quit canning in jars and there "//011' tll't' ...."o;n.... 10 ~oojrom 111;, l'err. initiative to really look at how were hundreds of frozen jlropr;e/ttry,lttgc 10 0/1(' ill which i\ 1I IIlfJrc opell we can link the behavioral s . od companies on the mar- lill/..tlg(' be/wt'en llie he\lol'lliltth!t' /..II01dt,tlge ences to the health care indus et. And I remember a pro in the fonn ofpractice guide lIIull"t' .\Ill/ltlllrtl, oICltl"t! IiiIII art' builf illfo fessor I was taking eco lines, treatment protocols and delil'cly\y"fe/11\? .. nomics from said, "In two things ofthat kind where the best years there are going to be available scientific evidence is linked standards ofcare in five frozen food companies." And he was right. And the stead ofsimply cost reduction in the fonn ofsession limits ones that survive it are going to be the best ones. They're and other first generation cost reduction efforts. Where do going to know how to do it; the best and the cheapest. Were you think that's going? This sort ofgeneral issue ofclinical in that stage now. When you get over this period the indus pathways, treatment protocols, practice deadlines and so try is going to fund this kind ofthing just Like the automo forth? tive industry funds a tremendous amount of research that Cummings: I helped midwife the American Managed Be benefits all ofthe companies. They all chip in, they all pool havior Healthcare Association. I had hoped it would fulfill knowledge. Essentially the only thing the automotive com that function; that it would pool knowledge, it would en panies hide from each other is the body ofwhat next years courage knowledge, it would fonn knowledge and the model is going to look like. The internal combustion en whole industry would benefit. What has happened is that gine, braking systems: all that knowledge is available to all the industry has become incredibly competitive. It has be ofthem. Nobody has anything that the others don't have come so competitive that margins are getting down to tissue and its done by the automotive research institutes. I think paper thin levels. And when companies start losing money eventually well have that. That's what I tried to do when I or nearly losing money then they try to find a way to differ formed the Biodyne Institute. "X" portion ofthe dollars that entiate each other. They want to say "See, were better than American Biodyne generated would go (0 research, and we X, Y, Z." During this period where the margins are so thin, would publish it and it would be available to everybody. everybody is terrified ofsharing knowledge. Everybody The Biodyne Institute did the Hawaii project. The data acts as ifhe or she has a black box. Nobody has a black from the Hawaii project became the appendix to every RFP box. They're all doing the same damn thing but they've for every managed care company that was applying for a gone so far as to say, "I wont share my application fonn for Medicaid contract. practitioners to go on the network because I have the best Hayes: Is there any way to prevent the transition that is application fonn in the industry." And when you look at it, happening in health care through guild activity? it isn't the best fonn. But everybody has gone to the cus- (Continued on page 10) ·..Conversation with Nicholas Cummings (Continuedfrom page 9) staffmodels. I've seen staffmodels go both ways. Most of I Cummings: You don't ever stop industrialization by self the staffmodels that went belly up were because the staffs, ( interest. You may slow it down, you may derail it for a instead ofbeing on the cutting edge being excited having while but once industrialization starts it rolls right over that. these clinical based conferences and doing research and re And I can tell you, I talk to employers, they have written fining their protocols, became like the post office. "I'm offour professional guilds. They consider them moribund, salaried, the less I have to do the better." But the protocols they consider them selfish. There was a time years ago and innovations are coming. The Kaiser family tried to fos- when the American Medical Association were the bad guys ter this: they had a huge array ofsmall grants in the ten to I and the American Psychological Association were the good fifty thousand dollar range. They rewarded the practitioners guys. Now we're the bad guys. The American Psychiatric that came up with good ideas. Most ofthe work that I did at Association, and the American Psychological Association: Kaiser was on this kind offunding. Kaiser in those days we're the bad guys. Employers tell me those organizations was on the cutting edge. are going to go down the tubes. Hayes: What effect do you think changes in managed care Hayes: Design a psychology training program to fill the will have on prevention in behavioral health areas? need you see coming. Cummings: As far as behavioral health we are getting in to Cummings: [laughter] Well, I failed at this once when I real protocols that address targeted conditions. These proto helped found the professional school movement. I always cols usually have three aspects: I) treannent, 2) manage felt that the people that are the most aware ofthe research ment ofthe condition and 3) prevention. These vary a fair that needs to be done are the people that are in the trenches. amount with the particular conditions that are being ad I wanted to bring practitioners and researchers together un dressed, Some have more management than treatment; der one roofwhere it had always been academically domi some have more treatment than management; some have nated. And unfortunately the opposite effect took place and more prevention than treatment and so on. It varies. it became professionally dominated. I found Let's take some examples. Say you have a group out that runaway professionals are no treatment protocol for persons with better than ivory tower academi borderline personality disorder. It I litillI. 1/\ 1/ pro((,\'iiOIl til h'e II flO II' it cians. The professional school probably has more management movement has dragged their lodtll'. 11'('1'(' ...,"oill"..., /O\ltoot ollnell'('\ ill and treatment that prevention. On { feet probably more than any- tit£' jool. the other hand, take a parenting "- body when it comes to managed care. protocol. It wiJI have more prevention A few are now fmally getting on board but than treatment. So I think we are approaching most ofthem are still turning out students that want a shin prevention from a somewhat different standpoint, but nit is gle, a couch, and a Mercedes in the driveway. very important in managed care. The model ofprevention Hayes: As a discipline and as a profession, what's your for halfa century was the public health model. That does prediction? Are we going to succeed or shoot ourselves in not lend itselfthat well to where we are coming from. but the foot? prevention is still very important. Cummings: I think as a profession as we know it today Hayes: Is psychology a victim of its success? Is that wh.at we're going to shoot ourselves in the foot. APA is a prob is making the transition so hard? lem. We might be able to solve that it if we retire every pri Cummings. The big cash in for psychology came when vate practitioner over fifty and then APA would no longer medicine and surgery were tethered to DRGs and the hospi have to be held accountable to these atavistic Neanderthals tals, the medical and surgical beds were empty. The hospi who are the power structure within the APA. I think psy tals said, gee, ifwe transport all those beds into psychiatric chology as we know it and its institutions are not going to beds that might work. Suddenly psychologists were flour survive. What follows it, whether its a AAAPP or APS or ishing. I met psychologists that were making four hundred what, I don't know. More and more people on the cutting thousand dollars a year hospitalizing people. All ofa sud edge ofthe profession are leaving APA. It used to be the den it was a cash cow for psychotherapists a real cash cow. scientists, now it's also the cutting edge practitioners. Who Whereas medical and surgical colleagues were starting to knows? I'd hate to see it, you know. If I live another fifty hurt. I said at the time, "We're going to hurt Like they do years I don't think I will want to call myselfa past presi eventually." Nobody believed me. You know what killed dent ofan organization that will no longer exist. General Motors was not only that the Honda Civic is at the Hayes: I think and lot ofpractitioners think that managed right place at the right time' it was one dollar a gal10n gaso care is about "will I pay you and how much?" as opposed to line. As long as gasoline was 25 cents Americans all "what will you do with this person and what is the out wanted these huge V8s that got eight miles to a gallon that come?" The second generation of managed care is differ roared and rumbled for us. ent. I don'tthink people realize that's coming. Hayes: Well, that's kind of like fee for service. We all got Cummings: It is coming. Its already started, especially in (Continued on page It) Recently our Section on At the completion ofhis post 'I Clinical Psychology Chair doctoral studies, Charles Elect, Dr. Charles Morin, was was offered a faculty position in honoured by the American Psychological As- the Department ofPsychiatry at the Medical College sociation with a Distinguished Scientific Award for an of Virginia and quickly moved to being the Director ofthe Early Career Contribution to Psychology. This is an ex Insomnia Clinic and the Sleep Disorders Center. More re ceedingly prestigious award granted only to individuals cently Charles returned to Canada and a faculty position at who make marked contributions to the science ofpsycho1 Laval University. He is currently an Associate Professor ogy early in their careers. We are very pleased for Charles and Director ofthe PhD Clinical Psychology program and congratulate him on his achievements and on his the Director ofa new sleep research centre in Quebec City, award. The following is an excerpted description from the and Chair ofa task force ofthe American Sleep Disorders American Psychologist (April, 1996) ofCharles' back Association. ground and his research and career accomplishments. Charles' research interest has focused on sleep disturbances Charles was born in Quebec in 1956 and was raised in a and has focused on three major pursuits: (I) Cognitive rural community close to Quebec City. After two years in a variables in the etiology ofsleep disorders; (2) evaluation junior college, Charles enrolled in Laval University in a ofthe efficacy ofnonphannacololigical treattnents for in psychology program with a focus on humanistic/existential somnia; and (3) expanding the applicability of perspectives. He graduated in 1979 and worked as a school psychological procedures to sleep disturbances in specific counsellor for one year and returned to Laval to complete a populations including the elderly, psychiatric patients, and masters degree in clinical psychology. In 1982, Charles en medical patients. He has received funding from a variety rolled in a PhD clinical psychology program at Nova Uni ofsources to support his training and research. For exam versity in Ft. Lauderdale, Florida under the supervision of ple, in addition to receiving funds from the Social Sciences Nathan Azrin where he began his studies on sleep and and Humanities Research Council ofCanada and from the sleep disorders. Charles completed a clinical internship at Fonds pour la Formation de Chercheurs et Aide a la the University ofMississippi Medical Center in Jackson, Recherche, he received a FIRST grant from the National Mississippi and graduated,with the PhD in 1986. In the Institute ofMental Health to assess outcome of various ) same year, Charles was offered a postdoctoral fellowship treatment strategies for late- life insomnia. His research has in sleep disorders medician at the Medical College ofVir been continuously supported by the National Institute of ginia and worked independently to increase his knowledge Mental Health. His work has led to numerous published and expertise in the area ofsleep disorders. His work was articles in top journals (e.g., Sleep, Journal ofConsulting ofa very high quality and he became a Diplomate ofthe and Clinical Psychology, Psychology and Aging) and has American Board of Sleep Disorders Medicine, a credential published two books, a treatment manual and a self-help held by very few psychologists. book for the public. Once again Charles, congratulations! ...Conversation with Nicholas Cummings you're absolutely right. The private practitioners had no in (Continuedjrom page 10) centive to lower costs and change their ways to more effec to roll around with 25 cent gasoline and psychotherapy tive forms ofpractice. Now we're facing the consequences. Cadillacs. Now we're facing the consequences. How about some more Cummings: Absolutely. Can I give you a quote from coffee? Rogers Wright? You probably know Rogers. Hayes: Don't mind if I do. Hayes: Oh yeah. Sure do. I've been on the other side of That is the endofthe interview. the fence several times with him. Cummings: I confronted him a few months ago and asked Kurt Sa/zinger andStephen Hayes graciously gave uspermis him why a man as bright as he has missed every boat for sion to reprint the Cummings interview, so the ieast we can do is ten years. And he thought a minute and he said, "Well, I to add a short commercial was where all my colleagues were." And I said, "Where's The American Association ofApplied and Preventive Psychology that?" And he said, "When you're practicing in the land of (AAAPP most people call it "triple A double P'~ is a national society of milk and honey, and some guy comes in and spins you scientifically orientedpsychologists in all applied sub-areas ofthe disci around and says, The cow's eventually going to run dry, pline. It costs $49 a year ($34for students). AAAPP has a truly excel/ent ,) well, he's just not going to be listened to." And I said, appliedjournal, Applied and Preventive Psychology: Cu"ent SCientific Perspectives (edited by Sam Osipow) that comesjree with membership, "Rogers, that is probably one ofthe three honest things I've heard you say in the forty years I've followed you." Yes, (Continued on page 12) ( Arrangements have been made for an exciting program of the Section-sponsored events at the CPA convention in Toronto. On Wednesday, June 11, there will be a pre convention workshop on "Interpersonal Psychotherapy for Depression" given by Laurie Gillies and Edward McAnanema. IPT has been generating a lot of interest lately, so this skills-oriented day-long workshop promises The citation in the March 1997 the Behavior Therapist to be a terrific opportunity to learn more about it. Enroll reads: "Brian Cox is Assistant Professor at the University of ment is limited, however, so register early. Manitoba. He was staff psychologist in the Anxiety Disor ders Clinic ofthe Clark Institute ofPsychiatry, where he During the convention proper, we will also be hosting a worked with Richard Swinson on several projects, includ symposium on "A Canadian Perspective on Research and ing a telephone-administered behavior therapy study for in Treatment Issues for Depression," chaired by David Clark. dividuals with panic with agoraphobia. Dr. Cox is widely This symposium will feature some ofthe country's fore published in the area ofanxiety disorders and is a member most depression researchers providing overviews oftheir ofthe editorial board ofBehaviour Research and Therapy. research programs. This will be a good place to acquire a He is collaborating with John Walker to investigate profes broad perspective on recent developments and new direc sionally led versus self-help forms ofcognitive behavior tions in Canadian research on depression. therapy for social phobia. Dr. Cox wishes to acknowledge the support ofhis nominator, Ron Norton." Anxiety disorders will also be well represented. Michel Well done Brian! We are proud to have you with us. Dugas and Stephane Bouchard will be conducting a two hour workshop on "Cognitive Behavioural Treatment of Panic Disorder and Generalized Anxiety Disorder," two problems for which effective CBT protocols have been de veloped and validated. Finally, there will be two Section-sponsored conversation hours. Deborah Dobson will chair a session on "Issues in ... AAAPP Internship Selection," while Robert McIlwraith will chair a (Continuedfrom page II) session on "Rural and Remote Communities: Issues for and a lively newsletter. the Scientist Practitioner. that includedthis inter Clinical Psychology Training and Practice." view and that members receivefree. anda national convention that ounds out and supplements the APS convention/or applied scientists. See you in Toronto! AAAPP has a number o/national initiatives. For example. it has spon sored A National Planning Summit on Scientifically-Based Behavioral Charles Morin Health Practice Guidelines as part 0/ a sustained effort in the develop ment 0/science-based standards 0/practice, and has an initiative to slow the rush towardprescription privileges/orpsychologists 1996-97 AAAPP Board is as follows President: Kurt Salzinger, Hofstra University Member at Large: Kathy Grady, Massachusetts Institute ofBehavioral Medicine; Ellen Kimmel, University ofSouth Florida; Robyn Dawes, Carnegie-Mellon University; Victoria Follette, University ofNevada. BULLETIN Secretary: G. Terence Wilson, Rutgers University Ifyou wanttojoin AAAPP,jax, email. or mail to AAAPP, Department SUltUtUlry ofPoper Submissionsforthe next CPA Meeting: 199. Washington. DC 20055-0199 Dues: S49.00 (International members add SID. 00; student subtract S15) The normal AAAPP address is AAAPP, 1010 Vermont Avenue. N. w.. There were 77 submissions for poster presentations Suite liDO, Washington, DC 20005-4907 (this is the same as the APS and 12 submissions for oral presentations. address) AU submissions were peer-reviewed. The AAAPP phone number is (202) 393-7073, FAX: (202) 783-2083 The email [email protected] Charles Morin February 28, /997 THE Nr- WSLfTTER OF THE CLINICAL SECTION OF CPA I JOUhW':'L DE L>1 SECTiON e'E Ps 'rCHOL('GIE CUN/QUE DE LA SCP 13 networking The Elder Abuse Home Page http://healthy.uwaterloo.ca/bear/ Regarding Evidence Based Medicine (EBM) I found the The Clinical Section home page is ready for presentation. Centre for Evidence-based Medicine's home page. Look for it soon via the CPA home page! http://cebm.jr2.ox.ac.ukldocsladminpage.html http://www.cpa.ca/sections/Clinical.html Nice presentation. Obviously a work in progress. Lookfor CATs: "The CATbank will be a creation, storage and re trievalfacilityfor a collection ofCATs (CriticallyAppraised Topics). " http://www.mhsource.com/help/ref.html Mental Health Infosource The email directory lists those addresses submittedto the editorfor inclusion. You are invited to submit your name http://www.cityscape.co.uklusers/ad88/psych.htm for inclusion so that more ofyour colleagues can corre Psychiatry On-Line, web site ofthe International Journal spond with you on the internet. ofPsychiatry Are you interested in having a Canadian Clinical mail-list forum? Let us know. Sendyour email address to the editor: http://child.comell.edu/APSAC/apsac.home.html ([email protected]) The American Professional Society on the Abuse ofChil dren (APSAC), an Carl von Baeyer [email protected] interdisciplinary professional society . Arthur Blue [email protected] Lorraine Breault [email protected] http://www.digev.comfI'echPsych/ John R. Cook [email protected] The URL was part ofthe Clinton inaugural display. It Dave Erickson [email protected] points to a variety ofuses ofthe internet bypsychiatry and Stephen Fleming [email protected] psychology. Larry Sun Fong [email protected] Thomas Hadjistavropoulos [email protected] David S. Hart [email protected] Paul Hewitt [email protected] John Hunsley [email protected] Michael C. King [email protected] Leslie Langdon [email protected] Sam Mikail smikail@neptune on.ca http://play.psych.mun.ca/-dhartltrauma_netl Wayne Nadler [email protected] The home pagefor the Canadian Traumatic Stress Network Rhona Steinberg [email protected] Allan Wilson [email protected] http://hoshi.cic.sfu.ca/epix EPIX- The Emergency Planning Information Exchange Centrefor Policy Research on Science and Technology, Simon Fraser University, Vancouver, BC http://www.dartmouth.edu/dms/ptsd/ CPA Home Page - http://www.cpa.ca/ The National Centerfor PTSD on the World Wide Web, includes access to the PILOTS Database (THE database on CLINICAL INTERESTSITES PTSD), a substantialportion ofthe PILOTS Database ) User's Guide, andstaffdirectoriesfor several National www.algy.com/anxiety/anxiety.html Center divisions .. The Anxiety-Panic Info Resource - tAPir (Continued on page 14) · ... URLsOFiNtEREST A Request Forwarded ... (Continuedfrompage /3) Date: Tue, 04 Feb 1997 14:32:12 -0300 From: "Basileu G. Menezes" bttp://www.dartmoutb.edu/dms/ptsd/ The National Centerfor PTSD on the World Wide Web, includes access to the PILOTS Database (THE database on PTSD), a sub~tantial portion ofthe PILOTS Database User's G.uide, and staffdirectories for several National Center divisions .. bttp://gladstone.uoregon.edu/-dvb/trauma.btm ( David Baldwin's excellent Trauma Info Pages, the most informative site on PTSD and related topics. bttp://www.istss.com/ Web site ofthe International Societyfor Traumatic Stress BROCHURE Studies THE CLINICAL PSYCHOLOGISTIN bttp://www.psy.uq.edu.au:8080IPTSD/ CANADA Grant Devilly's PSYCH TRAUMA PAGESfrom the Psy chology Department at The University ofQueensland. Send order to: bttp://www.mnsi.netl-rmccaillbomepage.btml Candace Konnert, Ph.D VA Victim-Assistance Online, an excellent resource devel Department of Psychology oped by Randy McCall, Windsor, Ontario. University of Calgary. Calgary, Alberta bttp://www.erols.com/icisf/lntro.btm I T2N 1N4 The International Critical Incident Stress Foundation, I wish to order _ brochures @ $ .35 Inc., the CISD site. Language: English _ Fran9ais _. bttp://rdz.stjobns.edu/trauma Charles Figley's The Traumatic Stress Network. My cheque Cor $ is enclosed. (Make cheque payable to: Clinical Section CPA) FROM Do let us know ofany sites you have created or visited that could be valuablefor your colleagues. We wUl add them to our directory (Le., publish them in the next newsletter). Chaque annee, la Section de Psychologie clinique passe en revue les communications qui ont ete soumises par les One ofthe most obvious and meaningful ways you etudiants en vue d'une presentation au congres annuel de can show your support for the Clinical Section is to la SCPo Un certificat et une bourse de 250$ seront remis a participate in the election process. l'etudiant ayant soumis la presentation la plus meritoire. For 1997-98, the Section requires nominations for the Pour etre admissible, vous devez: I) etre Ie premier auteur position ofChair-Elect ( a three-year term, rotating d'une presentation touchant Ie domaine de la psychologie through Chair and Past-Chair) and Member-at-Large clinique. Cette demiere doit etre acceptee pour Ie congres (a two-year term). Continuing members ofthe Execu de Toronto; 2) soumettre un bref resume de 10 pages a tive for 1997-98 will be Charles Morin (Chair), Keith double interligne decrivant I'etude; 3) etre present ala reu Wilson (Past-Chair), and Candace Konnert (Secretary nion de la section des affaires cliniques du congres de Treasurer). Toronto lorsque Ie prix sera deceme. Although there is no requirement for the following, La date limite pour soumettre une application est Ie 30 the Section does support equitable geographical repre avril 1997. Les demandes peuvent etreformuJees en sentation and gender balance on the executive. fran~ais ou en anglais aI'attention de: Nominations shall include (a) a statement from the Charles M. Morin, Ph.D. nominee confirming hislher willingness to stand for Ecole de psychologie office, and (b) a letter ofnomination signed by at least Pavillon Felix-Antoine-Savard two members or Fellows ofthe Clinical Section. Universite Laval Quebec (Quebec) Deadlinefor receipt ofnominations is AprU 15, 1997. GIK 7P4 Tel.: (418) 656-3275 Fax: (418) 656-3646 Send nominations for the Executive to: Dr. Allan Wilson Professional Services The Nova Scotia Hospital Box 1004 Dartmouth, Nova Scotia 82Y 3Z9 Each year, the Section OD Clinical Psychology reviews papers that have been submitted by clinical students for presentation at the annual CPA convention. The most meritorious submission is recognized with a certificate and an award ofS250. In order to be eligible, you should: (I) Be the first author of a submission in the area ofclinical psychology that has been accepted for presentation in Toronto; (2) Submit a brief(i.e. up to 10 pages, double spaced) manuscript describing the project and; (3) Be prepared to attend the Clinical Section Business meeting at the Toronto Congress, where the award will be pre sented. The deadlinefor submission ofapplications is April 30. 199 . Submissions may be in either English or French Charles M. Morin, Ph.D. School of Psychology Pavilion Felix-Antoine- avard Universite Laval Quebec (Quebec)G1K 7P4 Tel (418) 656-3275 Fax (418) 656-3646 16 THE C,'\NADIAN CLINICAL PSYCHOLOGIST / LE Ps\L'W)LO,:;L'[ CLINIC/EN C,l.l\.10Ifl" Harvey Brooker Andree Liddell John Conway Jean Pettifor Ken Craig Susan Pisterman Keith Dobson Pierre Ritchie Anna Beth Doyle Robert Robinson John Goodman Richard Steffy David S. Hart Janet Stoppard Charles Hayes In accordance with the by-laws for CPA sections, The Conformement aux procedures regissant les sections de la Clinical Section cal1s for nominations from its members SCP, la section c1inique invite les membres apresenter des for Fel10ws in Clinical Psychology. mises en candidature pour Ie statut de Fellow en psycholo Criteria for fel10wship are outstanding contribution to the gie clinique. Les criteres de selection sont: la contribution development, maintenance and growth ofexcel1ence in the exceptionnelle au developpement, Ie maintien et science or profession ofclinical psychology. Some exam l'accroissement de l'excel1ence dans la pratique scientifique ples are: (1) Creation and documentations ofinnovative ou professionnelle de la psychologie c1inique. En guise programs; (2) Service to professional organisations at na d'exemples: 1) Creation et evaluation de programmes no tional, provincial, or local level; (3) Leadership on clinical vateurs; 2) Services rendus aux organismes professionnels issues that relate to broad social issues; (4) Service outside de niveau national, provincial ou regional; 3) Leadership one s own place ofwork; (5) Clinical supervision should dans l'etablissement de rapports entre la psychologie c1in be equated with research supervision. ique et les problemes sociaux de plus grande envergure; 4) In order for nominees to be considered for Fel10w status Services rendus ala communaute en dehors de son propre by the executive council, nominations must be endorsed milieu de travail; 5) La contribution by at least three members or Fellows ofthe Section, and c1inique est equivalente ala contribution en recherche. supportive evidence ofthe nominee s contribution to clini Les dossiers des candidats nommes pour Ie statut de Fel cal psychology must accompany the nomination. low seront examines par Ie comite executif. Les mises en Nominations should beforwarded by April 30. 1997 to: candidature doivent etre appuyees par au moins trois mem Charles M. Morin, Ph.D. bres ou Fel10w de la Section et la contribution du School of Psychology candidat ala psychologie c1inique doit y etre documentee. PavilIon Felix-Antoine-Savard Les mises en candidature devront etre postees au plus tard Universite Laval Ie 30 avril 1997 a/'attention de: Quebec (Quebec) Charles M. Morin, Ph.D. GIK 7P4 Ecole de psychologie Tel (418) 656-3275 Fax (418) 656-3646 Pavilion Felix-Antoine-Savard Universite Laval Quebec (Quebec) GIK 7P4 Tel.: (418) 656-3275 Fax: (418) 656-3646 THE N£:"'':-LE HER OF THE CLINICAL SECTION or CPA I JOUF':.\L fEe L'; SECTJC!:J DE PS'. CHOLOGi[ CLI{W•.'UE DE L,.l, SCP 17 MEMBERS OF THE CLINICAL SECTION OF CPA \L. USTING OF THOSE WHO PAID THEIR SECTION DUES FOR 1997 .... MASH, DR. ERIC J. Newfoundland Ontario SERVICE, DR. JOHN C. MASSON, ANDRE SHAFFER, DR. CYNTHIA BIALIK, ROBERT MILLIGAN, MAUREEN BERMAN, TAMARA SNOW, DR. W. GARY BIENERT, PHD, HELEN MISHRA, RAMA CREWE, VALERIE STEFFY, DR. RICHARD A. BOULAIS, DR. GILLES MOTHERSILL, DR. KERRY J, GAULTON, RENNIE STEIN, DR. STEVEN J. BOURDEAU, PATRICIA MUIR, DOUGLAS LIDDELL, MARIE ANDREE TASCA, GEORGE BROOKER,DR.HARVEY OKE, CARRIE THOMPSON, RITA BROOKS, DR. WILLIAM COY PAGLIARO, DR LOUIS A. Nova Scotia TOLOMICZENKO, DR. GEORGE BUtS, TOM PETnFOR, DR. JEAN L. BILSBURY, CHRISTOPHER D. TOUKMANIAN, DR. SHAKE G. CAINE, GRANT CHURCH, RACH·LONGMAN, KATHARINA COLLINS, JEAN P TREMBLEY, DR CAROLLE MICHAEL ROBINSON, DR. ROBERT W CORKUM, VALERIE LYNN VALERIO, HELEN PATRICIA CAMARGO, DR. ROBERT J. SCHMALZ, BARBARA HARTLEY, SUSAN WHITE, KAREN CHIAROT, JOHN V. SINHA, DR. BIRENDRA K. HARVEY,NATASHA WILSON, KEITH COLLETTA, SALVATORE SIROTA, PERRY HAYES, DR. CHARLES J.A. WORTHINGTON, DR. ALAN G. DE WET, CHARLES TRUSCOTT, DEREK HENDRICK, DR. JENNIFER WRIGHT, NICOLA DHAWAN, SONIA VAN MASTRIGT, DR. ROBERT L. HOINES, DR JANICE ZIVIAN, MS. MARILYN T. ERICKSON, DAVID WATT, LISA LUDMAN, DR INENDY LYNNE ZENDEL, DR. IVAN MACGREGOR, MICHAEL FARRELL, SUSAN FLEMING, DR. STEPHEN J. Manitoba MATWYCHUK, DR ALANA K. ADKINS, DR. M,EL~BETH British Columbia POND, MIRANDA FLINTOFF, MARGARET BOUTET, CONNIE ALDEN, DR. LYNN E. SARWAR, KAISER GARBER, JOSEPH GERBER, DR MARILEN J. BRODER,REBECCA BUSH,ALlCE VALLIS, MICHAEL CAIRNS, SHARON CARMICHAEL, DR. JOHN A. WETMORE, ANN ANITA GILMOUR-BARRETT, DR. KAREN D'ENTREMONT, DR. BARBARA CHAN, DR. DAVID C, WILSON, DR. ALLAN R. CLAIRE GIRASH, MARTIN ANNE COLBY, MR. ROBERT L. GOLDSMITH, DR. LEONARD J. ENNS, KENNE11H LOEWEN COOK, JOHN ROY Prince Edward Island GOLDSTEIN, CATHY FELDGAIER, DR. STEVEN COX, DR. DAVID NEIL SMITH, PHILIP BRUCE GOODMAN, DR. JOHN T. GRAFF, LESLEY CRAIG, DR. KENNE11H D. GREENHAM, STEPHANIE GRAYSTON, ALANA EHRENBERG, MARION New Brunswick GROVES, DR. JOHN R. GRETZ, JAMES EVELEIGH, DAVID BOUDREAU, SUZANNE HALL, EL~BE11H MARTIN, DR. ROBERT M. FLYNN, CAROL ANN BOULAY, MAURICEA. HASKINS, CAROLYN E. MCISAAC, MICHAEL K. FOREMAN, MICHAEL E. BYERS, DR ELAINE SANDRA HELMKAY, OWEN SCOTT MOORE, W. ALLAN FRANSBLOW, MR. JEROME I. D'AMOURS, PIERRETTE HERMAN, JENNIFER MUNICK, MARIA HART, DR. DAVID S. HILL, JAMES K HOLT, JULIA NEWTON, DR. JAMES H, HEMPHILL, JAMES MCNEIL, KEVIN HUNSLEY, JOHN DESMOND ROMANO, ELISA HEWITT, PAUL .> ROXBOROUGH,CHARLENE HYDE, DR. SUSAN ROWAN, VIVIENNE CAROLE HOINES, D'ANNE SCATTALON,YVETTE JACKSON, DR IRIS WALKER, DR. JOHN R. JOHNSTON, DR. CHARLOTTE J. STOPPARD, DR. JANET M. JOHNSTON, DR LINDA WALKER, JACQUELINE KLINE, DR ROBERT G JOSEFOWlTZ, DR. NINA KOCH, WILLIAM Province de Quebec KAHGEE, SYLVIA Saskatchewan KOLTON, DAVID ABOUSSAFY, DAVID KAUFMAN, ILANA ARNOLD, W. JAMES LEY, DR. ROBERT G. AL-TA!, NAZAR KLEINPLATZ, PEGGY J. FARTHING, DR. GERALD R. LUSTIG, DR. STEPHEN D. BEAN, PAULA KUMCHY, DR. C,I.GAYLE GOFF, LAURIE LUTZ, SHERRI ANNE BERGEY, ANNIE LANE, CHRISTOPHER HADJISTAVROPOULOS, THOMAS OGLOFF, JAMES ROBERT CLEVELAND, JANET LANGEWISCH, MARK w.J. HANNA, CINDY OLLEY, MAUREEN COSn. TIZIANA LEBLANC, JEAN-LUC MACLEOD, FARLEY PARKER, SANDRA DAVELAAR, EILEEN LEE, CATHERINE MCMULLEN, MS LINDA M. ROCHE, DIANE DOYLE, DR. ANNA·BE11H LEFEBVRE, MONIQUE WINDER, FERN SAMSON, DEBORAH CHRISTINE DUGAS, MICHEL LESONSKY, ELAINE SHALMAN, DR. DENIS C. GAUDREAU-ASSELIN, NICOLE LEVENE, MARLENE Alberta SORIANO, ERIN LEIGH SPELLACY, DR. FRANK J. GIANNOPOULOS, CONSTANTINA LONG, DR. JAMES A. AMUNDSON, DR. JON STEIN, LEONARD M. KEARNEY,HELENE MAHONEY, MARITA BENNETT, WAYNE LLEWELLYN TIEDEMANN, GEORGIA L. KIELY, DR. MARGARET C. MANION, DR. IAN G. BERGEN, ANNE-MARIE TOTH, JEAN LAURA KNIGHT, CHRISTINE MERILAlNEN, SUSAN BICKLEY, DR. RICHARD S.G. WAY, DR. GAYLE M. LAMY, PIERRE MESTER, DR. FIORE B. BOULTER, PAMELA WELCH,DR.STEVENJOHN LAROUCHE, DR. LOUISE MEYERS, SUSAN BREAULT, LORRAINE J. LAUTMAN, CLAUDE J. MIKAIL, SAMUEL CADMAN, THEODORE PHILLIP WILKIE, COLLEEN F. LEHOUX, PASCALE M. MILLER, DR. HAROLD R. CONSTABLE, DOROTHY MERRIOTT, LORRAINE MUIRHEAD, JAMES DEWEY,DEBORAH Ghana MOREL, M. GILLES O'CONNOR, CHRISTINE DOBSON, DEBORAH J.G. DANQUAH, DR A. SAMUEL MORIN, CHARLES PARTHUN,RAY DOBSON, DR KEITH STEPHEN MURDACA, L1NA PHILLIPS, JEFFREY EGGER, LORI PROSTAK, MICHELLE PILOWSKY, JUDITH FONG, LARRY SUN ROTHENBERG, PEARL C. PISTERMAN, SUSAN FUNG, CAROLYN ROYER, MAURICE RAYKO, DONALD GRIFFITHS, DR. LYN SCHACHTER,STEVEN RESTOULE, BRENDA M. HAUCK, JOY SMITH, TIMOTHY RIDGLEY, DR JEANNE NEWTON JOYCE, ANTHONY VILLEMURE, M, JOCELYN RITCHIE, DR. PIERRE L.J. KING, DR. MICHAEL VOSS, KIRSTEN ROLDYCH, DR. GERLINDE M. KNEPPERS, KIRSTIE WAINRIB, DR. BARBARA ROY-CYR, DR YOLANDE KONNERT,DR,CANDACE RYDER, ANDREW LONGMAN, R. STEWART ) SAUNDERS,DOUGLAS MAHONEY, DR. ANNE SCHMIDT, DR NANCY MARTIN, JANIS SEAGRAM, BELINDA EDITOR"'S NOTE Clinical Section Executive Officers The Canadion Clinical Psychologist has the potential to serve clinical psychologists across Canada as a forum for 1996-97 presentation of ideas and information about practice. The voice ofthe Clinical Section of CPA has no other platform except for the Clinical Web Page whose birth is much de layed. Were the Clinical Section to provide leadership for c1injcal psychologists, the Canadian Clinical Psychologut is the essential medium through which to reach members. You may wish to leave matters to provincial associations, but ifyou would have a national voice, act so as to invigo rate the Clinical Section ofCPA. You have no other na tional representation. There is no other means for you to exchange ideas with colleagues across our country. The present editor ofthe Canadian Clinical Psychologut has enjoyed a long run. Six volumes is enough. Fresh ideas and a renewed vision should now enliven these pages. A new editor will create the next volume. But who? Send nominations to Paul Hewett ofthe Section Executive. D.S.H. NEWSLETTER SCHEDULE The Caudlan Clinical Psychologist will circulate three times per year: November, February, and May. THE NEVJSLEnER OF THE CLINICAL SECTION OF CPA I JOUPN.J.L DE L4 SECTiON DE PS'rCHOLOGIE GUN/OUE DE LA SGP 19 TRAlJ1A SYK'1lJ'1 INVENTORY To evaluate post-traumatic stress and sequelae of traumatic events. Ages: 18 and older. GIlliAM Al1rI9't RATING SCALE Helps to identify and diagnose autism in individuals aged 3 through 22 and to estimate the severity of the problem. l()£NSTEIN OCDJPATIOOl THEPARY ax;NmVE ASSESSt£NT BATTERY For both primary assessment and ongoing evaluation in the treatment of brain- injured individuals. EPRBNE INDIVIDUEllE D'HABILETE MENTAlE QlEVRIER Standardized individual intelligence scale in French for subjects aged from 10 to 86 years. High validity and reliability coefficients. EPRElNE INDIVIDUEllE D'HABILETE MENTAlE POOR ENFANTS DE 4 A9 ANS Individual intelligence scale in French standardized on 1250 children from 4 to 9 in 112 schools from 54 school boards and 28 private schools and day- nurseries. High reliability and validity coefficients. INSTIlUTE OF PSYOD..OGICAl RESEARCH, INC. ~ .... := ~ 34 Fleury Street West, Montreal (Quebec) , "'fi~~ H3l 1S9 -:...... "...., .,.'). Telephone: 514 382-3000 and 1 800 ~7800 (!) Fax: 514 382-3007 and 1 B88 382-3007 Canadian Clinical Psychologist! Psycho/ague clii7iciencanadien' EPSE, 2~125Main Mall University of British Columbia Vancouver; BC V6T 1Z4' . The Mailing Address Goes Here