Friday Factoids Catch-Up: If You Want To Be An Effective Therapist, You Should Learn How To Use POTT!!!

 

Research findings have finally drawn our attention to something tantalizingly useful: the benefits of POTT use among therapist. Even better news, its cost effective, sharing is encouraged and it is totally legal to use in any state at any time of the day.  Now before you go running off to throw away that “medicinal” prescription sheet you have been hoarding in your nightstand and cancelling that dream vacation trip to Amsterdam; there is something you should be aware of. “POTT” stands for Person-Of-The-Therapist-Training. A unique training program offered to students, POTT was “designed to facilitate clinicians’ ability to consciously and purposefully use their selves to effectively connect, assess and intervene with clients,” within the treatment process (Nino, Kissil, Cooke, 2016.)

 

Building on a collective of other research that highlights the importance of the “therapeutic alliance” as being a definitive factor in most treatment successes.  Person-Of-The-Therapist-Training aims to foster the therapeutic relationship between client and clinician, by identifying and building on the therapist empathic strengths (i.e. via past personal experiences).

 

The underlining theme to this body of research seems to be that the most effective asset in therapy is the human asset.  The idea that a therapist can draw from his or her past experiences, and effectively transform this energy into highly effective, empathic skills is something of a phenomenon. The concept of the “wounded healer,” has often shown up in various forms of literature, over a vast multitude of disciplines. However, Person-Of-The-Therapist-Training appears to make an effort to capture this elusive dynamic system by packaging it into neat categories, that us clinicians cannot seem to live without, testable data.  Whether or not rating and evaluating past personal experiences and training students to be empathic with clients is an actual thing (perhaps you have empathy or you don’t) one thing seems certain. Psychology (and all other related human service fields) is in the business of connecting to people and building relationships. It may not matter what theoretical orientation we come from, or what therapy language we use to convey our understanding and willingness to help someone in need. And since being human is not some part time job that can readily be dismissed, and may possibly be the most effective tool you have when trying to connect with someone in pain. Why not use it. Do we really need research and training, to confirm and teach us that?

 

Or maybe we could have just saved a ton of time and funding, and just watched the kids movie Kung Fu Panda:

 

“There is no secret ingredient in the secret ingredient soup….its just you.

 

References:
Niño, A., Kissil, K., & Cooke, L. (2016). Training for Connection: Students’
Perceptions of the Effects of the Person-of-the-Therapist Training on Their Therapeutic Relationships. Journal Of Marital And Family Therapy, doi:10.1111/jmft.12167

 

Dianne Rapsey-VanBuren,
WKPIC Intern

 

 

Friday Factoids Catch-Up: City Interns Have Higher Burnout!

City Interns, have higher burnout rates!

 

Or, one current intern’s shameful –but heartfelt-plug, to incoming interns.

 

Going through this stressful ordeal only one year ago, I often wondered about the creators of the psychology internship process? Obviously, self-care, mindfulness and mental health were not the cornerstones by which this gem was hatched. The process starts when you are at the final stages of finishing your academic year, in addition to practicum (thankfully no other life exists outside these two realms for us budding psychologists).

 

Forcefully sucking out any refreshing accomplishment air, you attempt to gasp as you scramble to get your letters of recommendations and essays written before those heart stopping due dates. And as the first official semester break (and I use the term ‘break’ very loosely) approaches, you gather with family and loved ones to celebrate Thanksgiving; those infamous letters start arriving! I mean really….Can’t we just at least enjoy a turkey leg in peace, without feeling so relentlessly pressured? I remember thinking about those sites who choose to send their rejection letters the day before, or day of Thanksgiving. Seriously? At least the pilgrims had the heart to offer corn before the big fallout. I simply emotionally bandaged myself up that day, comforted myself (CBT style), bowed my head with the rest of the family at the dinner table, and offered my own secret version of the Thanksgiving prayer:  “Dear God, thank you for a bullet well-dodged.”

 

It is sometimes painful to watch what we psychologist do to each other, in the name of advancement. Not to mention our statisticians and psychometricians who for some reason fail to recall that the holiday seasons usually marks the height of suicide rate among our population and possibly not the best times to send those letters. Perhaps maybe it Freudian-slipped their minds. Nevertheless, we students bear and push through the pain, adding continuous enormous debt as we optimistically back-pack across the nation (again, statistically the worse time of the year for travel) in search of that perfect internship. Relentlessly we attempt to convince ourselves that sweet, peaceful, victory is just around the turn.

 

And, cue Burnout.

 

Where does it all end, or does it ever? Here is one article to consider when deciding how much emotional stamina you have left, as you prepare to assess and ultimately rank your internship interview experience:  City interns have greater burnout rates.

 

Apparently the growing number of stress related symptoms reported by graduates seeking mental health services while on internship prompted Doctors in the UK to study the relationship between internship and burnout. What they found is far from any earth shattering enlightenment to our generation, which is, interns sleep less, are more sad and stressed out (simplifying the results to its bare minimum)–especially those interns living in big city, and working in high-paced environments.

 

Luckily, there are places that offer high quality, APA-accredited internship programs like WKPIC in Kentucky (yes, another shameless plug) that come without the high burnout price tag those big cities bring.

 

A small start, but definitely something to CBT about.

 

Reference:
Gallagher, P. (2013). City interns ‘are at greater risk of Burnout’. The Independent Retrieved from https://login.libproxy.edmc.edu/login?URL=http://search.proquest.com.libproxy.edmc.edu/docview/1426666006?accountid=34899

 

Dianne Rapsey-VanBuren,
WKPIC Intern

 

(Director’s Note: We at WKPIC approve this shameless plug!)

 

Friday Factoids Catch-Up: Bilingualism, Biculturalism and Personality

There is plenty of research dedicated to the topics of bilingualism and biculturalism, but they may often be lumped together and defined as one in the same. Grosjean (2015) attempts to describe how a bicultural bilingual can take on different meanings.  He highlights the plethora of research dedicated to bilingualism and how the topic of biculturalism is, at times, less explored. A simple internet search of bilingualism will yield countless articles on the relationship of bilingualism and cognition, education, and the various types of bilingualism. Grosjean proposes that this difference is to the distinct nature of how each is studied and how those researchers tend not to overlap in their work; in essence, linguists study bilingualism and biculturalism is studied by social psychologists. Grosjean highlights that one can not only be bilingual and bicultural, they can also be bicultural and monolingual or monocultural and bilingual, and monolingual and monocultural.

 

Grosjean explored the various ways in which one can become bilingual, learning a home language and later learning a host language at different points in life,  or bicultural, the byproduct of migration to another region.  Of interest is the individualist process by which a person identifies as bicultural, independent of their bilingual status, however, proficiency in an alternate language can impact how they view themselves.

 

Grosjean highlights an experiment conducted with bilinguals where participants were administered the TAT (Thematic Apperception Test) or sentence completion task. In each experiment, there were significant qualitative differences in the responses given in English and responses in their home or base language (French and Japanese).  For example, with a TAT stimulus card, a response in English highlighted a man going to college at night and having a supportive wife whereas the response in French indicated a man wanting to separate from his wife.  A similar pattern emerged with Japanese/English bilingual participants.

 

Another experiment mentioned in Grosjean’s article reveals parallel results several years later. A group of bilingual/bicultural Hispanic, Spanish speaking women were asked to interpret advertisements with women as the protagonist in English at one time and in Spanish some months later. Result revealed participants viewed the women in the advert as more independent and intelligent when interpreting in Spanish, whereas they viewed the women in the advert as adhering to more traditional roles when interpreting the ad in English.

 

Chen (2015) noted differences on some personality traits when assessing native English vs native Chinese speakers, specifically, native English speakers were “perceive to be higher on extraversion and openness to experience” (p. 5) when compared to native Chinese speakers.  Chen also explored if a bilingual individual behaves differently depending on whom they are speaking with.  Her work reveals that language, activated “normative traits of that culture and shifted bilinguals’ expression of personality” (p.5).

 

Studies, like the ones mentioned above, highlight the complex nature of the interplay that bilingualism and biculturalism can have on our personality development. This research highlights need for further exploration culture and language, not just specifically English/other language, but also the nuanced differences between how we each define culture within the context of bilingualism and vice versa.

 

References

Chen, S. X. (2015). Toward a social psychology of bilingualism and biculturalism. Asian Journal Of Social Psychology18(1), 1-11. doi:10.1111/ajsp.12088

 

Grosjean, F. (2015). Bicultural bilinguals. International Journal Of Bilingualism19(5), 572-586. doi:10.1177/1367006914526297

 

Jennifer Roman, M.A.
WKPIC Doctoral Intern

 

 

Friday Factoids: The Dangers of Synthetic Marijuana

 

 

While many states have decriminalized the possession, use, and cultivation of natural Cannabis for either medicinal or recreational purposes, a majority of states continue to follow Federal guidelines with their approach to natural Cannabis and the law.  This seems to be driving the popularity of synthetic marijuana in those states where natural Cannabis is still treated as a controlled substance.  Synthetic marijuana goes by many names such as Spice, K-2, “fake weed”, etc., and the biggest issue seems to be that although it binds to the same CB1 receptor in the brain, it acts as a full agonist, rather than just a partial agonist as in the case of THC. (NIDA, 2015; Walton, 2014)  Binding with a much greater efficiency seems to make it much more difficult for the body to process and metabolize the acting ingredient that gives the high the user is looking for, with the result that the effect is many times more powerful than that produced by THC.

 

While the active ingredients in synthetic marijuana are called “cannabinoids” due to their chemical resemblance to cannabinoids that are found in natural Cannabis, they are much more potent, and unpredictable, in their effects on the user.  Even though they are marketed as a safe and legal alternative, their effects can be so much more powerful that they can become life-threatening. (NIDA, 2015)  The fact that CB1 receptors are in every structure of the brain is a key part of what makes the issue so serious, as are the symptoms experienced during an overdose event.  CB1 receptors in the hippocampus (memory affect), temporal cortex (seizure initiation), prefrontal cortex (psychosis), and brain stem (cardiac, respiratory, and gastrointestinal affect) all contribute to the myriad of symptoms that occur during an overdose on synthetic marijuana having a lasting effect, while the effects of an “overdose” from THC in natural Cannabis tend to dissipate fairly quickly.   “Clinically, they just don’t look like people who smoke marijuana,” says Lewis Nelson, MD, at NYU’s Department of Emergency Medicine, Division of Medical Toxicology. “Pot users are usually interactive, mellow, funny. Everyone once in a while we see a bad trip with natural marijuana. But it goes away quickly. With people using synthetic, they look like people who are using amphetamines: they’re angry, sweaty, agitated.” (Walton, 2014)

 

Newly available and unregulated psychoactive compounds, including synthetic marijuana, belong to a drug group called “new psychoactive substances”, or NPS.  NPS are problematic in that as soon as a compound is added to the group for regulation, another is quickly made available, and the cycle continues.  Fundamental changes in drug policy, drug law, public perception/attitudes, and approaches to treatment will be necessary before the depth of the problem can be ascertained, and a suitable method for treatment and recovery developed and implemented.

 

References

NIDA (2015). Synthetic Cannabinoids. Retrieved November 24, 2016, from          https://www.drugabuse.gov/publications/drugfacts/synthetic-cannabinoids

 

Walton, A. G. (2014, August 28). Why synthetic marijuana is more toxic to the brain than pot. Forbes. Retrieved November 24, 2016, from http://www.forbes.com/sites/alicegwalton/2014/08/28/6-reasons-synthetic-marijuana-spice-k2-is-so-toxic-to-the-brain/#5e615f9249eb

 

Teresa King
Pennyroyal Doctoral Intern

 

 

 

Friday Factoids Catch-Up: Memory, the Real McCoy?

Memories develop starting at birth and continue to develop throughout the life cycle as we age. The brain remembers by association, strengthening neural connections through repetition (“use it or lose it principle”) (Willingham, 2007).  Research has shown that, although memory is often considered to be a singular ability in and of its self, it is actually a process of at least three inter-related functions: encoding, storage, and retrieval.  The first step to creating a memory is encoding, a crucial step involving the conversion of the perceived item of interest into a construct that can be stored, and then later recalled through retrieval processes, from either short- or long-term memory at some point in the future.  The process of storage occurs between encoding and retrieval, when the memory exists only as a possibility for remembrance. (Arbuthnott, et al., 2001)  Memories are, in a sense, us; they chart our life details.  There are several types of memory processes that deal with differing aspects of how memories are formed.  Short- and long-term memory are the two most common forms people tend to recognize, but there are others, such as associative, elaborative, and autobiographical, that come into play.

 

The study of memory in early childhood is centered around development as it relates to the cognitive self, and a particularly important aspect of early memory centers on childhood amnesia, specifically the fading ability to recall events that occur during early childhood.  Although children may remember events prior to ages 3-4, those memories also tend to fade with time as we age. (Goleman, 1993; Willingham, 2007)  Most adults remember very little prior to age 3 or 4, since this is the age at which our cognitive memory first begins to truly function.  Prior to that age, the cognitive and language skills that are necessary for the processing of external events are not yet developed fully enough to allow this processing to occur, which is essential to the storing of events as memories. (Kihlstrom, 1994)   As aging occurs and cognitive and language skills improve, new knowledge is also being acquired, as well as the establishment of a sense of self.  During the aging process in children, major developments occur in the expansion of memory, perhaps with less processing being required to enable long-term storage.  According to a study published by the New York Times, memories that are autobiographical in nature begin when children learn about themselves and their early years through their parents. (Goleman, 1993)  Over time, as we navigate through the aging process, some memories fade, some are lost, and others are distorted as a natural result of the progression of time and aging.

 

Traditionally, faulty memory has often been associated with either the elderly or those who have suffered a traumatic brain injury, but the ongoing research that has occurred over the last couple of decades tells a different story.  There are certainly instances where people’s memories are obviously faulty, and often this is due to such factors as dementia, Alzheimer’s, concussion, or some other such factor exerting an influence on the brain’s ability to manifest an effective and accurate recall of prior events.  However, the distortion of memories, from the changing of details to the outright planting of false memories, has become an area of real interest and research due to the fact that the accuracy of memories can have much greater implications than just those that directly affect the individual in their quest for resolution of a particular psychological issue.  The likelihood of false memories, in conjunction with the fact that there is still much about the mind that we do not yet understand, make it a dangerous prospect for the therapist to suggest too much.  The evidence exists that people can be led to believe that they have experienced events in their lives that are patently untrue, or at the least, highly unlikely to ever have occurred. (Loftus, 2004)  One particular study showed that even a brief exposure to a false memory of a childhood event serves to boost their confidence that the event actually occurred. (Sharman, Powell, 2012; Garry, et al., 1996; Sharman, et al., 2005)  This was attributed to a phenomenon called imagination inflation.  The study participants were asked to rate their confidence levels on a range of childhood events that occurred prior to 10 years of age.  They were then asked two weeks later to imagine events that they indicated did not occur, and rate their confidence of the event occurrences a second time.  The confidence ratings of the events that did not happen were rated higher in confidence of their occurrence the second time around than the events that actually occurred, which were used as control events.

 

There are several techniques that have been used to attempt to determine the validity of false memories through “planting” of events that were false and never actually occurred, including hypnosis, guided imagery/imagination, dream interpretation, and picture cuing, and all proved successful at inducing false memories in research study participants in statistically significant numbers.  One of the earliest studies that specifically attempted to plant false memories for an entire event used a technique that came to be called the “lost in the mall” technique, which utilized stories about events that happened to participants as related by their parents, and included one wholly false story that was verified as having never occurred, usually lost in a mall, or, alternatively, spilling punch on a bride’s parents at a wedding or having a serious accident.  Based on the results of a series of interviews that utilized memory recovery techniques, 20%-25% of the study participants confirmed a memory of these false events even though they never actually occurred. It was also determined that these false memories exhibited high levels of detail and emotional responses in those that developed them. (Laney, Loftus, 2013)

 

Scoboria et al. (2004) posited a model for autobiographical beliefs and memories that, based on their research, indicated the memories, thoughts, and beliefs concerning plausibility of an event are of a “nested” format.  For a person to remember an event, they necessarily have to believe that it occurred, meaning that the memory itself is nested within confidence.  It also needs to be personally plausible, so confidence is nested within personal plausibility.  The event has to be plausible generally, so personal plausibility is nested within general plausibility. While the research shows that false beliefs and memories will increase due to repeated exposures, brief exposure to false events does not increase confidence or implant false memories. (Sharman, Powell, 2012)

 

The research on false memory has firmly established that people can be led to believe that they have experienced events that have never actually occurred.  Not only can these false memories be wrapped in exquisite detail and sensory associations of recollection, conveying all the characteristics of being the genuine article, but they can be extremely far-fetched in their subject matter such that they are extremely unlikely to be true, yet people will still insist on having experienced them.  The consequences of false memories can have far-reaching, and often unintended, consequences.  There are documented cases of people having spent decades of their lives in prison based on testimony that relied on what turned out to be an instance of false memory, and were only exonerated because of DNA evidence.  While this is an extreme example of the consequences of reliance on memory to be infallible, it clearly illustrates that memory is fluid, malleable, and completely vulnerable to improper influence and subsequent dubious recall.  As a Clinical Psychology student, I previously held to the belief that a memory which is uncovered during therapy is more than likely to be true.  After all, why would a profession devoted to helping people end up doing harm by implanting false memories?  In my opinion, it is not intentional harm on the part of the therapist but, rather, a misuse of techniques which can, and sometimes does, lead to disastrous consequences.  Knowing that memories can become twisted and confused should be reason enough to become skeptical of any method of regression treatment or therapy.

 

References
Arbuthnott, K. D., Arbuthnott, D. W., Rossiter, L. (2001). “Guided imagery and memory: implications for Psychotherapists”. Journal of Counseling Psychology Vol. 48, No. 2, 123-132. Retrieved from Ebscohost, November 17, 2016.

 

Durbin, P. G., Ph.D. Beware false memories in regression hypnotherapy. Retrieved November 16, 2016, from http://alchemyinstitute.com/false-memory.html

 

Goleman, D. (1993, April 6). Studying the secrets of childhood memory. The New York Times. Retrieved from http://www.nytimes.com

 

Kihlstrom, J. E. (1994). “Hypnosis, delayed recall and the principles of memory”. The International Journal of Clinical & Experimental Hypnosis. 1994, Vol. XLII, No. 4, 337-344. Retrieved from Ebscohost, November 15, 2016.

 

Laney, C., Loftus, E. F. (2013). “Recent advances in false memory research”. South African Journal of Psychology 43(2) 137-146. Retrieved from Ebscohost, November 17, 2016.

 

Loftus, Elizabeth F. (2004). ”Memories of things unseen”. Current Directions in Psychological Science. 2004. Vol. 13, No. 4, 145-147. Retrieved from Ebscohost, November 15, 2016.

 

Sharman, S. J., Powell, M. B. (2012). “Do cognitive interview instructions contribute to false beliefs and       memories?”. Journal of Investigative Psychology and Offender Profiling. 10: 114-124 (2013).

 

Willingham, D. T. (2007). Cognition: The thinking animal (3rd ed.). Upper Saddle River, New Jersey: Pearson.

 

Teresa King
Pennyroyal Doctoral Intern