A blog about psychology, therapy and the intersection of science and everyday living
Wednesday, July 31, 2013
Kentucky Psychology Board Moves to Censure Advice Columnist
Each state has the authority to regulate the activities of professionals who offer services to citizens of the state. Each board is established by the legislature of the state and interprets the laws pertaining to professional practice in that state. As a Pennsylvania licensed psychologist, I am required to adhere to the standards and regulations put forth by my state's licensing board. If I do not, I risk sanction or the loss of my license to practice. Anyone who wishes to practice psychology in Pennsylvania must apply to the board for permission to do so.
That's where the rub comes in the Kentucky case. It seems that Rosemond, who has written 14 books on parenting, offered advice on parenting to which one retired psychologist in Kentucky took exception and wrote to the Kentucky board to complain.
The job of any professional board is to protect the public from harm and in this instance the Kentucky board reasoned that Rosemond's advice constituted the provision of psychological services for which he was not licensed in Kentucky.
Potentially, this opens a whole can of worms if one accepts that advice given in a syndicated column constitutes provision of psychological services. Writers from a libertarian perspective cry foul because this would seem to limit first amendment rights to free speech.
It's hard to know exactly what argument was made in the Kentucky case but licensing boards are generally quite careful to deliberate fully before making a move. They try to talk through the potential ramifications of various steps and to interpret the law as clearly as possible.
Another problematic situation that many state psychology boards are trying to work out is how to regulate the provision of counseling via electronic means. For example, let's say you decide to start working with Dr. X who practices in California because he is an expert in the treatment of a disorder that you have. Because he is in California and you are in, let's say Pennsylvania, you decide to conduct your sessions through Skype.
So what state regulates this professional service, California or Pennsylvania? Who has jurisdiction to prosecute Dr. X if you feel that he has acted unethically or committed malpractice? One suggestion is to have a national "passport" or universal certification but this may run afoul of state laws that prevent states from relinquishing regulatory authority.
Whatever the answer, this issue is likely to come up more frequently as consumers increasingly look to electronic sources for healthcare. Some studies are even finding that internet based psychotherapy is as effective as face-to-face therapy. There will be more to say about that later.
Monday, July 22, 2013
Evaluating Scientific Sounding Claims
Both stories are admittedly intriguing and the scientists interviewed are not crackpots. So how do we really evaluate the science we hear and apply it sensibly in our lives?
One thing to keep foremost in our minds is that a relationship between two events does not tell us anything about the causality that may or may not link them. Because schizophrenia increased when we started keeping cats as pets does not establish a causal relationship between cats and schizophrenia. In fairness, the relationship between certain mental illnesses and toxoplasma has been reported elsewhere, I'm exaggerating somewhat to make a point.
The relationships between these issues is complex. There is more interdependence, or what statisticians call covariance, than direct causal relationships among the variables. It is more interesting to talk about the possibility of grand relationships and science fiction than to tackle the nuances of the relationships. Who wants to read a dry science article when we can talk about protozoa taking over our minds.
So the point is to take science reporting at face value. Dig deeper if a topic interests you and treat grandiose claims as what they are, bad science.
Sunday, July 21, 2013
Tolerating Discomfort
But in doing so we flee the here and now for imagined comfort of somewhere else. We trade our lived experience, the only true reality, for some imagined talisman that will end our suffering.
Saturday, July 20, 2013
Resilience from a psychoanalytic perspective
Tuesday, July 16, 2013
A Brain Test for ADHD?
"The test uses an electroencephalogram, or EEG, with sensors attached to a child’s head and hooked by wires to a computer to measure brain waves. It traces different types of electrical impulses given off by nerve cells in the brain and records how many times those impulses are given off each second.The test takes 15 to 20 minutes, and measures two kinds of brain waves — theta and beta. Certain combinations of those waves tend to be more prevalent in children with A.D.H.D., the Food and Drug Administration said in a news release."So will this eliminate our uncertainty when making a diagnosis of ADHD? Probably not. Our diagnostic system or nosology rests on a false belief in the reality of diagnostic categories. In reality there is no such thing as "depression"or "ADHD." I do not mean to imply that people do not suffer or that their lives are not impacted by these disorders, only that as an objective reality, these diagnoses are just constructs, ways of organizing phenomena into categories.
Without getting too philosophical (professors can get that way), suffice it to say that EEG's and medical tests exaggerate the certainty with which we draw conclusions. We still do not know that a patient has ADHD even if they test positively on this new procedure. What is more important is understanding the context and function of the symptoms so that we can help the patient. As Freud pointed out, we need to make sense of the symptom and not just categorize them.
Sunday, July 14, 2013
Stop Bullying Website
Bullying: What You Need to Know
Wednesday, July 10, 2013
Coping with adult ADHD
Tuesday, July 9, 2013
Two Psychological Theories All Leaders Should Know
Social contagion theory suggests that behaviors can spread like a highly contagious virus. Fashion trends are a good example. Research has found that even eating disorders can spread by social contagion in university dorm environments. So, as a leader, one has to be mindful of the spread of behavior within organizations. When some organization members behave in problematic ways (e.g., stealing, tardiness, rudeness) that behavior can spread quickly to others. Yet good behaviors such as hard work, attention to detail, and friendliness, can spread quickly by observational methods too. Thus, behavior that you like needs to be thoughtfully reinforced while behaviors that you dislike need to have immediate corrective feedback to nip in the bud.
So, what do you think?
Copyright 2013 Thomas G. Plante, PhD, ABPP
- inShare20
Monday, July 8, 2013
How exercise creates new neurons and controls anxiety
Sunday, July 7, 2013
The neuroscience of self consciousness in teens
Teens' self-consciousness linked with specific brain, physiological responses
Saturday, July 6, 2013
27 Relaxing Things to do This Weekend
From PsychPost
Original post here:
http://tinyurl.com/kpyxo73
This weekend, take some time to genuinely relax and unwind. Take kind care of yourself. In fact, give yourself a break. A real one.
Here’s a list of ideas to get you started, whether you have 50 minutes or five.
- Learn to meditate.
- Practice this body scan.
- Visit the library or bookstore, and pick out a new book (or an old favorite). Curl up on a comfy chair, or thumb through your book while sipping a yummy drink. Or bring it home, or bring it to the beach.
- Have a picnic at the park, beach or your backyard. Feast on your summer favorites, like berries, burgers, frozen yogurt, pasta salad, popsicles, watermelon and corn on the cob.
- Try a yoga class — in person or online. Anna, founder of Curvy Yoga, offers a great collection of videos, podcasts and written practices (all free!).
- Put on your softest, most comfortable clothes.
- Sit by a sunny spot, and let the sunshine envelope you. Savor the silence, or focus on the sounds swirling around you.
- Give your hands (and your neck) a massage.
- Put on classical music, sit back, and close your eyes.
- Take a long shower or a bubble bath. Focus on how the water feels against your skin. Breathe in the aroma of your body wash or shampoo. Listen to the water cascading down. In other words, focus intently on your shower or bath. Be in the moment.
- Get up early to watch the sunrise.
- Or sleep in, and take a bit longer to get up, enjoying the warmth of the covers.
- Jot down a few pages in your journal, in the morning or at bedtime. Or take a journaling break during the day.
- Veg out for a few hours, watching your favorite shows. (Brian and I just started watching “The Big Bang Theory,” thanks to my mom, who loves the show. It’s hilarious! We laugh every few seconds. Seriously.)
- Try this guided meditation or this one.
- Whatever you’re doing, wherever you are, take several long, deep breaths.
- Make sand castles.
- Drink a cup of green tea, savoring each sip.
- Visit the botanical gardens.
- Eat at an outdoor cafe.
- Spend a full day outside. Breathe in the fresh air.
- Read poetry in bed.
- Find peace within yourself.
- Cook a simple meal. It’s amazing, for instance, how washing and chopping vegetables can put you in a kind of lull, in a kind of rhythm that soothes you.
- Speaking of rhythm, try doing laps. The repetition of your arms and the cadence of your breath is super calming. I’m a terrible swimmer, but doing laps in the pool — I like to think of my lap style as “the fish” — feels both exhilarating and relaxing.
- Think of five things that make you happily sigh with relaxation. Then add them to this weekend and the rest of your week.
- Tend to yourself. I love this tip from Rachel, which I included in another piece on 20 ways to unwind.
“When I need to rest and restore, I tend,” said Rachel W. Cole, a life coach and retreat leader. She defines tending as “care with intention.” And it can take many forms.
Cole tends to her home by cleaning the sheets, washing windows and “getting rid of unused and unloved items.”
…
She also whips up delicious and nourishing meals in her kitchen. And on some days, she tends to her finances and “need for a walk in the sunshine. Tending brings calm, order, and a deep reminder that I’m cared for and safe.”
Friday, July 5, 2013
What is dopamine?
Dopamine Is _________
Is it love? Gambling? Reward? Addiction?
By Bethany Brookshire|Posted Wednesday, July 3, 2013
Dopamine is the one neurotransmitter that everyone seems to know about. Vaughn Bell once called it the Kim Kardashian of molecules, but I don’t think that’s fair to dopamine. Suffice it to say, dopamine’s big. And every week or so, you’ll see a new article come out all about dopamine.
What is dopamine? Dopamine is one of the chemical signals that pass information from one neuron to the next in the tiny spaces between them. When it is released from the first neuron, it floats into the space (the synapse) between the two neurons, and it bumps against receptors for it on the other side that then send a signal down the receiving neuron. That sounds very simple, but when you scale it up from a single pair of neurons to the vast networks in your brain, it quickly becomes complex. The effects of dopamine release depend on where it’s coming from, where the receiving neurons are going and what type of neurons they are, what receptors are binding the dopamine (there are five known types), and what role both the releasing and receiving neurons are playing.So is dopamine your cupcake addiction? Your gambling? Your alcoholism? Your sex life? The reality is dopamine has something to do with all of these. But itis none of them. Dopamine is a chemical in your body. That’s all. But that doesn’t make it simple.
And dopamine is busy! It’s involved in many different important pathways. But when most people talk about dopamine, particularly when they talk about motivation, addiction, attention, or lust, they are talking about the dopamine pathway known as the mesolimbic pathway, which starts with cells in the ventral tegmental area, buried deep in the middle of the brain, which send their projections out to places like the nucleus accumbens and the cortex. Increases in dopamine release in the nucleus accumbens occur in response to sex,drugs, and rock and roll. And dopamine signaling in this area is changed during the course of drug addiction. All abused drugs, from alcohol to cocaine to heroin, increase dopamine in this area in one way or another, and many people like to describe a spike in dopamine as “motivation” or “pleasure.” But that’s not quite it. Really, dopamine is signaling feedback for predicted rewards. If you, say, have learned to associate a cue (like a crack pipe) with a hit of crack, you will start getting increases in dopamine in the nucleus accumbens in response to the sight of the pipe, as your brain predicts the reward. But if you then don’t get your hit, well, then dopamine can decrease, and that’s not a good feeling. So you’d think that maybe dopamine predicts reward. But again, it gets more complex. For example, dopamine can increase in the nucleus accumbens in people with post-traumatic stress disorder when they are experiencing heightened vigilance and paranoia. So you might say, in this brain area at least, dopamine isn’t addiction or reward or fear. Instead, it’s what we call salience. Salience is more than attention: It’s a sign of something that needs to be paid attention to, something that stands out. This may be part of the mesolimbic role in attention deficit hyperactivity disorder and also a part of its role in addiction.
But dopamine itself? It’s not salience. It has far more roles in the brain to play. For example, dopamine plays a big role in starting movement, and the destruction of dopamine neurons in an area of the brain called the substantia nigra is what produces the symptoms of Parkinson’s disease. Dopamine also plays an important role as a hormone, inhibiting prolactin to stop the release of breast milk. Back in the mesolimbic pathway, dopamine can play a role inpsychosis, and many antipsychotics for treatment of schizophrenia target dopamine. Dopamine is involved in the frontal cortex in executive functions like attention. In the rest of the body, dopamine is involved in nausea, in kidney function, and in heart function.
With all of these wonderful, interesting things that dopamine does, it gets my goat to see dopamine simplified to things like “attention” or “addiction.” After all, it’s so easy to say “dopamine is X” and call it a day. It’s comforting. You feel like you know the truth at some fundamental biological level, and that’s that. And there are always enough studies out there showing the role of dopamine in X to leave you convinced. But simplifying dopamine, or any chemical in the brain, down to a single action or result gives people a false picture of what it is and what it does. If you think that dopamine is motivation, then more must be better, right? Not necessarily! Because if dopamine is also “pleasure” or “high,” then too much is far too much of a good thing. If you think of dopamine as only being about pleasure or only being about attention, you’ll end up with a false idea of some of the problems involving dopamine, like drug addiction or attention deficit hyperactivity disorder, and you’ll end up with false ideas of how to fix them.
The other reason I don’t like the “dopamine is” craze is because the simplification takes away the wonder of dopamine. If you believe “dopamine is,” then you’d think that we’ve got it all figured out. You begin to wonder why we haven’t solved this addiction problem yet. Complexity means that the diseases associated with dopamine (or with any other chemical or part of the brain, for that matter) are often difficult to understand and even more difficult to treat.
By emphasizing dopamine’s complexity, it might feel like I’m taking away some of the glamour, the sexiness, of dopamine. But I don’t think so. The complexity of how a neurotransmitter behaves is what makes it wonderful. The simplicity of a single molecule and its receptors is what makes dopamine so flexible and what allows the resulting systems to be so complex. And it’s not just dopamine. While dopamine has just five receptor type, another neurotransmitter, serotonin, has 14 currently known and even more that are thought to exist. Other neurotransmitters have receptors with different subtypes, all expressed in different places, and where each combination can produce a different result. There are many types of neurons, and they make billions and billions of connections. And all of this so you can walk, talk, eat, fall in love, get married, get divorced, get addicted to cocaine, and come out on top of your addiction some day. When you think of the sheer number of connections required simply for you to read and understand this sentence—from eyes to brain, to processing, to understanding, to movement as your fingers scroll down the page—you begin to feel a sense of awe. Our brain does all this, even while it makes us think about pepperoni pizza and what that text your crush sent really means. Complexity makes the brain the fascinating and mind-boggling thing that it is
.
Thursday, July 4, 2013
Why we should step out of our comfort zones
From Lifehacker
http://lifehacker.com/the-science-of-breaking-out-of-your-comfort-zone-and-w-656426705
You've seen inspirational quotes that encourage you to get out and do something strange—something you wouldn't normally do—but getting out of your routine just takes so much work. There's actually a lot of science that explains why it's so hard to break out of your comfort zone, and why it's good for you when you do it. With a little understanding and a few adjustments, you can break away from your routine and do great things.
It's important to push the boundaries of your comfort zone, and when you do, it's kind of a big deal. But what is the "comfort zone" exactly? Why is it that we tend to get comfortable with the familiar and our routines, but when we're introduced to new and interesting things, the glimmer fades so quickly? Finally, what benefit do we derive from breaking out of our comfort zone, and how do we do it? Answering those questions is a tall order, but it's not too hard to do. Let's get started.
Simply, your comfort zone is a behvioral space where your activities and behaviors fit a routine and pattern that minimizes stress and risk. It provides a state of mental security. You benefit in obvious ways: regular happiness, low anxiety, and reduced stress.
The idea of the comfort zone goes back to a classic experiment in psychology. Back in 1908, psychologists Robert M. Yerkes and John D. Dodson explained that a state of relative comfort created a steady level of performance In order to maximize performance, however, we need a state of relative anxiety—a space where our stress levels are slightly higher than normal. This space is called "Optimal Anxiety," and it's just outside our comfort zone. Too much anxiety and we're too stressed to be productive, and our performance drops off sharply.
The idea of optimal anxiety isn't anything new. Anyone who's ever pushed themselves to get to the next level or accomplish something knows that when you really challenge yourself, you can turn up amazing results. More than a few studies support the point. However, pushing too hard can actually cause a negative result, and reinforce the idea that challenging yourself is a bad idea. It's our natural tendency to return to an anxiety neutral, comfortable state. You can understand why it's so hard to kick your brain out of your comfort zone.
Even so, your comfort zone is neither a good or bad thing. It's a natural state that most people trend towards. Leaving it means increased risk and anxiety, which can have positive and negative results (which we'll get to in a moment), but don't demonize your comfort zone as something holding you back. We all need that head-space where we're least anxious and stressed so we can process the benefits we get when we leave it.
Optimal anxiety is that place where your mental productivity and performance reach their peak. Still, "increased performance" and "enhanced productivity" just sound like "do more stuff." What do you really get when you're willing to step outside of your comfort zone?
- You'll be more productive. Comfort kills productivity because without the sense of unease that comes from having deadlines and expectations, we tend to phone it in and do the minimum required to get by. We lose the drive and ambition to do more and learn new things. We also fall into the "work trap," where we feign "busy" as a way to stay in our comfort zones and avoid doing new things. Pushing your personal boundaries can help you hit your stride sooner, get more done, and find smarter ways to work.
- You'll have an easier time dealing with new and unexpected changes. In this article at The New York Times, Brené Brown, a research professor at the University of Houston, explains that one of the worst things we can do is pretend fear and uncertainty don't exist. By taking risks in a controlled fashion and challenging yourself to things you normally wouldn't do, you can experience some of that uncertainty in a controlled, manageable environment. Learning to live outside your comfort zone when you choose to can prep you for life changes that force you out of it.
- You'll find it easier to push your boundaries in the future. Once you start stepping out of your comfort zone, it gets easier over time. This same NYT article explains that as you step out of your comfort zone, you'll become accustomed to that state of optimal anxiety. "Productive discomfort," as they call it, becomes more normal to you, and you're willing to push farther before your performance falls off. This idea is well illustrated in this infographic at Future Science Leaders. At the bottom, you'll see that as you challenge yourself, your comfort zone adjusts so what was difficult and anxiety-inducing becomes easier as you repeat it.
- You'll find it easier to brainstorm and harness your creativity. This is a soft benefit, but it's fairly common knowledge (and it's easily reproducible) that seeking new experiences, learning new skills, and opening the door to new ideas inspire us and educate us in a way that little else does. Trying new things can make us reflect on our old ideas and where they clash with our new knowledge, and inspire us to learn more and challengecomfirmation bias, our tendency to only seek out information we already agree with. Even in the short term, a positively uncomfortable experience can help us brainstorm, see old problems in a new light, and tackle the challenges we face with new energy.
The benefits you get after stepping outside of your comfort zone can linger. There's the overall self-improvement you get through the skills you're learning, the new foods you're trying, the new country you're visiting, and the new job you're interviewing for. There's also the soft mental benefits you get from broadening your horizons.