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I had been seeing Martin for therapy for two years. Initially presenting for couples counseling with his wife, Gina, Martin requested to continue working with me individually after Gina dropped out of therapy. Martin seemed to love using therapy as a place to ruminate about his various existential concerns.
Unfortunately, a frustrated Gina contacted me some months after I had begun working individually with Martin. She simply had to tell me that Martin’s behavior was testing the outer limits of her tolerance and that she didn’t know how long she could hold on to her marriage.
I had challenged Martin’s underfunctioning behavior in his marriage several times, both in couples therapy and later in individual therapy. Martin consistently resisted my attempts …
Other Featured Stories
- Health Care Reform: Republicans Face Headaches Replacing ACA
- Health Care Fraud Grabs Headlines; Psychologists More Often Troubled by Poor Documentation
- The Downside of RxP for Psychology
- Electronic Devices Damage Real Therapy
The American Psychiatric Association released revised guidelines in May for the limited “judicious use” of antipsychotic drugs to treat agitation or psychosis in patients with dementia. A statement announcing the new recommendations pointed out that they are evidence-based and should be just one part of a comprehensive treatment plan. “…Clinical trials show little benefit from […]Federal Court Upholds New York SAFE Act
New York’s three-year-old gun-control SAFE Act, which requires psychologists and other mental health workers to report clients they feel are a danger to themselves or others, has been ruled constitutional by the 2nd U.S. Circuit Court of Appeals in Manhattan. The court found the SAFE Act as well as a similar law enacted in Connecticut […]The making of a black psychologist: A personal perspective
As I look back on my life, growing up as a little black boy in the 1950s, in the sweltering heat of the segregated state of Alabama, many things are vivid in my memory. Because of all the injustices I’ve experienced, my psyche has been negatively affected. Many black people who have gone through similar […]Colleague assistance programs growing
Since 1980 the American Psychological Association (APA) has acknowledged the existence of distressed and impaired psychologists and the need to provide adequate and appropriate assistance. Today assistance is active in many states through colleagues assistance programs (CAPs) of State, Provincial and Territorial Psychological Associations (SPTAs, APA Division 31).
From the Latest Issue...Risk Management: Exposure Varies in Alternative Practice Models
Alternative practice models create exciting opportunities for psychologists within and outside of formal Affordable Care Act (ACA) structures, notwithstanding likely coming changes. Some may learn new business practices, and they and their clients may benefit from improved access to medical services and consultation with other professionals.
Although there is potential for new risks, psychologists who give thoughtful attention to ethical issues, develop their knowledge and competencies, …Ethics for Psychologists: Confidentiality Limited for Service Members
Although fewer than half a percent of Americans serve on active duty (compared to 12 percent during WWII) the mental health care of our soldiers, sailors, marines, coast guardsmen and airmen is a topic of great public concern. Because the need for care often exceeds the capacity of uniformed mental health providers, active duty personnel are sometimes seen by civilian psychologists. Unique challenges arise …Treatment of Simple Phobia
K is a 51 year-old woman who presented for treatment on the recommendation of her primary care physician (PCP) because of a profound fear of swallowing. A swallow test was unremarkable and pointed to psychogenesis as the primary cause.
Upon psychological evaluation the patient revealed two compounding events which had caused considerable problems with eating for 40 years. The first incident occurred at age 11 when K was …Washington state high court expands Tarasoff duty to warn
The Washington State Supreme Court has ruled that mental health professionals have a duty to protect and warn potential victims of violence by patients under their care even in cases where there were no potential victims named.
In Volk v. DeMeerleer, the state’s high court expanded the Tarasoff standard regarding a mental health professional’s duty to protect and warn a third party of possible …Psychology’s role in the national drug epidemic
Those are signs that the nation’s drug epidemic is not likely to level off anytime soon and may continue to worsen. But is there anything psychologists can and should be doing to help fight this epidemic? Psychologists whose work has them on …Drug tests add doubt to amyloid theory on Alzheimer’s disease
The latest blow in the search for successful pharmacological treatment of Alzheimer’s disease came in February when drug company Merck announced it is halting the late stage trial of verubecestat, the latest promising drug for the neurodegenerative disease based on the beta amyloid theory.
According to a report by CNN, Merck stopped the drug trial in a group of patients with mild-to-moderate Alzheimer’s disease …