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The British Columbia Psychological Association provides leadership for the advancement and promotion of the profession and science of psychology in the service of our membership and the people of British Columbia. PUBLICATION DATES
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EDITOR IN CHIEF
Ted Altar, Ph.D., R.Psych. Assistant Editors
Marian Scholtmeijer, Ph.D., LLB. Paul Swingle, Ph.D., R.Psych.
Rick Gambrel, B.Comm., LLB.
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Rick Gambrel, B.Comm., LLB.
BOARD OF DIRECTORS
PRESIDENT Marilyn Chotem, Ed.D., R.Psych. VICE-PRESIDENT Martin Zakrzewski, Psy.D., R.Psych. TREASURER Sofia Khouw, M.A., R.Psych. DIRECTORS Ted Altar, Ph.D., R.Psych. Zarina Giannone, M.A. Michael Sheppard, Ph.D., R.Psych. Kamaljit Sidhu, Ph.D., R.Psych. Paul Swingle, Ph.D., R.Psych.
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B CPA 80
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Thursday, September 20 , 2018
Table of Contents 5
Letter from the President
Letter from the Executive Director
Position Statement: BCPA Promotes Psychological Alternatives to Conceptualizing and Treating Mental Health Disorders BCPA Board of Directors
W h e n se x g e t s co m pli c at e d : in n ovativ e a ppr oach e s t o in fid e lit y, p o rn o g r a ph y, &
dys fu n c ti o n wo rk s h o p
Presented by Dr. Marty Klein Friday, October 19th, 2018
W h y a re s o m e psych o t h e r a pis t s m o re e ffe c tiv e t h a n o t h e rs? Co re
ta s k s o f psych o l o gy wo rk s h o p
Presented by Dr. Don Meichenbaum Friday, November 30th, 2018
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in BCPA Committees' activities and are thinking of getting involved, please contact us by phone or email: firstname.lastname@example.org
If yo u a re in t e re s t e d
Submit Articles: •
Abstract: Why Psychology? An Investigation of the Training in Psychological Literacy in Nursing, Medicine, Social Work, Counselling Psychology, and Clinical Psychology Douglas D. Murdoch, Ph.D. Asta Gregory Jessica M. Eggleton Interview with Dr. Bob Wilson, R.Psych. #1: How BCPA and the Profession of Psychology Evolved Over the Years Marilyn Chotem, Ed.D., R.Psych.
Cannabis and Psychosis: Links to Consider Tom Ehmann, Ph.D., R.Psych.
BCPA Member Survey Results 2018 Marilyn Chotem, Ed.D., R.Psych.
Membership Application & Renewal Form | 2018-2019
Workshop Registration Form | Fall 2018
W e a re a lways l o o kin g f o r
for the BC Psychologist. The deadline for the Fall 2018 issue is August 15th. For further details, contact us at: email@example.com
w rit e rs
Letter from the President M a rily n Ch o t e m , E d. D, R. Psych .
Dr. Marilyn Chotem completed her Ed.D. in Educational Psychology and Counselling at McGill University in 1990. She has been a Registered Psychologist in BC since 1980. Her career began in substance abuse/dependence treatment programs in 1978. Since 1983, she has worked with diverse populations in a variety of settings, such as community mental health centers, hospital psychiatry and private practice.
spring was very busy for BCPA. The main focus was on consultations with ICBC on their policy changes related to Minor Injuries. ICBC met with various service providers’ associations to discuss the reported change from a litigation model of settling claims to a reportedly “expanded services model” with a cap on Minor Injuries of $5,500. D e a r Co l l e ag u e s ,
ICBC wanted our input on the definition of minor psychological injuries resulting from Motor Vehicle Accidents (MVAs). They also requested our input on reporting and billing procedures, and fees. The definition of Minor Injury from ICBC was any physical or psychological injury that lasted less than one year. The advice BCPA gave to ICBC was that the only minor psychological injury would be Acute Stress Disorder, as there are many variables affecting the onset, length and severity of symptoms post-MVA. In addition to seeking a definition of Minor Injury, they asked us to poll our members to see what fees our members recommended. The poll results showed that the majority of respondents endorsed the BCPA recommended fee of $200/hour remuneration for services so that people without the means to pay the difference between the current ICBC rate of $145 and the BCPA recommended fee would not be excluded from services. The Advocacy Committee was initially involved in the ICBC consultations. Unfortunately, the time demands necessitated the formation of a sub-committee with Drs. Kamaljit Sidhu and Chuck Jung, as well as Rick Gambrel, BCPA Executive Director. They have volunteered long hours in meetings with ICBC as well as internal meetings to prepare for meetings with ICBC. The next step is establishing the pay scale with government. We will be meeting with the government at the end of June and early July 2018 to negotiate fees for psychologists.
year. He generated an interesting list of presenters and topics. The Board formed a Continuing Education sub-committee to design a workshop for competency in working with people of diverse backgrounds. The Diversity sub-committee is chaired by Dr. Kamaljit Sidhu. We had our first meeting on May 28, 2018. It was well attended and many good ideas were generated. The objective will be to learn salient histories of diverse populations, respectful ways to communicate with diverse populations, sensitivity to visible and non-visible minorities, and relevant information related to assessment and treatment of diverse populations. The challenge will be to find a meaningful balance between breadth and depth. The Advocacy committee continues to meet with the Health Sciences Association to advocate for improved salaries and benefits for psychologists so that psychologists can be recruited and retained in public service positions. The disparity between income from salaried employment and income from private practice results in unfilled public service positions. The advocacy committee continues to educate the public, government and other professions on the advanced training and rigorous standards of our regulated profession. We hope to soon meet with the Honourable Judy Darcy, Minister of Mental Health and Addictions, to inform her of the cost-saving role psychologists could fill in Mental Health and Addictions service delivery, particularly in light of the purported 50% reduction of physicians going into psychiatry. BCPA celebrates its 80th anniversary this year. We are planning a social event for the fall. We hope members will come out for an evening of fun and learn about the evolution of the Association while also socializing with colleagues. We will send out invitations as soon as the details are firmed up.
In addition to the ICBC poll, BCPA sent out a Members’ Survey questionnaire in May. The results will be reported separately in this journal. Thank you to everyone who took the time to complete the survey. The results help us make decisions about continuing education, journal topics, and advocacy priorities.
Wishing all a restorative summer,
Dr. Ted Altar continues to research and reach out to potential presenters for continuing education workshops for the coming
Marilyn Chotem, Ed.D., R.Psych. President, BCPA
Letter from the Executive Director ri ck ga m b re l , b . Co m m . , LL B .
The Executive Director of the BCPA. Mr. Gambrel has a Bachelor of Commerce in Finance and a Law Degree from UBC. Prior to working at BCPA, he was a trial lawyer for over 30 years, as well as Managing Partner of a number of law firms. He is Past President of both the Trial Lawyers Association of BC and of White Rock Concerts, one of Canadaâ€™s leading classical music presenters. Contact: firstname.lastname@example.org
D e a r b .c . p. a . m e m b e rs ,
After five years as Executive Director of BCPA, I have made the difficult decision to resign to pursue a new challenge and opportunity as the Executive Director of another professional association. It was a difficult decision, because I very much value psychology, BCPA, my wonderful staff and all of you, but I was presented with an opportunity that I couldn't pass up. July 20 will be my last day at BCPA. I am proud of what we have accomplished for psychology and the public, and I am grateful for your dedication to the organization. It has been a rewarding experience to work with so many passionate and dedicated people at BCPA and to provide leadership for the advancement and promotion of the profession and science of psychology. I am gratified that I depart an association that is in excellent shape. In the last five years we have reached millions of people every February during Psychology Month through free public talks and dozens of media interviews every year. Our efforts at government relations are bearing fruit, with meetings with government on the new primary care plan announced by the Premier, where he specifically included psychologists as part of the teams to be put in place. We have had significant input over how psychological conditions will be treated under the new ICBC auto insurance scheme, to be implemented in April 2019 (BCPA was referred to nine times in one day in the BC Legislature debates on ICBC). And we continue to lobby unions and industry to raise their annual coverage limits for psychological services. The association is on strong ground with financial stability and a record membership of 825 psychologists (compared to 692 five years ago). Most importantly, BCPA has excellent leadership from the hard-working, dedicated Board, who work so diligently and thoughtfully on your behalf.
Personally, most of all, I will miss my staff. They are the hardest working, most dedicated and most intelligent staff with whom I have ever worked. Thank you to Priya Bangar, Celine Diaz and Sarika Vadrevu. BCPA is so very lucky to have them. In short, you are in great hands going forward with this team in place and I look forward to assisting the Board in a smooth and successful transition. With warm regards and sincere thanks,
Rick Gambrel, B.Comm., LLB. Executive Director, BCPA
Left to right: Dr. Ted Altar, Dr. Martin Zakrzewski, Ms. Zarina Giannone, Dr. Marilyn Chotem, Mr. Rick Gambrel, and Dr. Paul Swingle.
Position Statement: BCPA Promotes Psychological Alternatives to Conceptualizing and Treating Mental Health Disorders
h e B .C . Psych o l o g i c a l A s s o ciati o n
endorses a biopsychosocial model for understanding and treating mental health disorders. This acknowledges contributing factors from the biological (neurochemistry and physical illnesses), psychological (feelings, thoughts and behaviours), and social spheres (interpersonal experiences) as they contribute to functional difficulties that manifest in reduced resilience, difficulty coping, and psychiatric symptoms. The prevailing medical model focuses primarily on the biological determinants and treatments of mental illness through psychopharmacology (psychiatric medications). Psychologists offer evidence-based, non-pharmacological treatments for individuals experiencing mental health difficulties. Research has shown that medications are often no better than placebo for mild to moderate symptoms of depression, anxiety, and personality disorders, as well as several other conditions. Medications often have side effects, and many people are averse to taking medications. Psychological treatments, including various forms of psychotherapy, often serve as cost-effective, efficient alternatives to psychiatric medications, particularly for those experiencing mild to moderate symptoms. For people with more severe disorders (such as schizophrenia or bipolar affective disorder) or treatment resistant disorders, psychological approaches may also serve as effective adjuncts to prescribed medications. Psychologists have, on average, 10 years post-secondary, accredited-university education and 3,000 hours of supervised practical training. They are science-practitioners trained in evidence- based assessments and treatments. They are the only profession qualified to administer psychological tests required for differential diagnoses. Their scope of practice overlaps with psychiatrists in that both are qualified to diagnose mental disorders and provide treatment.
Psychologists are regulated by the Health Professions Act and the College of Psychologists. They are required to maintain ongoing continuing education to keep current on research. They are also required to maintain continued competencies in their declared areas of practice.
Overview Historically, mental health diagnoses and treatments have focused on the “medical” (biological) model of mental illness. This has influenced clients’ understanding of treatment options, as well as, how health-care funds are prioritized and ultimately utilized. The current state of the mental health research does not support the continued over-reliance on the concept of mental health concerns as a biological disease. Other factors, as cited above, contribute to functional difficulties. The British Psychological Society heralds the need for a paradigm shift from the disease model to reasonable, evidenced-based, psychological alternatives to the traditional medical model. The BPS aims to educate clients, public health officials and the general public.
Endorsement Accordingly, the BC Psychological Association hereby endorses, in principle, the British Psychological Society's (Division of Clinical Psychology) 2013 Position Statement - Classification of behaviour and experience in relation to functional psychiatric diagnoses: Time for a paradigm shift. The Division of Clinical Psychology (DCP) is of the view that it is timely and appropriate to affirm publicly that the current classification system as outlined in DSM and ICD, in respect of the functional psychiatric diagnoses, has significant conceptual and empirical limitations. Consequently, there is a need for a paradigm shift in relation to the experiences that these diagnoses refer to, towards a conceptual system which is no longer based on a ‘disease’ model. http://www.bps.org.uk/system/files/Public%20files/cat-1325.pdf
Typically, psychologists have more training in evidencebased psychotherapy, while psychiatrists are able to prescribe medications and admit patients to hospital, as needed. Psychologists are also uniquely trained in program development and evaluation.
This position statement is consistent with the BCPA mandate to serve the science and profession of psychology and its application throughout BC. Approved by the Board of Directors: November 17, 2017
Why Psychology? An Investigation of the Training in Psychological Literacy in Nursing, Medicine, Social Work, Counselling Psychology, and Clinical Psychology by Douglas D. Murdoch, Asta Gregory, and Jessica M. Eggleton
b s t r ac t. Psychology is the science of human
behavior. Thus, service providers in the area of mental health should have a foundational knowledge of psychological science; but do they? To investigate this question university calendars and websites were systematically reviewed to ascertain how many psychology courses and related training is required by entry level degrees for nursing, social work, medicine, counselling psychology, and clinical psychology. Results clearly show that clinical psychology graduates take
more courses in psychology and related training than any other group, followed by counselling psychology. It is possible to graduate without any exposure to psychology or mental health issues in some of the other professions including medicine, yet many peopleâ€™s first choice for many mental health issues is a family physician. The discussion focuses on the significant implications for an increasingly interprofessional field with the emergence of primary care networks and other forms of interprofessional collaboration.
Full article: http://www.apa.org/pubs/journals/cap/index.aspx
Summary by CPAP: https://goo.gl/Qdxra2
Canadian Psychology Volume 56, Issue 1; Abstract page 136 and Table 1 page 140 ÂŠ 2015 by the Canadian Psychological Association Inc. Reprinted by permission of the Canadian Psychological Association Inc.
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Interview with Dr. Bob Wilson, R. Psych. #1: How BCPA and the profession of Psychology evolved over the years M a rily n Ch o t e m , E d. D, R. Psych .
Dr. Marilyn Chotem completed her Ed.D. in Educational Psychology and Counselling at McGill University in 1990. She has been a Registered Psychologist in BC since 1980. Her career began in substance abuse/dependence treatment programs in 1978. Since 1983, she has worked with diverse populations in a variety of settings, such as community mental health centers, hospital psychiatry and private practice.
ritis h co lu m b ia Psych o l o g i c a l a s s o ciati o n
(BCPA) began 80 years ago, yet has few, if any, records to inform us of its early history. Our only option was to interview a senior psychologist whose involvement with BCPA spanned several decades. To that end, Dr. Bob Wilson came to mind. This article looks at his many contributions to the profession of psychology in BC, as well as his answers to questions compiled by the current Board of Directors. The questions we asked Bob included what he remembered of the BCPA history from 1938 until the present, as well as his views on the future of the profession of psychology. in t r o d u c ti o n t o d r. b o b wil s o n
My motivation to join the BCPA Board was to help Psychology become more acceptable as a true profession."
Bob was born in May 1939. He grew up in a suburb of Milwaukee, Wisconsin. His interest in psychology began in his sophomore year of university while taking a course in physiological psychology. At that point, his interest shifted from an engineering degree in the biological sciences to the influence of social pressure on perception. This ultimately led to an interest in how behavioural patterns are acquired, altered and later influenced by neurological disorders. He received his B.Sc. in Psychology and Biology from Northland College in Ashland, Wisconsin in 1961. He completed his M.Sc. in 1963 in Clinical Psychology from Highlands University in Las Vegas, New Mexico (a little known town where, coincidentally, my own father was born and raised). Bob moved to Canada in 1965 to begin his doctoral studies at the University of Victoria. He completed his Ph.D. in Clinical Neuropsychology in 1969. Bobâ€™s working career began in the public health system. He was the senior psychologist at the Burnaby Mental Health Centre and the Maples Psychological Education Clinic from 1965 to 1979, when he left his employment with the government to become a partner in the firm of McLean Wilson and Stuart, an applied research organization.
Bob left that partnership to form R.F. Wilson Services Ltd., a company dedicated to the development of psychological services as a benefit to employees. This firm became Wilson Banwell Inc. in 1984 when Dr. Greg Banwell joined the company. Bob served as president until 1998, at which time he became CEO and Chairman of the Board of the company. Wilson Banwell became an international company of psychologists providing clinical and organizational development services to customers around the world. This was a visionary creation dedicated to hiring predominantly registered psychologists to provide clinical and organizational services to corporations and businesses. Some of Wilson Banwell’s corporate customers included: school boards, drug store companies like London Drugs, banks, marine industry employees, university staff, etc. It was a thriving business with a personal touch for service providers and staff. During the time between 1984 and 2000, Bob developed a range of employee benefits for their corporate customers’ staff, such as: • • • •
First Psychological Health Benefit in North America First Trauma Assistance Benefit First Grief and Bereavement Benefit First evidence-based treatment program for individuals on short- and long-term disability with a diagnosis of depression. This was designed in conjunction with BC Registered Psychologist, Dr. Randy Paterson, founder of Changeways Clinic. The program was designed initially for ManuLife claimants. First internet-based treatment programs in 2000
In addition to creating working opportunities and respect for BC Psychologists and multiple benefits and treatment resources for client employees, Bob also developed the first weekly Internet and radio program devoted to psychological topics. The program was called Shrink Rap and was hosted by psychologist and former radio personality, Dr. Jim Ricks. Jim had a wicked sense of humour and a great radio personality. The focus of the weekly radio program was interviewing psychologists throughout North America engaged in fascinating research of great social value the public would otherwise never have known about. Again, Bob and Jim brought awareness and respect to the profession through this clever broadcast. In 2004, Bob and his executive team led an acquisition strategy, which doubled the size of Wilson Banwell and Associates over the next six years. With the purchase of a large mental health
benefit program in Quebec, the company name became Human Solutions Humaines. By 2010 they employed over 300 staff and 1,500 part-time professionals with offices in all major Canadian cities and many smaller communities, as well as, locations in over a dozen countries worldwide. They offered a wide range of psychological and organizational health services to over a thousand corporate customers and carried benefits covering over two million employees and their family members. The company was maintaining a healthy profit margin at the time of its sale in July of 2010. Throughout his tenure as CEO and Chairman of the Board, Bob maintained an active clinical practice, focusing primarily on the mental health needs of executives and professionals and their families. B .C . P. A . HISTORY
During the 1970's, Bob served twice as president of the BC Psychological Association. In 1976, he chaired the committee that successfully drafted the legislation to register psychologists in British Columbia. As you will note by his registration number, Bob was the first licensed psychologist in BC. Bob, fortunately, archived historical materials over the decades. In looking through his materials, he found the original documents forwarded to him from the Associate Deputy Minister of the Department of Health. These included a copy of the official proclamation of the Psychologists Act, dated July 8, 1977, and a copy of the document from the LieutenantGovernor appointing Dr. Peter McLean and himself for a twoyear term to the first Board of Directors of BCPA and appointing Drs. Ken Craig, Park Davidson and Pat Woodward to one-year terms and two members of the public, Mr. Weir Muir and Mrs. Marlene Stuber, to two-year terms effective September 14, 1977. Bob noted that the first appointed president of the BCPA Board of Directors was Dr. Ken Craig in 1977. O t h e r Pr o fe s si o n a l A ffiliati o n s
Nationally, Bob is a past president of the Advisory Council of Provincial Associations of Psychologists (ACPAP) and past chair of the Applied Division of the Canadian Psychological Association (CPA). He served for ten years on the Board of the Canadian Psychological Association (CPA), and was also the CPA treasurer for several years. He is one of the founding members of the Canadian Register of Health Service Providers in Psychology that was effective in exempting psychologists from having to charge GST on their services.
Interview on BCPA 1. How did BCPA evolve over the time you were a member? I became a member of BCPA in 1965. BCPA was largely a social gathering of folks interested in the discipline and practice of psychology, but we did have a singular focus on getting legislation. For a number of years, Lee Pulos headed up attempts to get legislation and, ironically, when we were close to getting it, he headed up a group of paraprofessionals opposing the Act. As the Act approached third reading, he organized a large group of lay therapists to gather on Granville Island in protest against the Act and invited me to come and try to defend the Act. He invited the press to the meeting, which was very contentious and threatening. In spite of their threats, the Act passed, primarily due to the strong support from BCMA, and that history is very interesting but beyond your questions. The original intent was for BCPA to serve two functions. It was to be a place for all psychologists, academic and practitioners, to gather and discuss matters related to the state of the science and discipline; and secondly, to carry out the duties stipulated in the Act, which allowed academics to call themselves psychologists while not registering under the Act. This arrangement continued for some time before it was decided to split the functions (association versus regulation) into two separate organizations, which it is to this day.
practicing psychologists. Colleagues at the time who had been members before my arrival included Drs. Denis Shalman, Pat Woodward, Lee Pulos, Bob Leonard, Bea Lipinski, Keith Barnes and a couple of psychologists at the then Riverview and a few others I don't recall. All practicing psychologists at the time worked for either Riverview, the Burnaby Mental Health Centre or for an industrial psychology firm whose name I don't recall at the moment. There was a fledgling Psychology Department at the University of Victoria headed by Dr. Bill Geddes, and Bill did some testing for the schools on the Island related to investigating kids with learning disabilities. SFU was just getting going and Dr. Bea Lipinski was a clinician on the staff. I provide you with these names because some are still around and were part of BCPA before I arrived and may be able to give you a better history than I can of the very early years. Bob Leonard would likely be the best one with this history although Lee Pulos could also help. [Of note, these early pioneers are now in their eighties and nineties.] Certainly, the people I listed above and of course many more whose names I have forgotten, and dozens after I was no longer directly involved in the administration of the profession, have acted to benefit psychologists in BC.
3. What motivated you to join the BCPA Board? 2. What do you know about BCPA's history from 1938 until you became a member? I do not know a lot about this period of our history, and what I do recall is subject to the vagaries of memory. At the time of my joining BCPA we had fewer than fifty members and most of them were in the Psychology Department at UBC and not
I was first a member of the Board around 1971 and headed up the legislation committee for about five years prior to the passing of the legislation after which, as noted above, I was appointed to the first Board and remained involved as a Board member for several years prior to becoming a Board member of CPA.
By far the most important change I observed was that we finally took ourselves seriously as a true profession with something to contribute to the human condition. Until the mid 1970's, we had been servants in someone else's house in Canada.
Initially I joined the Board to be part of a group interested in the science and discipline of psychology. Once involved, my motivation became more focused on helping the profession become more acceptable as a true profession; thus I headed up the ethics committee and eventually the legislation committee.
a company I started called UCounsel as well as a project to treat anorexia in collaboration with the department of psychiatry at Stanford University, I became aware of the potential power technology could have as well as the significant challenges it posed both ethically and technically.
4. What kinds of things were accomplished while you were on the Board?
Finally, I have always been concerned about the distance between the profession of psychology and the discipline of psychology and feel very strongly that we must constantly nourish a bond with the science of psychology. I worry that many in our profession seek the easiest and quickest ways to get registered and thereby avoid or stop attending to the discipline and rigor of the science of psychology, which at the end of the day makes us unique.
We adopted the APA standards of ethics and later the CPA standards. We passed the original Psychology Act. We tripled the size of the profession by encouraging new psychologists to join prior to the Act. And, we established an official newsletter.
5. What important trends or changes did you observe that impacted the profession over the course of your career? By far the most important change I observed was that we finally took ourselves seriously as a true profession with something to contribute to the human condition. Until the mid 1970's, we had been servants in someone else's house in Canada. With legislation occurring across the country and academic research addressing the diagnosis and treatment of human problems we began to be taken seriously. And, finally, I saw the development of an effective strategy to market our services to the public. These have been the major changes I observed during my tenure as a psychologist.
6. What are you excited about and what are you concerned about in relation to the profession of psychology? I am both excited and concerned about the role technology is playing and going to play in our profession. As an early innovator of the use of technology in the mid-nineties through
7. What changes would you like to see in the profession of psychology over the next 10-25 years, and what do you feel are the most critical changes needed? I would like to see a shift in our role as responders to that of preventers of those elements in our society that cause so much suffering. We know a fair bit about the evolution of disorder, but thus far have devoted relatively few resources to the prevention of disorders. In my view, we have to spend far more attention on understanding how humans can adapt to change. Change is currently accelerating at a pace we clearly are not keeping up with, resulting in the distress we experience being camouflaged by mind numbing substances, both legal and illegal. As a species we are falling victims to addictions we never dreamed about while developing a new, "artificial" species, which will eventually be capable of rational thought without the burden of emotional distress. I can think of no other profession better able to proactively intervene to bring about constructive balance than psychology.
Cannabis and Psychosis: Links to Consider T o m E h m a n n , Ph . d. , r. psych .
has been closely involved in the development of early psychosis services since 1999 and was senior author of the British Columbia Standards and Guidelines for Early Psychosis. He currently works for the Early Psychosis Advanced Practice which acts as a provincial hub for services, training and uptake of best-practices. Copies of the full review or a reference-free summary suitable for the public can be obtained by emailing: email@example.com
Media reports of cannabis use causing schizophrenia are oversimplified and other factors must be present for cannabis users to develop schizophreniaspectrum disorders."
h e d e v e l o pm e n t o f psych o ti c d is o rd e rs tends to first
occur in adolescence or early adulthood, a developmental period when cannabis use typically begins. Conflicting and often sensational media reports prompted a review in order to provide clinicians with evidencebased information to guide discussions with clients and others. The full review and a summary document are available from the BC Early Psychosis Advanced Practice (epitrainingbc.org) or from the author.
Cannabis and causality Cannabis sativa and Cannabis indica contain more than 100 cannabinoids. Cannabinoids bind to either the CB1 receptor (primarily located in the brain) and/or to widely distributed CB2 receptors. These receptors and the naturally occurring neuro-hormones (anandamide) that bind to them constitute the endocannabinoid system. This system regulates several processes including neuronal development and the finetuning of information processing that helps preserve the structure and function of major brain circuits. The two main cannabinoids are delta-9tetrahydrocannabinol (THC), which produces the psychoactive effects of cannabis, and cannabidiol (CBD), which partially acts to counter the effects of THC. The ratio of CBT to THC may prove important as high doses of CBD appear to possess anti-psychotic properties (see Leweke, Piomelli & Pahlisch, 2016). Cannabis has been linked to both the dopamine and neurodevelopmental hypothesis of schizophrenia (Fernandez-Espejo et al., 2009). Since cannabis affects dopamine signalling in brain areas implicated in the development of hallucinations and delusions and the action of antipsychotic drugs, cannabis use has been argued to be a cause of schizophrenia and related disorders. Evidence suggesting cannabis use disrupts neurodevelopment at a critical time (adolescence) and that the endocannabinoid system is abnormal in persons with schizophrenia, aligns with the neurodevelopmental hypothesis that abnormal brain development leads to psychotic disorders (Radakrishnan, Wilkenson and D’Souza, 2014). These mechanisms linking cannabis to psychosis have biological plausibility, a criterion for demonstrating causality. However, to prove that cannabis causes psychosis, other causal criteria should be met, including: • Temporality (the presumed cause occurs prior to onset). Despite many longitudinal studies, it has not been possible to rule out that a subtle form of psychosis was not present before the onset of cannabis use. • Associations between an agent and outcome are consistently found. • Specificity (cannabis is related more to schizophrenia than other problems or that cannabis but not other drugs, increases risk of psychosis). • Directionality (changes in the putative cause lead to a change in the
outcome and the association does not derive from a third factor associated with both). The shared vulnerability hypothesis that both cannabis use and psychosis stem from a common diathesis has considerable support from genetic and family history studies. It can be viewed as a viable alternative to the causal theory pursued in most research (Ksir & Hart, 2016). • Reverse causation is accounted for (psychosis leads to cannabis use – e.g. self-medication) • Biological plausibility and biological gradients are present – The biological gradient demands that greater exposure to cannabis via dose, potency or duration produces higher risk ratios. • Bias resulting from inaccurate self-reports or other design-related issues are largely ruled out.
Associations of cannabis and psychotic disorders Persons with psychotic disorders have high rates of cannabis use. In early psychosis studies prevalence rates of substance abuse (largely cannabis) range from 7% in Singapore to 33% in France, 33-51% in Canada and over 60% in Australia (Tucker 2009). A meta-analysis of 35 studies reported that 25% of those with schizophrenia had a diagnosis of cannabis use disorder with markedly elevated rates in younger, male and first episode groups (Koskinen, Kopenen, Isohanni & Miettunen 2010). High usage of other drugs is also found (Nesvag et al., 2015). One meta analysis found that ongoing cannabis use after onset was associated with higher relapse rates, longer hospital admissions, and more severe positive symptoms than for discontinuers and non-users (Schoeler et al., 2016). The systematic review of Zammit et al. (2008) concluded that effects on positive symptoms were equivocal but that relapse risk and non-adherence rates were elevated. Overall treatment response appears better in first episode clients who reduce or stop use (Barrowclough, Gregg, Lobban et al 2015). The effect of cannabis on relapse is partially mediated by non-adherence (Schoeler et al., 2017). All reviews agreed that the effect on negative symptoms is negligible. Some users may derive some benefit by reducing dysphoria and side effects. Cannabis users with psychotic disorders have consistently shown better cognitive functioning than nonusers and no evidence of cognitive decline over time (Loberg & Hugdahl 2009; Yucel et al., 2012). Controlled studies show that THC can produce transient psychosis but is unlikely by itself to cause a long lasting psychotic disorder (D’Souza, Perry, MacDougall et al. 2004). Although DSM does not have a Cannabis-Induced Psychotic
Disorder, 85% of ICD diagnoses were diagnosed with schizophrenia within 3 years (Arendt, Rosenberg, Foldager, Perto & MunkJorgensen, 2005). They also tended to be 2 years younger compared to non-using first episode controls. An 83 study meta-analysis concluded that age at onset was 2.70 years earlier among cannabis users and that other substances except alcohol were also associated with earlier onset (Large et al., 2011).
Predisposition(s) and cannabis leading to onset of psychotic disorders Multiple meta-analyses and systematic reviews reported elevated odds ratios for onset of psychosis and/or psychotic disorders in cannabis users (Minozzi et al., 2010). The odds ratios vary depending upon the samples and methods used in individual studies but two typical meta-analyses pegged the Odds Ratios at 2.09 (Semple, McIntosh & Lawrie, 2005) and OR=2.09 (Moore et al., 2009). Schizophrenia is rare and, despite rising rates of cannabis use, there has been no increase in incidence (Degenhardt, Hall & Lynskey 2003). Since it is readily apparent that cannabis use is neither a necessary nor a sufficient cause of schizophrenia, the search has intensified for other predisposing variables that, when combined with cannabis use, can lead to schizophrenia. Greater exposure has been reported to increase odds ratios in multiple studies (Marconi, DiForti, Lewis, Murray & Vassos, 2016; Semple et al., 2005) including among those deemed at Ultra High Risk for onset (McHugh et al., 2017). High THC potency cannabis has also been associated with greater risk for onset (Di Forti et al 2014). The presence in some persons of polymorphisms of several genes related to dopamine have been implicated (Caspi et al., 2005; Di Forti et al., 2012) but replication studies either failed to find the same results or have not been conducted. Family history has been extensively studied and points to its important role in onset. Another typical finding suggests that cannabis use and development of schizophrenia arise from a shared genetic vulnerability. Proal, Fleming, GalvezBuccollini & DeLisi, (2014) concluded that cannabis cannot cause schizophrenia by itself since they found significantly higher morbid risk for schizophrenia in the relatives of people who develop schizophrenia compared to the relatives of non-schizophrenia controls, regardless of cannabis use. Also, familial liability to psychosis may be partially expressed as the tendency to develop psychotic experiences in response to cannabis and some of this differential sensitivity may represent a mechanism of psychotic disorder liability
contributing not only to sensitivity for cannabis but also to the tendency to start using cannabis (GROUP 2015).
The possible links between cannabis use and psychosis The following possible links are not all mutually exclusive within or across individuals as there are likely multiple sets of variables, each of which is capable of causing schizophrenia: 1. There is no relationship. 2. Any link may be due to variables common to both, such as socio/demographic factors, genetics and/or altered dopamine function. 3. Cannabis may uncover a previously latent psychosis in psychosis-prone individuals. 4. Cannabis may precipitate relapse of a pre-existing psychosis. 5. Cannabis may directly cause a psychotic disorder. 6. Reverse causation (psychosis leading to cannabis use). 7. Misreporting of cannabis use and/or psychosis could lead to erroneous associations.
Conclusions and recommendations 1. The use of cannabis prior to onset of psychotic disorders is consistently found to increase risk, does so in a dose dependent manner, and is associated with an earlier age of onset. When other substances and other risk factors are controlled for, the associations between cannabis
and onset are reduced by 50-80%. 2. Potency, genetic polymorphisms and the role of CBD versus THC are under investigation to help pinpoint what users are most at risk. The role of family history (i.e. genetics) is large and supports both shared vulnerability and diathesis-stress models. 3. Criteria for the causal model are only partially met. 4. Ongoing use in those with a disorder is usually associated with poorer outcomes such as relapse, non-adherence to medication and, possibly, positive symptoms. Effects on negative symptoms and cognitive functioning are minimal. 5. Psychotic experiences, common in the general population, may serve as a marker of vulnerability and cannabis consumers who experience transient or attenuated psychotic experiences should limit or discontinue use. 6. Media reports of cannabis use causing schizophrenia are oversimplified and other factors must be present for cannabis users to develop schizophrenia-spectrum disorders. At most, 2-3% of heavy users might develop a psychotic disorder, and the huge rise in cannabis consumption has not been echoed by a rise in the numbers of new cases of schizophrenia. Although odds may double or triple, absolute risk remains very low. 7. Facilitate medication adherence via injectable medications, psychological therapies, cognitive remediation, etc., since adherence mediates the relationship between ongoing cannabis use and relapse.
EMDR BASIC TRAINING | KAMLOOPS, BC OCTOBER 12, 13, 14TH (1ST PART) AND NOVEMBER 2, 3, 4TH (2ND PART) with Dr. Marshall Wilensky Participants receive 50 hours of training (lecture, practica and consultation) in the use of EMDR; itâ€™s theoretical basis, safety issues and integration into treatment in a variety of applications. Participants must have a minimum of Masters level training in a mental health discipline and be members in a professional organization or be a Graduate student in practicum/internship with appropriate supervision. The training will be held in the Alpine Room, main floor of the Campus Activity Centre at Thompson Rivers University. For further information and to register go to www.fourwindswellness.ca or contact Jann Derrick PhD at email firstname.lastname@example.org Phone 250 374 7709
R e fe r e n ce s
Arendt, M., Rosenberg, R., Foldager, L., Perto, G., & MunkJorgensen, P. (2005). Cannabis-induced psychosis and subsequent schizophrenia-spectrum disorders: Follow-up study of 535 incident cases. British Journal of Psychiatry, 187, 510–515. Barrowclough, C., Gregg, L., Lobban, F., Bucci S., & Emsley, R. (2015). The impact of cannabis use on clinical outcomes in recent onset psychosis. Schizophrenia Bull; 41: 382-390. Caspi, A., Moffitt,T.E, Cannon. M., McCtay, J., Murray. R., Harrington, …, & Craig, I. W. (2005). Moderation of the effect of adolescent- onset cannabis use on adult psychosis by a functional polymorphism in the catechoI-O-melhyltransferase gene: longitudinal evidence of a gene X environment interaction. Biological Psychiatry 51: 1117-27 Degenhardt, L., Hall, W., & Linskey, M. (2003b). Testing hypotheses about the relationship between cannabis use and psychosis. Drug and Alcohol Dependence 11: 37-48. Di Forti, M. et al. (2012). Confirmation that the AKT1 (rs2494732) Genotype Influences the Risk of Psychosis in Cannabis Users. Biological Psychiatry, 72: 10. DOI: 10.1016/j.biopsych.2012.06.020 Di Forti, M., Sallis, H., Allegri, F., Trotta, A., Ferraro, L., Stilo, S. A., . . . & Murray, R. M. (2014). Daily use, especially of high-potency cannabis, drives the earlier onset of psychosis in cannabis users. Schizophrenia Bulletin, 40, 1509 –1517. http://dx.doi. org/10.1093/schbul/sbt181 Fernandez-Espejo (2009). Role of cannabis and endocannabinoids in the genesis of schizophrenia. Psychopharmacology, 206, 531– 549. doi. 10.1007/s00213-009-1612-6 Genetic Risk and Outcome in Psychosis (GROUP) Investigators (2011). Evidence That Familial Liability for Psychosis Is Expressed as Differential Sensitivity to Cannabis. An Analysis of Patient-Sibling and Sibling-Control Pairs. Archives of General Psychiatry, 68, 138-147. DOI:10.1001/archgenpsychiatry.2010.132 Koskinen, J., Koponen, H., Isohanni, M., & Miettunen, J. (2010). Rate of Cannabis Use Disorders in Clinical Samples of Patients with Schizophrenia: A Meta-analysis. Schizophrenia Bulletin, 36, 1115-113. doi: https://doi.org/10.1093/schbul/sbp031 Ksir, C. & Hart, C. (2016). Cannabis and Psychosis: A Critical Overview of the Relationship. Current Psychiatry Reports, 18. DOI: 10.1007/ s11920-015-0657-y Large M, Sharma S, Compton MT, et al. (2011). Cannabis use and earlier onset of psychosis: a systematic meta-analysis. Archives of General Psychiatry, 68, 555-561 Leweke FM, Mueller JK, Lange B, Rohleder C. (2016). Therapeutic Potential of Cannabinoids in Psychosis. Biological Psychiatry, 79, 604-12. DOI: 10.1016/j.biopsych.2015.11.018 Loberg, E.M. & Hugdahl, K. (2009). Cannabis use and cognition in schizophrenia. Frontiers in Human Neuroscience, 3, 53. DOI: 10.3389/neuro.09.053 Marconi A, Di Forti M, Lewis CM, Murray RM, Vassos E. (2016). Meta-analysis of the Association Between the Level of Cannabis Use and Risk of Psychosis. Schizophrenia Bulletin, 42, 1262-9. doi: 10.1093/schbul/sbw003. McHugh, M., McGorry, P., Yung, A., Lin, A., Wood, S., Hartmann, J, & Nelson, B. (2017). Cannabis-induced attenuated psychotic symptoms: Implications for prognosis in young people at ultra-high risk for psychosis. Psychological Medicine, 47, 616-626. DOI: 10.1017/S0033291716002671 Minozzi, S., Davoli, M., Burgagli, A.M., Amato, L., Vecchi, S., & Perucci, C.A. (2010). An overview of systematic reviews on cannabis and psychosis: discussing apparently conflicting results. Drug and Alcohol Reviews, 29, 304-317. Moore, T. H., Zammit S., Lingford-Hughes, A., Barnes, T. R., Jones, P.B., Burke, M. et al (2007). Systematic review of cannabis use and risk of developing psychotic or affective mental health outcomes. Lancet, 370, 319–28. Nesvåg, R., Knudsen, G.P., Bakken, I.J., Høye, A., Ystrom, E., Surén, P. et al (2015 Feb 14). Substance use disorders in schizophrenia, bipolar disorder, and depressive illness: a registry-based study. Social Psychiatry and Psychiatric Epidemiology, 50, 1267-76. DOI: 10.1007/s00127-015-1025-2. Proal, A. C., Fleming, J., Galvez-Buccollini, J. A. & Delisi, L .E. (2014). A controlled family study of cannabis users with and without psychosis, Schizophrenia Research, 152, 283-88 Radakrishnan, R., Wilkinson, S. & D’Souza, D. C . (2014). Gone to pot- a review of the association between cannabis and psychosis. Frontiers in Psychiatry, 5, 1-24. DOI: 10.3389/fpsyt.2014.00054 Schoeler T, Monk A, Sami MB, Klamerus E, Foglia E, Brown R, Camuri G, Altamura AC, Murray R, Bhattacharyya S. (2016). Continued versus discontinued cannabis use in patients with psychosis: a systematic review and meta-analysis, Lancet Psychiatry, 3, 215- 25. DOI: 10.1016/S2215-0366(15)00363-6. Schoeler T, Petros N, Di Forti M, et al. (2017). Poor medication adherence and risk of relapse associated with continued cannabis use in patients with first-episode psychosis: a prospective analysis, Lancet Psychiatry, 4, 627-633. http://www.thelancet.com/journals/ lanpsy/article/PIIS2215-0366(17)30233-X/fulltext. Semple, D, McIntosh, & Lawrie, S. (2005). Cannabis as a risk factor for psychosis: systematic review. Journal of Psychopharmacology, 19, 187. DOI: 10.1177/0269881105049040 Tucker, P. (2009). Substance misuse and early psychosis. Australasian Psychiatry, 17, 292-294 Zammit, S., Moore, T. H. M., Lingford-Hughes, et al (2008). Effects of cannabis use on outcomes of psychotic disorders: systematic review. British Journal of Psychiatry, 193, 357-363.
BCPA Member Survey Results 2018 Devised and analyzed by Dr. Marilyn Chotem, BCPA President
UMMARY: BCPA has 821 members. 195 members
(24%) completed the survey over a three-week span in May 2018.
The results of the survey showed that 58% of respondents were between the age of 55 and 74; 35% of respondents were in the 35 to 54 age range. Thirty-three percent (33%) of 164 respondents indicated they would be retiring in the next five years; another 21% stated they would retire in the next 10 years. Regarding the importance of BCPA activities, 80% of respondents rated Professional Liability Insurance as important to them. In descending order of importance, the second most important activity (76% endorsement) was advocating for increased coverage for psychologists through employee extended health benefits. The third most important activity (73%) was continuing education workshops. The fourth most important activity (65%) was educating the public about the training and skills of registered psychologists through advertising. The fifth most important (63%) was lobbying for psychologists. Regarding Continuing Education preferences, the most endorsed item (42% “very likely to attend”) was “training on a particular treatment method,” with the methods specified separately. The second most endorsed item (25% “very likely to attend”) was “training on a particular assessment topic,” with topics specified separately. The third most endorsed item (23% “very likely to attend”) was “update on psychotropic medications”. The fourth most endorsed (21% “very likely to attend”) was “update on psychological tests,” with tests specified separately. In summary, the most requested topic was PTSD assessment and treatment. Other topics were psychodiagnostic testing and assessments, updates on assessment measures,
80 anniversary celebratioN
All BCPA members, old and new, are invited! RSVP at https://goo.gl/6RpsBM or call 604-730-0501 18
psychotropic medications, and DSM/ICD diagnoses. Approximately 4 to 5 psychologists strongly requested workshops relevant for psychologists working with children, youth and families. There was also interest in topics related to technology, e.g., treatment tools, telepsychology, impact of social media. Lastly, one person stated they would attend more workshops if they were not all in the Lower Mainland. Thirty percent of respondents indicated they were in fulltime private practice (20 or more clients/week), while 23% of respondents indicated they were in part-time private practice (10 to 19 clients/week) without salaried employment. 11% saw 1 to 9 clients/week in private practice and did not have salaried employment. 11% of respondents did private practice as well as 0.2 to 0.5 FTE salaried employment. 11% indicated they had private practices in addition to working full-time salaried positions. See table below for the full range of work patterns among respondents. Regarding fees, most respondents indicated that they charged between $180 and $200/hour for all types of assessments. Regarding fees charged for treatment, the most endorsed fee was also in the range of $180 to $200/ hour for all forms of treatment. BCPA wishes to thank all of you who completed the survey. Thanks again for your helpful comments which we take seriously and will try to address. It was also very welcome to hear your positive feedback, such as: • The BCPA forum/listserv is much better now. • I really enjoy and benefit from the workshops you offer. • Thank you for all the work you do for us! Full version is available online at https://goo.gl/ardf6d
September 20, 2018 7:00PM TO 11:00PM $65 per person iTALIAN cULTURAL cENTRE 3075 Slocan Street Vancouver
Rate the following BCPA activities on their level of importance to you. Advocating for increased coverage for psychologists through employee extended health benefits Advocating for recruitment and retention of psychologists in public health positions (improving wages and benefits) Lobbying for psychologists with the Ministry of Mental Health and Addictions Lobbying for psychologists within the Health Authorities Educating the public about the training and skills of registered psychologists through advertising Increasing the presence of psychologists in the media through radio interviews, publication articles, etc.
Continuing Education Workshops
BC Psychologist Journal BCPA Referral Service
Professional Liability Insurance
Insurance Package (group life and disability insurance) Ethics Salons
BCPA Forum (Listserv)
1.0 1.5 2.0 We i g h te d Av e r a g e
Rate the following Continuing Education topics on the likelihood that you would attend them.
Court testimony training
Neuropsychology for non-neuropsychologists
Training on a particular assessment topic Training on a particular treatment method
Update on psychological tests
Update on psychotropic medications
Update on substance use issues 0
We i g h te d Av e r a g e
Which of the situations below best describes your work pattern? Part-time private practice (1 to 9 clients/week); no salaried employment
10. 5% 8% 11%
Part-time private practice (10 to 19 clients/week); no salaried employment Full-time private practice (20 or more clients/week); no salaried employment
0.2 to 0.5 FTE salaried employment and private practice
0.6 to 0.9 FTE salaried employment and private practice 1.0 FTE salaried employment and private practice
1.0 Full-time Equivalent (FTE) salaried employment position; no private practice
N u m b e r of R e s p o n d e nt s
What is your stated fee for the following assessment services?
N u m b e r of R e s p o n d e n ts
What is your stated fee for the following treatment services?
How soon do you anticipate retiring from your career as a psychologist?
In greater than 20 years
In the next 15 years
3 3% 14% 14%
In the next 15 years 55 to 64 In the next 4510 toyears 54
In the next 10 years In the next 5 years
In greater than 20 years 75 or older
14% 30% 22%
In the next years 355to 44 25 to 34 18 to 24
In the next 20 years 65 to 74
In the next 20 years
What is your age?
BCPA Job Posting: Executive Director The Executive Director (ED) plans, manages, and oversees the operations of the BCPA at the direction of the Board. This involves managing office staff and budget, lobbying on behalf of psychologists with politicians, liaising with relevant organizations, and promoting the profession with nongovernmental agencies, such as insurance companies.
Back in Motion Rehab is looking for Clinical/ Counselling Psychologists to provide services in the Lower Mainland of British Columbia. (Areas include Richmond, Surrey & Abbotsford)
Back in Motion has psychological treatment positions for clients referred by third party customers such as longterm disability insurance providers and provincially funded employment services. The Psychologist will conduct treatment-oriented assessments, develop and implement individual treatment plans, write reports, and liaise with case managers and other stakeholders. Treatment is evidence-based, and goals include assisting clients to return to work, enhancing psychosocial functioning, and improving quality of life. Your experience in vocational psychological and learning disorder assessments to adults with a range of physical, mental health, and cognitive disabilities are assets.
The position requires significant interpersonal skills. A depth of knowledge of the profession of psychology, and the ability to accurately and articulately speak about a range of issues involving psychologists are assets. Candidates should be informed of public policy trends and provincial realities impacting the profession, and committed to lobbying on behalf of psychologists so that psychology is appropriately and effectively positioned in BC. This is a permanent full-time position. Salary will depend on qualifications and experience in association management. Please send a cover letter and Curriculum Vitae to: BCPA, #402 - 1177 West Broadway, Vancouver, BC, V6H 1G3, attn.: Search Committee. Deadline for application is July 20, 2018.
For more information and to apply, visit www.backinmotion.com
It’s time to renew your
BCPA membership ONLINE FORM
75 or older
• 65 to 74• • 55 to 64 45 to 54
go to psychologists.bc.ca log into your account first pay with your credit card
OFFLINE FORM • • •
enclosed with the journal complete the renewal form mail it with a cheque
Call the BCPA office at 604.730.0501 if you need assistance.
Please renew before August 31st, 2018
35 to 44
to avoid the late fee of $25
25 to 34 18 to 24
ARE YOU WITH US? Members of the British Columbia Psychological Association (BCPA) can join more than 8,500+ psychologists in the largest professional liability program available for psychological practitioners in the country. BMS Canada Risk Services Ltd. (BMS Group) provides a
Professional Office Space in White Rock / South Surrey
range of insurance products including Professional Liability, Business Coverages (Commercial General Liability, Property, Crime & Employment Practices Liability) and Cyber and Privacy Liability.
Contact us for a quote today by phone 1-855-318-6038, by email email@example.com or visit our website www.psychology.bmsgroup.com.
Office space is available for rent in a busy setting that generates client referrals from the community. Ideal for a psychologist who works with adults, adolescents, couples, or families. This is a wonderful opportunity for an established or new psychologist who is looking to build a private practice in a friendly professional 3 office suite. A shared waiting room, internet, and underground parking is included. The furnished office is bus and wheelchair accessible. Available on a fulltime basis beginning November 1, 2018. For information or tour please contact Dr. Allison Krause at (604) 535-3393, Ext. 1
Full-Time and Part-Time Positions Available at
Chuck Jung Associates
Psychological and Counselling Services Chuck Jung Associates is a progressive and well established practice in the Vancouver Metropolitan area since 1995. Currently we have full and part-time positions available. We are in need of associates for our offices in Vancouver, North Vancouver, Burnaby, Surrey and Chilliwack. Please feel free to enquire about openings in our other offices. Our practice provides services for general referrals from the community, with a specialty in rehabilitation. Our work in rehabilitation involves helping clients with depression, anxiety, PTSD, chronic pain, and traumatic brain injury. In B.C., we are the largest private providers of psychological services for clients suffering from the sequelae of motor vehicle accidents. These positions are open to doctoral level registered Psychologists or doctoral students who will be imminently graduating and eligible for registration with the College. In addition to providing assessments and treatment, the successful candidate will also learn to work effectively with allied professional and agencies in the community (e.g. occupational therapists, insurance companies, medical specialists, lawyers, and health authorities). This is an excellent opportunity to develop expertise in the burgeoning practice of rehabilitation psychology within a supportive collegial atmosphere and with extensive mentorship and consultation from highly experienced psychologists. For those interested and experienced, there are opportunities to conduct medical legal assessments. For more information, go to our webpage at www.chuckjung.com Send your resume to firstname.lastname@example.org or fax # (604) 874-6424. 22
2018 / 2019 Membership Application FEATURE MEMBER BENEFITS Regular Rate
BCPA Member Rate
Liability Insurance **
BCPA Continuing Education workshops
** Averaged non-member pricing from quotes provided by the insurance broker.
A NEW MEMBER
A RENEWAL MEMBER
CONTACT INFORMATION First Name:
Would you like to participate in the BCPA E-mail Forum?
Mailing Address & Phone Number (not available to the public) Company: Address: City:
Postal Code: Fax #:
Email (required): Referral Service Address & Phone Number (available to the public; for Referral Service members only) Website address: Company: Address: City:
Business Phone #:
Postal Code: Alternative Phone #: BC Psychologist
MEMBERSHIP CATEGORIES q Membership Open to R. Psychs. & R. Psych. Assocs. q Membership with Referral Service Open to R. Psychs. & R. Psych. Assocs. Includes a free web profile; if you already have a website, you may list it within your referral settings.
Renewing on Time (including tax)
Renewing Late (including tax)
After August 31st, a late fee of $25 plus tax is added to Full Membership and Full Membership with Referral Service dues. Fees have been updated following the 2009 AGM ballot, which approved an increase in fees for Members, Members with Referral Service, Retired Members, and Out-of-province Members.
I WOULD LIKE TO ADD THIS DONATION(s): q q
Community Engagement & Public Education Psychologically Healthy Workplace Awards
Advocacy & Government Relations Division of Consulting Psychologists
TOTAL AMOUNT ENCLOSED BY CHEQUE (PLEASE PRINT): $ ___________ Your membership renewal may be delayed if you include the wrong amount, incomplete or post-dated cheques. It usually takes two to three business days for your renewal to be processed. However, it might take longer if we are receiving large numbers of renewals, or if your form or payment information is incomplete. If you want to avoid delays, and you want to receive a receipt immediately, please renew your membership online. By signing below, I _________________________ hereby understand and agree to the following terms:
a I am a registrant of the College of Psychologists of BC, or I am a retired registrant of the College of Psychologists of BC. a If any limitations are put on my practice, or my registration is suspended or cancelled by the College of Psychologists of BC, I agree to notify BCPA within five working days. a Referral Members: if there are any limitations, terms or conditions to my registration to practice psychology, I agree to modify my practice accordingly, and apply these limitations to all referrals received through BCPA. a Referral Members: I agree to review my referral settings online quarterly for accuracy of contact information, geographical areas of service, and areas of practice. a I agree to review and adhere to the E-mail Forum Guidelines, and I understand that they can be found online at www.psychologists.bc.ca/content/e-mail-forum I have read, understood, and agreed to all applicable declarations listed above.
Workshop Registration Form | Fall 2018 When Sex Gets Complicated: Innovative Approaches to Infidenlity, Pornography, & “Dysfunction”
Why Are Some Psychotherapists More Effective than Others? Core Tasks of Psychology
Presented by Dr. Marty Klein Friday, October 19, 2018 8:30AM – 4:30PM @ University Golf Club House 5185 University Blvd., Vancouver, BC V6T 1X5 Continuing Education Credits: 6 Sponsored by: Chuck Jung Associates (chuckjung.com)
Presented by Dr. Donald Meichenbaum Friday, November 30, 2018 8:30AM – 4:30PM @ University Golf Club House 5185 University Blvd., Vancouver, BC V6T 1X5 Continuing Education Credits: 6
Many patients are in pain about a range of sexual issues, including loss of desire, lack of orgasm, unreliable erections, and the inability to enjoy sex. Shame, anxiety, confusion, and withdrawal often cause even more pain than the sexual problems themselves. Our job is to help people: see their narratives and consider alternatives; communicate their lived experience to their partner, despite their own self-criticism; accept the truth of their partner’s experience, managing their own reactions to it; envision what authentic sexual expression might look like, and to negotiate possibilities. Using insights from psychology, sociology, sexology, linguistics, history, and art, Dr. Marty Klein will show innovative ways to help people accept themselves and each other, communicate their feelings productively, and negotiate and keep agreements. With his well-known humor, this master clinician will keep us laughing while we learn. Learning Objectives 1. Describe the power dynamics typically involved in couples struggling with infidelity 2. List common assumptions therapists hold about sexuality that can undermine treatment 3. Assess and explain patients’ narratives and their impact on decision-making and relationships 4. Describe the inadequacies of the sex/porn addiction model 5. List the actual impacts of pornography use on individuals and couples 6. Use the Sexual Intelligence approach® in treating sexual difficulties
Research on psychotherapeutic outcomes indicate that some therapists achieve better treatment outcomes and have fewer dropouts from therapy. This workshop will begin with a consideration of the "state of the art" of psychotherapy and then consider what distinguishes so-called "expert" psychotherapists from others. It enumerates the core tasks of psychotherapy and the nature of the feedback-informed deliberate practice required to achieve lasting changes in clients. A Case Conceptualization Model of risk and protective factors that informs both assessment and treatment decisionmaking will be offered. A Constructive narrative strengthsbased perspective will be demonstrated using video cases. How to spot "hype" in the field of psychotherapy will also be presented. Learning Objectives 1. Enumerate and implement the Core Tasks of Psychotherapy that "expert" therapists use 2. Employ a Case Conceptualization Model that informs both assessment and treatment decision-making 3. Spot "hype" in the field of psychotherapy and become a more critical consumer 4. Engage in deliberate practice in order to improve one’s level of psychotherapeutic expertise
Register Early to save $24 on both!
How to register for these workshops: • Mail this form to: BC Psychological Association • Fax 604–730–0502 or Call 604–730–0501 BC Psychologist 402 – 1177 West Broadway Vancouver, BC V6H 1G3 • Go online: http://psychologists.bc.ca
Why Are Some Psychotherapists More Effective than Others? Core Tasks of Psychology
Early Bird Registration (July 13 – Aug 17, 2018) q Regular price $246.75 (incl. GST) q BCPA Members and Affiliates $173.25 (incl. GST)
Early Bird Registration (July 13 – Sept 15, 2018) q Regular price $246.75 (incl. GST) q BCPA Members and Affiliates $173.25 (incl. GST)
Regular Registration (Aug 18 – Oct 15, 2018) q Regular price $270.90 (incl. GST) q BCPA Members and Affiliates $197.40 (incl. GST)
Regular Registration (Sept 16 – Nov 26, 2018) q Regular price $270.90 (incl. GST) q BCPA Members and Affiliates $197.40 (incl. GST)
Meal Requirements q Regular meal q Vegan meal q Special needs or allergies (please include details below)
Meal Requirements q Regular meal q Vegan meal q Special needs or allergies (please include details below)
Workshop Materials q I would like to receive a paper copy of the materials q I would like to receive an electronic copy of the materials
Workshop Materials q I would like to receive a paper copy of the materials q I would like to receive an electronic copy of the materials
Confirmation q I will attend this workshop q I agree to the Cancellation Policy (required)
Confirmation q I will attend this workshop q I agree to the Cancellation Policy (required) Cancellations must be received in writing by November 26, 2018. A 20% administration fee will be deducted from all refunds. No refunds will be given after this date.
GST # 899967350. All prices are in CDN funds. Please include a cheque for the correct amount, not postdated, and made payable to “BCPA” or “BC Psychological Association”. If you prefer paying by credit card, please register online. Workshop fee includes handouts, morning & afternoon coffee, and lunch. Free Parking is available. Participant information is protected under the BC Personal Information Act.
Cancellations must be received in writing by October 15, 2018. A 20% administration fee will be deducted from all refunds. No refunds will be given after this date.
When Sex Gets Complicated: Innovative Approaches to Infidenlity, Pornography, & “Dysfunction”
For your peace of mind Since 1998, Johnston Meier Insurance and the policy insurer Intact Insurance have been providing members of the British Columbia Psychological Association with peace of mind by ensuring the things that matter most to them are well protected. As our valued customers, you can rest assured that our team of experts will offer you competitive products at competitive rates. For this reason, Johnston Meier has become, for many, the company they choose to manage their insurance needs. We care about the things that matter to you and welcome the opportunity to be of service to you.
Exclusive BCPA Membership Program Professional Liability Insurance This Professional Liability Program is exclusive to BCPA Members covering the investigation and defence of any civil action brought against you arising out of rendering or failure to render professional services. $7,000,000 per claim / $10,000,000 aggregate limit $500,000 for each of regulatory and penal legal expense Worldwide coverage $500,000 for employment practices liability coverage
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IRUWKHEDVLFSROLF\HDFKRQHFDQEHĆ“QHWXQHGWR\RXUQHHGVIRUDQRPL nal cost) *includes one extra location and one extra dctor FRQWHQWV$OO5LVNFRYHUDJH Business Interruption â€“ Actual Loss Sustained $FFRXQWV5HFHLYDEOH([WUD([SHQVH9DOXDEOH3DSHUV 5HFRUGV('3(TXLSPHQW â€˘ (DFKFRYHUDJHXSWR $5 million Commercial General Liability $500,000 Tenants Legal Liability
Program Manager 1944 Como Lake Avenue Coquitlam, B.C. V3J 3R3 Tel: 604.937.3601 Toll Free: 1.888.229.3699 Email: email@example.com
Johnston Meier Insurance Agencies Group
Ottawa Oct 25-26 Toronto Oct 29-30
CBT for Anxiety
Vancouver Nov 7-8
A new “Show Me” workshop presented by
Christine A. Padesky, Ph.D.
Lights When you shine a light on your therapy with anxious clients, what do you see? This all new workshop teaches you how to light up your therapy for generalized anxiety disorder (GAD), panic disorder and social anxiety so you and your client are collaboratively engaged in viewing the central components of anxiety throughout therapy sessions.
Camera Is your therapy focused on a coherent understanding of what triggers and maintains anxiety or is there a shadowy darkness obscuring it? Learn how to collaboratively develop models for clearly understanding client experiences in GAD, panic disorder and social anxiety. See how a good case conceptualization helps guide intervention choices so that each session helps move the client closer to a successful therapy outcome.
Action! CBT for anxiety relies on action-packed methods for its success. Over the course of the workshop participants will observe, experience, practice, and analyze principles for employing action methods throughout CBT for anxiety. This all new workshop builds on last year’s Action-Packed CBT: More Walk, Less Talk workshop. Attendance at this previous workshop is not required to fully benefit from this one.
Director’s Commentary This new Show Me! Workshop is produced and directed by Christine A. Padesky, PhD, renowned for her clinical creativity. Observe her demonstrations of action-packed therapy methods as applied within anxiety treatment protocols for generalized anxiety disorder, panic disorder, and social anxiety. Just as directors sometimes overlay their own commentary onto a film, Padesky provides commentary throughout the workshop to highlight therapy decision points and her rationale for the choices she makes. Participants are invited to practice and model these methods in role plays with time for questions and feedback.
Cognitive Workshops www.cognitiveworkshops.com
To register, find more information, or download a detailed brochure, please go to www.cognitiveworkshops.com