Spring NJ Psychologist 2023

NJ PSYCHOLOGIST

President's Message

Trifecta (1 CE)

Ethical Concerns in American Football: Examining the NFL’s Response to Game-Related Head Injury and Treatment of Concussion in Players

Toxic Narcissists Abusing, Controlling, and Gaslighting Our Clients: The Divisive Effects of Media on Our Clients’ Relationships

APA Council of Representatives Report

Book Reviews: The Zen of Therapy: Uncovering the Hidden Kindness in Life & Why I Am Not A Buddhist ...and more!

Executive Board

President: Briana Cox, PsyD

President-Elect: TBD

Past-President: Peter DeNigris, PsyD

Secretary: Alexandra Miller Clark, PsyD

Treasurer: Marc Gironda, PhD

Parliamentarian: Bonnie Markham, PhD

Members-At-Large:

Elio Arrechea, PhD

Daniel DaSilva, PhD

Jane Simon, PhD

Alex Gil, PsyD

Lauren Gerardi, PhD

Deirdre Waters, PsyD

APA Council Representative: Rhonda Allen, PhD

Special Representatives:

ECP Chair: TBD

NJPAGS Chair: Jaclyn Hammond

Affiliate Caucus Chair: Phyllis Bolling, PhD

CODI Co-Chairs: TBD

Executive Director: Sara Tedrick Parikh, PhD

Director of Professional Affairs: Susan C McGroarty, PhD

Affiliate Organization Representatives:

Essex/Union County Association of Psychologists:

William MacLaney, PsyD

Northeast Counties Association of Psychologists:

Alison Winston, PhD

Mercer County Psychological Association:

Loraine Washton, PhD

Middlesex County Association of Psychologists: TBD

Monmouth/Ocean County Psychological Association: TBD

Morris County Psychological Association:

Sarah Dougherty, PsyD

Somerset/Hunterdon/Warren County Psychological Association: TBD

South Jersey Psychological Association: Ange Puig, PhD

Editorial Board:

Editor: Aaron Gubi, PhD

Homestudy CE Article Editor: Dennis Finger, EdD

Editorial Board Members:

Anthony Tasso, PhD

Nathan McClelland, PhD

Eric Herschman, PsyD

Staff Liaison: Christine Gurriere

We're here to help!

Central Office: 8:30 am – 4:00 pm

Phone: 973-243-9800

STAFF CONTACT INFORMATION

Executive Director: Sara Tedrick Parikh, PhD njpaed@psychologynj org

Communications: Christine Gurriere njpacg@psychologynj.org

Membership/Foundation: Jennifer Cooper njpajc@psychologynj.org

Continuing Education: Kaleigh White njpakw@psychologynj org

Director of Professional Affairs: Susan McGroarty, PhD Consultation Request (login required)

Executive Director Update

BySaraTedrickParikh,PhD NJPAExecutiveDirector

IknowIlookgood,butit’sbeenhard.

APAPresident,Dr ThemaS Bryant,hadus2023Practice LeadershipConference(PLC)delegateslookateachotherand saythesewordsoutloud Thesewordsalsoserveasanapt descriptionofNJPA Thelastfewyearshavebeendifficultas theassociationnavigatedthepandemic,twoexecutivedirector transitions,anewwebsite,andvolunteerfatigue Wehave continuedtogovern,advocate,servemembers,developnew leaders,andofferrobustcontinuingeducation,butithasbeen hard.

PLCiswhenleadersfrommanyState,Provincial,andTerritorial Associations(SPTAs)cometogethertoWashington,DC,to discussmajorissuesfacingthefieldandourindividual associations Italsoprovidesanopportunityforthoseofusin one-of-a-kindNJPAroles,suchasPresident,Directorof ProfessionalAffairs(DPA),andExecutiveDirector(ED),tospeak withourcounterpartsinassociationsofvaryingsizesand locations

Wewereasmallbutmightydelegation:2023NJPAPresident, Dr BrianaCox,DirectorofProfessionalAffairs,Dr Susan McGroarty,andExecutiveDirector,Dr SaraTedrickParikh I enjoyedseeingDr McGroartyinherelement:Inadditionto stoppingevery10feetorsotogreetyetanotherpersonshehas collaboratedwithinherworkforNJPAmembers,Dr McGroartywaselectedtobetheco-chairfortheDPAmeetings andaco-liaisonbetweenAPAandtheDPAs Onethingthat struckmewashowAPAistrackingdevelopingissuesand proactivelyhelpingSPTAsmonitorandpreparearesponse;the fullscheduleoftopicscanbefoundhere.SPTAssharedideas formembershipgrowth,advocacy,andeffectivegovernance andleadership.Topicsincludedspecificpracticeissuessuchas licensureandreimbursement,aswellasbiggerconversations abouthowtofocusonourcorevaluesandmarket psychologistsasthepeoplewhoknowthescience.

AstheNJPAdelegation,wealsorememberedhowgooditisto betogetherin-personandespeciallytobreakbreadtogether Whilewalkingtodinnerthefirstnight,wegotsocaughtupin conversationthatwewalked15minutespastourturnandhad tocallanUbertomakeourreservation!Ibroughtalongsome charactersfrommy5-year-old’sfavoriteMoWillemsbooks,

andDrs.CoxandMcGroartypitchedintoshowmykiddothat thecharacters(andMama)werehavingagreattimeinour nation’scapital.Wearegratefulfortheworkingrelationships webuiltduringPLC,andouronlyregretwasthatwedidn’t havemoredelegatestoshareitwith Iamalreadylooking forwardtoattendingPLCnextyear,andIhopetobringafull delegationofPresident,President-Elect,DiversityDelegate, EarlyCareerPsychologistDelegate,FederalAdvocacy Coordinator,andDPA PLCisanopportunitytolearnmore abouttheroleofSPTAswithintheprofession,understandAPA’s currentpriorities,andidentifywaystocreatechangeback homewithNJPA

Inyearspast,PLCculminatedinadayonCapitolHill Thisyear, theAPAAdvocacyDaytrainingandHilleventtookplace virtuallyonMarch26-27th Thisyear’sprioritiesinclude Medicarepoliciestoincreaseaccesstopsychologicalservices, includingthoseprovidedbyadvancedpsychologytrainees,and federalinvestmentsinthemental&behavioralhealth workforce ImetwiththeofficesofSenatorCoryBooker(D-NJ) andRepresentativeMikieSherril(D-NJ-11),whorepresents portionsofEssex,Morris,andPassaiccounties Ifyouare interestedinlegislativeadvocacy,AdvocacyDayisatangible, time-limitedcommitment(typicallyonedayoftraining,some portionswithCEcredit,andonedayofabout3half-hourHill visits,ideallywithstafffromtheofficesofyourownsenators andrepresentative) In2024,IhopetobringAdvocacyDay delegatesfromatleastthreeofNewJersey’s12Congressional districts,andIwouldloveforyoutobeoneofthem.

AtPLC,Dr Bryanthadussayonemorethingoutloudtoeach other:Iseeyouinyourfuture,andyoulookmuchbetterthan youlooknow Ibelievethat’sgoingtobetrueforNJPA,too Join usoncommitteesandtaskforces,attheSpringConferenceand FoundationSocialHouronApril28th,andatourotherevents throughouttheyear Continuehavingrich,movingdiscussions ontheLISTERV,andalsousingitasyourgo-toresourcefor professionalquestions,referrals,andannouncements Wehave workedhardtobuildwhatwehaveinNJPA,andwewill continuetodotheworktobecomebetter.

PhD

Sara Tedrick Parikh,

President's Message

ByBrianaCox,PsyD NJPAPresident

TheexcitementcontinuesatNJPAthisSpring!Iamvery muchlookingforwardtothisyear’sSpringConference,Hot TopicsinPsychology,onApril28thattheHanoverManorin EastHanover IamendlesslygratefultoourCouncilon ContinuingEducationAffairs(COCEA)fortheirdedication tothehighestqualityprogramming Ihopethatyouwilljoin usforthisconferencethatwascreatedspecificallyin responsetomembers’suggestionsaboutwhattheywanted tolearnmoreabout.Theconferenceincludesdynamic programmingonforgivenesstherapy,MDMAassisted therapy,virtualrealitytherapy,andgenderdiversityin childrenandadolescents IwanttothankCOCEAfortheir commitmenttogettingNJPAmembersbacktogetherinpersonand,thankstoCOCEA,thisyearNJPAwillbeoffering itsfirstSpringSocialHour.Ihopethatyouwillcomeand spendsometimecatchingupandnetworking.Aportionof theproceedswillbenefittheNJPAFoundation

InMarch,NJPAleadershadtheopportunitytoattendAPA’s 40thAnnualPracticeLeadershipConference(PLC) Ifirst attendedPLCin2016,asNJPA’searlycareerdelegate That seemslikealittlelifetimeandmanypandemicseasonsago Andactually,itkindofwas MykidswerebabieswhenIleft themfor4daystoattendPLCinWashington,DC,thatyear Nowoneisofftomiddleschoolandtheotherisinthird grade.Muchhaschanged inourlivesandinourworld.

Thistimearound,Ihadthehonorandpleasureofspending mostofmytimeatPLCwithotherSPTApresidents.Mostof theSPTApresidentsfromtheUnitedStatesandCanada wereinattendance Icameawayfromthepresidents’ meetingsenergizedbywhatIlearnedandwithsomany ideasforfuturecollaborations Oneofthemosthelpful thingstocomeoutofourmeetingswereinformal presentationsaboutwhatwasgoingparticularlywellin someSPTAs.SeveralSPTApresidentsgenerouslyprovided detailedinformationabouthowtheysolvedcertain problems,grewtheirmembership,andsucceededin advocacy

NJPAhashadbeenthroughalotofchangesinthelast threeyears.OneofthemoreimportantthingsIlearnedat PLCthisyearisthatwearenotaloneinourchallenges Likeus,severalassociationshavelosttheirexecutive directors,andamajorityhavehaddifficultieswith membershiprecruitment,andvolunteerism Wetalkeda lotaboutwhatwascausingthis:Burnoutfromthe pandemic?Lackofrelevancytoyoungermembers?Not enoughtime?Shiftingpriorities?It’sunclear,butby anecdotalreport,itisrampantacrossthecountry In someways,itwasarelieftohearthatwearenotalone Ontheotherhand,theproblemsfeelsignificantand insurmountable Ifotherstateshaven’tfigureditout,how willwe?

Astrongstatepsychologicalassociationisessentialtothe survivalofourprofession Thatcannotbeunderstated NJPAvolunteerismfuelsadvocacyforourprofessionand thepublicweserve.Onetrendthatisholdingsteady: youngerpsychologistswanttheirSPTAstoprioritize advocacy Thiswasamajorfocusinmyearlycareer meetingsin2016andIhearditoverandoverinthe presidents'meetingsin2023 InorderforSTPAstoremain relevantandworthitforyoungerpsychologists,SPTAs havetobewillingtoadvocateforthesocialissuesthey careabout.

Withthatsaid,Iamincrediblyinterestedinhearingfrom studentsandECPs.Ifyouhaveideas,concerns,timeto shareyourthoughts,timetovolunteer,Ipromise,Iwant tohearaboutit Youarewelcomeandneededatthetable WeneedtoknowaboutyourexperiencesandhowNJPA canserveyouinyourprofessionallivesinthefuture Here ismyemail:BrianaLCox@gmailcom Pleasefeelfreeto reachout.Or,evenbetter,comesay“hello”in-personat theSpringSocialHouraftertheconference!

Briana Cox, PsyD

Trifecta (1 CE)

ByFranciscoRamos,MS,PA-C,CAQ (Psychiatry)

ByDanielP.Greenfield,MD,MPH,MS,FASAM

Earn 1 CE credit when you read this article and successfully complete the post-test. Purchase this CE activity here.

Introduction:

Althoughthehealthprofessionshavebeendelugedinthepastseveralyearswiththeconsequencesofwarand conflict,inflation,climatechange,racialinjustice,publicsafety,women'sreproductiverights,healthdisparities,and politicalconflicts,the"trifecta"ofthecurrentcrisis,driventoalargeextentbyCOVID-19,is(1)Theeffectsof COVID-19itself;(2)Anincreaseinopioidandothersubstancesabuseandoverdose;and(3)Anincreaseindomestic violence("IntimatePartnerViolence",or"IPV").Figure1illustratestherelationshipsandinteractionsamongthese threeelementsofthe"Trifecta."

“Life is one damn thing after another”'

--Attributed to Mark Twain, ca 1908

Figure1 TheTrifecta

Inthispaper,wewill(1)Reviewepidemiologicaspectsof thesethreeelementsofthe"Trifecta";(2)Discussthe mechanismsandlinkagesamongthethreeelements; and(3)Proposetherapeuticwaysinwhichpsychologists andothermentalhealthprofessionalscanaddressthese difficultproblems

TheTrifecta:SARS-CoV-2 " thereisprobablynospeciesoforganismwhichhasnot atsometimebeenhosttoaparasiteoraparasiteitself Infectiousdiseaseisuniversal "

--F.BurnetandD.White,1972

Residualsofoneofthemostdevastatingpandemicsof alltime,theGreat("Spanish")Influenzaof1918,maybe goneaftermorethanacentury(Barry,2018),butits scopeandeffectshavebeenapparenttothecurrent worldthroughtheCOVID-19pandemic.Thatviral infectionbeganinWuhan,Chinainlate2019,andspread rapidly,virulently,inexorably,andinseveralclinical strainsandchangingstrains,throughouttheworld The effectsandaftermathoftheCOVID-19pandemichave included,broadly,extensiveinternationalmorbidityand mortality,unimaginableeconomicconsequences,widerangingandseriousclinicalconsequences(suchasthe “longCOVIDsyndrome),and,forpresentpurposes, extensiveemotional,interpersonal,andpsychosocial damage.

Afterlikelyexistinginoneform,variant,strain,or another,almostsincelifebegan,aparticular coronavirus'inthetaxon(family)Coronavividae,related totwoearliersuchviruses,"SARS"("SevereAcute RespiratorySyndrome”in2002)and“MERS”(“Middle EastRespiratorySyndrome”in2012),beganinlate2019, inWuhan,China However,thisviruswasmuchmore virulent,contagious,damaging,and,atfirst,unstoppable thanSARSorMERS.Thisviruswasnamed"SevereAcute RespiratorySyndromeCoronavirus2("SARS-CoV-2"), wassimilartoSARS,wasprimarilythoughtearlyonto causerespiratoryandfebrilesymptomatology,andthe illnessitcausedcametobecalled"COVID-19”(“19”after theyearwhentheviruswasfirstnoted:2019) Therest oftherecenthistoryofCOVID-19iswellknown:after onlyafewmonthsoftheonsetoftheCOVID-19

epidemic,theWorldHealthOrganizationdeclaredthe SARS-CoV-2outbreaktobeapandemic,andworldwide morbidityandmortalityincreaseddramatically (Coronavirus/Definitions,Features,andExamples,2022).

Overtheensuingmonths,variantsofthevirusoccurred, withdifferinglevelsofinfectivityandmortality Bylate 2020,vaccinesbecameavailabletoincreasingnumbers ofpeople.Oneresultofvaccination,incombinationwith otherpublichealthcontrolmeasures(suchasmasking, quarantining,socialdistancing,andthelike),wasa reductionintheseverityofCOVID-19-relatedillness, reducedhospitalizations,andreduceddeathsevenin theelderlyandthoseatrisk.Thevirusremains prevalent,however,anditsconsequencesmayinclude bothobviousandsubtleneuropsychiatricand psychosocialeffects

Initially,COVID-19'seffectsonhumanswerefelttobe primarilyrespiratory.However,astimeandexperience withtheviruscontinued,associatedsymptomatology cametobeseenasmultisystemic,includingthenervous system,bothinacuteandlong-termmanifestations (“long-haulCOVID,"or"longCOVID")(Shaw,October 2022) Neuropsychiatric/neurocognitive, gastrointestinal,cardiovascular,orthopedicand rheumatologic,chronicpain,chronicfatigue,headaches, andavarietyofrelatedunremittingsymptomatology maybeassociatedwith"longCOVID"onachronicbasis

TheTrifecta:SubstanceAbuse

Areviewarticleinthisjournal,(Fall,2018),priortothe COVIDpandemic,(Labins,2018)describedseveral psychotropicagentsusedfortreatingopioidabuse, withoutreferencingtheextentofthenationalopioid crisisleadinguptothattime(about40,000opioid overdosedeathsthatyear).However,withinthe followingseveralyears,reportsintheAPAMonitor (Abramson,2021)notedthat"Opioidandstimulantuse areontherise ,'questioning' howcanpsychologists andotherclinicianshelpagreaternumberofpatients strugglingwithdrugabuse?"Thenumbersand manifestationsarestaggering(Seervai,2022).

Intheseandothersources,avarietyofcausesand factorsisgivenasbasesforthesedistressingpatterns anddata:

Isolation/lackofpersonalcontact(earlyoninthe pandemic)(Croweetal.,2022)

Self-medicating(anxietyanddepression)with substances(especiallyalcohol)

Reducedaccesstotreatment,includingcounseling andpsychotherapy(earlyoninthepandemic)

ReductioninavailabilityofSUDtreatmentservices resultingfromdiversionforCOVIDtreatment Financiallossesfromunemploymentand unwillingnesstoworkbecauseofpotentialexposure toCOVID

Uncertainty,anxiety,stress,loss,andothersuch expectable,predictable,andnotnecessarily pathologicalresponsestoallthesestressors

TheTrifecta:IntimatePartnerViolence("IPV”)

Substantialempiricaldataexistsdescribingthe relationshipbetweenintimatepartnerviolence(IPV), substanceuse,andCOVID-19pandemic Accordingto theCentersforDiseaseControlandPrevention, independentofCOVID-19involvement,about1in5 womenandnearly1in7menreporthavingexperienced severephysicalviolencefromanintimatepartnerin theirlifetime;about1in5womenand1in12menhave experiencedcontactsexualviolencebyanintimate;and 10%ofwomenand2%ofmenreporthavingbeen stalkedbyanintimatepartner(PreventingIntimate PartnerViolence,CDCFactsheet,2021).Inaddition,the correlationbetweenIPVandsubstancedependencehas

beenwelldocumented:Substanceusehasbeenfoundto co-occurin40%to60%ofIPVincidentsacrossvarious studies(Easton,2006).IntheNationalCrime VictimizationSurvey,43%ofthevictimsofIPVreported theperpetratorhadbeenundertheinfluenceofdrugs (Klostermann&Kelley,2009) Halfofthemeninbatterer interventionprogramsappeartoabusealcoholordrugs, approximatelyhalfofthemenintreatmentfor substanceabusebatter,betweenaquarterandhalfof thewomenintreatmentforsubstanceabusehavebeen battered,andasubstantialproportionofthewomenin IPVprogramsaresubstanceabusers(Peitzmeier,2001)

ConcerningtheinfluenceofCOVID-19onIPV,evidence suggeststhattheCOVID-19pandemichasexacerbated rates/severityofIPV Forexample,anonlinegeneral populationsurveyfoundthatamajority(64.2%)of individualswhoexperiencedIPVsinceCOVIDreported thattheIPVwasnewtotherelationship(34.1%)orof increasedseverityduringCOVID-19(266%)(Peitzmeier, 2001) Thisdatapresentsastrongrelationshipbetween IPV,substanceuse,andtheCOVID-19pandemic:The "Trifecta."

Intimatepartnerviolenceincludesphysicalandsexual violence,stalking,and/orpsychologicalaggression IPV beginsearlyinthelifespanandisassociatedwith multipleriskfactors.Inanefforttocombatthiscrisis, theCDChaspublishedPreventingIntimatePartner ViolenceAcrosstheLifespan:ATechnicalPackageof Programs,PoliciesandPracticestargetedatpreventing/ mitigatingIPV Allofthesepointsleadtotheprofound interplaybetweenIPRandsubstanceabuse,exacerbated bythecurrentCOVID-19pandemic(PreventingIntimate

Figure 2

Substance Use Disorders and Emotional Disorders during the Covid Pandemic

PartnerViolence,CDCFactsheet,2021).

WhatCliniciansCanDo:COVIDPatients

Althoughgearedprimarilyforpsychologists,readersof thisjournal,severalgeneralprinciplesof treatment/therapy,psychologicalandphysical,have becomeclearduringtheseveralyearsoftheCOVID pandemic.

First,giventheriseinpsychopathologyanddemandfor services,telehealthcanbethe“answer."Asdescribed earlier,manytherapistsandtheirpatientshavebegun withand/orswitchedtovirtualsessions,withgood results Virtualpsychotherapy/treatmentwaswell underwaybeforethepandemic:Thepandemichas assuredthecontinuationandexpansionofthat treatmentmodality.

Second,giventheprevalenceoflonelinessduringthe quarantineearlyphaseofthepandemicandthe likelihoodoffurtherquarantininginsubsequentwaves ofnewvariantsofthepandemic,theimportanceof teletherapyisevenfurtherunderscored

Third,asalsodiscussedbelow,theimportanceof medicationassistedtreatment(“MAT”)or,inthecaseof opioidabuse,"medicationforopioidusedisorder”

(“MOUD”)forindividualswithSUDs,isalsounderscored Psychologists/psychotherapistsarewelladvisedtobe awareofthisimportantmodalityfortheirpatients.

Fourth,andlast,againintermsofSUDpatients,the traditionalweeklyindividualsessionmaynotbeenough forpatients,especiallythoseinquarantinewith excessivetimeontheirhands:"...coordinatecarewith otherprovidersasneeded intensiveoutpatient care virtualcommunitysupportgroups "

("PsychologistsReportLargeIncrease ,"2020) Flexibilityintreatmentplanningiskey

WhatCliniciansCanDo:SubstanceAbuse

Focusingagainonthepsychologists'/psychotherapists' roleinaddressingtheneedsofSUDpatientsduringthe timeofCOVID,severalpointsoughttobemade

First,recognizetheincreasedprevalenceofseriousSUD duringCOVID-19,especiallyopioidsandopioidoverdose deaths,andincludesubstanceabusehistory-takingfor

allpatients.

Second,totheextentapplicable,directopioid-using patientstowardmedicalproviderswhocanuse medication-assistedtreatment("MAT")alsorecognizing thevalueofMATforsuchpatients

Third,whilethestatusofthe"X-waiver"(Khatri,2020) permittingproviderstoprescribeanopioidtreatment agent,buprenorphine(variousforms)foraddicted individualsisinflux,(Becerra,2021)thatapproach (“Medication-AssistedTreatment,"or"MAT";alsoknown as"MedicationforOpioidUseDisorder,"or"MOUD")to opioidtreatmentoughttobeencouragedbynonMAT/MOUDclinicians,asjustnoted.

Thetypesofbehavioraltreatmentapproachesusedby psychologists,e.g.,cognitivebehavioraltherapy(“CBT”), canbeusefulspecificallyforpatientsusingstimulants (suchascocaineandamphetamines)(Abramson,2021)

Finally,theuseofnaloxoneandthemaintenanceofthat opioidblockerbypsychologistsintheirpracticesettings (availableasanasalspray,carriedbypoliceofficersand otherfirstresponders,andavailablethrough pharmacies)canbelifesavingforoverdosedpatients (NaloxoneDrugFacts,2022).

WhatCliniciansCanDo:IntimatePartnerViolence (“IPV”)

Firstandforemost,itisimperativethatclinicians evaluateallpatientsforintimatepartnerviolence, regardlessofhealthcaresettingordeliverysystem RecommendationsforthepreventionofIPVnotedinthe CDC'sPreventingIntimatePartnerViolenceAcrossthe Lifespan:ATechnicalPackageofPrograms,Policies,and Practices,includeteachingsafeandhealthyrelationship skills,engaginginfluentialadultsandpeers,disrupting thedevelopmentalpathwaystowardpartnerviolence, creatingprotectiveenvironments,strengthening economicsupportsoffamilies,andsupportsurvivorsto increasesafetyandlessenharm(PreventingIntimate PartnerViolence,CDCFactsheet,2021) Preventionplays avitalroleinmitigatingtheriskofIPV However, healthcareprofessionalsoftenencountervictimsaftera patternofIPVhasalreadybeenestablished.Ifsuspected, healthcareworkersareconsideredmandatoryreporters, andthereforemustabidebytheproceduresandlaws

putforthbyone'sownjurisdiction.Inadditionto reportinganincident,treatmentofcomorbidpsychiatric andsubstanceusedisordersisimperative Themental healthconsequencesofIPVcanbesevereandinclude posttraumaticstressdisorder(PTSD),depression, anxiety,andeatingdisorders.IPVisalsoamajorcauseof mortalityduetosuicideandhomicide(Ellsberg& Emmelin,2014)

SummaryandConclusions

Inthefaceofwhatseemslikeinnumerableand insuperableproblemsintoday'sworld,thisCEarticle focusesonthe"Trifecta"ofCOVID-19;substanceabuse andoverdose;andintimatepartnerviolence("IPV"),all closelyinteractiveandinterrelated,andsynergisticwith oneanother.

Intheinitialthreepartsofthisarticle,wereviewsalient featuresoftheTrifecta'scomponent,citingdata,trends, scope,andothersuchaspectsoftheTrifecta:the "diagnosis"

Inthesecondthreepartsofthisarticle,wereview clinicalapproachestotheameliorationoftheelements oftheTrifecta,especiallyfromtheperspectiveofthe psychologist:the"treatment"

However,wedonotwishtosuggestorimplythat psychologistsoperatefromtheirrespectivesilos,doing onlywhatpsychologistsdo.Rather,wesuggest cooperation,coordination,andcollaborationamong healthcareproviders,toministertotheseriousand variousneeds,psychologicalandphysical,ofTrifecta patients

Andthat'salotofpeople!

AmericanPsychologicalAssociation (2020) Psychologistsreportlarge increaseindemandforanxiety,depressiontreatment[Pressrelease]. https://www.apa.org/news/press/releases/2020/11/anxietydepression-treatment

Barry,J M (2018) TheGreatInfluenza:Thestoryofthedeadliest pandemicinhistory PenguinRandomHouse

Becerra,X.(2021).Practiceguidelinesfortheadministrativeof Buprenorphinefortreatingopioidusedisorders FederalRegister

Burnet,M,&White,D (1972) Naturalhistoryofinfectiousdisease (4 ed)

Britannica,T EditorsofEncyclopaedia(2023,September28) coronavirus EncyclopediaBritannica

https://wwwbritannicacom/science/coronavirus-virus-group

Crowe,C L,Liu,L,Bagnarol,N,Fried,L P,andBagnarol,N (2022) Lonelinesspreventionandtheroleofthepublichealthsystem PerspectivesinPublicHealth,101177/17579139221106579

Easton,C J (2006) Theroleofsubstanceabuseinintimatepartner violence.PsychiatricTimes,23(1),25-25.

Ellsberg,M,&Emmelin,M (2014) Intimatepartnerviolenceand mentalhealth Globalhealthaction,7,25658

https://doiorg/103402/ghav725658

Khatri,U G,&Perrone,J (2020) OpioidUseDisorderandCOVID-19: CrashingoftheCrises Journalofaddictionmedicine,14(4),6–7 https://doiorg/101097/ADM0000000000000684

Klostermann,K.,&Kelley,M.L.(2009).Alcoholismandintimate partnerviolence:Effectsonchildren'spsychosocialadjustment Internationaljournalofenvironmentalresearchandpublichealth, 6(12),3156–3168 https://doiorg/103390/ijerph6123156

Labins,Z.W.E.(2018).Theroleofmedicationandpsychologistsphysiciancollaborationintreatingsubstanceabusedisorders.NJ Psychologist,68(3),12-15

NationalInstituteonDrugAbuse,NationalInstitutesofHealth,US DepartmentofHealthandHumanServices (2022) <nidanihgov>

Peitzmeier,S M,Fedina,L,Ashwell,L,Herrenkohl,T I,&Tolman,R (2022) IncreasesinintimatepartnerviolenceduringCOVID-19: Prevalenceandcorrelates Journalofinterpersonalviolence,37(21-22), NP20482-NP20512

References

Abramson,A (2021,March1) Substanceuseduringthepandemic MonitoronPsychology,52(2).

https://www.apa.org/monitor/2021/03/substance-use-pandemic

PsychologistsReportLargeIncreaseinDemandforAnxiety, DepressionTreatment,APAMonitor(online): <wwwapaorg/news/press/releases/2020/11/anxiety-depressiontreatment> AccessedAugust17,2022

Seervai,S.(2021).It'sreally,trulyeverywhere:Howtheopioidcrisis worsenedwithCOVID-19 TheDose ApplePodcast

Shaw,J (2022) ThelongCOVIDConundrum Tryingtounderstand infections'persistenteffects HarvardMagazine 1(124) 28-31

Earn 1 CE credit when you read this article and successfully complete the post-test Purchase this CE activity here.

Ethical Concerns in American Football: Examining the NFL’s Response to Game-Related Head Injury and Treatment of Concussion in Players

ByJaclynHammond,MA Chair,NJPAGS

Overthecourseofthe2023NationalFootballLeague (NFL)season,fansandspectatorsalikewatchedfrom thesidelinesasteampersonnelandleague administratorsdisplayedwhat,attimes,hasappeared tobeaninconsistentapproachtothehealthand treatmentofthegames’professionalathletes Thishas beencharacterizedbyageneraldisregardforthe concussionprotocolsputinplacetoprotectthebrain healthoftheirathletes,andtohelpensuretheir overallsafety Throughoutthe2023season,perhaps noplayerwasmoreaffectedbythisapparentapproach thanMiamiDolphinsquarterback,24-year-oldTua Tagovailoa.

SinceSeptember2022,Tagovailoahassustained severalseriousgame-relatedinjuries Mostnotably,in theWeek3matchupagainsttheBuffaloBills, Tagovailoawasreportedtohavesufferedabackinjury duringthefirsthalfofthegame,althoughtheDolphins hadinitiallysuggesteditwasaheadinjury(Gordon, 2022).Immediatelyfollowingthehit,Tagovailoa appearedunsteadyanddisoriented,stumblingtohis feetbeforecollapsingtohiskneesaftertakingafew steps(Shaw,2022) Despitethis,Tagovailoaclearedthe NFL’sconcussionprotocolshortlyafterandwas subsequentlyreturnedtoplaytofinishoutthesecond halfofthegame.Dolphins’headcoach,MikeMcDaniel, laterreportedthatTagovailoahadinjuredhisbackin thefirsthalfandthattheinjurywasmadeworsebyan additionalhitlateron(Rivera,2023)

Fourdayslater,duringaWeek4matchupagainstthe CincinnatiBengals,Tagovailoawassackedagainina similarhitduringthegame’sfirsthalf,whenhewas tackledtothegroundwithhisheadmakingcontact withtheturffield.Tagovailoadidnotgetupand insteadbecamerigid,showingsignsofdecorticate posturing,aprimitivebrainresponsetotraumaoften

indicatingseveredamageinthebrain(Davis& Lauletta,2022) Tagovailoawaseventuallytakenoffthe fieldonastretcherandtransportedtoahospitalwith reportedheadandneckinjuries.Onlythenwasit determinedthathewouldsitoutthenexttwogames Tagovailoalatertoldreportersthathewas unconsciousafterhittingthegroundandstillhadno memoryofanythingthathappenedimmediatelyafter hisheadstrucktheturf(Foster,2022).Threedays later,theDolphinsannouncedthefiringofthe unaffiliatedneurotraumaconsultant(UNC)who evaluatedTagovailoaduringtheWeek3game(Shaw, 2022).

InDecember2022,Tagovailoasufferedhisthird concussionoftheseasoninaWeek16gameagainst theGreenBayPackers(Rivera,2023) Duringthe tackle,hewashitfrombehindandbelowthewaist, causingthebackofhisheadtohittheturfashefellto theground(Gordon,2022).Tagovailoawasnot removedfromthegameandinsteadcontinuedtoplay (Rivera,2023) Itwaslaterconfirmedthathehad sustainedaheadinjuryafterreportingconcussion-like symptomstoteamdoctorsthefollowingday(Gordon, 2022).

BoththeNFLandNFLPlayersAssociation(NFLPA) havecommittedtoareviewoftheleague’sconcussion protocol,recentlymodifyingtheprotocolbyadding theterm“ataxia”(lackofmusclecoordinationand control)tothemandatory“no-go'”symptoms,thereby prohibitingtheathletefromreturningtothegame (Gordon,2022).Andyet,thequestionremainswhether thisadditiontotheprotocolwillbeenoughtobring aboutanimprovementinplayersafety Perhapsa moreimmediatechangecanbebroughtaboutthrough UNCs,theneurotraumaconsultantshiredbytheNFL andNFLPAtoworkwithteamphysicianstoidentify, screenfor,anddiagnoseconcussions(Shaw,2022)

Based on the terms of the agreement between the NFL and the NFLPA, there must be three UNCs present at each US professional football game (two on the sidelines and one in a booth above the field). As for their qualifications, the requirements specified in the concussion protocol are broad: UNCs must have documented competence and experience in the treatment of acute head injuries; and should be “board certified in neurology, emergency medicine, physical medicine and rehabilitation, or any primary care CAQ [certificate of added qualification] sports medicine certified physician or board eligible or board certified in neurological surgery” (Shaw, 2022) Requiring that one of the three UNCs be either a neurologist, neuropsychologist, clinical or health psychologist may be one way that the NFL can help to mitigate the risk of missing the subtle behavioral changes that a more qualified individual with additional expertise in this specific area would have noticed

For nearly 60 years, research on the biomechanics of head impacts and concussion in American football has led to advances in sensor technology making it possible to collect on-field head impact data (Rowson & Duma, 2020) The last 15 years have seen a spike in scientific interest regarding the potential long-term effects of football-related repetitive concussive and sub-concussive blows on cognitive aging (Schaffert et al., 2022). Exposure to repetitive head impacts (RHI) in contact sports, especially, has led to a growing concern (Karton et al , 2020)

A substantial percentage of concussions go unrecognized, are widely under-reported, and many of the deficits stemming from the long-term consequences of RHI do not appear until years later (Karton, et al., 2020). Furthermore, athletes are often much less likely to come forward with reporting lower-grade concussions, due to a lack of recognition surrounding the seriousness of the impact or not correctly identifying the symptoms of the hit as being associated with concussion (Rowson & Duma, 2020). Additional findings have suggested that increased head impact exposure can actually make athletes more susceptible to additional concussions, and that RHIs of lower severity may still result in adverse neurologic consequences that may lead to neurodegenerative changes later in life (Rowson & Duma, 2020).

A prime example of this is chronic traumatic encephalopathy (CTE) a degenerative brain disease often described in association with the brains of contact sport athletes, military veterans, and other individuals with a history of repeated traumatic brain injuries (TBI), which can include concussions and sub-

concussivehits(ConcussionLegacyFoundation,2022). Characterizedbydeficitsinareasrelatedtocognitive, motor,andpsychiatricfunctioning(Karton,etal, 2020),CTEcanonlybeconclusivelydiagnosedafter deathviabrainautopsy(ConcussionLegacy Foundation,2022) ProfessionalfootballintheUSis presentlycorrelatedwithsomeofthehighestratesof documentedconcussionsandaccountsforthehighest numberofcasesofCTEdiagnosedpost-mortem (Kartonetal.,2020).

Givenwhatweknow,howisitthattheNFLis permittedtocontinueoperatinginthiswaymaking decisionsattheexpenseofitsplayers’brainhealth?

Toooftenweseesportsteamsandleaguesseemingly makingcorporatecost-benefitanalysesassociated withdecisionmakingtocontinueplayinganinjured athlete achoicebetweenprotectingtheplayerand securingawin.Withplayers’brainhealthhangingin thebalance,thisdilemmabegsanadditionalquestion: howmuchchangecanbeaffectedwithanyrevisionto theconcussionprotocoliftheprotocolcontinuesto bedeprioritizedand/ornotenforced?Andwhat exampledoesthissetforallofthechildren, adolescents,andyoungadultsplayingthissportwhile theirbrainsarestilldeveloping?

In2017,aBostonUniversitystudylookedatthebrains of202deceasedAmericanfootballplayers,ranging fromhighschooltoprofessionallevels(Mezetal, 2017) Basedonthefindings,CTEwasfoundin87%of them;21%ofthehighschoolfootballplayers,91%of thecollegeplayers,and99%(110outofthe111)ofthe professionalfootballplayersstudiedwereshownto haveCTEintheirbrains Anddespitesymptomsnot typicallyappearinguntilyearsaftertheheadimpacts, CTEhasbeendiagnosedinindividualsasyoungas17 (ConcussionLegacyFoundation,2022).

Professionalathletesfromallcontactsports(notjust football)puttheirbodiesandtheirmindsontheline eachtimetheysteponthefieldorenteragame. Thoughtheyarepaidemployees,knowingfullwell whatkindofjobtheysignedupfor,theyarealso peopleworkinghardtobuildtheirfuturesandsupport theirfamilies.Theydeservetobetreatedwithrespect fortheirhealthandnotasanexpendablecommodity existingsolelyfortheenjoymentoftheirshortsighted employersandtheinsatiablespectators Asforthe childrenandyoungerpopulationscurrentlyactivein thesport,itisthedutyandresponsibilityoftheadults aroundthem(parents,coaches,athletictrainers,team physicians,etc)toensurethatsafetyisalwaysput

first.Thispopulationsooftenconsistsofstudentathletes Thus,thepriorityshouldbeensuringthat theirintellectualabilitiesandacademicfuturesarenot compromisedduetopoorrolemodeling,misguided medicaladvice,orinadequatelyenforcedsafety protocolsthatinevitablytrickledowntotheyounger competitionlevels

References

ConcussionLegacyFoundation(2022) WhatisCTE?

https://concussionfoundationorg/CTE-resources/what-is-CTE Davis,S &Lauletta,T (2022,September30) Aconcussionexpert saysTuaTagovailoa’sstiffenedhandswere‘primitive’response thatsuggestsdamagetobrain’scortex Insider

https://wwwinsidercom/tua-tagovailoa-decorticateposturing-bengals-chris-nowinski-2022-9

Foster,M (2022,October19) TuaTagovailoarevealshedoesn’t rememberbeingcartedoffthefieldafterconcussion CNN https://wwwcnncom/2022/10/19/sport/nfl-tua-tagovailoaconcussion-spt-intl/indexhtml

Gordon,G (2022,December26) DolphinsQBTuaTagovailoain concussionprotocolaftershowingsymptomsonMonday NFL https://wwwnflcom/news/dolphins-qb-tua-tagovailoa-backin-concussion-protocol-status-uncertain-vs-patri

Karton,C.,BlaineHoshizaki,T.,&Gilchrist,M.D.(2020).Anovel repetitiveheadimpactexposuremeasurementtooldifferentiates playerpositioninNationalFootballLeague ScientificReports, 10(1),1-14 doi:101038/s41598-019-54874-9

Mez,J.,Daneshvar,D.H.,Kiernan,P.T.,Abdolmohammadi,B., Alvarez,V.E.,Huber,B.R.,Alosco,M.L.,Solomon,T.M., Nowinski,C.J.,McHale,L.,Cormier,K.A.,Kubilus,C.A.,Martin,B. M,Murphy,L,Baugh,C M,Montenigro,P H,Chaisson,C E, Tripodis,Y,Kowall,N W, &McKee,A C (2017) Clinicopathologicalevaluationofchronictraumatic encephalopathyinplayersofAmericanfootball Jama,318(4),360370 doi:101001/jama20178334

Rivera,J.(2023,January15).TuaTagovailoainjuryhistory:A completetimelineofinjuriesforDolphinsQB SportingNews https://wwwsportingnewscom/ca/nfl/news/tua-tagovailoainjuryhistory/1jkj193wgdml41xpwcfsdkg1nf#:~:text=%E2%80%94%20D ecember%202022%3A%20Tagovailoa%20suffers%20his,throws% 20three%20second%2Dhalf%20interceptions

Rowson,B,&Duma,S M (2020) Areviewofon-field investigationsintothebiomechanicsofconcussioninfootballand translationtoheadinjurymitigationstrategies Annalsof BiomedicalEngineering,48,2734-2750 doi:101007/s10439-02002684-w

Schaffert,J,Didehbani,N,LoBue,C,HartJr,J,Motes,M, Rossetti,H,Wilmoth,K,Goettea,W,Lacritz,L,&Cullum,C M (2022) NeurocognitiveoutcomesofolderNationalFootball Leagueretirees BrainInjury,36(12-14),1364-1371

doi:101080/0269905220222143567

Shaw,G.(2022,November17).Neurologistsonthesidelines:The sportsneurotraumaconsultant:Whattheydo,howtheytrain, andliabilityrisks NeurologyToday,22(22),16-17

doi:101097/01NT00009043528813921

APA Council of Representatives Report

EstablishmentofaCommitteefortheAdvancement ofGeneralAppliedPsychology

ByRhondaAllen,PhD APACouncilRepresentative

TheCouncilofRepresentativesoftheAmerican PsychologicalAssociationofRepresentativeshelda hybridmeeting,withmostCouncilmembers conveninginpersoninWashington,DC,onFebruary 24-25,2023

Thefollowingisasummaryofthemajordecisionsand votesatthismeeting.Someofwhatisreportedbelow isexcerptedfromameetingsummaryprovidedto councilmembersfromAPA

ConfidentialityandReproductiveHealth

TheCouncilpassedapolicyassertingthat confidentialityiscentraltothepracticeof psychology,andthatpsychologistsshouldfollowthe APAEthicsCodewhenitcomestopatient confidentialitysurroundingreproductivehealth The policyreaffirms“thatapsychologist’sallegiancetothe EthicsCode,includingethicalstandardsrelatedto patientconfidentiality,shouldbegiventheutmost attentionandsignificanceespeciallywhen psychologistsarefacedwithethicalconflictswitha lawrequiringthedisclosureofconfidential informationregardingsexualandreproductivehealth, includingbirthcontrol;fertilitytreatment; contemplating,seeking,orhavinghadanabortion; andrelatedissues.”

Thevotewas148-4,withoneabstention This measurefollowsonaresolutiontheCouncilpassedin February2022reaffirmingAPA’scommitmentto reproductivejusticeasahumanright,includingequal accesstolegalabortion,affordablecontraception, comprehensivesexeducation,andfreedomfrom sexualviolence,withaparticularemphasison individualsfrommarginalizedcommunities

TheCouncilvoted144-13,withoneabstention,to amendtheAssociationRulestoestablishaCommittee fortheAdvancementofGeneralAppliedPsychology. Thecommittee’spurposewillbetopromote,in settingsoutsidethedirectdeliveryofhealthcare services,theutilization,application,andadvancement ofsciencewherepsychologistsworktoenhance performance,learning,andwell-beingofindividuals, groups,organizations,andsocietyasawhole AdoptionofPolicies

TheCouncilunanimouslyadoptedrevisedAPA PrinciplesforQualityUndergraduateEducationin PsychologyandapprovedDecember2032asthe expirationdate.Theseprinciplesofferbestpractices thatfacultymembers,programs,anddepartmentscan adopttofacilitatestudentlearninganddevelopment, inwaysthatfittheirinstitutionalneedsandmissions. Thisdocumentisdesignedtocomplement,andtobe usedinconjunctionwith,theAPAGuidelinesforthe UndergraduatePsychologyMajor

TheCouncilvotedby151–4,withoneabstention,to adoptEducationalGuidelinesforEquitableand RespectfulTreatmentofStudentsinGraduate PsychologyTrainingPrograms Theseguidelines encouragegraduatepsychologyprogramstopromote theequitableandrespectfultreatmentofgraduate studentsthroughouttheireducationandtrainingso thatstudentsmayfullybenefitfromtheirgraduate educationandmaximizetheirpotentialwithinand beyondtheirgraduateprograms.

TheCounciladoptedaresolutiononEquity,Diversity, Inclusion,andAccessibilityinQualityContinuing EducationandProfessionalDevelopmentbyavoteof 139-8,withtwoabstentions.Thisresolutionisaimed atprovidingCEsponsorsandthebroaderpublic evidence-basedrecommendationstosupportthe integrationofequity,diversity,inclusion,and accessibilityincontinuingeducation Thepolicymay beusedasafoundationtodevelopadditional resourcesthatbuildonthisdocumentandprovide tangiblesupporttoCEsponsorstoinfuseEDIA thoughtfullyandintentionallyintheirofferings

AmendmentstoAssociationRules

TheCouncilvoted147-2,withfourabstentions,to amendtheAssociationRulestomodifythereview processforBoardofDirectormember-at-large candidatesandtoapplythatreviewprocesstoall othermembersoftheBoardofDirectors.Changes includeaskingprospectivecandidates,uponbeing slated,todisclosetotheElectionCommitteeclaims madeagainstthemwithinthelast10yearsfor malpracticeorunethicalorunprofessionalconduct, oriftheyarecurrentlythesubjectofcriminal indictment TheElectionCommitteewillthen evaluatethedisclosuresanddeterminewhetherthe candidatecanremainontheslate Thedecisionofthe ElectionCommitteecanbeappealedtotheBoardof Directors

Guidelines

TheCouncilvotedunanimouslytoextendthe effectivedateoftheAPASpecialtyGuidelinesIn ForensicPsychologythroughDecember2026 The purposeoftheseguidelinesis“toimprovethequality offorensicpsychologicalservices;enhancethe practiceandfacilitatethesystematicdevelopmentof forensicpsychology;encourageahighlevelofquality inprofessionalpractice;andencourageforensic practitionerstoacknowledgeandrespecttherightsof thosetheyserve”

RecommendationsfromtheCouncilEffectiveness ImplementationOversightTaskForce

TheCouncilvotedtoacceptrecommendationsto publicizenewbusinessitemsinadvanceofCouncil meetingsandgivethemoversandanyopponents timetoaddressthenewbusinessitemsattheCouncil plenarysession.Themotionpassedby104-40,with elevenabstentions Thiswaspartofaseriesof recommendationsaimedatmakingiteasiertoget newbusinessitemsontheCouncilagenda Several recommendationsrelatedtothiseffortwere postponeduntiltheCouncil’sAugustmeeting

TheCouncilvoted103-52,withtwoabstentions,to createaliaisonprogramofCouncilmemberswho wouldbeassignedtouptoeightselectedboardsand committees Theprogramwillbemanagedbythe CouncilLeadershipTeam ReportofAnOfferofApology,onbehalfofAPA,to FirstPeoplesintheUnitedStates

TheCouncilacceptedaReportofAnOfferofApology, onbehalfoftheAmericanPsychologicalAssociation,

toFirstPeoplesintheUnitedStates.Thisreport buildsuponAPA’sApologytoPeopleofColorforAPA’s roleinPromoting,Perpetuating,andFailingto ChallengeRacism,RacialDiscrimination,andHuman HierarchyintheUS,whichtheCounciladoptedin October2021.TheofferofapologytoFirstPeoples willbedeliveredbytheAPApresidenttotheSociety ofIndianPsychologistsatatimeandplacetobe determinedjointlywiththeSIPleadership.Thereport wasreceivedbyavoteof148-2,withthree abstentions.

ReflectingonAPA'sStrategicPlanandProgressToDate

Councilbegantheprocessofreviewingandupdating APA’scurrentstrategicplan Sincethestrategicplan wasadoptedin2019,APAhasbeenregularlygathering informationtoassessprogressinadvancingitsshortandlong-termgoals RootedinAPA’sorganizational foundationofscienceandbeliefindata-driven decisionmaking,APAgovernanceandstaffareasking questionsthatprobetheeffectivenessofAPA’s transformationinaccomplishingtheassociation’s missionandachievingimpact Fouryearsintothe implementationandevaluationofthestrategicvision, thedatashowAPAisgeneratingnoticeable momentumasanassociation.Areviewofthestrategic planandaccomplishmentsareavailablepublicly, IMPACTinAction:ReflectingonAPA’sStrategicPlan andProgressTo-Date

PresidentialCitations

APAPresidentThemaBryant,PhD,presented PresidentialCitationstopsychologistsGordonC. NagayamaHall,PhD,andWendiShareeWilliams,PhD, fortheircontributionstothefield.

Amovingandpowerfulmomentoccurredatthe openingofthesessiononSaturdaywhenRobin McCloud,CouncilRepfromMinnesota,surrounded byagroupofsupportivecouncilmembers,reada statementaskingcounciltosupporttheirJewish colleaguesonthatday,whichwasthe “DayofHate,” whichwasbeingpromotedbyanti-Semiticgroupsin themedia Frommyperspective,allcolleagues,who wereableto,stoodinsupportaswell.

IlookforwardtorepresentingNJPAatthenext CouncilofRepresentativesmeetinginAugust2023in Washington,DC Untilthen,Iwisheveryonegood healthandpeace.

Community Service Program Grants

ByMathiasHagovsky,PhD President,NJPAFoundation

Throughyourgenerousdonations,theNJPAFoundationisabletoadministergrantstohighereducationinstitutions andorganizationsitesthatprovidepsychologicalservicestothosewhocannotaffordthem,andoffersprograms thattraindoctoralstudentstoworkwiththeseunderservedpopulations.Weinviteapplicationsfromprograms acrossthestateofNewJersey,withthegoalofidentifyingandsupportingmodelprogramsfromeachcounty.

ListenbelowtoNJPAmemberMelanieRosen,whoisa3rdyearclinicalPsyDstudentatRutgersGSAPPanda2nd yearexternattheDialecticalBehaviorTherapyClinicatRutgersUniversity(DBT-RU),talkaboutherexperiencethis year TheDBT-RUisoneofthesevensitesapprovedtoreceiveCommunityServiceProgramGrantsforthe20222023academicyear

InadditiontosupportingtheNewJerseyPsychologicalAssociation(NJPA)mission,themissionoftheFoundation promotesthepsychologicalhealthofthediversepeopleofNewJersey Fundsareusedtosupporttrainingsitesand graduatestudentsthroughgrantsandawardsinsupportofourcommitmenttodiversity,publichealth,andassisting ourmostvulnerablecommunitymembers.LearnmoreabouttheNJPAFoundationhere!

TheNJPAFoundationisabletocontinueitsmissionbecauseofyoursupportandgenerosity.Bycontributingyou'll helpensurethatthisimportantworkcontinues.DonateToday!

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BookReviews:

TheZenofTherapy:UncoveringtheHiddenKindnessinLife

by Mark Epstein

WhyIAmNotABuddhist

by Evan Thompson

ReviewedbyBenSusswein,PhD

Ihavepreparedabriefquiz,unfortunatelywithoutan answerkeyorContinuingEducationcredits:

Whatisapsychotherapist?

a)Ascientist-practitioner,applyingtheprinciplesof interpersonalneurobiologytoalterthenervoussystem functioningofpatients/clients(circleone)toprovide newandmoreadaptivewaysofexperiencing themselvesandtheworld?

b)Arelationalimprovartist,whoseresponsetothe otherisalways“yes,and…”?

c)A“socially-sanctionedhealer”whoconducts ritualizedencounters,eitherreligiousorsecular,to restorethemoraleofthedisheartened,encouragethe sociallyisolatedtorejoinacommunity,andoffer comfortandconsolationtogrievingsouls?

Ihavebeencuriousabouttherelationshipbetween science,religion,andspiritualityeversinceIread

JeromeFrank’sPersuasionandHealingandWilliam James’VarietiesofReligiousExperienceinthelate1970s. Couldallthreeanswers,paradoxically,betrue?Are psychotherapistsbehavioralscientistsorcontemporary shamans?Ihavestoppedholdingmybreathandwaiting forthecorrectanswer NowIjustcountmybreathsand trytotoleratethemystery

Amongthemajorworldreligions,Buddhismappearsto beunique,insomerespects,asanumberof commentatorshaveobserved AlanWattsarguedthat neitherHinduismnorBuddhismwerestrictlyreligions,

andthatHinduismwasinfactaculture,and Buddhismacritiqueofculture.Whilethebeliefsand practicesofBuddhistsarenotuniformacross historical,geographical,andsectariandifferences,the basicpremisesofBuddhismarethatasignificant amountofemotionalsufferingisself-createdand thatself-examinationandmeditationcanprovide relief.Withthispsychologicalratherthantheological emphasis,Buddhismhasauniquerelevanceand appealforpeoplelivinginthemodernand secularizedworldinwhich,asPhilipRiefffamously observed,therapeuticauthorityhastriumphedover theocraticauthority.StephenBatchelor,theauthorof BuddhismWithoutBeliefsandConfessionsofa BuddhistAtheist,suggestswe“distinguishbetween Buddhismasabelief-basedreligionandBuddhismas apragmaticphilosophywithethicaland contemplativepractices”

Tworecentlypublishedbooksaddress,invery differentways,therelationshipbetweenBuddhism andcontemporarysecularWesternpsychology,with regardtoboththeoreticaldevelopmentsincognitive scienceandinthepracticeofpsychotherapy.Both authorshavelongstandingpersonalinvolvements withAsianspiritualpracticesthatprecededand informedtheirprofessionaldevelopment

ShunryuSuzuki,ZenmasterandmasteroftheZen one-liner,hasobservedthat"ifitdoesn'tsoundlikea

paradox,itprobablyisn'ttrue"Heneglectedtoaddthat italsomakesforacatchybooktitle,butthatpoint Golemanasasectioninstructor,andenjoyingclose encountersofthespiritualkindwhilestudyingwiththe triumvirateofBerkshireBuddhism,JosephGoldstein, JackKornfeld,andSharonSalzbergattheInsight MeditationCenterinWesternMassachusetts Hehung outwiththegodfatherofAsian-flavoredtranspersonal psychologyRamDasandworkedwithHerbertBenson whowaspioneeringthemedicaluseofmeditation.

Epstein'spreviousbookshaveaddressedhowBuddhist thoughtmightsupport,complement,supplement,or supplantWesternpsychotherapeutictheories.Or paradoxically,alloftheabove.Hisnewbook,TheZenof Therapy:UncoveringtheHiddenKindnessinLife,isa departure,focusingonpracticeratherthantheory,in thatitdescribesselectedsessionsfromayearof treatinganumberofpatients.ItreflectshowBuddhism playsaroleinhisthinkingandinformssomeofhis interventions,whichwasEpstein’sexplicitintentionin writingit,butitalsorevealsthathisworkissurprisingly eclectic WhileEpsteincandrawfromadeepand impressivereservoirofBuddhistparablesandcanquote JapaneseZenhaikusatthedropofahat,healsoadvises, explains,interprets,reframes,andexhorts,in encouraginghispatientstorefrainfromcontinuingtheir “clinging”toexperiencesthatarepainful Thereseems tobeaminimalamountofencouragementoffullerand deeperemotionalexpressioninhistherapeutic approach,butinstead,self-examinationatarm’slength. Hisstanceasatherapist,andasa“spiritualfriend,” encourageshispatientstodisengagefromnegativeor toxicemotions,ratherthanexploringandexpressing them HecitestheDalaiLama’ssuggestionthatifyour relationshipwithyourmotherisconflicted,thinkabout yourgrandmotherinstead Somemaynotbeconvinced that“movementfromgrievancetogratitude,”asEpstein felicitouslydescribesthetrajectoryoftherapy,isan expresstrainthatcanalwaysbreezebythelocalstations ofangerandgrief

Epsteinoftenappearstobeascripturaloriginalist, reverentlycitingwhattheBuddhadidandrecitingwhat hesaid,butheoffersanalternativeversionaboutthe originsofBuddhism Thecanonicalnarrativedescribes theprivilegedandshelteredyoungprinceSiddartha Gotama'sdiscoveryofsufferingandmortalityinthe worldoutsidethecastlewalls,andhissubsequent

searchforunderstandingandacceptance,culminating inarevelationwhilesittingunderatree Epstein characterizesthisspiritualquestastheBuddha’sreenactmentofthepresumptivetraumaoflosinghis motherdaysafterhisbirthbyabandoninghisown family(theprince’sfatherwasalsomarriedtothe sisterofBuddha’smother,whopresumablyraisedhim, butthereappearstobelimitedinformationaboutthe familydynamics).ThisspinonBuddhism’soriginstory appearstobe,asfarasmylimitedscholarshiphasbeen abletoascertain,uniquetoEpstein’swritings.Epstein’s approachtoBuddhismmayreflectaclinician's preferenceforpoetryoverprecisionandscholarly rigor,withtheexerciseofsomepoeticlicense,suchas theuseof“Zen,”thenameoftheJapanesebranchof Buddhism,torefertothesecretsauceofkindnessin therapy.

EvanThompson,aprofessorofphilosophyatthe UniversityofBritishColumbia,inhismostrecentbook, explainsWhyIAmNotABuddhist.Thompsongrewup inhisparents’spiritualcommunityLindesfarninthe 1960s Hestillhasthecopyofabiographyofthe Buddhahisfathergavehimwhenhewaseightyears old,withthepassagesaboutSiddartha’ssearchfor enlightenmentunderlinedinredink.Thompson,along withFranciscoVarelaandEleanorRosch,wrotethe influentialvolumeTheEmbodiedMindin1991,which arguedthatknowingwasbestunderstoodasemerging fromactionintheworld,ratherthanfroma computationalprocessthattookplaceentirelyinside thecranium.Hissubsequentworkhasbeenaimedat gettingthephilosophyofmindoutoftheCartesianrut ofstartingwithhumanverbalintelligence,butrather recognizingtheoperationofatleast“minimal cognition”inalllivingorganisms,andinadvocatingfor theintegrationofBuddhist-inspiredintrospective explorationandWesterncognitivescience.

Thompson’sapproachtoBuddhism,incontrastto Epstein’s,characterizesitasadynamicanddiverse lorecodifiedonlyafterfourhundredyearsoforal transmission,andpresumablyrevision,thathasbeen adoptedandadaptedbyvariousAsianculturesand morerecently,intheWestintheformof"Buddhist modernism"Hedismissesattributionsofclassical BuddhisttextstothepersonofSiddarthaGotamaas “literaryfiction”ratherthanscholarship.Thompson providesacompellingargumentforthe

complementarityofclassicalBuddhistpsychologyand contemporarycognitiveneuroscience,andarguesthat Buddhismoffersthemodernworldarichandnuanced investigationofthephenomenologyofdifferentstatesof mind.Inaddition,Buddhismmaypromote “cosmopolitanism,”apluralistic,tolerant,and compassionatesecularizedworldview NotallBuddhists actlikecosmopolitans,andnotallcosmopolitans identifythemselvesasBuddhists,butcosmopolitanism appearstobeaBuddhism-informedwayofnotbeinga Buddhist–oratleastnotnecessarilycallingoneselfa Buddhist–butactinglikeone Whichisreallythepoint, isn’tit?

Epstein’scollectionofstories–hisownstory,the Buddha’s,andthoseofhispatients’–demonstrateshow hehasusedBuddhismtotranslatehis psychotherapeuticinsightsintocommunicationsthat arehealing.Hisaccount,itseemstome,isnotsomuch anendorsementofBuddhismasabasisfor psychotherapysomuchasademonstrationofhowone’s ownself-awarenessprovidesthefoundationforguiding othersincultivatingthosecapacities Hisself-described Winnicottean“noninterferingattentiveness”allowshis patientstodiscoverthattheyaremorethanwhothey thinktheyare.SomeonefamiliarwithBuddhist metaphorsmightsuggestthatEpsteinisconfusingthe moonwiththefingerpointingtothemoon Ifthe essenceofpsychotherapyiscompassionatepresence, thenthehealingpowerofhisworkliesnotinBuddhism andthestorieshetells,butinhistelling.Buddhismhas providedEpsteinhimselfwithapathtowardpersonal andprofessionalgrowth,butthisshouldnotimplythatit istheonlypathtoassumingtheparadoxicalroleofthe therapist,promotingchangebystartingwithselfacceptance Thompson,inhisbook,takesexceptionto “Buddhistexceptionalism,”andGK Chesterton,thelate 19thcenturyconverttoCatholicism,hasopinedthat“all religionsareessentiallythesame,especiallyBuddhism.” Iguessyoudon'tneedtobeaBuddhisttolovea paradox

Thesetwointerestingandthought-provokingbooks explore,fromverydifferentvantagepoints,the intersectionofreligion,spirituality,andpsychology,and theparticularrelevanceofBuddhismtocontemporary lifeandthought.

Thisisthesoundofonehandapplauding

Toxic Narcissists Abusing, Controlling, and Gaslighting Our Clients: The Divisive Effects of Media on Our Clients’ Relationships

ByLidiaAbrams,PhD Chair,EthicalEducationand ResourceCommittee

Thisshortessayisnotaboutclear-cutabuseanditsharms.It isaboutperceptions,semantics,judgments,and conceptualizationsbroughttousbyclientsinfluencedby socialmedia Wearelicensedtopracticeusingthescienceof psychology,andpopularpsychologyisnotquitescience As perethicalPrincipleC,wearetohaveintegrityandpromote accuracy,honesty,andtruthfulnessinthescienceand practiceofpsychology Weshouldholdbackfromadopting popularizedpsychologicaltermsthathavenotbeenvalidated anddefinedasscientificconcepts;andweshouldcometo ourownconclusionsaboutwhetherthedynamicsdescribed byourclientsareapplicabletotheirdifficulties

Socialmediaprovidesplatformsthatcatertoseeminglyevery groupwitheveryvieworgrievance Writingswhichwecan agreewith,makeusfeelgoodaboutourselves,andfind otherstobeatfaultforoursufferingsaremorelikelytogain tractionthanthoughtful,well-balancedessays.Thosewho feeltheyhavebeenmistreatedintheirrelationshipscanbe drawntowritingsabout“toxicpersons”and“narcissistic abuse,”definingthemselvesas“victims”Armedwith verbiage,whichhelpsblametheirsignificantothers(pastor present)fortheirdifficulties,theytendtoresistseekingand engagingwithamoreobjectiveandbalancedreality.Clients withborderlinetendenciesareparticularlyeasilydrawninto thisdialecticofvictimandabuser

Whenclientstellusthattheyareina“narcissisticallyabusive relationship”withanarcissisticpartner,weshouldcertainly bewary Nothavingmetandevaluatedtheclient’s(currentor past)partnerwhomtheyhaveidentifiedasanarcissist,we

cannotdiagnosethem.Itisunethicaltodiagnosesomeone wehavenotdirectlyexamined(APAEthicalPrinciples 901),andevenmoresotodiagnosebasedonthesole inputofaverypersonallyinvolvedand,thus,biasedparty Further,PrincipleABeneficenceandNonmaleficencetells usthatwemuststrivetodonoharmtothosewithwhom weinteractprofessionallyandotheraffectedpersons.Our inappropriatelydiagnosingapartnercouldbeharmfulto thatperson,aswellastoourclient,andalsotoour professionoverallbymisrepresentingourfield.

Themediaandourclientssometimestakeconcepts,such asemotionalabuse,andover-applythem This phenomenonhasbeenlabeled “conceptcreep”the processbywhichharm-relatedtopicsexperience semanticexpansiontoincludetopicswhichwouldnot haveoriginallybeenincludedunderthatlabel(Haslam, 2021).Emotionalabuseisapurposeful,continuousattempt tocontrolanotherpersonbycriticizing,embarrassing, shaming,blaming,orotherwisemanipulatingthem There arerealexamplesofemotionalabuseasperthisdefinition But,inmanysituations,theintenttocontroland manipulatemaynotbefuelingcouples’arguments.Orit maybe,alittlebit,andmaybeonbothsides: twopeople arguingbadly,sayinghurtfulthingstomakethemselves feelbetter,andtotrytogettheupperhand Not infrequently,thepersonwhocomestoourofficeclaiming thestatusof“victimofemotionalabuse”engagesinsuch angryandbelligerentwaysthattheycaneasilyfitthe profileofthe“abuser”themselves Indeed,self-labelingas

victimcorrelateswithfeelingsofentitlementand vengefulness(Gabayetal,2020)

Theconceptof“gaslighting,”originatingfromthe1944 moviewiththesamename,meaningthattheotherperson ispurposefullytryingtomakeonequestiontheirrealityand losetheirsanity,mayrarelyactuallyapply Again,through semanticexpansion,itisnowadaysbeingappliedtomany undesiredbehaviors,withthemalevolentintentof “gaslighting”looselyinferred Itmaynotbewiththeintent tohaveonequestionone’srealityandlosetheirsanitythat theirpartnerisbeingdefensive,makingcarelessmistakes andtryingtocoverup,exhibitingpoorcommunication skills,andfearofconfrontationortryingtoavoidprolonged arguments(whichisthencharacterizedas“silent treatment”) Infact,wronglyaccusingone’spartnerof “gaslighting”isinitselfanaggressiveact,imputing malevolentintent,acharacterizationlikelytoescalate conflictwithinarelationship

Intentofapartynotinourtherapyroomcannotbe discerned,andoftenitisnotproperlydiscernedbyour client Evenactualbehaviorsofthepartnerrecountedtous byourclientmaynothavehappenedquiteasdescribed Perceptionisselective,primedbytheobserver’sneeds, interpretationcanbebiasedandmemoryagainisselective anddistortedbyone’semotions Wewillofcourseform opinionsbasedoninformationprovided,andwemayinfact cometosuspectthatourclient’spartnersuffersfrom narcissisticpersonalitydisorderandthereforeisnot meetingourclient’sneeds.But,asfarasourworkwithour client,thelatteristhemostimportantparttoconsider Poppsychologyattemptstoempowerreadersbysuggesting thattheirlifeproblemsaredueto “toxicpeople”hurting andcontrollingthem,andtheyjustneedtoridthemselves ofthesepeople Althoughthatmaybegoodadviceattimes, thisisaveryreductionisticandflawedview.Itisethically andlogicallyincorrecttolabelsomeonea“toxicperson” Althoughacontinuallyunhappy/dysfunctionalrelationship withsaidpersonmaybeconsidered“toxic”toourclient, thatotherpersonisnotatoxicpersonbutratheracomplex humanbeingwithpositiveandnegativetraits,with behaviorsthatmaysometimesbemisinterpretedbyour clientsandconstruedasmoremalevolentthanintended Or,theymaynotbegoodatrelationshipsorjustnotgood asapartnertoourclient.Anexerciseinempathytowards theso-calledtoxicpersonwouldusuallyrevealcomplicated feelingsandmotivesofanotherfalliblehumanbeing,some indirectreactiontotheaggrievedpartner’sownbehaviors

Themosttroublingeffectofpopularpsychologyinthearea ofrelationshipsistheblackandwhitethinking,withclients assumingtheroleofvictimsof“narcissisticabuse”and

such,andthepartnersbeingdemonizedastoxic,abusive, controllingnarcissists.Thesetermsstrikeachordwith thosestuckinunhappyrelationships,andalsowiththe veryhumantendencytolookforanexternalsourcefor one’ssuffering.Empathizingwithclientswhodescribe beingvictimizedstrikesachordwithhelpingprofessionals, becauseofourtrainingandourempatheticnatures.But, endorsingsuchone-sided,blackandwhitewaysof thinkingwillnotserveourclientswell.Linehan(1993) notesthatallornothingthinkingleadstoconflictsand agitation.Weshouldbealerttothisandothercognitive distortionssuchasovergeneralization,personalization, andemotionalreasoning,allofwhichcanresultinmislabelingpeopleandtheirintentions.

Whenclientscomeinwithveryspecificideasofwhatails themortheirpartners,basedonexposuretopopular psychology,wefacethedelicatetaskofconveying empathyandanunderstandingoftheissues,while respectfullywithholdingjudgmentaboutthediagnoses anddynamicspresentedtous.Whilewemayget resistanceanddisapprovalfromclientswhenwedonot wholeheartedlyendorsetheviewsandconceptstheybring tous,clientsultimatelycometousforourhelpas professionals,notasfellowconsumers.EthicalPrinciple B,FidelityandResponsibility,guidesustomaintain professionalandscientificresponsibilitytoourclientsand communitiesweserve.Wecanhelpourclientsstruggling withrelationshipsinmanyways,includinghelpingthem gainself-acceptance,self-efficacy,aninternallocusof control,objectivity,appropriateexpectations,good communication,assertivenesstraining,anddecisionmakingskills.Wecanprovideempathyandsupport,but notattheunfairexpensetoothersnotinthetherapy room.Infact,byhelpingourclientsreactappropriatelyto undesiredbehaviorsofothers,wemighthaveapositive and/oreducationaleffectonthoseothersaswell.We mightevenhavefurther-reachinginfluence–apositive rippleeffecttoothersremotelyaffected.

References

Gabay,R.,Hameiri,B.,RubelLifschitz,T.&Nadler,A. (2020).TheTendencyforInterpersonalVictimhood:The PersonalityConstructanditsConsequences.Personality andIndividualDifferences.165.

Haslam,N,Vylomova,E,Zyphur,M &Kashima,Y (2021) "Theculturaldynamicsofconceptcreep" American Psychologist 76(6):1013–1026

Linehan,M.M.(1993).Cognitive-behavioraltreatmentof borderlinepersonalitydisorder.GuilfordPress.

Upcoming NJPA CE Programs

New Jersey Continuing Education/ FAQs

When are Continuing Education credits due?

Licensed psychologists are required to complete the required continuing education by the end of each renewal period, June 30 of each oddnumbered year

Must I document my Continuing Education credits?

You must maintain your continuing education documentation for 4 years after completion Course work vs other means of accumulating credit must be specifically documented as spelled out in the regulations. For every biennial license renewal, you shall attest that you have completed your continuing education requirements and the Board of Psychological Examiners will perform random audits of licensees to determine compliance with continuing education requirements It is very important that you create a tracking system for yourself Please note: we strongly recommend that you maintain a hard copy and electronic copy of all CE certificates. NJPA members have the ability to document and store electronic CE certificate information You will find the access to the portal in your NJPA web profile (see below)

Programs:

KeynoteSpeaker:ForgivenessTherapyforHealingFromtheTraumaofInjustice(1CE)

MDMAAssistedTherapyforPTSD(1CE)

UsingVirtualRealityTherapytoTreatMentalHealthDisordersandBeyond(1CE)

NavigatingGenderland:GenderDiversityinChildrenandAdolescents(2CE)

Aftertheconference,joinusatourfirstSpringSocialhour!ComeandjoinyourfellowNJPAmembersfor aneveningofsocializing,networking,appetizers,andcocktails!

Findfulldetailshere!

96 and Counting

ByKennethHerman,EdD

Iama96-year-oldretiredclinicalpsychologistandcontinuetothinkofwaystobeproductive.Afterfiftyyearsofprivate practice,Iretiredtopublishabookandseekanaltruisticventure. Whatfollowedhasbeenmorerewardingandimpactful thanIcouldhaveimagined

WhenIretiredfrommypractice,Iwasinvitedtojoinagroupofmedicalprofessionalswhointendedtolaunchafreemedical facilityfortheworkinguninsuredinBergenCounty,NJ Despitetheenormityofthegoal,thethoughtofbeingabletohelp peopleinourcommunityaccessmoreaffordablehealthcareinspiredme,andIjumpedtobeinvolved

Atthebeginning,allwehadwastheidea Whatwedidnothavewasaplan,afacility,therequiredstateapprovals,staff, furnishings,equipment,sufficientvolunteers,ormoney Nevertheless,westartedonajourneythattookfiveyearsto completeandby2009,wewereseeingourfirstpatients

IthasbeenfourteenyearssinceweopenedthedoorstotheBergenVolunteerMedicalInitiative(BVMI),alsocalledtheLynn DiamondMedicalFacility,locatedinHackensack,NewJersey Thefacilityisoperatedbypaidandvolunteerstaff Plansarein placeforasecondfacilitytoopeninGarfield,NewJersey.

Iwasontheoriginalboardoftrusteesandnowserveontheadvisoryboard MyinvolvementwithBVMIhasmademy retirementyearsmeaningful,andIamimmenselyproudtobepartanimpactfulnon-profitorganizationwhichissavinglives andimprovingthequalityoflifeforourdeservingcommunity.

Ifeelfortunatetocontinuetobeofsoundmindandbodyandhavetheopportunitiestocontinuetopublisharticles,provide counsel,andbeapartofthisthrivingmedicalfacility.

Myadvicetocolleaguesistotakethebestcareofyourselvesinordertomakeeachdayasmeaningfulasyoucan Perhapsyou willfindyourBVMIproject.

TolearnmoreabouttheBergenVolunteerMedicalInitiativevisitbvmiorg Theywelcomeandthriveonvolunteersupport Dr KennethHermanisaboard-certifiedclinicalpsychologistandafellowintheAmericanAcademyofClinicalPsychologists He wastheDirectorofthePsychologicalServiceCenterinTeaneckformanyyearsandistheauthorofSecretsfromtheSofa He livesinWyckoff,NJwithhiswife,Benita.Dr.Hermanisa65-yearmemberofNJPA.

Member News

RuthLijtmaer,PhDpresentedthefollowingpapers:

*NoApologies:UnfinishedBusinessandthePacttoForgetIFPE(InternationalForumforPsychoanalyticEducation)

Conferencetheme:DisruptionsandTransformations.9-15-22to9-17-22Evanston,Chicago,Illinois,USA.InPerson.

*HowHumanarewe?ReflectionsonMalevolenceandParanoidFantasies.APCS(AssociationforthePsychoanalysisof CultureandSociety)Conferencetheme:Totalitarianismand

Psychoanalysis:PsychosocialperspectivesonFearandAnxietyRutgersUniversityContinuingEducationConference Center10-20-22to10-23-22NewBrunswick,NewJersey,USAInPerson

*Dehumanizingthe"Other"andIgnoringTheirPainPresentedinSpanishasDehumanizaciondelotroeignorandosu dolor.IARPPHogarRelacional,11-12-22Barcelona,Spain.Hybrid.

We'dlovetoshareyournews!

Shareyourbooklaunch,mediacontributions,communityactivityparticipation,speakingengagement,awards,orany otheraccomplishyouwouldlikementionedinanupcomingissueoftheNJPsychologist!Sendsubmissionsto Christine. NextissuewillcirculateinearlyOctober.

Call for NJPA Executive Board Nominations!

Nominationsarecurrentlybeingsolicitedforpositionsonthe2024NJPAExecutiveBoard AsstatedintheNJPAbylaws,all NJPAelectionsshallfollowthepoliciesandproceduressetforthbytheNominationsandLeadershipDevelopmentCommittee thatareapprovedbytheExecutiveBoard

Everyeffortwillbemadetosecureatleasttwonomineesforeveryofficeontheslate,andtwonomineesforeachMemberAt-Largepositiontobefilled IntheeventthattheNominationsCommitteeisunabletorecruittwocandidatesforeachopen seat,onecandidateandawrite-inoptionwillbepresentedtothemembershipontheballot TheexceptionistheAffiliate

Member-At-Largeposition,nowriteinlinewillbeprovidedasthenomineescomefromtheAffiliateCaucus TheAffiliate Caucusshalldrawnamesfromtheentireaffiliatepopulation Nonameshallappearontheballotformorethanoneoffice

AllNJPAelectionsshalltakeplaceelectronically.ThevotingperiodshallcommenceonthefirstTuesdayofSeptemberand willremainopenforthreeweeksafterelectronicvotingbegins.

NJPANOMINATIONS&ELECTIONSCOMMITTEE

Criteria: AllcandidatesforelectedofficeintheNewJerseyPsychologicalAssociationmustmeetthefollowingcriteria

1. NJPAmemberingoodstanding;

2. EvidenceofvolunteerinvolvementinNJPAforatleastoneyear,and/oraleadershiprolein anNJPAAffiliateOrganization foratleastoneyear;and

3. NocurrentlegalorethicalviolationsasdeterminedbytheBOPE,courtorothergoverningbody.

Membersoftheexecutiveboardhavetheresponsibilitytogoverntheassociationandtosetpolicyandpriorities Inaddition tothesemajorroles,eachboardmemberhasspecificresponsibilities

ImportantNote: Materialforexecutiveboardmeetings issentelectronically Boardmembersmustbeabletoaccessandreviewthesedocumentspriortoboardmeetings

Additionalcriteriawillapplyasfollows:

ForcandidatesforPresident-Elect,musthaveservedontheNJPAExecutiveBoardorinaleadershippositioninanaffiliate organization,orchairedanNJPAcommittee,specialinterestgroup,taskforce,resourcegroup,orhadanactiveroleasan NJPAcommittee,specialinterestgroup,orresourcegroupmemberwithinthelastthreeyears AftertheSeptemberelection, theelectedpresident-electwillbecomeamenteetothecurrentpresident-electOctoberthroughDecember Forthosethree months,thenewlyelectedpresident-electmenteewillshadowthecurrentpresident-electattheNJPAExecutiveCommittee andExecutiveBoardmeetingstolearntherole TherolewillbegininJanuary

Termofoffice:January2024toDecember2024asPresident-Elect;January2025toDecember2025asPresident;January 2026toDecember2026asPast-President.

ForcandidatesforTreasurer,musthavefamiliaritywithfinances,budgets,andinvestments Thecandidateshouldhavehad anactiveroleinanNJPAcommittee,specialinterestgroup,resourcegroup,oraffiliatewithinthelastfiveyears Afterthe Septemberelection,theelectedtreasurerwillbecomeamenteetothecurrenttreasurer,OctoberthroughDecember For thosethreemonths,thenewlyelectedtreasurermenteewillshadowthecurrenttreasurerattheNJPAFinanceCommittee andExecutiveBoardmeetingstolearntherole TherolewillbegininJanuary

Termofoffice: January2024toDecember2026

ForcandidatesforMember-at-Large(Nominations),mustbeamemberingoodstandinginNJPAandhavehadanactiverole inanNJPAcommittee,orotherNJPAgroupincludingNJPAGS,taskforce,specialinterestgroup,resourcegroup,oraffiliate withinthelastyear. Termofoffice: January2024toDecember2026

SubmitnominationsfortheaboveboardpositionsonlinebyMay15 TheformcanbefoundintheMembersOnlysectionof thewebsite(loginrequired) WewillalsobecirculatingnoticesviatheFridayUpdateanddirectmessaging

ForcandidatesforMember-at-Large(Affiliate),mustbeamemberingoodstandinginNJPAandhis/heraffiliateandhave hadanactiveroleinanNJPAcommittee,orotherNJPAgroupincludingNJPAGS,taskforce,specialinterestgroup,resource group,oraffiliatewithinthelastyear.InterestedmemberspleasecontactPhyllisBolling,AffiliateCaucusChair,at p.bolling@att.net.

the associations ability to positively impact the lives and careers of its membership, as well as advancing the field of psychology in New Jersey, and beyond It is suggested that the candidates be at least 65 years of age, however remarkable life circumstances will be taken into consideration for those candidates under 65 years of age

The NJPA Psychologist of the Year Award recognizes an NJPA member who has made important contributions to the profession of psychology in New Jersey, made important contributions to the profession through service to NJPA, and is a valuable asset to the association, through his/her character and unique professional abilities.

Dr Moldawsky was a true champion for the profession of psychology and a sought after mentor for psychologists In honor of his amazing professional life, in 2018, NJPA created the NJPA Dr. Stanley Moldawsky Mentor Award, recognizing exceptional leadership of an NJPA member in the form of enduring and exemplary contributions to mentoring new psychologists and/or graduate doctoral level students, over a sustained period of time, which collectively, has significantly enhanced the association’s ability to positively impact the lives and careers of its new membership, as well as advancing the field of psychology in New Jersey, and beyond

Ms. Jane Selzer was a long time employee of NJPA and passionately involved with NJPA membership. She retired in 2015. To acknowledge her long standing service to NJPA, and in an effort to publicly acknowledge and recognize those members who contribute so much to NJPA in so many diverse ways, the NJPA Membership Committee renamed this established award after her, NJPA Jane Selzer Member Recognition Award, to recognize members who add value to NJPA every day

The NJPA Citizen of the Year is awarded to a non-psychologist who has made significant contributions to the ideals of mental health or social welfare Nominations should consist of several paragraphs detailing why this individual deserves the honor

The NJPA Legislator of the Year honors a New Jersey Legislator who has sponsored or championed legislation that directly benefits psychologists and/or consumers of psychological services.

Please take a moment to consider a fellow NJPA member or member of your community for one of these prestigious awards! Awards will be presented at our Fall Conference To learn more about the criteria for nominations, please visit our NJPA Awards page

The NJPA Referral Network

Become part of our in-demand network of providers: Be a part of the solution!

During the pandemic, individuals seeking mental health services skyrocketed The expansion of telehealth services enabled many individuals to access the critical services psychologists provide creating a high demand for referrals.

Your unique blend of specialized services, orientations, practice area expertise, and foreign language proficiency will help us successfully assist our diverse populations, throughout NJ, who are often conducting frustrating searches for practitioners who meet their needs. We are in need especially in the southern and western part of NJ and those with foreign language proficiency in any part of the state

Are you a licensed NJPA member? Consider joining our network today! (Free for all NJPA Sustaining Members/reduced rate for newly licensed members)