2011 ⢠NYS Psychologist - New York State Psychological Association
2011 ⢠NYS Psychologist - New York State Psychological Association
2011 ⢠NYS Psychologist - New York State Psychological Association
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THE OFFICAL JOURNAL OF<br />
N Y S<br />
<strong>Psychologist</strong><br />
Special issue of the <strong>NYS</strong>PA Notebook<br />
THE NEW YORK STATE<br />
PSYCHOLOGICAL ASSOCIATION<br />
FALL, <strong>2011</strong><br />
VOL XXIII / NO.2<br />
Women’s Issues Across<br />
the Spectrum<br />
Fall <strong>2011</strong>
<strong>NYS</strong>: <strong>Psychologist</strong>: Vol. XXIII Issue 2<br />
Table of Contents<br />
WOMEN’S ISSUES ACROSS THE SPECTRUM<br />
Yoga Therapy: Road to Resiliency, Helping Women,<br />
Men, and Children Heal in the Wake of Terrorist Attacks—Revisited<br />
Mercedes A. McCormick & Oksana<br />
Ostrovskaya<br />
1<br />
Women and Obesity: Biological /<strong>Psychological</strong> Fac- Artemis Pipinelli 5<br />
Doing Our Best for <strong>New</strong> <strong>York</strong>’s Children: Custody Nancy S. Erikson & Chris S. O’Sullivan 9<br />
Exploring Human Sexuality for Women with Intellectu- Sharon M. McLennon & Laura Palmer 13<br />
Reconceptualizing Gender: Changing Views of Wom- Gwendolyn L. Gerber 18<br />
Addressing Intimate Partner Violence on College Cam- Vanessa M. Bing 25<br />
Contributions of <strong>New</strong> <strong>York</strong>, Women <strong>Psychologist</strong>s Florence L. Denmark & John D. Hogan 28<br />
AWARDS<br />
Allen V. Williams, Jr. Memorial Award Barbara Fontana 32<br />
Presidential Awards Valerie Abel, William Barr, Peter Kanaris 33<br />
<strong>NYS</strong>PA Distinguished Service Awards Chris Allen, Leonard Davidman, Leah Klungness 33<br />
Sidney A. Orgel Memorial Award Frank Corigliano 34<br />
The Beacon Award for Advocacy Marianne Jackson 33<br />
Grace Lauro Awards<br />
Martha Agresta, Jessica Houser, Amber Kraft<br />
Nemeth, Iskra Smiljanic<br />
34<br />
<strong>NYS</strong>PA Notebook ~ Vol. XXIII, No. 2 ~ Fall <strong>2011</strong><br />
(ISSN: 1048-6925) is published four times per year by the Foundation o the <strong>New</strong> <strong>York</strong> <strong>State</strong> <strong>Psychological</strong> <strong>Association</strong>,<br />
and distributed at a rate of $30. Periodical postage paid Albany, NY.<br />
POSTMASTER: Send any address changes to <strong>NYS</strong>PA Notebook, 6 Automation Lane, Ste 103, Albany, NY 12205<br />
Copyright <strong>2011</strong>. All rights reserved.
<strong>NYS</strong>: <strong>Psychologist</strong>: Vol. XXIII Issue 2<br />
Editor<br />
Co-Editor<br />
Founding Editor<br />
Managing Editor<br />
Production Editors<br />
Florence L. Denmark, PhD<br />
Mercedes McCormick, PhD<br />
Barbara Cowen, PhD<br />
Tracy Russell, CAE<br />
Jamie Cullis & Diane Fisher<br />
President<br />
President-Elect<br />
Past-President<br />
Secretary<br />
Treasurer<br />
Representative to APA Council<br />
Members at Large<br />
Parliamentarian<br />
Donna Rasin-Waters, PhD<br />
Richard Juman, PsyD<br />
Jerry Grodin, PhD<br />
Barbara Fontana, PhD<br />
Barbara Fontana, PhD<br />
Dianne Polowczyk, PhD<br />
Leonard Davidson, PhD & Peter Kanaris, PhD<br />
John Northman, PhD<br />
<strong>NYS</strong>PA Council of Representatives<br />
Christine Allen, PhD<br />
Roy Aranda, PhD<br />
Laurence Baker, PhD<br />
Alan Barnett, PhD<br />
William Barr, PhD<br />
James Clark, PhD<br />
Barbara Cowen, PhD<br />
Leonard Davidman, PhD<br />
James Dean, PhD<br />
Antoinette Deluca, PsyD<br />
Bernard Frankel, PhD<br />
Gwen Gerber, PhD<br />
Carol Goldberg, PhD<br />
Franklin Goldberg, PhD<br />
Shepard Goldberg, PhD<br />
Peter Kanaris, PhD<br />
Harriette Kaley, PhD<br />
John Kelly, PhD<br />
Ann Kurz, PhD<br />
Arlene Landes, PsyD<br />
Deborah Lazarus, PhD<br />
Barbara Lewis, PhD<br />
Nadine Lindner, PhD<br />
Rita Perlin, PhD<br />
Dinelia Rosa, PhD<br />
Helen Rozelman, PhD<br />
Alyson Skinner, MA<br />
Kristin Talka, PhD<br />
Leslie Verter, PhD<br />
Lori Wagner, PsyD<br />
Andrew Weintraub, PhD<br />
Ann Winton, PhD<br />
<strong>NYS</strong>PA Staff<br />
Executive Director<br />
Professional Services<br />
Public Affairs & Membership<br />
Communications<br />
Communications & Events<br />
Tracy Russell, CAE<br />
Deanna Stephenson<br />
Diane Fisher<br />
Kathryn Ohanian<br />
Jamie Cullis
Yoga Therapy: Road to Resiliency<br />
Helping Women, Men, and Children Heal in the<br />
Wake of Terrorist Attacks—Revisited<br />
Mercedes A. McCormick, PhD, RYT and Oksana Ostrovskaya, MA<br />
Pace University, <strong>New</strong> <strong>York</strong> City, <strong>New</strong> <strong>York</strong><br />
Today psychologists are being encouraged to practice clinically<br />
using an integrative health model. An integrative health model<br />
incorporates traditional and alternative health tools and techniques<br />
to reduce psychological discomfort. This is the tenth year<br />
anniversary of the most horrific terrorist attack in our nation's history-<br />
9/11 -The World Trade Center Attack. The purpose of this<br />
article is to fold: first, to revisit interventions used to help 9-11 victims<br />
heal shortly after the 9/11 attack; and second, to discuss and<br />
demonstrate the integrative alternative technique- Yoga Therapy.<br />
A decade ago Yoga Therapy was implemented as an effective<br />
stress-reducing tool to help people heal and recover from the 9/11<br />
traumatic event. Post-traumatic symptoms in adults and children<br />
are described. Consultative, experiential, and practical use of Yoga<br />
therapy techniques for traumatized women, men and children<br />
are given. Participants were mental health practitioners, educators,<br />
mothers, fathers, and children in the <strong>New</strong> <strong>York</strong>–<strong>New</strong> Jersey<br />
Metro Area who were affected by the 9/11 attacks. Yoga therapy<br />
techniques were reported by participants to help to reduce anxiety<br />
and depressive symptoms and to increase positive thoughts and<br />
behaviors in a safe, supportive environment. Thus Yoga therapy is<br />
experienced as an effective stress-reducing vehicle that provides<br />
time and structure for individuals to improve psychological integration<br />
and adaptation.<br />
Keywords: Post-traumatic symptoms, Yoga therapy, Stress reduction<br />
The horrific events of the terrorist attacks of 9/11 awakened<br />
the entire country to the uncertainty and fragility of human life and<br />
the tentative safety of our existence. In the aftermath of this calamity,<br />
many people are experiencing frustration in their healing<br />
process.<br />
The yogic perspective recognizes that each individual’s response<br />
to traumatic stress is unique. On the Yoga path individuals<br />
become aware of normal responses to abnormal events, and Yoga<br />
is the vehicle that brings awareness of disharmony between<br />
body and mind. Individuals recognize negative thoughts, feelings,<br />
and behaviors that are detours on the road to wholeness. They<br />
become resilient in dealing with stress and restore balance between<br />
body and mind as they move toward the destination of experiencing<br />
their true nature (Epstein, 1998).<br />
Meditation, Breathwork, and Movement are the fuels to bring<br />
relief from intense body sensations and strong emotional feelings.<br />
Meditation helps to clear the mind of distractions and to bring a<br />
person into the present moment. Breathwork enables the individual<br />
to become open and recognize body sensations. Movement<br />
through âsanas (yoga postures) releases emotional tension in the<br />
body and mind; this process supports the individual in becoming<br />
flexible in handling trauma. This threefold practice of Yoga thus<br />
transports practitioners into the direct experience of personal<br />
wholeness.<br />
A decade ago I provided information, structure, and support<br />
to help people become more aware and resilient in dealing with<br />
their unique responses to terrorism and trauma. Within this context<br />
I will describe my consultative, experiential, and practical efforts<br />
as a psychologist in implementing Yoga therapy techniques<br />
for mental health practitioners, women, men, children, and families.<br />
An adult's reaction to traumatic events is different than a<br />
child’s. An adult’s reaction is based on his or her physical and<br />
mental health and how he or she has negotiated other losses and<br />
traumas in life. When an adult witnesses an event such as 9/11<br />
the immediate normal protective reactions are shock and denial.<br />
Other reactions may include extreme behaviors, feelings of anxiety,<br />
nightmares, and flashbacks immediately following the event.<br />
As the initial shock subsides, reactions vary from one person to<br />
another (Van der Kolk, McFarlene, & Weisaeth, 1996).<br />
The symptoms of Post-Traumatic Stress Disorder may be<br />
displayed over time. According to the Diagnostic and Statistical<br />
Manual of Mental Disorders, Fourth Edition, (1994) an adult’s reactions<br />
are divided into three categories: re-experiencing (via intrusive<br />
thoughts or nightmares of the event), avoidance (through<br />
efforts to avoid thoughts, feelings, activities, people, or places<br />
reminiscent of the event), and increased arousal (characterized by<br />
difficulty sleeping, irritability, exaggerated feelings of not being<br />
safe, or being startled) (Diagnostic and Statistical Manual of Mental<br />
Disorders, 1994).<br />
A youth’s physical and emotional responses to trauma interact<br />
with variables such as age, life experiences, temperament,<br />
family, and other individuals. Being younger, being female, having<br />
a family member exposed to the World Trade Center attack, having<br />
personal physical exposure to 9/11, and having prior exposure<br />
to trauma were factors found to increase negative reactions to<br />
trauma (<strong>New</strong> <strong>York</strong> <strong>State</strong> Psychiatric Institute, 2002).<br />
Young people who undergo traumatic events often experience<br />
fears, sleep problems including nightmares, increased physical<br />
complaints or illness, avoidance, anger, increased aggression,<br />
shame, anxious attachment, problems in attention and concen —<br />
————————————————————————————-<br />
Mercedes A. McCormick, PhD, is a licensed psychologist in <strong>New</strong> <strong>York</strong><br />
<strong>State</strong>. She received her doctorate degree in Family and Marriage Therapy<br />
from Seton Hall University in NJ and MS in School Psychology at Pace<br />
University, NYC. She is certified as a school psychologist in the states of<br />
<strong>New</strong> <strong>York</strong> and <strong>New</strong> Jersey. She work as a school psychologist for twentyeight<br />
years in an urban school district in NJ. She is trained in yoga therapy<br />
and mindfulness mediation. In addition, she is the MA Coordinator of the<br />
MA program in Psychology at Pace University and teaches in the Pace<br />
Department Psychology Department. Mercedes is the Chapter Adviser for<br />
Psi Chi. She is a recent Past-Chair of the Psychology Section of the <strong>New</strong><br />
<strong>York</strong> Academy of Sciences as well as serving as President of <strong>NYS</strong>PA<br />
Division of Women's Issues (2012). She is currently the VP of Eastern<br />
Region of Psi Chi, International Honor Society of Psychology and is the<br />
President -elect of APA Div. 52 International Psychology. She has received<br />
distinguished awards and recently APA Division 1 status as a Fellow.<br />
She has written about alternative techniques in helping others heal<br />
after traumatic events and creativity. She is a mentor that continues to<br />
strive to teach and mentor others to learn and solve life challenges presented<br />
to them. She currently writes about time management, mentoring<br />
and shared leadership for students.<br />
Page 1<br />
Vol. XXIII No. 2 • Fall <strong>2011</strong> • <strong>NYS</strong> <strong>Psychologist</strong>
tration, shame, anxious attachment, problems in attention and<br />
concentration, and learning difficulties (Nader, 2001).<br />
Over time, traumatic symptoms in children and youth may<br />
linger on and cause disruption in students’ daily functioning. These<br />
ongoing difficulties may manifest in the inability to do usual<br />
activities, problems with schoolwork, loss of interest and poor<br />
concentration, and increased anger and having aggressive outbursts.<br />
Withdrawal from friends, school, sports, and favorite activities<br />
is the key signal of emotional distress. Specific trauma impressions<br />
may translate into patterns of action and thought that<br />
affect choices, quality of life, and behaviors (Saigh, 1989).<br />
Yoga therapy is a valuable tool to be considered when working<br />
with trauma victims of all ages. I utilized a Yoga therapy<br />
framework in developing the workshop “Helping Children and<br />
Teachers Heal in the Aftermath of Trauma.” The latter was presented<br />
to members of the Child Study Teams of the Department<br />
of Special Education in Jersey City, <strong>New</strong> Jersey. Jersey City is<br />
located across the Hudson River from the site of the World Trade<br />
Center Attacks.<br />
Overview of the Workshop for Adults<br />
1. Opening—Participants were presented the main purposes<br />
of the workshop: to explore and observe post-traumatic reactions<br />
in themselves and in students, to identify how participants and<br />
students coped with the 9/11 attacks, and to expand their way of<br />
managing traumatic stress through meditation, breathwork, and<br />
movement techniques in themselves and students.<br />
Participants then shared their experience of the 9/11 terrorist<br />
attacks. Several members admitted the need to restore a feeling<br />
of control and security in themselves and their students after this<br />
traumatic event.<br />
2. Breathwork—Abdominal breathing and a guided meditation<br />
about feeling safe and secure were introduced. Participants experienced<br />
“riding the breath,” relaxing, and welcoming and identifying<br />
body sensations (Schiffmann, 1996).<br />
3. Movement/Awareness of Emotions-Chair Yoga was practiced<br />
to further explore body sensations and to discover emotional<br />
blocks associated with stress. The following postures were utilized:<br />
seated twist in a chair; exercises for the neck, eyes, shoulders,<br />
wrists, fingers, and arms; seated cat lifts and rolls; seated<br />
lateral bends; knees-to-chest pose; another spinal twist; and relaxation.<br />
A body scan was incorporated at the start of relaxation<br />
( Clampett & Peal, 2000).<br />
4. Expression—Participants were requested to share the<br />
parts of their body that hold stress and encouraged to label and<br />
identify the emotions and thoughts experienced. Anger, fear, sadness,<br />
uncertainty, and lack of control were revealed (McCormick,<br />
1995).<br />
5. Sharing-Participants were requested to talk about their<br />
experiences: How did you hear about the attack? Where were<br />
you? What did you do? They were encouraged to discuss<br />
thoughts, feelings, and reactions openly and to discuss the impact<br />
of the horrific event on their work with school-aged children. They<br />
were asked to discuss ways they manage stress (Le Page, 1994).<br />
The participants shared their reactions. They mentioned<br />
physical symptoms of anxiety, such as rapid heart beat and rapid<br />
breathing, headaches, and stomach problems for a period after<br />
the attack. Uncertainty about the future and suspicion that an attack<br />
might occur again also were common reactions.<br />
Participants mentioned that a few of their students lost a<br />
loved one in the attack. Other students were said to have watched<br />
the attacks from the classroom window. Participants described<br />
students’ traumatic responses, which included crying spells, emotional<br />
outbursts, and a change in regular school attendance. Other<br />
students displayed a decrease in concentration and attention and<br />
lower school grades subsequent to the event.<br />
6. Guided Meditation-The purpose of the culminating meditation<br />
was to bring participants into a state of safety and peace.<br />
They were requested to sit comfortably in their chair, place both<br />
feet on floor, and feel their back upright against the chair. They<br />
were then guided in a body scan, asking them to follow and feel<br />
their breath in each part of their body—chest, belly, legs, feet,<br />
toes, calves, thighs, etc. Participants were guided to release tension<br />
from their head to their toes.<br />
As the participants released tension, they were requested to<br />
allow an image of safety and peace to appear to them—it could<br />
take the form of a person, an animal, a place, a word, etc. As the<br />
image became part of their awareness, they were encouraged to<br />
let questions, fears, desires go out to their image of safety.<br />
Participants were then encouraged to continue to follow their<br />
breath as the image became clearer and to feel quietness within<br />
them. They were requested to listen within. They were asked:<br />
“What is the image telling you about your safety and peace?”<br />
Time was given for participants to enter a state of safety and<br />
peace, and an atmosphere of quietness was provided.<br />
At the conclusion of the meditation, participants were reminded<br />
that this information permeated each cell of their body, that the<br />
image of safety and peace was within them and could be call upon<br />
when needed. They were requested to give thanks to themselves<br />
for the image that came to them this day.<br />
7. Relaxation-Sitting yoga-nidrâ (learning to relax consciously<br />
where sleep is not regarded as relaxation.<br />
8. Closing-Chair yoga-mudrâ closed the session to seal in the<br />
benefits of practice. The affirmation “I am safe and in control” followed.<br />
Om was chanted with hands placed near the heart in namaste.<br />
Outcome<br />
Workshop evaluations were positive. Relief and gratitude<br />
were among the strongest expressions. Overall, Yoga was recognized<br />
as a practical means to handle stress. Participants indicated<br />
that their feelings of peace and stillness could likely be carried<br />
over into daily activities.<br />
Group Session with Children<br />
Another group therapy session was held with groups of children<br />
and families who were directly influenced by the 9/11 attacks<br />
through Project HART—Healing and Recovery after Trauma—via<br />
the University of Dentistry and Medicine in <strong>New</strong> Jersey. The Project’s<br />
format focused on creative expression to release emotional<br />
blocks associated with traumatic stress (Cohen, Berlinger, &<br />
March, 2000).<br />
Yoga therapy techniques were presented in the children’s<br />
groups. Children were given an exercise to contact and experience<br />
prâna. They then moved into Yoga postures (tree, frog,<br />
mountain, cobra) to develop body awareness. This was followed<br />
by a guided meditation about dinosaurs and survival. Children let<br />
go of tension as they acted out the meditation script. Art activities<br />
were next introduced, and their drawings depicted the letting go of<br />
sad and angry feelings associated with the event (Laraque, D. et<br />
al., 2004).<br />
The energy of prâna flows through all parts of our beings—it<br />
is the conscious and healing aspect of all of us. The children were<br />
requested to access the energy of prâna through their physical<br />
bodies and to direct the prâna to an area of their body that needed<br />
attention/healing.<br />
Page 2<br />
Vol. XXIII No. 2 • Fall <strong>2011</strong> • <strong>NYS</strong> <strong>Psychologist</strong>
They were requested to find a comfortable seated position in<br />
a chair, to keep their spine as straight as possible, and to shake<br />
their hands as if trying to shake a “bug” off their body. Next the<br />
children placed their hands palms up on their knees or thighs.<br />
They closed their eyes and took long, deep breaths, as if they<br />
were blowing out the candles on a birthday cake. They were<br />
asked to feel the breath flowing in their bodies and to observe<br />
how their body was feeling.<br />
After a few minutes the children were guided to focus upon<br />
their hands and to imagine that they were breathing through their<br />
fingertips. They were directed to focus more on the tips of their<br />
fingers as they began to feel the vibration of the breath (prâna)<br />
flowing in and out. As they continued to concentrate on the prâna/<br />
energy flowing into their hands and becoming weightless, the children<br />
were encouraged to allow their hands to slowly float up from<br />
their knees. They were reminded to keep focus on the feelings/<br />
sensations in their hands and their breath as their hands began to<br />
move.<br />
After a few moments the children moved their hands towards<br />
their face. Keeping their hands 1-2 inches away from their face,<br />
they allowed their hands to move gently around their face, head,<br />
and neck, giving their aura a prânic bath. Next the children were<br />
asked to let their hands flow to an area of the body that needed<br />
attention/healing. It was observed that children placed their hands<br />
on their heart, forehead, and even the knees.<br />
At the conclusion of the exercise, children discussed what<br />
accessing prâna felt like for them. They revealed that heat and an<br />
electrical pull were felt in their hands and facial features. Their<br />
sensations varied from scary, weird, jerky, and shaky to sleepy<br />
and calm. Two children were not able to experience the flow of<br />
prâna. One child noticed that prâna did not flow evenly in his body<br />
(Migdow, 1999).<br />
Dinosaur imagery was used because dinosaurs are popular<br />
with children. They learn about dinosaurs in school and through<br />
the media. Dinosaurs’ huge body size, which includes long arms<br />
and legs and large mouth, facial, and torso features fascinate<br />
them. Children like to imitate dinosaurs’ squawking sounds and to<br />
dramatize their fearlessness, especially lumbering through a forest<br />
looking for food to survive.<br />
The guided meditation was selected to provide a safe, enjoyable<br />
opportunity for the children to explore their imagination about<br />
being a dinosaur, and how their body felt after being a dinosaur,<br />
and to stimulate the children’s potential to develop relaxation techniques,<br />
especially under stress.<br />
Outcome<br />
Workshop feedback and observations were used to determine<br />
the outcomes of the workshops. All age groups presented<br />
an increase in awareness about physical and emotional responses<br />
to trauma. Adults expressed better control and the feeling of<br />
resiliency in accepting traumatic events. Children were more<br />
spontaneous after participating in creative expressive and movement<br />
activities (Wiener, 1999).<br />
Conclusion<br />
Yoga therapy can help people of all ages to heal after traumatic<br />
events. It encourages the exploration of thoughts, feelings,<br />
body sensations, and behaviors related to traumatic events in a<br />
safe, supportive environment, recharging and healing the body<br />
and mind and helping to restore it to a condition of harmony and<br />
balance. Thus, Yoga Therapy can thus be an effective stressreducing<br />
technique that provides the individual/s time and structure<br />
for psychological integration and adaptation. Furthermore, I<br />
encourage psychologists to utilized Yoga Therapy to help their<br />
patients deal with symptoms of chronic Post-Traumatic Stress<br />
Disorder (Neria, Y. et al., 2010; DiGrande et al., 2008). In closing,<br />
Yoga Therapy is fitting to be a useful tool for psychologists who<br />
continue to help the survivors of 9/11 and for others suffering from<br />
PSTD, for example our military men and women returning from<br />
Afghanistan and Iraq Wars.<br />
Additional Workshops<br />
Child Study Teams of the Department of Special Education. ( 2002)<br />
<strong>Psychological</strong> First-Aid for Post-Traumatic Stress Reactions: Helping<br />
Children and Teachers Heal. <strong>Psychological</strong> Intervention in the Aftermath<br />
of Trauma. <strong>New</strong> Jersey.<br />
<strong>New</strong> <strong>York</strong> <strong>State</strong> <strong>Psychological</strong> <strong>Association</strong> (2002-2004). Committee<br />
on Disaster Relief.<br />
Seton Hall University, South Orange, NJ (2003). Psychology and Spirituality.<br />
University of Dentistry and Medicine. (2002, Winter). Healing and<br />
Recovery after Trauma—Project Hart. Led groups of children and<br />
families in the county of Hudson in the communities of Bayonne, Hoboken,<br />
and Jersey City.<br />
REFERENCE<br />
Adams, R. E., & Boscarino, J. A. (2006). Predictors of PTSD and delayed<br />
PTSD after disaster: The impact of exposure and psychosocial resources.<br />
Journal of Nervous and Mental Disease, 194, 485 – 493.<br />
Agronic, G., Stueve, A., Vargo, S., & O’Donnell, L. (2007). <strong>New</strong> <strong>York</strong> City<br />
young adults’ psychological reactions to 9/11: findings from the reach<br />
for health longitudinal study. Journal of the American Academy of<br />
Child and Adolescent Psychiatry, 39, 79-90.<br />
American Psychiatric <strong>Association</strong>. (1994). Diagnostic and statistical manual<br />
of mental disorders (4 th ed.). Washington, D.C: Author.<br />
Brown, R., & Gerbarg, P. (2005). Sudarshan Kriya yoga breathing in the<br />
treatment of stress, anxiety, and depression: Part II – clinical applications<br />
and guidelines. The Journal of Alternative and Complementary<br />
Medicine, 4, 711-717.<br />
Citizens’ Committee for Children of <strong>New</strong> <strong>York</strong>, Inc. (2002). Children and<br />
Crisis: NYC’s Response After 9/11. <strong>New</strong> <strong>York</strong>: Belden Russonello &<br />
Stewart.<br />
Chen, H., Chung, H., Chen, T., & Fang, L. (2003). The emotional distress<br />
in a community after the terrorist attack on the World Trade Center.<br />
Community Mental Health Journal, 39, 157-165.<br />
Clampett, C., & Peal, A. (2000). Therapeutic yoga training manual. Santa<br />
Barbara, CA.<br />
Cohen, J. A., Berlinger L., & March J. S. (2000). Treatment of children and<br />
adolescents. In E. B. Foa, T. M. Keane, & M. J. Friedman (Eds.),<br />
Effective Treatments for PTSD: Practice Guidelines from the International<br />
Society for Traumatic Stress Studies. <strong>New</strong> <strong>York</strong>: Guildford.<br />
DiGrande, L., Perrin, M., & Thorpe, L. (2008). Posttraumatic stress symptoms,<br />
PTSD, and risk factors among lower Manhattan residents 2-3<br />
Years after the September 11, 2001 terrorist attacks. Journal of Traumatic<br />
Stress, 3, 264-273.<br />
Epstein, M. (1998). Going to Pieces without Falling Apart. <strong>New</strong> <strong>York</strong>:<br />
Broadway Books.<br />
Galea, S., Resnick, H., & Ahern J. (2002). Mental health needs in <strong>New</strong><br />
<strong>York</strong> <strong>State</strong> following the September 11 th attacks. Journal of Consulting<br />
& Clinical Psychology, 79, 322-331.<br />
Laraque, D., Boscarino, J., & Battista, A. (2004). Reactions and needs of<br />
Tristate-area pediatricians after the events of September 11 th : implications<br />
for children’s mental health services. Pediatrics, 113, 1357-<br />
1366.<br />
Le Page, J. (1994). Integrative yoga therapy manual. Santa Barbara, Calif.:<br />
Joseph Le Page.<br />
McCormick, M. (1995). Family issues and outcomes of adjustment to spinal<br />
cord injury. Unpublished doctoral dissertation, Seton Hall University,<br />
NJ.<br />
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Migdow, J. (1999). Prana yoga teacher’s manual. <strong>New</strong> <strong>York</strong>.<br />
Nader, K. (2001). Treatment methods for childhood trauma. In J. P. Wilson,<br />
J. Lindy, & M. Friedman (Eds.), Core Treatment Approaches for<br />
PTSD. <strong>New</strong> <strong>York</strong>: Guildford Press.<br />
Neria, Y., Olfson, M., & Gameroff, M. (2010). Long-term course of probable<br />
PTSD after the 9/11 attacks: a study in urban primary care. Journal<br />
of Traumatic Stress, 4, 474-482.<br />
<strong>New</strong> <strong>York</strong> Public Schools, Columbia University School of Public Health &<br />
<strong>New</strong> <strong>York</strong> <strong>State</strong> Psychiatric Institute. (2002). Effects of the World<br />
Trade Center Attack on <strong>New</strong> <strong>York</strong> City Public School Students. <strong>New</strong><br />
<strong>York</strong>: Applied Research and Consulting.<br />
Precin, P. (2006). Healing 9/11: Creative Programming by Occupational<br />
Therapists. Mental Health, 21, 3-4.<br />
Raphael, K., Janal, M., & Nayak, S. (2004). Comorbidity of PTSD symptoms<br />
in a community sample of women. Pain Medicine, 5, 33-41.<br />
Rosen, C., Tiet, Q., Cavella, S., & Finney, J. (2005). Chronic PTSD patients’<br />
functioning before and after the September 11 attacks. Journal<br />
of Traumatic Stress, 18,781-786.<br />
Saigh, P. A. (1989). The validity of the posttraumatic stress disorder classification<br />
as applied to children. Journal of Abnormal Psychology, 98,<br />
189-192.<br />
Schiffmann, E. (1996). Yoga: The Spirit and Practice of Moving into Stillness.<br />
<strong>New</strong> <strong>York</strong>: Pocket Books.<br />
Silver, R.C., Poulin, M., Holman, E.A., McIntosh, D.N., & Pizzaro, J.<br />
(2006). Coping with a National Trauma: A nationwide longitudinal<br />
study of responses to the terrorist attacks of September 11 th . In<br />
Y.Neria, R.Gross, & E.Susser (Eds.), September 11, 2001: Treatment,<br />
research and public mental health in the wake of a terrorist<br />
attack (pp. 45-70). NY: Cambridge University Press.<br />
Van der Kolk, B., McFarlene A., & Weisaeth L. (1996). Traumatic Stress:<br />
The Overwhelming Experience on Mind, Body, and Society. <strong>New</strong><br />
<strong>York</strong>: Guilford Press.<br />
Wiener, D. (1999). Beyond Talk Therapy: Using Movement and Expressive<br />
Techniques in Clinical Practice. Washington, D.C.: APA.<br />
<strong>NYS</strong>PA’S 75th Annual Convention<br />
“The Illumination of Human Experience: How Psychology<br />
and Art Help Us Understand Ourselves”<br />
The 2012 <strong>New</strong> <strong>York</strong> <strong>State</strong> <strong>Psychological</strong> <strong>Association</strong> Convention will explore the interplay between<br />
psychology and art by providing a forum for psychologists and artists to cross defined<br />
boundaries between disciplines and explore, from any angle, the ingredients of personhood.<br />
Great artists are not content to entertain- they aspire to foster, through their craft, an enhanced<br />
understanding of the human condition. In this way they share a tradition with the field of psychology,<br />
whose practitioners strive on different scales to accomplish similar goals to filter individual,<br />
community, cultural and global experience into a product that shines a light on humanity and,<br />
often, provides healing through insight and kinship.<br />
June 8-12, 2012<br />
The Saratoga Hilton<br />
Downtown<br />
Saratoga Springs, <strong>New</strong> <strong>York</strong><br />
For more information, please visit us on<br />
the web at www.nyspa.org. Registration<br />
will be open in late January 2012.<br />
Page 4<br />
Vol. XXIII No. 2 • Fall <strong>2011</strong> • <strong>NYS</strong> <strong>Psychologist</strong>
Women and Obesity: Biological / <strong>Psychological</strong> Factors and<br />
Bariatric Evaluations<br />
Artemis Pipinelli, PhD<br />
The Technical Career Institutes<br />
Abstract: This article will review Biological/ <strong>Psychological</strong> Factors<br />
on obesity for women and men and cover relevant health and<br />
medical conditions and bariatric evaluations. Obesity is one of the<br />
nation’s fastest growing and most troubling health problems according<br />
to world health organization. During the past 20 years<br />
there has been a dramatic increase in obesity in the United <strong>State</strong>s<br />
that has detrimental effects in the health both females and males.<br />
According to a million women study and other studies studying the<br />
relationship between obesity and health related factors, It was<br />
found that the is an association between obesity and diabetes 2<br />
mellitus, cancer, pregnancy complications, osteoarthritis, asthma,<br />
musculoskeletal pains and other health related problems.<br />
Keywords: Obesity, Bariatric Evaluations, Biological and <strong>Psychological</strong><br />
Factors<br />
Introduction<br />
According to the world health organization the prevalence of<br />
world obesity has doubled since 1980. In 2008 the estimation of<br />
people being overweight increased to 1.5 billion adults and among<br />
them there were 300 million obese women and 200 million obese<br />
men (World Health Organization, <strong>2011</strong>). Also, among nonpregnant<br />
women ages 20- 39, twenty-six percent were overweight<br />
and 29% were obese (WHO, <strong>2011</strong>).<br />
Women and Obesity<br />
When women and men are obese it means that they have<br />
high proportion of body fat, however overweight refers to the body<br />
weight; it does not mean body fat. Obesity is a condition in which<br />
the natural energy reserve, stored in the fatty tissue of humans<br />
and other mammals, is increased to a point where it is associated<br />
with certain health conditions or increased mortality (O’Brien et<br />
al., 2005).<br />
Health professionals use Body Mass Index (BMI), a mass<br />
measure, to classify a person’s weight as healthy, overweight, or<br />
obese. Body Mass index (BMI) describes body weight relative to<br />
height and is correlated with total body fat content in most adults.<br />
Metabolic syndrome (Grahovac et al., <strong>2011</strong>; Grundy et al., 2005;<br />
Lakka & Laaksonen, 2007; Lichtenstein et al., 2006) is a group of<br />
risk factors that can result in different health problems: stroke,<br />
type 2 diabetes and coronary heart disease. Women with excess<br />
body fat around the waist and abnormal cholesterol and sugar<br />
level, are increasing the risk of cardiovascular disease and type<br />
diabetes 2 mellitus. The Metabolic Syndrome has implications on<br />
abnormal glucose, metabolism, diabetes, dyslipidemia, and increased<br />
blood pressure all increased the risk of having heart disease<br />
and stroke (Kulie, Slattengren, Redmer, Counts, Eglash and<br />
Schrager, <strong>2011</strong>; Banks et al., 1999).<br />
The US Centers for Disease Control estimated that there<br />
were 112,000 excess deaths in the year 2000 from obesity-related<br />
diseases. Using Centers for Disease Control data, have predicted<br />
that female and male teens entering adulthood with a BMI more<br />
than 40 have their life expectancy reduced by up to 8 years for<br />
females and 13 years for males (O’Brien et al., 2005).<br />
Obesity is one of the nation’s fastest –growing and most troubling<br />
health problems. During the past 20 years there has been a<br />
dramatic increase in obesity in the United <strong>State</strong>s. Persons with a<br />
BMI more than 40 may be eligible for bariatric (weight loss) surgery.<br />
Banks et al., (1999) in the million women study the largest<br />
study of its kind that took place in Great Britain, tracked a million<br />
women between 50-64 years of age for five years. The study<br />
found that a high body mass was an indicator of all types of cancers.<br />
The risk of cancer was three fold with a 10 point increase in<br />
the body mass index. According to investigators 6000 women<br />
between 50 and 60 are diagnosed with cancer each year. Nearly<br />
50% of the cases pertaining to cancer of the womb and throat<br />
were found to be associated with obesity. The risk of ovarian cancer,<br />
kidney cancer, cancer of the pancreas, multiple myeloma and<br />
leukemia, increased with being obese, 45,037 new cancers were<br />
diagnosed and 17,203 women succumbed to the cancer during<br />
the period, the study revealed. In particular having excess abdominal<br />
fat, both intraperitoneal, intra-abdominal, as well as subcutaneous<br />
abdominal fat is associated with a metabolic constellation<br />
of abnormalities, which has been called the metabolic syndrome<br />
(WHO, <strong>2011</strong>). Kulie, Slattengren, Redmer, Counts, Eglash<br />
and Schrager (<strong>2011</strong>) reported that the relationship between obesity<br />
and related health factors such as diabetes 2 mellitus, pregnancy<br />
complications, osteoarthritis, asthma, skeletomuscular pains<br />
and cancer in women. Obese women with endometrial, ovarian,<br />
cervical and breast cancer have decrease survival because of<br />
later screening and lesser response to treatment (Kulie et al,<br />
<strong>2011</strong>). A recent investigation that was presented at the 79 th European<br />
Atherosclerosis Society (EAS) Congress shows obesity as<br />
an inflammatory biomarker and cause of heart disease. The results<br />
of this study show that with every 8.8 pound increase in BMI<br />
there was 52 percent increase in having ischemic heart disease<br />
(Nordestgaard, <strong>2011</strong>). Other related conditions that effect women’s<br />
health related to obesity are low back pain and osteoarthritis,<br />
infertility; including polycystic ovary syndrome relating to multiple<br />
endocrine mechanisms meaning increase in the circulating insulin<br />
levels (Kulie at al, <strong>2011</strong>). Also, among obese pregnant women<br />
there is the risk of Cesarean section, length of stay after delivery<br />
and use of services, fetal abnormalities increases as BMI increases.<br />
Maternal obesity is associated to shorter time in breastfeeding<br />
(Kulie et al, <strong>2011</strong>).<br />
Etiology of Obesity<br />
Genetic predisposition plays a role in gaining weight faster than<br />
other people. Weight gain and loss relates to the metabolic Rate,<br />
the rate that our body burns calories while at rest. When the metabolic<br />
rate of an individual is slow she/he gains weight easily. The<br />
pathogenesis of the metabolic syndrome involves the combination<br />
of genetic and environmental factors. The degree of genetic and<br />
environmental influences on the workings of the metabolic syn<br />
——————————————————————————<br />
Dr. Artemis Pipinelli, PhD, a Walden University graduate 2005, is an adjunct<br />
assistant professor for The Technical Career Institutes, College of<br />
<strong>New</strong> <strong>York</strong> teaching at the Human Services department. Prior she was<br />
teaching at Lehman College, Hunter and the CUNY system. She is an<br />
active member of <strong>NYS</strong>PA, past president of the Independent Practice<br />
Division, and member of APA serving in the Div 52 aging, membership<br />
and mentorship committee. She has presented numerous papers and<br />
presentations nationally and internationally.<br />
Page 5<br />
Vol. XXIII No. 2 • Fall <strong>2011</strong> • <strong>NYS</strong> <strong>Psychologist</strong>
drome may differ in diverse populations (Jermendy, Littvay, Steinbach,<br />
Jermendy, Tarnoki, Tarnoki, Metneki and Osztovits, <strong>2011</strong>).<br />
In a twin study researchers studying the heritability of the risk<br />
factors characteristic of the metabolic syndrome on 101 (63<br />
monozygotic and 38 dizygotic) adult twin pairs found that genetic<br />
factors have significant influence on waist circumference and<br />
blood pressure values while environmental factors had effect on<br />
the cholesterol levels, triglycerides and glucose values of the candidate<br />
(Jermendy et al. <strong>2011</strong>). Consequently, those hereditary<br />
factors may explain why some people have slower metabolic<br />
rates than others.<br />
Although substantial progress is made in understanding the<br />
physiology of metabolic syndrome, the pathophysiology of abdominal<br />
obesity still remains unclear. This is because of the mutations<br />
of the candidate’s gene that seems to be the result of interplay<br />
between genes in families. So, the search is focused on families<br />
with the genetic risk of developing abdominal obesity (Groop,<br />
2000). According to set point theory (Weinsler, Hunter, Heini, Goran<br />
& Sell,1998) the brain regulates body weight around a genetic<br />
predetermined level or set point. When weight gain and loss occurs,<br />
the brain adjusts a basic metabolic rate to keep body weight<br />
around its set point. It seems that this mechanism may have protected<br />
our ancestors to ensure energy during the times of starvation,<br />
famines and difficult times (Coleman, 1979). Since obese<br />
women and men have more fat cells than average women and<br />
men they feel hungry sooner than those with fewer fat cells. Thus,<br />
heredity and excessive eating in childhood may play a role in the<br />
amount of fat cells we have but still pathophysiological events<br />
play the greater factor (Groop, 2000).<br />
In conclusion obesity causes multiple diseases in many organ<br />
systems in the body. Actually, almost every organ system we<br />
have is impaired by having excess body fat.<br />
<strong>Psychological</strong> factors related to obesity include emotional<br />
states for excessive eating and environmental cues of food can<br />
trigger hunger craving for food even when we are not hungry.<br />
Also, anger (at self- others or society) can make people eat more.<br />
Fear for gaining weight of becoming fat is another factor. low self<br />
esteem, anxiety and depression. Other factors are:body Dimorphic<br />
Disorder, social Stigmatization, crisis and stressful events in<br />
life and guilt or anxiety about personal appearance. Disordered<br />
eating refers to abnormal eating patterns and is difficult to classify<br />
using criteria of DSM-IV-TR (APA, 2000). According to Toth &<br />
Schwartz (2006) restrictive dieting, binging and purging are all<br />
common and types of disordered eating. In addition, changes in<br />
eating patterns can occur because of illness, depression, guilt,<br />
anxiety, crisis and stressful events in life (loss of job) guilt and<br />
anxiety about perceptions about appearance. The above authors<br />
suggest that new eating disorders should be added to DSM such<br />
as binge-eating and night eating syndrome.<br />
Prochaska and DiClemente's (1982) offers a model of<br />
change (transtheoretical) model, that most likely will be helpful in<br />
working with people with obesity problems.<br />
It seems to this author that in maintenance phase the individual<br />
that has gone through the program of weight loss or bariatric<br />
surgery is trying to maintain the healthy behaviors. Finally in the<br />
termination phase is to resolve the issues related to food and validate<br />
the very difficult work that he/she has accomplished during<br />
the action phase.<br />
Other treatment procedure for obesity includes the Roux-en-<br />
Y gastric bypass, stapled gastroplasty, and adjustable gastric<br />
banding, all of which are designed to reduce stomach size and<br />
control calorie intake. Although complication rates of almost 40%<br />
over a 180-day period have been reported, substantial health benefits<br />
are common, including excess weight loss of up to 70% and<br />
resolution of diabetes in 77% of patients. Over 200,000 procedures<br />
are performed annually, and almost $1 billion was spent on<br />
such surgeries in 2002. However, only 0.6% of eligible adults underwent<br />
a procedure, suggesting a huge untapped market. In<br />
early 1985, Dr. Dag Hallberg applied for a patent for the Swedish<br />
Adjustable Gastric Band (SAGB) within Scandinavian countries. In<br />
late March, Dr. Hallberg presented his idea of the "balloon band"<br />
at the Swedish Surgical Society and started to use the SAGB in a<br />
controlled series of 50 procedures. During this time, laparoscopic<br />
surgery was not common and Dr. Hallberg and his assistant, Dr.<br />
Peter Forsell, started performing the open technique to implant<br />
the SAGB. In 1992, Dr. Forsell was in contact with different surgeons<br />
in Switzerland, Italy and Germany who began to implant<br />
the SAGB with the laparoscopic technique. Dr. Forsell fully owned<br />
the patent at this time. In 1994, Dr. Forsell presented the SAGB at<br />
an international workshop for bariatric surgery in Sweden, and<br />
from then on, the SAGB started to be implanted laparoscopically.<br />
During this time, the SAGB was manufactured by a Swedish company,<br />
ATOS Medical. Laparoscopic Adjustable Gastric Banding,<br />
or (LAGB), is a form of restrictive weight loss surgery (bariatrics)<br />
designed for obesity patients with a body mass index (BMI) of 40<br />
or greater - or between 35 – 40 with those who have comorbidities<br />
that are known to improve with weight loss.<br />
Pharmacological Treatment for Obesity<br />
One of the drugs to treat obesity is Oleylethanolamide (OEA),<br />
Sibutramine, Orlistat and Dexfenflu an SSRI’s (Serotonin<br />
Reuptake Inhibitors). Researchers from University of California,<br />
Irvine’s College of medicine lead by pharmacology professor Dr.<br />
Piomelli found a chemical that naturally exists in the body and can<br />
be proved effective in the treatment of obesity it is call OEA-<br />
Oleylethanolamide, a regulator of eating behavior. So this chemical<br />
was found to make rats to eat less and consequently there<br />
was a decrease in their weight gain (Cristol, 2002). According to<br />
Dr. Piomelli “This suggested that OEA is an important regulator of<br />
eating behavior and could be used as a tool to design new antiobesity<br />
medicines” and the assumption is because the OEA did<br />
not affect the nervous system of the rats would be appropriate for<br />
humans since it does not causes side effects as other drugs<br />
(O’Brien et al., 2005; Mayer & Walsh, 1998).<br />
Bariatric Evaluations<br />
Walfish,Vance and Fabricatore, (2007) conducted a study<br />
among 103 mental health professionals who had done psychological<br />
evaluations for bariatric surgery. The measures by 103 psychologists<br />
were:<br />
-MMPI-2, Beck Depression Inventory<br />
-Millon Behavioral Medicine Diagnostic<br />
-Personality Assessment Inventory<br />
-Eating Disorder Inventory<br />
-Clinical Interview<br />
-Millon Clinical Multiaxial Inventory<br />
-Beck Anxiety Inventory<br />
-Weight and Lifestyle Inventory<br />
-Quality of Life Inventory<br />
-Millon Behavioral Health Inventory<br />
-Shipley Institute of Living Scale<br />
-Mini mental Status Examination<br />
According to (Walfish,Vance & Fabricatore, 2007), MMPI-2<br />
was used by most psychologists doing bariatric evaluations. It<br />
Page 6<br />
Vol. XXIII No. 2 • Fall <strong>2011</strong> • <strong>NYS</strong> <strong>Psychologist</strong>
seems that the validity scales is part of the appeal of the MMPI-2.<br />
Those scales can detect overly defensive or otherwise unreliable<br />
response sets. This is important because some of the participants<br />
can fake good meaning they want to minimize any emotional difficulties<br />
they may be experiencing in life.<br />
Who should be delay or deny bariatric surgery: According to<br />
(Walfish,Vance & Fabricatore, 2007), the most common reason<br />
they recommended to delay or deny the surgery was significant<br />
psychopathology (psychosis or bipolar disorder), untreated or<br />
undertreated depression, lack of understanding about the risks<br />
and postoperative requirements of the surgery, active eating disorder,<br />
and active substance abuse questionable ability to comply<br />
with a post-surgical regimen, chaotic lifestyle or significant situational<br />
stressors, unrealistic expectations about weight loss or<br />
postoperative life, unsupportive or conflictual family environment,<br />
and cognitive impairment (Walfish et al., 2007).<br />
Who should be considered for Bariatric surgery? a) a patient<br />
who has medical, physical or psychosocial problems associated<br />
with their obesity, b) a patient who have made prolonged but not<br />
successful efforts to relieve those problems by non-surgical<br />
means and c)when serious comorbidities between obesity and<br />
diabetes 2 mellitus , are present.<br />
Pre-Surgical <strong>Psychological</strong> Assessments of Bariatric Surgery:<br />
(American Society for Bariatric Surgery 2004), Eating Attitudes<br />
and Behaviors,<br />
Binge Eating Scale (BES), Binge Eating Questionnaire<br />
(BEQ), Three-Factor Eating Questionnaire (TFEQ), Eating Inventory<br />
(EI), Questionnaire on Eating and Weight Patterns-<br />
Revised (QEWP-R), Eating Disorder Examination-Questionnaire<br />
(EDE-Q), Eating Disorder Inventory - 2 (EDI-2), Eating Disorder<br />
Symptom Checklist (EDI-SC)<br />
Weight and Lifestyle inventory (WALI), Suggestions for Pre-<br />
Surgical <strong>Psychological</strong><br />
<strong>Psychological</strong> Assessments of Bariatric Surgery<br />
(Walfish,Vance & Fabricatore, 2007)<br />
Structured Clinical Interview for DSM-IV, Biosocial History,<br />
Eating Attitudes Test-Eating Disorders, Mental Status Exam, ,<br />
The Burns Anxiety Inventory,Personality And Psychopathology,<br />
Basic Personality Inventory (BPI), Personality Assessment Inventory<br />
(PAI), - Axis I, Clinical Version (SCID-I:CV), Beck Depression<br />
Inventory-II (BDI-II), Beck Anxiety Inventory<br />
(BAI), Minnesota Multiphasic Personality Inventory - 2 (MMPI-<br />
2), Millon Behavioral Medicine Diagnostic (MBMD), Rosenberg<br />
Self-Esteem Scale (SES)(RSE), Symptom Checklist 90 -R (SCL-<br />
90-R), Beck Depression Inventory (BDI), Eating Expectancy<br />
Questionnaire, Minnesota Multiphasic Personality Inventory-2<br />
(MMPI-2), Multidimensional Health Locus of Control (MHLC)<br />
Scales, Shipley Institute of Living Scale, Spielberger <strong>State</strong>-Trait<br />
Anger Expression Inventory (STAXI), Spielberger <strong>State</strong>-Trait Anxiety<br />
Inventory (STAI), and Weight and Lifestyle Inventory (WALI).<br />
Health Related Quality of Life Assessment (Walfish,Vance &<br />
Fabricatore, 2007).<br />
Quality of Life Questionnaire (QLQ), Quality of Life Inventory<br />
(QOLI), Impact of Weight on Quality of Life (IWQOL), Impact of<br />
Weight on Quality of Life (IWQOL-Lite), Impact of Weight on<br />
Quality of Life-Kids (IWQOL-Kids), OMS 36-item Short Form<br />
Health Survey (SF-36), Moorehead-Ardelt Quality of life Questionnaire<br />
(M-A QoLQ), Moorehead-Ardelt Quality of life Questionnaire<br />
II (M-A QoLQ II).<br />
After bariatric surgery measures: Bariatric Analysis and Reporting<br />
Outcome System (BAROS), Assessment Batteries,VA<br />
Bariatric Surgery Workgroup 2007,Alcohol Use Disorder Testcore<br />
(AUDIT-C), Drug Abuse Screening Test (DASTC), Millon<br />
Behavioral Medicine Diagnostic (MBMD), Multidimensional Health<br />
Locus of Control (MHLC), Questionnaire on Weight and Eating<br />
Patterns-Revised (QEWP-R).<br />
Conclusion<br />
In conclusion, obesity epidemic in the US and Worldwide has<br />
multifactorial causes and is linked to serious health consequences<br />
for women and men. The financial cost of obesity is about 100<br />
billion (CDC, 2006) and because of that cost the situation is urgent<br />
to take action. Health insurers should provide enhanced coverage<br />
for obesity prevention and treatment. <strong>Psychologist</strong>s,<br />
healthcare providers, educators, legislators, and social advocates<br />
should make a dedicated effort to deal with the urgent problem of<br />
obesity. Also, the weight loss industry must offer affordable programs<br />
for women and men who need to take care of their weight<br />
and general health.<br />
REFERENCE:<br />
Banks, E., Beral, V., Brown, A., Bull, D., Cameron, B., Crossley,B.,<br />
Deciacco, D., Ewart,D., Gerrard, L., Hall, J., Hall, S., Hilton, E., Ann<br />
Hogg, Keene, C., Langley,N., Langston, N., Reeves, G., Moya Simmonds,<br />
(1999) . M. The Million Women Study: design and characteristics<br />
of the study population.The Million Women Study Collaborative<br />
Group. University of Oxford, Oxford, UK. Breast Cancer Res, 1:73-<br />
80doi:10.1186/bcr16 The electronic version of this article is the complete<br />
one and can be found online at: http://breast-cancerresearch.com/content/1/1/73<br />
© 1999 Current Science Ltd.<br />
Coleman, D. (1979). Obesity genes: beneficial effects in heterozygous<br />
mice. Science 203, 663-665.<br />
Cristol, H.(2002). Trends in Global Obesity: developing nations are gaining<br />
on U.S. in a weighty matter.<br />
Donohoe, M. Medscape Ob/Gyn & Women's Health 2008<br />
www.medscape.com/viewarticle/566349 http://www.usa.gov/Citizen/<br />
Topics/<strong>New</strong>_Years_Resolutions.shtml Retrieved 7/30/<strong>2011</strong><br />
Center for Disease Control and prevention. (2006). Overweight and obesity:<br />
Defining overweight and obesity. http://www.cdc.gov/nccdphp/<br />
dnpa/obesity/defining.htm Retrieved 7/29/<strong>2011</strong><br />
Donohoe, Martin, MD, FACP Weighty Matters: Public Health Aspects of<br />
the Obesity Epidemic: Part II -- Treatments and Approaches to Combating<br />
the Problem Posted 01/04/2008 Department of Health and<br />
Human Services. www.womenshealth.gov<br />
Groop, L.(2000). Genetics of the metabolic syndrome. British Journal of<br />
Nutrition, 83, Suppl. 1, S39-S48<br />
http://journals.cambridge.org. Retrieved 8/2/<strong>2011</strong><br />
Grundy, S.M., Cannon, C.P., Klein, S., Pi-Sunyer, X.F., (2007). Managing<br />
obesity as a chronic disease: A Pathophysiologic approach to cardiometabolic<br />
risk reduction. Schimed retrieved from Medscape 2/20/08<br />
Mayer, L. E., Walsh, B.T., (1998) The use of selective serotonin reuptake<br />
inhibitors in eating disorders. J Clin Psychiatry, 59 suppl 15 28-34.<br />
Kulie, T., Slattengren, A., Redmer, J., Counts, H., Eglash, A., MD, and<br />
Schrager, S. (J Am Board Fam Med. <strong>2011</strong>;24(1):75-<br />
85. © <strong>2011</strong> American Board of Family Medicine, Retrieved from<br />
http://www.medscape.com/viewarticle/735689, Retrieved 7/30/<strong>2011</strong><br />
Lakka T, Laaksonen DE. Physical activity in prevention and treatment of<br />
the metabolic syndrome. Appl Physiol Nutr Metab. 2007;32(1):76-8 :<br />
17332786 www.ncbi.nih.gov/pubmed 177332786<br />
Jermendy, G., Littvay, L., Steinbach, R., Jermendy, A., Tarnoki, A., Tarnoki,<br />
D., Metneki and Osztovits, J. (<strong>2011</strong>). Heritability of the risk factors<br />
characteristic for the metabolic syndrome: a twin study.[Article in<br />
Hungarian] Fővárosi Bajcsy-Zsilinszky Kórház III. Belgyógyászati<br />
Osztály Budapest Maglódi út 89-91. 1106. http://<br />
www.ncbi.nlm.nih.gov/pubmed/21803723<br />
Grundy SM, Cleeman JI, Daniels SR, Donato KA, Eckel RH, Franklin BA,<br />
et al. American Heart <strong>Association</strong>; National Heart, Lung, and Blood<br />
Institute. Diagnosis and management of the metabolic syndrome: an<br />
American Heart <strong>Association</strong>/National Heart, Lung, and Blood Institute<br />
Page 7<br />
Vol. XXIII No. 2 • Fall <strong>2011</strong> • <strong>NYS</strong> <strong>Psychologist</strong>
Scientific statement. Cardiol Rev. 2005;13:322-327.<br />
www.ncbi.nih.gov/pubmed16708441<br />
Lichtenstein AH, Appel LJ, Brands M, et al. Diet and lifestyle recommendations<br />
revision 2006: a scientific statement from the American Heart<br />
<strong>Association</strong> Nutrition Committee. Circulation. 2006;114:82-96.<br />
www.ncbi.nih.gov/pubmed16785338<br />
Lichtenstein, Appel, Brands, et al.(2006).<br />
Nevid, J. S. (2007) Psychology Concepts and Applications. Hougnton<br />
Mefflin Co. Boston <strong>New</strong> <strong>York</strong>.<br />
Prochaska, J.O., & DiClemente, C.C. (1982). Thanstheoretical therapy.<br />
Toward a more integrative model of change. Psychotherapy: Theory,<br />
Research and Practice, 19, 276-288.<br />
Toth, M.E., & Schwartz. R.C. (2006). Obesity, disordered earing, and the<br />
bariatric surgery population. Annals of the American <strong>Psychological</strong><br />
<strong>Association</strong>, 9, page 6+.<br />
Walfish, S., Vance, D., & Fabricatore, A.N. (2007). <strong>Psychological</strong> evaluations<br />
of Bariatric surgery applicants. Procedures and reasons for<br />
delay or denial of surgery. Obes Surg 17: 1578-1583. psychpubs@aol.com<br />
Weinsier RL, Hunter GR, Heini AF, Goran MI, Sell SM. (1998). The etiology<br />
of obesity: relative contribution of metabolic factors, diet, and<br />
physical activity. The American Journal of medicine. Vol 105,2, p.<br />
145-150. http://www.ncbi.nlm.nih.gov/pubmed/9727822. Retrieved<br />
8/2/<strong>2011</strong><br />
Bariatric Surgery<br />
‣ The gastric band is<br />
an inflatable silicone<br />
prosthetic device<br />
which is placed<br />
around the top<br />
portion of the<br />
stomach via keyhole<br />
laparoscopic<br />
surgery.<br />
World health organization (<strong>2011</strong>). Obesity and overweight. Fact sheet<br />
N311/ Updated March <strong>2011</strong>. http://www.who.int/mediacenter/<br />
factsheets/fs311/en/index.html Retrieved 7/30/<strong>2011</strong><br />
Page 8<br />
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Doing Our Best for <strong>New</strong> <strong>York</strong>’s Children: Custody Evaluations<br />
When Domestic Violence is Alleged<br />
Nancy S. Erickson, MA<br />
<strong>New</strong> <strong>York</strong> City<br />
Chris S. O’Sullivan, PhD<br />
<strong>New</strong> <strong>York</strong> City<br />
<strong>Psychologist</strong>s are often appointed by courts to conduct custody<br />
evaluations in cases that appear to be going to trial. It is estimated<br />
that domestic violence is implicated in over half of such disputed<br />
custody cases. Sometimes the evaluator recommends custody<br />
to the alleged abuser, usually the father, and often evaluators<br />
recommend liberal visitation to the abuser. The court order or<br />
settlement typically follows the recommendation. Three recent<br />
studies point to evaluators’ lack of knowledge of domestic violence,<br />
especially of indicators of ongoing risk to the victim and<br />
children, and evaluators’ belief that mothers make false allegations<br />
of domestic violence as the source of these recommendations.<br />
The studies support the conclusion that domestic violence<br />
training for custody evaluators is crucial.<br />
Key words: Child custody; domestic violence; custody evaluators;<br />
domestic violence training; best interest standard.<br />
The Unthinkable Does Happen<br />
A few years ago, a woman who had fled from her abusive<br />
husband walked into a Legal Services office. A Family Court<br />
judge had granted him custody of their child. She had been fired<br />
from her job for extensive absences due to court appearances. In<br />
treatment for PTSD and depression, she was advised by her<br />
therapist to take time to recover – particularly from the trauma of<br />
losing her child – before seeking work. The mother told the attorney,<br />
“He said if I ever left him, he would make sure I never got<br />
anything from the court. I was ready to lose everything, but I didn’t<br />
know that included my child.”<br />
The attorney read the custody evaluation; it recommended<br />
custody to the father. The father’s abuse of the mother and the<br />
impact on the mother and child were ignored. The mother was<br />
viewed as a less suitable candidate for custody because she was<br />
on medication for depression. The custody evaluator made no<br />
connection between her psychological status and the abuse she<br />
had suffered, despite notations in her medical records. This case<br />
is not unique: courts can and do award custody to perpetrators of<br />
domestic violence on the recommendation of evaluators (Inter-<br />
American Commission on Human Rights, 2007; Wissink v. Wissink,<br />
2002).<br />
The Role of Custody Evaluators in Courts’ Dangerous Decisions<br />
When parents with children divorce or separate and cannot<br />
come to an agreement about custody and visitation, courts must<br />
decide for them. All state statutes require the court to use the<br />
“best interests of the child” standard (Brandt & Ferrin, 2009). It is<br />
well established by research and acknowledged in statutes that<br />
childhood exposure to domestic violence has life-long deleterious<br />
effects on social, emotional and cognitive development (Wolfe,<br />
Crooks, Lee, McIntyre-Smith and Jaffe, 2003). Furthermore,<br />
granting custody or unsupervised visitation to a perpetrator of<br />
domestic violence can be dangerous to a child because of an<br />
increased risk of child abuse (Herrenkohl, Sousa, Tajima, Herrenkohl,<br />
& Moylan, 2008), and unsupervised transfers can be dangerous<br />
to the victimized parent. Therefore, all states but one have<br />
adopted statutes requiring consideration of domestic violence in<br />
child custody and visitation decisions (Brandt & Ferrin, 2009).<br />
<strong>New</strong> <strong>York</strong> enacted a statute in 1996 that made domestic violence<br />
the only factor the court must consider in determining the child’s<br />
best interest.<br />
Despite legislatures’ concern about the impact of domestic<br />
violence on children, courts continue to grant custody or unsupervised<br />
visitation to parents (usually fathers) who have abused the<br />
other parent (Neustein & Lesher, 2005; Rosen & O’Sullivan,<br />
2005). A factor contributing to courts’ failure to recognize domestic<br />
violence or to respond to it adequately is the appointment of<br />
custody evaluators -- usually psychologists, psychiatrists, or social<br />
workers. Custody evaluators are viewed as neutral “experts” who<br />
can assist the court in determining the best interests of the child.<br />
Their reports strongly influence judicial decisions (Kunin, Ebbesen<br />
& Konecni, 1992; Davis, O’Sullivan, Susser & Fields, <strong>2011</strong>). Judges<br />
are also aware that, once the evaluator has submitted the report,<br />
parents often settle the case along the lines suggested by<br />
the evaluator (Baerger, Galatzer-Levy, Gould & Nye, 2002). Davis,<br />
et al. (<strong>2011</strong>) found that settlement agreements adhere even<br />
more closely to evaluators’ recommendations than court orders<br />
following trials.<br />
The Expertise of Custody Evaluators<br />
Expert testimony usually takes the form of opinion, which is<br />
admissible only if relevant, reliable, and helpful to the judge or<br />
jury. (Witnesses are not generally permitted to testify as to their<br />
opinions, only to facts.) The Supreme Court’s decision in Daubert<br />
—————————————————————————————<br />
Nancy S. Erickson (J.D. Brooklyn Law School, LL.M. Yale Law School,<br />
M.A. Forensic Psychology John Jay College of Criminal Justice) is an<br />
attorney in private practice and a consultant on issues relating to law and<br />
psychology, particularly child custody evaluations and domestic violence.<br />
For over ten years, she was a professor of law. She has also been an<br />
attorney for the City of <strong>New</strong> <strong>York</strong>, for the National Center on Women and<br />
Family Law, and for a Legal Services program in Brooklyn, representing<br />
low income clients – primarily battered women – in divorce and other family<br />
cases. She has written books and articles on family law, including domestic<br />
violence, child support, custody, marital property, attorneys for<br />
children, custody evaluations, and adoption.<br />
Chris S. O’Sullivan, PhD, is a social psychologist who has been conducting<br />
research on domestic violence and the courts for 15 years, primarily<br />
with funding from the US Department of Justice. She has conducted four<br />
studies on visitation and custody decisions, including the influences on<br />
and consequences of those decisions. She has also investigated the<br />
effectiveness of batterer programs in reducing reoffending, “no drop” prosecution<br />
policies, domestic violence risk assessment, domestic violence<br />
court practices nationally, and sexual assault revictimization, and has<br />
consulted on human trafficking research. She is coordinator of two OVW<br />
grants to Spring Valley, NY, one to develop training for local domestic<br />
violence court personnel and the other a multicultural domestic violence<br />
initiative and domestic violence court.<br />
Page 9<br />
Vol. XXIII No. 2 • Fall <strong>2011</strong> • <strong>NYS</strong> <strong>Psychologist</strong>
(1993), positioning trial judges as gatekeepers against expert<br />
testimony that is insufficiently empirical, has reverberated through<br />
both the legal and mental health professions (Emery, Otto, &<br />
O’Donohue, 2005; Kelly & Ramsey, 2009; Krause & Sales, 2000;<br />
Tippins & Wittman, 2005).<br />
Appointment of a psychological expert witness would seem to<br />
be beneficial to the court’s attempt to assess parenting capacity<br />
and the child’s best interest. Because it has been estimated that<br />
domestic violence is confirmed in over half of cases that go to<br />
custody evaluators (Haselschwerdt, Hardesty & Hans, <strong>2011</strong>), custody<br />
evaluators should be familiar with the empirical literature on<br />
domestic violence as it pertains to children and parenting to qualify<br />
as expert. Recent studies have found, however, that custody<br />
evaluators vary widely in their knowledge of intimate partner violence<br />
and that many are ill-informed (Hardesty, 2010; O’Sullivan,<br />
2010; Saunders, 2010). Custody evaluators often do not recognize<br />
domestic violence; when they do, many do not take it into<br />
account as the law prescribes, do not understand the risks to the<br />
victimized parent and child, and are not aware of the impact on<br />
the victimized parent’s ability to care for the child or the implications<br />
for the perpetrator’s parenting.<br />
Mental health professionals who seek to conduct custody evaluations<br />
for courts are not required to demonstrate knowledge of<br />
domestic violence or its impact on the victim or children, however.<br />
Only California requires training in domestic violence for custody<br />
evaluators (Report of the Matrimonial Commission, 2006). <strong>New</strong><br />
<strong>York</strong>’s First and Second Judicial Departments, which include <strong>New</strong><br />
<strong>York</strong> City, Long Island, and Westchester, maintain a panel of<br />
mental health professionals from which judges are permitted to<br />
appoint custody evaluators, but knowledge of domestic violence is<br />
not a criterion for being admitted to the panel.<br />
Where and Why Custody Evaluators Err in Domestic Violence<br />
Cases<br />
Ill-informed custody evaluators often share with non-experts<br />
prevalent biases and myths about domestic violence allegations<br />
(Dallam & Silberg, 2006; Haselschwerdt, et al., <strong>2011</strong>). Some of<br />
the myths are: (1) a history of battering is irrelevant to parenting;<br />
(2) the allegations are often false; (3) child sexual abuse allegations<br />
in the context of custody disputes are highly suspect; (4)<br />
abusers are overtly pathological; (5) a normal person would not<br />
tolerate abuse; (6) parents who object to unsupervised visits by<br />
the other parent are uncooperative and should not get custody;<br />
and (7) “parental alienation” is a validated pathology, particularly<br />
of mothers.<br />
Another problem is that many custody evaluators misuse<br />
psychological tests in evaluating parenting abilities in the face of<br />
domestic violence allegations. The MMPI is most commonly used:<br />
a 2008 survey found that 97% of custody evaluators use the<br />
MMPI-2 (Ackerman & Pritzl, <strong>2011</strong>). Custody evaluators have<br />
sometimes misinterpreted MMPI and MMPI-2 data, “diagnosing”<br />
battered women with serious psychopathologies when, in fact,<br />
they suffer from depression and anxiety, or even PTSD, caused<br />
by the abuse (Erickson, 2005; Morrell & Rubin, 2001; Rosewater,<br />
1988). Most batterers evince no pathology on psychological tests<br />
(Holtzworth-Munroe & Stuart, 1994); there is no diagnostic test of<br />
perpetration of domestic violence or profile of perpetrators (APA,<br />
1996; Craig, 2001; Otto & Collins, 1995).<br />
A study of custody evaluators in 2003 was the first survey to<br />
ask evaluators specifically about their practices in cases involving<br />
allegations of domestic violence (Bow & Boxer, 2003). The authors<br />
concluded that evaluators use appropriate methods to investigate<br />
these cases. A subsequent study that reviewed what<br />
custody evaluators actually do, as opposed to what they claim to<br />
do, reached the opposite conclusion, however. Logan and colleagues<br />
found that “evaluators do not appear to investigate the<br />
Page 10<br />
nature or extent of domestic violence … and … do not explore<br />
domestic violence as a way of attending to the child’s safety interests”<br />
(Logan, Walker, Jordan, & Horvath, 2002, p.735). Notably,<br />
Ackerman and Pritzl’s [<strong>2011</strong>] survey that “updated” two earlier<br />
surveys of custody evaluators did not mention domestic violence.<br />
The Office on Violence Against Women (OVW) of the US<br />
Department of Justice (USDOJ) has determined that flawed custody<br />
and visitation decisions in American courts are a matter of<br />
grave concern. OVW has supported Safe Haven visitation programs<br />
and other special projects to protect women who share<br />
children with their abusers. In 2007, the National Institute of Justice<br />
(NIJ), the research arm of the USDOJ, solicited research proposals<br />
on custody evaluations, parental alienation and friendly<br />
parent biases against battered mothers. Three of the proposed<br />
studies (two funded by NIJ) were completed in 2010.<br />
Hardesty and Hans (2010) of the University of Illinois conducted<br />
an online survey of custody evaluators in 48 states; 74% of the<br />
603 respondents said they had received training or education on<br />
domestic violence within the last three years. The survey presented<br />
a vignette in three segments, varying the severity of the domestic<br />
violence, the demeanor of the mother/alleged victim<br />
(hostile or pleasant), whether there was documentation of the<br />
abuse, and whether the father counter-charged parental alienation.<br />
Respondents were asked whether they would lean toward<br />
recommending custody to the mother or the father or joint custody<br />
and their rationale, and the extent to which they believed the<br />
mother’s allegations.<br />
Before the domestic violence allegations were introduced, the<br />
majority leaned toward joint custody; after they were introduced,<br />
the majority leaned toward granting custody to the mother – especially<br />
if she was presented as pleasant. The evaluators were five<br />
times more likely to believe her allegations when she was described<br />
positively and five times more likely to lean toward granting<br />
the father sole custody if the mother was described as hostile.<br />
Documentation of the abuse did not increase the credibility of the<br />
mother’s allegations of abuse, but the lack of documentation decreased<br />
her credibility, and the effect of the mother’s demeanor<br />
remained significant. The investigators concluded that, although<br />
the allegations of domestic violence did influence the evaluators<br />
to grant the mother physical custody, the mother’s demeanor influenced<br />
her believability more than characteristics of the abuse.<br />
They recommend universal training requirements that emphasize<br />
understanding the context of abuse and provide skills to weigh<br />
“friendly parent” presentations when there is domestic violence.<br />
They also espouse use of research-based risk assessments to<br />
help evaluators focus on the characteristics of the domestic violence<br />
and discourage reliance on such biased indicators as the<br />
mother’s demeanor.<br />
Daniel Saunders and colleagues at the University of Michigan<br />
School of Social Work also conducted a multi-state survey and<br />
utilized vignettes, but they included a wider range of professionals<br />
(Saunders, 2010). The primary research question was whether<br />
custody evaluators and other professionals involved in custody<br />
disputes believe that allegations of domestic violence are false,<br />
and to what extent the belief was related to five factors: training<br />
on domestic violence, decisions on custody and evaluation in the<br />
vignettes, belief that allegations of child abuse are false, belief in<br />
so-called “parental alienation,” and endorsement of patriarchal<br />
norms as measured by the Modern Sexism Scale. Of the 1,197<br />
respondents, 465 were custody evaluators; others were judges,<br />
attorneys, and DV program workers including advocates, attorneys<br />
and program directors. Custody evaluators were most often<br />
psychologists (52%) and social workers (24%).<br />
Of the four types of respondents, the custody evaluators<br />
were most likely to believe that mothers make false allegations of<br />
domestic violence, followed by private attorneys and then judges<br />
Vol. XXIII No. 2 • Fall <strong>2011</strong> • <strong>NYS</strong> <strong>Psychologist</strong>
– unless the judges had taken steps to learn about domestic violence<br />
or were women, when they had the lowest estimations.<br />
Custody evaluators and judges were least likely to believe that<br />
fathers make false allegations of domestic violence. Belief in false<br />
allegations of domestic violence was strongly related to beliefs<br />
that domestic violence is not important in custody and visitation<br />
decisions, that mothers alienate children from fathers, and that<br />
reluctance of victims to co-parent harms children. Acquisition of<br />
knowledge about domestic violence (attending lectures or workshops,<br />
reading books and articles, reviewing websites, etc.) was<br />
associated with support of victims. In particular, knowledge of<br />
danger assessment resulted in more frequent recommendations<br />
of sole custody for victims. Acquisition of knowledge about children’s<br />
exposure to domestic violence was associated with more<br />
frequent recommendations for supervised visitation.<br />
Implications of the study are that custody evaluators most need to<br />
learn about post-separation violence and assessing dangerousness.<br />
They also need to understand the problems that can arise<br />
from granting joint legal custody to abusers even when the victim<br />
has sole physical custody. Finally, the authors conclude that evaluators<br />
need to understand the limits of psychological testing to<br />
assess for domestic violence and to assess mental health of victims.<br />
The third study reviewed custody evaluations in a sample of<br />
69 custody cases heard in <strong>New</strong> <strong>York</strong> City Family and Supreme<br />
Courts (O’Sullivan, 2010). The primary outcome variables in this<br />
study were the safety of the parenting plan for the mother and<br />
child in (1) the evaluators’ recommendation and (2) the court outcome<br />
(either by a decision of the court following trial or by settlement<br />
agreement between the parents). Parenting plan safety was<br />
a composite of a number of variables with a range from unsafe to<br />
most safe, such as frequent or infrequent transfer of the children<br />
between the parents, unsupervised versus third party transfer,<br />
and unsupervised overnight visits versus visits at a supervised<br />
visitation center.<br />
The evaluators’ recommendations were followed in both settlements<br />
and court decisions, with no significant difference between<br />
the evaluators’ recommended plans and the plans in settlements<br />
and court orders in overall safety. The strongest influence<br />
on the evaluators’ recommendations, and therefore on the outcome<br />
of the case, was the evaluator’s familiarity with empirically<br />
established risk factors for ongoing abuse and potential lethality.<br />
The evaluator’s general knowledge of domestic violence and use<br />
of a power and control model also significantly predicted the safety<br />
of the parenting plan. Surprisingly, the severity of the abuse<br />
and the thoroughness of the evaluator’s investigation (e.g., conducting<br />
collateral interviews or reviewing criminal records) had no<br />
relationship to the safety of the parenting plan.<br />
The study showed that what the evaluator brings to the case<br />
has more influence on the family’s fate than the facts of the case.<br />
There was little consistency across evaluators; therefore, it is logically<br />
impossible that the best interests of the child are being<br />
served in all cases. In particular, the evaluator’s knowledge of<br />
ongoing risks to the mother and children was most likely to determine<br />
custody and visitation outcomes. The researchers recommend<br />
that evaluators be screened for knowledge of domestic violence<br />
and that training of custody evaluators be required.<br />
Lack of Available Training<br />
The lack of training in domestic violence among custody evaluators<br />
could be expected given the absence of required courses<br />
on this topic in graduate programs and the dearth of such courses<br />
in curricula (APA, 1996, p. 13; Pope & Feldman-Summers, 1992;<br />
Zorza, 1996). Bow and Boxer (2003) found that almost 70% of<br />
their survey respondents had taken no graduate courses covering<br />
domestic violence. A mental health professional seeking training<br />
in domestic violence would find few opportunities in <strong>New</strong> <strong>York</strong>.<br />
The Appellate Divisions occasionally offer programs in domestic<br />
violence to the mental health professionals on the panel. The<br />
Forensic Division of the <strong>New</strong> <strong>York</strong> <strong>State</strong> <strong>Psychological</strong> <strong>Association</strong><br />
is attempting to contribute to the education of psychologists<br />
about domestic violence, and offered programs on custody evaluations<br />
in cases involving domestic violence in 2007 and 2010.<br />
For someone who wishes to become truly knowledgeable in this<br />
field, those programs can be only an introduction. Saunders<br />
(2010) found, however, that professional consultations and reading<br />
books and websites about domestic violence also had a<br />
measurably positive effect on custody evaluators’ hypothetical<br />
recommendations. Viewing films and videos did not.<br />
Conclusion<br />
Allegations of domestic violence are likely to be a component<br />
of about half the cases for which courts order custody evaluations.<br />
Consequently, it is incumbent on custody evaluators to learn<br />
about domestic violence and its effects on victims and children. If<br />
evaluation of California’s required training finds that participants<br />
benefitted, <strong>New</strong> <strong>York</strong> should adopt such requirements. Meanwhile,<br />
<strong>New</strong> <strong>York</strong> custody evaluators must take the initiative to<br />
seek opportunities for learning about domestic violence. Otherwise,<br />
the courts will continue to fail often in their mandate to make<br />
custody and visitation orders that are in the “best interests of the<br />
child.” The children of <strong>New</strong> <strong>York</strong> <strong>State</strong> deserve better – they deserve<br />
the best we can give them.<br />
REFERENCES:<br />
Ackerman, M. J., & Pritzl, T. B. (<strong>2011</strong>). Child custody evaluation practices:<br />
A 20-year follow up. Family Court Review, 29, 618-628.<br />
American <strong>Psychological</strong> <strong>Association</strong>. (1996). Violence and the family:<br />
Report of the American <strong>Psychological</strong> <strong>Association</strong> Presidential Task<br />
Force on Violence and the Family. Washington, DC: Author.<br />
Baerger, D., Galatzer-Levy, R., Gould, J., & Nye, S. (2002). A methodology<br />
for reviewing the reliability and relevance of child custody evaluations.<br />
Journal of the American Academy of Matrimonial Lawyers, 18,<br />
35-73.<br />
Bow, J. & Boxer, P. (2003). Assessing allegations of domestic violence in<br />
child custody evaluations. Journal of Interpersonal Violence, 18(12),<br />
1394-1410.<br />
Brandt, L., & Ferrin, E. (2009). Charts [of family law in the fifty states].<br />
Family Law Quarterly 42(4), 757-765.<br />
Report of the Matrimonial Commission to the Chief Judge of <strong>New</strong> <strong>York</strong><br />
<strong>State</strong> (2006). Accessed 2/26/2010 from http://www.nycourts.gov/<br />
reports/matrimonialcommissionreport.pdf<br />
Craig, R. (2010). Use of the Millon Clinical Multiaxial Inventory in the psychological<br />
assessment of domestic violence: A review. Aggression &<br />
Violent Behavior, 8, 235-240.<br />
Dallam, S. & Silberg, J. (2006). Myths that place children at risk during<br />
custody disputes. Sexual Assault Report, 9(3), 33-34 & 42-47.<br />
Daubert v. Merrell Dow Pharmaceuticals, 509 U.S. 579 (1993).<br />
Davis, M. S., O’Sullivan, C. S., Susser, K., & Fields, M. D. (<strong>2011</strong>). Custody<br />
Evaluations When There Are Allegations of Domestic Violence:<br />
Practices, Beliefs, and Recommendations of Professional Evaluators.<br />
http://www.ncjrs.gov/pdffiles1/nij/grants/234465.pdf.<br />
Emery, R., Otto, R., & O’Donohue, W. (2005). A critical assessment of<br />
child custody evaluations: Limited science and a flawed system. <strong>Psychological</strong><br />
Science in the Public Interest, 6, 1-29.<br />
Erickson, N. (2005). Use of the MMPI-2 in custody evaluations involving<br />
domestic violence. Family Law Quarterly, 39, 87-108.<br />
Hardesty, J. L. (2010). The Effect of Domestic Violence Allegations on<br />
Child Custody Evaluators’ Recommendations. National Coalition<br />
Against Domestic Violence Annual Conference, August 2, Anaheim,<br />
CA.<br />
Page 11<br />
Vol. XXIII No. 2 • Fall <strong>2011</strong> • <strong>NYS</strong> <strong>Psychologist</strong>
Haselschwerdt, M. L., Hardesty, J. L., & Hans, J. D. (<strong>2011</strong>). Custody evaluators’<br />
beliefs about domestic violence allegations during divorce:<br />
Feminist and family violence perspectives. Journal of Interpersonal<br />
Violence, 26(8), 1694-1719.<br />
Herrenkohl, T. I., Sousa, C., Tajima, E. A., Herrenkohl, R. C., and Moylan,<br />
C. A. (2008). Intersection of child abuse and children’s exposure to<br />
domestic violence, Trauma Violence and Abuse, 9, 84-99.<br />
Holtzworth-Munroe, A. & Stuart, G. (1994). Typologies of male batterers:<br />
Three subtypes and the differences among them, <strong>Psychological</strong><br />
Bulletin, 116, 476-480.<br />
Inter-American Commission on Human Rights Petition [IACHR]. (2007).<br />
http://www.stopfamilyviolence.org/info/custody-abuse/legaldocuments/petition-to-inter-american-commission-on-human-rights,<br />
accessed 12/12/09.<br />
Kelly, R., & Ramsey, S. (2009). Child custody evaluations: The need for<br />
systems-level outcome assessments. Family Court Review, 47, 286-<br />
303.<br />
Krause, D. & Sales, B. (2000). Legal standards, expertise, and experts in<br />
the resolution of contested child custody cases. Psychology, Public<br />
Policy, and Law, 6, 843-879.<br />
Kunin, C, Ebbesen, E. & Konecni, V. (1992). An archival study of decision<br />
-making in child custody disputes. Journal of Clinical Psychology, 48,<br />
564-573.<br />
Logan, T., Walker, R., Jordan, C., & Horvath, L. (2002). Child custody<br />
evaluations and domestic violence: Case comparisons. Violence and<br />
Victims, 17(6), 719-742.<br />
Morrell, J., & Rubin, L. The Minnesota Multiphasic Personality Inventory-<br />
2, posttraumaticstress disorder, and women domestic violence survivors,<br />
Professional Psychology: Research & Practice, 32, 151-156.<br />
Neustein, A., & Lesher, M. (2005). From madness to mutiny: Why mothers<br />
are running from the family courts – and what can be done about<br />
it. Boston: Northeastern University Press.<br />
O’Sullivan, C. S. (2010). Custody Evaluations when There Are Allegations<br />
of Domestic Violence: Findings and Implications for the Court. AFCC<br />
Ninth Symposium on Child Custody Evaluations, October 28-30,<br />
2010, Cambridge, MA.<br />
Otto, R., & Collins, R. (1995). Use of the MMPI-2/MMPI-A in child custody<br />
evaluations, in Y.S. Ben-Porath, J. Graham, G. Hall, R. Hirschman, &<br />
M. Zaragoza (eds), Forensic applications of the MMPI-2 (p. 222-252).<br />
Thousand Oaks, CA: Sage.<br />
Rosen, L., & O’Sullivan, C. (2005). Outcomes of custody and visitation<br />
petitions when fathers are restrained by protection orders: The case<br />
of the <strong>New</strong> <strong>York</strong> family courts. Violence Against Women, 11 (8), 1054<br />
-1075).<br />
Rosewater, L.B. (1988). Battered or schizophrenic? <strong>Psychological</strong> tests<br />
can’t tell. In K. Yllo & M. Bograd (Eds.), Feminist perspectives on<br />
wife abuse. <strong>New</strong>bury Park, CA: Sage.<br />
Saunders, D. G. (2010). Custody Evaluators’ Beliefs about Domestic<br />
Abuse Allegations. AFCC Ninth Symposium on Child Custody Evaluations,<br />
October 28-30, 2010, Cambridge, MA.<br />
Tippins, T. & Wittman, J. (2005). Empirical and ethical problems with custody<br />
recommendations: A call for clinical humility and judicial vigilance.<br />
Family Court Review, 43, 193-222.<br />
Wissink v. Wissink, 301 A.D.2d 36, 749 N.Y.S.2d 550 (2d Dept. 2002).<br />
Wolfe, D. A., Crooks, C. V., Lee, V., McIntyre-Smith, A., & Jaffe, P. G.<br />
(2003). The effects of children’s exposure to domestic violence: A<br />
meta-analysis and critique. Clinical and Family Psychology Review,<br />
6, 171-187.<br />
Zorza, J. (1996). Most therapists need training in domestic violence. Domestic<br />
Violence Reports 1(6), 1.<br />
Page 12<br />
Vol. XXIII No. 2 • Fall <strong>2011</strong> • <strong>NYS</strong> <strong>Psychologist</strong>
Exploring Human Sexuality for<br />
Women with Intellectual Disabilities<br />
Sharon M. McLennon, MSEd., CRC, LMHC<br />
Laura Palmer, PhD<br />
This literary review will focus on discussing the significance of<br />
sexuality, intimacy, and establishment of meaningful relationships<br />
for women with intellectual disabilities. Women with intellectual<br />
disabilities should have the same individual rights in this country,<br />
including having access to health information about their sexual<br />
reproductive system. Knowing about the inner workings of their<br />
reproductive organs, the ways that sexually transmitted diseases<br />
are spread, information regarding sexual intercourse, and responsibilities<br />
and procedures regarding the use of birth control are<br />
critical to their health and safety. This article will present the challenges<br />
that women with intellectual disabilities might encounter<br />
when exploring their sexuality. Treatment recommendations will<br />
be discuss to assist those professionals who work with this population.<br />
Key Words: women; sexuality; intimacy; intellectual disabilities;<br />
reproductive health; marginalized group<br />
INTRODUCTION<br />
As human beings, we try to evaluate our individual purpose and<br />
meaning for our existence. This task could be accomplished by finding<br />
satisfaction in one’s occupational choices, having and raising<br />
children, maintaining loving relationships with significant others and<br />
family members, etc. For most people, the satisfaction in life could<br />
be defined by the quality of their loving relationships. Many individuals<br />
depend on these relationships with significant others to bring<br />
them romantic comfort, companionship, intellectual stimulation, sexual<br />
satisfaction and a sense of connection. A healthy sexual identity<br />
contributes to a person’s sense of individual worth and their sense of<br />
being valued and appreciated in their romantic relationships.<br />
It was stated by Vansteenwegen, Jans and Revell (2003) that<br />
a woman with a disability can experience difficulties in demonstrating<br />
her sexuality and having sexual satisfaction due to the<br />
implications of her disability as well as societal view on the impact<br />
of the disability. Their research ascertained that approximately<br />
95% of individuals without disabilities are engaging in sexual activity.<br />
When examining the same statistics pertaining to individuals<br />
with disabilities, only 50% of Individuals with Disabilities are sexually<br />
active. Obviously, there is an issue of definition and degree<br />
of disability to be considered when exploring the importance of<br />
sexuality to one’s sense of identity. All people are biologically created<br />
for their sexuality, including those who have disabilities.<br />
Sweeney (2007), Anderson (2000), and Heyman & Huckle<br />
(1995) suggested that parents of a person with an intellectual<br />
disability (ID) might have some preconceived notions that might<br />
include the following stereotypic thoughts:<br />
1. People with ID are childlike in nature, or even considered<br />
perpetual children and not true sexual beings like their peers<br />
without disabilities.<br />
2. People with ID do not really view their sexuality as a critical<br />
issue in their life.<br />
3. People with ID are not given the same credence like their non<br />
-disabled peers when considering their sexual expression.<br />
4. People with ID are considered asexual.<br />
5. People with ID are sexually impulsive.<br />
6. People with ID are not fully responsible for their sexual behaviors<br />
and, if taught about it, might sexually act out.<br />
7. Bodies of people who have ID do not sexually mature like<br />
their counterparts without disabilities.<br />
8. People with ID would be unable to fully or partially comprehend<br />
cultural rules regarding acceptable, public, sexual behavior.<br />
9. People with ID would be unable to deal with or tolerate the<br />
complexities of sexual relationships.<br />
10. People with ID overall, would not be accepted by society in a<br />
sexual relationship.<br />
These present preconceived notions regarding women with<br />
ID are damaging and further cause the transfer of incorrect sexual<br />
knowledge for this referent group.<br />
HISTORICAL OVERVIEW<br />
American history demonstrates a very difficult sexual development<br />
and exploration period for women with ID. This troublesome time in<br />
American culture was known as the Eugenics Movement. According<br />
to Landman (1932) eugenics is defined as “A science of human<br />
betterment. It is concerned with the study of being wellborn<br />
______________________________________________<br />
Sharon Melisse McLennon, MSEd., CRC, LMHC has been a Certified<br />
Rehabilitation Counselor for over 13 years and is a <strong>New</strong> <strong>York</strong> <strong>State</strong> licensed<br />
Mental Health Counselor. She is a Rehabilitation Consultant at the<br />
Shield Institute for Clinical Services in Bayside, <strong>New</strong> <strong>York</strong> where she<br />
works with individuals with intellectual disabilities. She is a fifth-year doctoral<br />
candidate in the Counseling Psychology program At Seton Hall University<br />
in South Orange, <strong>New</strong> Jersey. Ms. McLennon’s research areas<br />
include disability and sexuality. She wrote an article titled “The Pursuit of<br />
Happiness: the Aspect of Disability in Graduate Education” published in<br />
the <strong>New</strong> Jersey <strong>Psychologist</strong> in 2007. Ms. McLennon has received numerous<br />
awards for her research endeavors and academic scholarship including<br />
the American <strong>Psychological</strong> <strong>Association</strong>’s Division 22, Rehabilitation<br />
Psychology, Research Poster Award of the Year for her research on employment<br />
needs for persons with Traumatic Brain Injury presented at the<br />
San Diego annual convention in 2010, the graduate education award from<br />
the Lighthouse International and from the American Council for the Blind<br />
in 2008.<br />
Laura Palmer, Ph.D. is an Associate Professor in the department of<br />
Counseling Psychology at Seton Hall University in South Orange, <strong>New</strong><br />
Jersey. Dr. Palmer is the chair of the Professional Psychology and Family<br />
Therapy Department and Training Director of the doctoral program in<br />
Counseling Psychology in the College of Education and Human Services<br />
at Seton Hall University. She maintains a private practice where she works<br />
with children and elderly adults. Dr. Palmer’s research interest is in the<br />
areas of neuropsychology, sexual abuse and trauma.<br />
Page 13<br />
Vol. XXIII No. 2 • Fall <strong>2011</strong> • <strong>NYS</strong> <strong>Psychologist</strong>
with all the social agencies that may improve or impair physically,<br />
mentally the racial qualities of future generations” (Landman,<br />
1932, p. 3). The eugenics movement’s psychological imperative<br />
was to breed or create superior human beings. This movement<br />
believed in the strength of the influence of genetics and ignored<br />
the importance of the nurturing process. This movement examined<br />
the fecundity of all human beings and extensively looked to<br />
preserve a strong, genetic pool to eliminate all inherited defects.<br />
The elimination of such defects as blindness, deafness, physically<br />
impaired, mental illness, intellectual deficiencies, and criminality,<br />
were controlled by utilizing methods such as mandatory birth control<br />
(involuntary sterilization and complete hysterectomies), regulated<br />
immigration procedures, and laws regarding marriage<br />
(Landman, 1932).<br />
Philosophers and promoters for eugenics believed that during<br />
this time, the American culture needed to have a society which<br />
consisted of intelligent and strong people. As the industrial revolution<br />
came into existence, promoters of eugenics further believed<br />
that the society needed intelligent, physically powerful, superior<br />
beings to run and operate all machinery, carry-out all financial<br />
affairs of a newly developing economy, and take care of the overall<br />
governmental powers as this country launched itself as a super<br />
power. The social outcasts and “defectives” were certainly not<br />
capable of managing such a triumph. Therefore, in order for this<br />
society to satisfy its objectives, all “defectives” needed to be exterminated.<br />
Convictions held by the eugenics movement closely<br />
align with thoughts of Social Darwinism. Social Darwinism states<br />
that the best suited individuals (physically, emotionally, and mentally)<br />
will survive and prosper in this society. These cogitations<br />
regarding individuals being genetically, physically and mentally<br />
superior in order to lead the race were highly regarded during the<br />
eugenic movement (Landman, 1932; Nelson et al., 1999).<br />
During the late nineteenth and early twentieth centuries, numerous<br />
Women with ID were committed into mental Institutions<br />
usually for the duration of their life span (Kempton & Kahn, 1991).<br />
Additionally, these women were involuntarily sterilized. This action<br />
occurred because people without disabilities believed that Women<br />
with ID were thought as inferior beings, dependent, incapable of<br />
having or raising children, and further unable to make appropriate<br />
choices regarding their sexuality and the utilization of their reproductive<br />
organs. Such women were characterized by society as<br />
“feeble-minded,” “idiots,” “morons,” “or imbeciles.” In addition,<br />
people without disabilities were convicted in their thinking that<br />
allowing Women with ID to engage in sexual activity could further<br />
lead to reproductive utilization and this might precipitate increase<br />
levels of sexuality. Further, having Women with ID engage in sexual<br />
activity could additionally lead to the continual transfer of abnormal<br />
genes to their possible offspring. This would result in a<br />
population burden with inferior and undesirable individuals<br />
(Dotson, Stinson, & Christian, 2003; Landman, 1932; Nelson et<br />
al., 1999; Robitscher, 1973).<br />
Page 14<br />
The eugenic sterilization process was executed on innocent<br />
women with ID. For the most part, they were unwilling participants.<br />
These women with ID were persuaded or forced to have<br />
this medical procedure done. <strong>State</strong> laws initiated and passed by<br />
people without disabilities caused for the further demoralization of<br />
women with ID. These women were not afforded the same rights,<br />
privileges, innate comfort ability as women without disabilities.<br />
Unfortunately, a woman with an ID could not express her sexual<br />
wishes, wants and desires of her womanhood based on her disability<br />
status. Legislators without disabilities believed that women<br />
with ID would have biologically defective children and/or not be<br />
suitably fit for child rearing obligations (Landman, 1932; Nelson et<br />
al., 1999; Robitscher, 1973). Unfortunately, historical sexual impressions<br />
for this referent group continue to inform us how arduous<br />
it is for women with ID in the past and now in the present.<br />
These women continue to struggle with understanding their sexual<br />
identity because of their disability.<br />
SEXUAL CONCEPTUALIZATION<br />
Sexuality is the innate process by which the person has a combined<br />
individual, emotional and physical completeness of self. Sexuality<br />
could be further defined as the complete composition of one’s<br />
being. These features include physical, spiritual, emotional, and psychological.<br />
Sexuality encompasses feelings and/or emotions regarding<br />
a particular person and their feelings about us as relating to our<br />
specific gender roles in being a man or woman (Anderson, 2000;<br />
Chilman, 1990).<br />
This is further supported by the definition of sexuality described<br />
by Coleman (2002). He mentioned that, according to the Human<br />
Sexuality Program at the University of Minnesota, sexuality is defined<br />
as “In a broadest sense the psychic energy which finds<br />
physical and emotional expression in the desire for contact,<br />
warmth, tenderness, and love” (Coleman, 2002, p.5). According to<br />
Anderson (2000) elements of sexuality consist of the following:<br />
(a) Sensuality<br />
This refers to the individual comprehension of one’s physical<br />
body, sexual memory, mental fantasy, and orgasm (Anderson,<br />
2000). Mackelprang (1993) indicated that People with ID have the<br />
ability to experience sexual urges by using all their remaining<br />
functional senses. Therefore, this disability group needs to be<br />
instructed by parents, educators, and service providers that human<br />
sexual processes such as the menstruation cycle, male or<br />
female ejaculation, and/or nocturnal emissions are normal sexual<br />
processes that occur in all human beings. These biological processes<br />
are innate in all and are not clear, delineated, manifestations<br />
of the person’s disability (Kewman, Warschausky, Engel and<br />
Warzak, 1997).<br />
(b) Identity<br />
This refers to the specific gender (either being male or female)<br />
and to the specific gender roles that the individual elects to orchestrate<br />
in her professional work setting, in her family, in her residential<br />
communities, in her personal romantic and/or platonic relationships,<br />
etc. This concept of identity includes one’s sexual orientation<br />
(Anderson, 2000; Chilman, 1990). Chilman views the stage of female<br />
adolescence as a time for the developing teen to discover<br />
certain humanistic traits such as intimacy, nurturance, autonomy<br />
and affiliation. She thinks that these traits have a primary focus for<br />
the establishment of a healthy sexuality. Additionally, good sexual<br />
health for teens is grounded on a foundation which consists of<br />
self-esteem and respect in one’s self (Chilman).<br />
For a woman with ID, societal ignorance thinks and believes<br />
that she is not cognizant of gender roles and differing aspects of the<br />
sexes. However, female adolescents’ with ID are very aware of<br />
physical differences between male and female anatomy especially in<br />
the secondary school setting. Female teenagers with intellectual<br />
disabilities are very curious about body differences especially during<br />
the stages of puberty and young adult development. Because of<br />
their intellectual processing, they may not always be readily able to<br />
precisely articulate the sexual feelings occurring in their body. Nevertheless,<br />
despite their intellectual disability status, they do experience<br />
feelings of arousal and attraction which consists of both physical<br />
and emotional levels of sexuality (Anderson, 2000).<br />
(c) Intimacy<br />
This refers to the emotional nexus and the overwhelming feelings<br />
of love and lust that usually occur in most sexual entanglements<br />
(Anderson, 2000). For female teenagers with ID, Matich-Maroney,<br />
Boyle and Crocker (2005) emphasized that these teenagers do<br />
exhibit intensified emotions and feelings regarding romantic relationships.<br />
They experience feelings of attraction and desire towards<br />
members of the opposite sex. Also, the authors indicated<br />
Vol. XXIII No. 2 • Fall <strong>2011</strong> • <strong>NYS</strong> <strong>Psychologist</strong>
that some researchers in sexuality and disability studies have<br />
begun to analyze the frequent occurrence of teens with ID encountering<br />
intimate feelings of attraction and desire towards members<br />
of the same gender (Matich-Maroney et al., 2005)<br />
(d) Reproduction<br />
This refers to having the ability to produce genetic offspring<br />
(Anderson, 2000; Chilman, 1990). Female teenagers with ID can<br />
experience all physical stages of life. This includes the stage of puberty.<br />
Puberty is a physical life stage that comprises a myriad of<br />
physiological and physical changes which take place in boys and<br />
girls. This stage usually begins to occur during the ages of 10<br />
through 18. This process insures that the female adolescent’s body<br />
is biologically equipped to reproduce offspring. This process is also<br />
considered psychological in nature and the person will have emotional<br />
feelings that they may find arduous to discern (Anderson,<br />
2000).<br />
According to Ellis (2004), this reproductive process is defined as<br />
Timing and tempo of pubertal development. He stated that pubertal<br />
timing is having varying levels of physical and sexual maturation.<br />
Pubertal development is the process by which the adrenal glands<br />
(adrenarche) and the hypothalamic-pituitary-gonadal axis<br />
(gonadarche) grow, develop and regulate female reproductive hormones.<br />
Basically, adrenarche and gonadarche primary function is to<br />
cause for the heightened secretion of sex steroids during the pubertal<br />
phase of female development. Some examples of physiological<br />
changes noted by the presence of adrenal androgens are indicated<br />
by the establishment of pubic hair, change in vocal pitch, expansion<br />
of skeletal growth, rising levels of oil on the skin, and body odor<br />
(Ellis).<br />
More specifically, Ellis (2004) articulates that gonadarche initiates<br />
with the reactivation of pulsatile secretion of gonadotropinreleasing<br />
hormone and it is produced by neurons in the hypothalamus.<br />
It precipitates the anterior pituitary gland to produce significant<br />
gonadotropins for example, luteinizing hormone and folliclestimulating<br />
hormone. The production of these hormones affects several<br />
processes, for instance, ovarian follicular maturation, increased<br />
production of ovarian steroid hormones, formation of secondary sexual<br />
characteristics, implementation of the menstrual cycle, subcutaneous<br />
fat deposition, and widening of the pelvis (Ellis).<br />
Additionally, based on the biological development and maturation,<br />
it is clear that women with ID are able and biologically equip to<br />
reproduce offspring. According to Levy, Perhats, Nash-Johnson &<br />
Weller (1992), the risk for unwanted pregnancies is very high for<br />
this disability group compared to their peers without disabilities<br />
and these women are at higher risk for being recipients of unwanted<br />
sexually transmitted diseases and even victims of sexual<br />
abuse (Sweeney, 2007).<br />
(e) Sexualization<br />
This refers to having overwhelming sexual aggression and control<br />
which could lead to sexual violence for instance, rape, incest,<br />
and sexual abuse (Anderson, 2000).<br />
Women with ID may depend on care providers to assist them<br />
with completing some activities of daily living. Because of this dependence,<br />
there is a higher incidence of repeated acts of sexual<br />
abuse. According to Sobsey and Doe (1991), their research findings<br />
revealed that 83 percent of women with ID had been sexually<br />
assaulted. Out of those women, approximately 50 percent of them<br />
had been sexually assaulted at least ten times. Even more disturbing<br />
and tragic is the fact that some types of cognitive disabilities<br />
can prevent a victim from verbally reporting the act. These<br />
victims might have difficulty coming up with the correct vernacular<br />
to fully describe the act in question. Further, the person may find it<br />
hard to physically run away from the perpetrator, or even to physically<br />
fight off the assailant (Sobsey & Doe). Petersilia (2000) stated<br />
that people with intellectual disabilities long for societal acceptance.<br />
Because of their need for acceptance, it can really<br />
cause members of this group to engage in the process of acquiescing<br />
in behavior that they typically might not do. These individuals<br />
might experience feelings of trepidation regarding the lost of<br />
social contact. Further, these individuals might experience feelings<br />
of lost in overall control of their daily functioning. With having<br />
such feelings of lost of control and power, these individuals might<br />
participate in situations that are very harmful to them. The bottom<br />
line is that people with I D, for the most part, are dependent on<br />
their care providers or guardians for lodging, food, clothing, transportation,<br />
and basically for all social involvement with the general<br />
public. The level of dependence is very overwhelming for any<br />
person. In this case, for a person withID, it is even greater<br />
(Petersilia; Tilley, 1998; Burke, Bedard& Ludwig, 1998).<br />
When denying a woman with ID sexual knowledge (sexual acceptance,<br />
the ability to have sexual touching, demonstrating of hugs<br />
and kisses, learning about one’s body and how it functions sexually,<br />
learning about proper reproductive health including the transmission<br />
of diseases, etc.) , the end result could lead to unavoidable poor<br />
overall health, pain, loneliness or low self-esteem or even a combination<br />
of all these features. Therefore, these women might grow up<br />
with inaccurate sexual conceptualizations regarding her personal<br />
worth as a sexual being. She might acquire convictions that promote<br />
that sex is not for her, sex is only for those who are beautiful<br />
(persons without disabilities), sex is only for those with perfect bodies,<br />
or even that sex is only for those who can think and process<br />
their thoughts well (Webster, 1994).<br />
TREATMENT REMEDIES<br />
As a society, we should enable all people with ID to express<br />
their true personality including their sexuality. Sexuality is a natural<br />
process and this process should be experienced by all members<br />
including members with disabilities. In order to successfully<br />
accomplish this goal of sexual equality for women with ID, specific<br />
precautions must be in place for this process to occur. For example,<br />
precise instructions regarding the consequences of sexual<br />
activity should be part of lesson plans implemented by parents<br />
and service providers for teens with ID. Cornelius, Chipouras,<br />
Makas and Daniels (1982) discussed how it was necessary for<br />
sexual instruction to be coupled with social skills training. People<br />
with ID need to be aware of all social graces and expectations<br />
regarding exhibiting sexuality in public arenas. The different nuances<br />
relating to sexuality should be presented. The social milieus<br />
regarding dating norms, proper sexual hygiene, and understanding<br />
one’s body should be reviewed.<br />
Wolfe & Blanchett (2000) mentioned that notably helpful sexual<br />
information more often is not given to this group at any age<br />
due to preconceived notions listed in the beginning section of this<br />
literary review. Nonetheless, accurate age appropriate information<br />
should be made available to these teens during their early years<br />
of sexual development and also should match their level of cognitive<br />
comprehension. They further suggest that when discussing<br />
sexual topics with younger children, topic like the differentiation<br />
between public and private places should be broached. Then address<br />
the more extensive physical, emotional, psychological, and<br />
environmental transformations that occur in children who are experiencing<br />
the advanced stages of sexual development.<br />
Anderson (2000) advocated that, if meaningful sexual change<br />
regarding people with ID is going to occur, there must be a coordinated<br />
partnership between the individual in question along with<br />
family members and service providers. This means that both parties<br />
must be open to dealing with the sexuality and moral values<br />
of female teens. For this to happen, one must be willing to alter<br />
their convictions, morals, values pertaining to the sexuality of persons<br />
with ID.<br />
Page 15<br />
Vol. XXIII No. 2 • Fall <strong>2011</strong> • <strong>NYS</strong> <strong>Psychologist</strong>
Parents are the true gatekeepers regarding if a female teen<br />
with ID can have the opportunity to learn the proper facts about<br />
her sexuality. Parents are given the responsibility to raise and<br />
educate their child with a disability in the best way possible. This<br />
is why it is crucial for these parents to be equipped to do so.<br />
Therefore, with accurate knowledge and fortitude the teen with ID<br />
will be able to develop a healthy self-image which incorporates<br />
increased self-esteem and independence as she blossoms into a<br />
young adult woman.<br />
Parents should be aware that they should not make every<br />
decision regarding sexual activity for their daughter. They must be<br />
mindful that their daughter could develop varying sexual values<br />
and norms different from their own. In addition, this essential<br />
point should be adhered to by service providers and educators<br />
who work with this population. Teens might defined themselves as<br />
gay, lesbian, bisexual or transgender and might want to engage in<br />
sexual activity that occurs within these groups. Further, young<br />
teens might be interested in non traditional sexual positions and<br />
sexual implements that their parents or educator might not even<br />
be aware of or find offending. Regardless, this sexual information<br />
should be given to the teen in hopes that she will have the correct<br />
information to make a more comfortable and safe decision regarding<br />
her sexual expression.<br />
Additionally, the work conducted by Bredehoft (2001) further<br />
bolsters the importance for parents to teach their young teen<br />
about their sexuality. He was able to assemble a developmental<br />
framework which reviews the life span pertaining to family life and<br />
educational needs. This instructional framework incorporates skill<br />
building techniques to better address the following objectives:<br />
1. Insuring responsible sexual practice, choices and behavior;<br />
2. Providing for communication development and enhancement<br />
between parent and teenager;<br />
3. Addressing the child’s needs across numerous stages of<br />
development;<br />
4. Dealing with needs during the period of adolescents;<br />
5. Providing incentives and tolerating tiresome obligations of<br />
parenthood;<br />
6. Comprehending adult roles which consist of marital and<br />
parental requirements;<br />
7. Advocating for the imperativeness of teaching social skills<br />
to teens which contains the aspects of independence,<br />
environmental safety, proper decision making, dealing<br />
with family conflict and conflict resolution;<br />
8. Dealing with a society that has adopted a diverse plethora<br />
of parenting options, such as single-parenting, stepparenting,<br />
adoption, and caretaking of children or siblings<br />
with disabilities and<br />
9. Presenting all options and choices in relationships.<br />
To further supplement these instructional sessions, for service<br />
providers, educators and parents, there are certain recommended<br />
instructional tools that might be utilized when teaching a<br />
person with ID about their sexuality. Anderson (2000) and Kewman<br />
et al. (1997) mentioned the following materials could be<br />
utilized in developing a good repertoire of sex educational tools:<br />
1. “Circles” developed by Marklyn Champagne and Leslie<br />
Walker Jlierch:<br />
This instructional tool is a three-part series which consists<br />
of videos, curricula, photos, a wall chart, and a discussion<br />
guide. This instructional format confronts aspects<br />
of intimacy, relationships, and sexual abuse prevention.<br />
2. “Life Horizons” developed by Winifred Kernpton:<br />
This instructional tool is a two-part curriculum that contains<br />
full-color, in-the-flesh slides and facilitator manuals.<br />
This instructional format deals with addressing aspects of<br />
anatomy, puberty, hygiene, reproduction, contraception,<br />
sexual transmitted infections, and HIV/AIDS. The second<br />
part of this instructional tool deals with topics relating to<br />
self-esteem, moral considerations, legal issues, dating<br />
issues, marriage, and parenthood.<br />
3. Effie Dolls developed by Jim Jackson:<br />
The Effie dolls could be used to ascertain if a person with<br />
ID was sexually abused.<br />
4. Certain books, for instance, the Facts of Life book:<br />
This book is a pop-up book about reproduction. Another<br />
book is called Sex Education for the Developmentally<br />
Disabled. This book has no words and it is a compilation<br />
of sketches. These sketches are utilized for depicting<br />
one’s educational base regarding anatomy, gender, intimacy,<br />
and sexual intercourse.<br />
PROFESSIONAL IMPLICATIONS<br />
To summarize, I thought that this quote says it the best,<br />
“Sexuality is a God-given birthright that no illness or disability can<br />
remove from a human being, but the non-disabled population denies<br />
people with MR/DD this right when looking only at the disabilities.<br />
Love itself may be the greatest life force, the most potent<br />
aphrodisiac.” (Anderson, 2000, p. 59).<br />
First, as service providers, we must fully appreciate and understand<br />
that women with ID must be taught about sexual topics.<br />
These topics should include, but are not limited to: romantic love,<br />
platonic love, conception, contraception, and sexually transmitted<br />
infections. The academic instruction regarding sexuality should<br />
consist of having the required information in order to make healthy<br />
and safe choices. These individuals should learn about the consequences<br />
of engaging in premarital sex which could lead to pregnancy,<br />
acquiring sexually transmitted infections, and the risk factors<br />
of sexual exploitation.<br />
Second, these women with ID should know that masturbation<br />
could be a healthy way of exhibiting their sexuality. However, the<br />
woman must be told that at certain times, this sexual behavior<br />
could be inappropriate when done in a public setting or done very<br />
compulsively.<br />
Third, if the principles of human sexuality are not taught, this<br />
person most likely will learn about their sexual development<br />
through some other medium. In most cases, such a medium<br />
would be television. People with ID spend a significant amount of<br />
time watching television. This is not the most appropriate way in<br />
which they should learn about their sexual identity.<br />
Fourth, it is critical to teach sex education to women with ID.<br />
According to Anderson (2000) and Kewman et al. (1997), this<br />
disability group is three to four times more likely to be sexually<br />
abused or assaulted than their female peers without disabilities.<br />
Finally, for most people talking openly about sexual topics<br />
can be arduous in nature. So consider having this discussion with<br />
a person with ID. This could be quite overwhelming. Sweeney<br />
(2007) recommends early sexual education and preparation for<br />
this population. Repetitive practice coupled with an enthusiastic<br />
attitude from parents and/or care providers will allow for the reduction<br />
in awkwardness related to this subject matter.<br />
Page 16<br />
Vol. XXIII No. 2 • Fall <strong>2011</strong> • <strong>NYS</strong> <strong>Psychologist</strong>
REFERENCES<br />
Anderson, O. H. (2000). Doing what comes naturally: Dispelling myths and<br />
fallacies about sexuality and People with Developmental Disabilities.<br />
<strong>New</strong> <strong>York</strong>, NY: Hightide Press.<br />
Bredehoft, D. J. (2001). The framework for life span family life education<br />
revisited and revised. Family Journal, 9, 134-139.<br />
Burke, L., Bedard, C., & Ludwig, S. (1998). Dealing with sexual abuse of<br />
adults with a developmental disability who also have impaired communication:<br />
Supportive procedures for detection, disclosure and<br />
follow-up. The Canadian Journal of Human Sexuality, 7, 79-92.<br />
Chilman, C. S. (1990). Promoting healthy adolescent sexuality. Family<br />
Relations, 39, 123-132.<br />
Coleman, E. (2002). Sexuality and Developmental Disabilities: The Rights<br />
For Sexual Health. In D. Griffiths, D. Richards, P. Fedoroff, &S. L.<br />
Watson (Ed.), Ethical dilemmas: Sexuality and developmental disabilities<br />
(pp. 5–10). Kingston, NY: NADD Press.<br />
Dotson, L. A., Stinson, J. & Christian, L. A. (2003). “People tell me I can’t<br />
have sex”: Women with Disabilities share their personal perspectives<br />
on health care, sexuality, and reproductive rights. In M. E. Banks & E.<br />
Kaschak (Eds.) Women with visible and invisible disabilities: Multiple<br />
intersections, multiple issues, multiple therapies (pp. 195- 209). <strong>New</strong><br />
<strong>York</strong>: The Haworth Press.<br />
Ellis, B. J. (2004). Timing of pubertal maturation in girls: An integrated life<br />
history approach. <strong>Psychological</strong> Bulletin, 130, 920-958.<br />
Heyman, B., & Huckle, S. (1995). Sexuality as a perceived hazard in the<br />
lives of adults with learning difficulties. Disability & Society, 10, 139-<br />
155.<br />
Kempton, W., & Kahn, E. ( 1991). Sexuality and People with Intellectual<br />
Disabilities: A historical perspective. Sexuality and Disability, 9, 93-<br />
111.<br />
Kewman,D., Warschausky, S., Engel, L. and Warzak, W. (1997). Sexual<br />
development of children and adolescence. In Marca L. Sipski and<br />
Craig J. Alexander (ed.), Sexual functioning in People With Disabilities<br />
and chronic illnesses, A helping professional (pp. 355–378).<br />
Gaithersburg, MD: Aspen Publishers, Inc.<br />
Landman, J. (1932). Human sterilization: The history of the sterilization<br />
movement. <strong>New</strong> <strong>York</strong>, NY: MacMillan.<br />
Levy, S., Perhats, C., Nash-Johnson, M., & Weller, J. (1992). Reducing<br />
the risk in teens who are very young and those with mental retardation.<br />
Mental Retardation, 30, 195-203.<br />
Mackelprang, R. W. (1993). A holistic social work approach to providing<br />
sexuality education and counseling for Persons with Severe Disabilities.<br />
In R, W. Mackelparng & D. Valentine (Ed.), Sexuality and disability<br />
A guide for human service practitioners (pp. 63-87). Binghamton,<br />
NY: The Haworth Press, Inc.<br />
Manuel, J. C., Balkrishnan, R., Camacho, F., Paterson Smith, B., & Koman,<br />
L. A. (2003). Factors associated with self-esteem in preadolescents<br />
and adolescents with cerebral palsy. Journal of Adolescent<br />
Health, 32, 456-458.<br />
Matich-Maroney, J., Boyle, P., S. & Crocker, M., M., (2005). The psychosexual<br />
assessment & treatment continuum: A tool for conceptualizing<br />
the range of sexuality-related issues and support needs of Individuals<br />
with Developmental Disabilities. Mental Health Aspects of Developmental<br />
Disabilities, 8(3), 77-90.<br />
Nelson, R. M., Botkin, J. R., Levetown, M., Moseley, K. L., Truman, J. T.,<br />
& Wilfond, B. S. (1999). Sterilization of minors with developmental<br />
disabilities. Pediatrics, 104, 337- 340.<br />
Petersilia, J. ( 2000). Invisible victims. Human Rights, 27, 9-12.<br />
Robitscher, J. (1973). Eugenic sterilization. Springfield, IL: Charles C.<br />
Thomas.<br />
Sobsey, D., & Doe, T. (1991). "Patterns of sexual abuse and assault".<br />
Journal of Sexuality and Disability, 9(3), 243-259.<br />
Sweeney, L. (2007). Human sexuality education for students with special<br />
needs. Electronic Journal of Human Sexuality, 10 Retrieved November<br />
3, 2007 from http://www.ejhs.org\volume10<br />
\\sweeney\titlepage.html<br />
Tilley, C. M. ( 1998). Health care for Women with Developmental Disabilities:<br />
Literature review and theory. Sexuality and Disability, 16 , 87-<br />
102.<br />
Vansteenwegen, A., Jans, I., & Revell , A., T. (2003). Sexual experience<br />
of Women with a Physical Disability: A Comparative Study. Sexuality<br />
& Disability,21, 283-290.<br />
Webster-Kidd, S. (1994). A personal essay on sexuality and integration:<br />
Opportunity and challenge. Journal of Applied Rehabilitation Counseling,<br />
25, 59-61.<br />
Wolfe, P. S., & Blanchett, W. J. (2000). Moving beyond denial, suppression<br />
and fear to embracing the sexuality of people with disabilities.<br />
TASH <strong>New</strong>sletter, 26(5), 5-7.<br />
Page 17<br />
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Reconceptualizing Gender: Changing Views of<br />
Women’s and Men’s Personalities<br />
Gwendolyn L. Gerber, PhD<br />
John Jay College of Criminal Justice, The City University of <strong>New</strong> <strong>York</strong><br />
Major changes have taken place over the past several decades in<br />
the way gender is conceptualized The traditional view held that<br />
men and women had inherently different personality traits because<br />
of genetic differences or differences in their early socialization<br />
experiences. The newer vision of gender and personality<br />
focuses on the situational factors that underlie what appear to be<br />
gender differences in personality. Men have higher status than<br />
women and, as a result, engage in different behaviors and appear<br />
to have different personalty traits. Men are thus perceived as<br />
having the instrumental or assertive traits associated with high<br />
status, and women are perceived as having the expressive or<br />
accommodating traits associated with low status. Changing<br />
views of gender and personality are discussed in terms of the<br />
instrumental and expressive traits that have been the focus of<br />
most theory and research and other less-researched genderstereotyped<br />
personality traits.<br />
Keywords: Gender and personality, Gender stereotypes, Status<br />
and personality traits<br />
The past several decades have seen a major transformation<br />
in the way gender is conceptualized. Longstanding assumptions<br />
about gender have been challenged, including the belief that<br />
women and men have different personality traits. Most people<br />
believe that women have more expressive or accommodating<br />
traits and men have more instrumental or assertive traits. They<br />
assume these personality differences stem from genetic differences<br />
or differences in the way women and men are socialized in<br />
their early years. However, research has shown that these apparent<br />
gender differences in personality can be explained by the<br />
difference in men’s and women’s status. Men have higher status<br />
than women and, as a result, engage in different behaviors and<br />
appear to have different personality traits. Men are perceived as<br />
having the instrumental traits associated with high status, and<br />
women are perceived as having the expressive traits associated<br />
with low status. When women and men have equal status, however,<br />
these gender differences disappear and their apparent personality<br />
traits are essentially the same. This paper discusses the<br />
changing views of gender and personality in terms of the instrumental<br />
and expressive traits and other less-researched genderstereotyped<br />
traits.<br />
Research on Gender and Personality<br />
Research has played a crucial role in changing the way we<br />
look at women’s and men’s personalities. This research, which<br />
began in the late 1960s and early 1970s, tested some of the<br />
longstanding beliefs about personality and gender and found that<br />
many of these beliefs were not supported. Most of the theory and<br />
research focused on the socially desirable instrumental and expressive<br />
traits. The instrumental traits are associated with men<br />
and include characteristics such as being assertive, decisive, and<br />
independent; the expressive traits are associated with women<br />
and include characteristics such as being warm, helpful to others,<br />
and concerned about other people (Bem, 1974; Spence,<br />
Helmreich, & Stapp, 1975--see Table 1). Not only were the stereotypes<br />
about the personality traits of the “typical female” and<br />
“typical male” found to be different; in addition, when people described<br />
their own personalities, similar differences were found.<br />
Most of this research was carried out in the United <strong>State</strong>s, but<br />
comparable stereotypes have been found in other countries<br />
(Williams & Best, 1982/1990). There are some slight differences<br />
between cultures, but basically women are believed to be more<br />
expressive and men to be more instrumental.<br />
One of the assumptions that people made about individual<br />
personality was that the instrumental and expressive traits were<br />
inversely related. In other words, since men were high on the<br />
instrumental traits, it was assumed that they would always be low<br />
on the expressive traits. Women, who were high on the expressive<br />
traits, were assumed to always be low on the instrumental<br />
traits. However, research found that this assumption was incorrect–the<br />
instrumental and expressive traits were essentially uncorrelated<br />
within individual personality. Individuals, both male<br />
and female, could be high on both the expressive and instrumental<br />
traits. They also could be low on both traits–with all of the<br />
other variations in between (Spence, Deaux, & Helmreich, 1985).<br />
This new conceptualization was very freeing for women. It<br />
meant that a woman who embarked on a high-status profession<br />
like medicine or law, could act in a more instrumental, assertive<br />
way without fearing this would lessen her expressiveness and<br />
make her less “feminine.” To give an example from another occupation,<br />
women police officers are very high on the instrumental<br />
traits–as high as men police officers (Gerber, 2001). But women<br />
officers are equally as high on the expressive traits as are nonpolice<br />
women (Lester, Granau, & Wondrack, 1982).<br />
In working with patients, this new conceptualization was very<br />
helpful. Sometimes a woman patient would verbalize the concern<br />
that if she embarked on a high-status profession–for example, if<br />
she wanted to obtain a Ph.D. in psychology, she would need to<br />
be more instrumental or assertive. Women often feared that this<br />
would mean they would become less expressive and less<br />
“feminine.” It was reassuring for them to hear that these traits<br />
——————————————–——————————————-<br />
Gwendolyn L. Gerber, Ph.D. is Professor of Psychology at John Jay College<br />
of Criminal Justice and the Graduate Center of the City University of<br />
<strong>New</strong> <strong>York</strong>. She has published widely, including a book, "Women and Men<br />
Police Officers: Status, Gender, and Personality." Her research interests<br />
include gender issues and gender stereotyping, police psychology, and<br />
sexual assault.<br />
Page 18<br />
Vol. XXIII No. 2 • Fall <strong>2011</strong> • <strong>NYS</strong> <strong>Psychologist</strong>
were unrelated, and their increased instrumentality need have no women from achieving these goals.<br />
effect on their expressiveness. But if, as research had shown,<br />
men and women were not fundamentally different in their personalities<br />
and both could possess instrumental as well as expressive<br />
traits, the question then became: Why were women’s personalities<br />
generally perceived as more expressive and men’s personalities<br />
more instrumental? Perhaps, it was reasoned, the gendertyped<br />
traits were associated with greater mental health. In other<br />
words, perhaps women who characterized themselves as high in<br />
expressiveness were psychologically healthier than those who did<br />
not, and perhaps men who characterized themselves as high in<br />
instrumentality were healthier than those who were low on these<br />
traits.<br />
This belief was held by many people in the larger culture. A<br />
study conducted in 1970 found that this belief was shared by<br />
mental health professionals as well–including psychologists, psychiatrists,<br />
and social workers (Broverman, Broverman, Clarkson,<br />
Rosenkrantz, & Vogel, 1970). Clinicians were asked to describe<br />
a “mature, healthy, socially competent adult woman,” a healthy<br />
man, and a healthy adult person (gender unspecified) on the gender-stereotyped<br />
personality traits The traits associated with a<br />
healthy man were similar to those of a healthy adult–both were<br />
described as high on the instrumental traits. By contrast, a psychologically<br />
healthy woman was described as high on the expressive<br />
traits. This finding was especially startling when the stereotypic<br />
traits that clinicians associated with a healthy woman were<br />
examined. The authors of the study wrote that their findings reflected<br />
“a powerful, negative assessment of women....[C]<br />
linicians...[were] more likely to suggest that healthy women differ<br />
from healthy men by being more submissive, less independent,<br />
less adventurous, more easily influenced, less aggressive, less<br />
competitive, having their feelings more easily hurt, being more<br />
emotional,...less objective, and disliking math and science.” They<br />
concluded by saying, “This constellation seems a most unusual<br />
way of describing any mature, healthy individual” (Broverman et<br />
al., 1970, p. 5).<br />
This study served as a major wake-up call for the mental<br />
health community. On the one hand, many therapists were trying<br />
to respond to the changes in women’s roles that were starting to<br />
take place in the larger society. Betty Friedan’s book, The Feminine<br />
Mystique, had been published in 1963 and described the<br />
vague and unnamed dissatisfaction that many American women<br />
were experiencing–a feeling of being trapped within lives that<br />
centered exclusively on husband, children, and home.<br />
Following the publication of Friedan’s book, women started<br />
to move into the workplace and therapists tried to encourage<br />
this expansion of women’s roles. However, what the study<br />
demonstrated was that clinicians themselves were caught up in<br />
the same gender stereotypes as the rest of society. They too<br />
believed that the healthy adult woman was characterized by traits<br />
that would prevent her from moving out into the workplace–<br />
especially into high-status occupations. They believed that, in<br />
order to be mentally healthy, a woman should be more expressive.<br />
However, “expressiveness,” as measured by Rosenkrantz<br />
and Vogel included characteristics like submissiveness, indecisiveness,<br />
and lack of independence that would actually prevent<br />
This research challenged the “prescriptive” stereotypes for<br />
women--the traits society prescribes that women must exhibit in<br />
order to be considered truly “feminine” (Spence et al., 1985). Not<br />
only did society postulate that the genders differed in their personality<br />
traits, it also demanded that women should be more expressive<br />
and men should be more instrumental. These prescriptions<br />
then become internalized and women–and men–both try to<br />
live up to these ideals.<br />
This led to further questions about the relation of the instrumental<br />
and expressive traits to women’s and men’s self-esteem.<br />
Contrary to popular belief, the instrumental traits were found to be<br />
associated with self-esteem for both genders (Whitley, 1983). By<br />
contrast, the expressive traits bore little or no relation to selfesteem–again,<br />
for both genders. Instead, the expressive traits<br />
were found to facilitate satisfaction in relationships with others.<br />
For example, in marriage, the husband’s satisfaction in the relationship<br />
was related to the strength of the wife’s expressive traits,<br />
and the wife’s satisfaction in the relationship was related to the<br />
strength of the husband’s expressive traits (Antill, 1983). In other<br />
words, it was beneficial for relationships for men and women both<br />
to manifest expressive traits. The benefits of the expressive traits<br />
were not restricted to personal relationships like marriage. These<br />
traits were found to facilitate cohesiveness In other types of<br />
groups as well–including groups in highly masculine-typed settings,<br />
like the military (Weber, Rosen, & Weisbrod, 2000).<br />
Current View of Gender and Personality<br />
Traditional approaches to gender and personality had held<br />
that men and women were inherently different in their personality<br />
traits–these gender-stereotyped traits were determined by genetics<br />
or early socialization experiences and remained fixed throughout<br />
an individual’s life span. The newer vision of gender and personality<br />
focuses on the situational factors that underlie what appear<br />
to be gender differences in personality. This approach focuses<br />
on the status and power differences between the genders<br />
and how these lead to apparent differences in personality. In a<br />
recently published paper, I reviewed studies to determine whether<br />
status and power differences could explain why women and men<br />
appear to have different personality traits (Gerber, 2009). The<br />
traits that I examined reflected broad aspects of instrumentality<br />
and expressiveness, and included the instrumental, expressive,<br />
dominating, submissive, and complaining traits.<br />
According to the status explanation of personality, status<br />
differences between the genders can account for two components<br />
of gender stereotyping: (1) the belief that women and men have<br />
different personality traits–in other words the stereotypes that<br />
people hold in which women are stereotyped as being more expressive<br />
and men are stereotyped as being more instrumental,<br />
and (2) the differences in the way that men and women describe<br />
their own personality traits in which women describe themselves<br />
as more expressive and men describe themselves as more instrumental.<br />
Status refers to a person’s prestige or relative standing within<br />
a social group. For example, a person who has higher education<br />
than another has more status. Gender also functions as a status<br />
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Vol. XXIII No. 2 • Fall <strong>2011</strong> • <strong>NYS</strong> <strong>Psychologist</strong>
Table 1<br />
Gender-Stereotyped Personality Traits<br />
Personality Traits Definition .<br />
Instrumental<br />
Expressive<br />
Dominating<br />
Complaining<br />
Submissive<br />
Socially desirable, self-assertive or goal-oriented characteristics that are associated with men,<br />
for example decisive, active, independent<br />
Socially desirable, interpersonally oriented, communal or accommodating characteristics that are<br />
associated with women for example, helpful to others, aware of others’ feelings, warm.<br />
Socially undesirable, instrumental or dominating characteristics that are associated with men, for<br />
example, dictatorial, arrogant, egotistical<br />
Socially undesirable attributes such as complaining and nagging that are associated with<br />
women, example, complains, nags.<br />
Socially undesirable characteristics reflecting submissiveness and a lack of sense of self that are<br />
associated with women, for example, subordinates self to others, servile.<br />
characteristic because men generally have higher status than<br />
women. Status and power are often, although not always, related<br />
and an individual who has higher status in a relationship, usually<br />
has more power. Power is defined as an individual’s ability to<br />
influence or control another person.<br />
The belief that women and men have different personality<br />
traits can be explained by the difference in their status and power.<br />
Within families, men generally have higher status than women<br />
and make more of the decisions (Steil, 1997). Within organizations<br />
as well, men usually have higher status and hold positions<br />
with more prestige and more power in comparison to women<br />
(Hollander & Offermann, 1990). In the university community, for<br />
example, men more often hold the rank of professor, while women<br />
more often are in lower-status positions, such as lecturer or<br />
assistant professor.<br />
According to the status explanation of gender stereotyping,<br />
because men have higher status than women it only appears that<br />
they have different personality traits. However, when women and<br />
men have equal status, they would manifest essentially the same<br />
personality attributes. To determine whether status underlies the<br />
apparent gender differences in personality, it is necessary to examine<br />
situations in which women and men have equal status.<br />
This can be done within organizations by comparing men and<br />
women who hold the same position or rank in order to determine<br />
whether they describe themselves as having the same personality<br />
traits.<br />
Most of this research focused on the socially desirable instrumental<br />
and expressive traits. The instrumental traits were found<br />
to be associated with high status and power, and the expressive<br />
traits were associated with low status and power for both genders<br />
(Gerber, 2009). However, there are other gender-stereotyped<br />
traits that are socially undesirable for both genders. These include<br />
the dominating or dictatorial traits that are associated with<br />
men, and the complaining and submissive traits that are associated<br />
with women (Spence, Helmreich, & Holahan, 1979). The status<br />
explanation of gender stereotyping was able to account for<br />
gender differences on these undesirable traits as well.<br />
Dominating Traits<br />
The dominating traits refer to socially undesirable, selfcentered<br />
attributes that are used to achieve an individual’s goals,<br />
regardless of the wishes of others (Spence et al. 1979--see Table<br />
1). People associate these traits with men, but research has<br />
shown that they are associated with status and power, regardless<br />
of gender. For example, in a study of police officers who worked<br />
together as partners, the more experienced, high-status officer in<br />
each partnership perceived him- or herself as having somewhat<br />
more dominating traits than did the less experienced, low-status<br />
officer (Gerber, 2001).<br />
Generally, individuals who are high on the dominating traits<br />
are perceived as competent–a quality that’s associated with high<br />
status. However, along with this increased competence, these<br />
traits are associated with a variety of adverse consequences for<br />
both genders. People who are domineering often suffer from<br />
interpersonal difficulties, poor psychological well-being, and low<br />
self-esteem (Helgeson & Fritz, 1999; Spence et al., 1979).<br />
Although the dominating traits are most frequently associated<br />
with high status and interpersonal competence, they sometimes<br />
can be associated with low status, depending on the situational<br />
context. For example, astronauts have to be able to live together<br />
on a space station for extended periods of time, so for them the<br />
ability to cooperate with others is important. In a sample of astronauts,<br />
the dominating traits, which reflect a unilateral use of power,<br />
were associated with lower status. Those astronauts who<br />
were high on the dominating traits were ranked lower by their<br />
peers on leadership and interpersonal competence (Rose,<br />
Helmreich, Fogg, & McFadden, 1993).<br />
Submissive Traits<br />
The submissive traits involve submission to another person<br />
through characteristics such as servility and the subordination of<br />
oneself to others (Spence et al., 1979–see Table 1). Although<br />
women are stereotyped as being more submissive than men,<br />
research has shown that these traits are associated with low status<br />
for both genders. In a work setting, for example, individuals of<br />
both genders reported that when they interacted with higher status<br />
supervisors, they were more submissive than when they interacted<br />
with people of equal or lower status (Moskowitz, Suh, &<br />
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Vol. XXIII No. 2 • Fall <strong>2011</strong> • <strong>NYS</strong> <strong>Psychologist</strong>
Desaulniers, 1994). In a military setting as well, submissiveness<br />
was associated with lower status. Male and female soldiers who<br />
were in lower ranking positions described themselves as having<br />
more submissive traits (Rosen, Weber, & Martin, 2000).<br />
Paradoxically, these traits are not always associated with<br />
lower status and less power. Sometimes the submissive traits<br />
can enable low-status individuals to increase their power and influence.<br />
By manifesting submissive traits and appearing to be<br />
subservient, low-status individuals can reassure others that they<br />
are not trying to take over the leadership role, and this allows<br />
them to gain more influence because they do not threaten the<br />
high-status partner’s control (Gerber, 2001).<br />
Within the <strong>New</strong> <strong>York</strong> Police Department, for example, the<br />
officers with the very lowest status are the less experienced women<br />
officers who work with a more experienced female partner.<br />
These women officers have very low status because they are<br />
viewed as less competent than their senior partner and, in addition,<br />
they are in an all-female police team, which has the lowest<br />
status in comparison to all-male and male-female teams. When<br />
these low-status female officers described themselves as being<br />
high in submissiveness, they generally described themselves as<br />
being high in dominance as well. Female officers who were high<br />
on both traits were evaluated by their supervisor as having more<br />
leadership ability and as being more competent in their work<br />
(Gerber, 2001).<br />
The problem with the submissive traits is that they are associated<br />
with adverse consequences for both genders, including depression,<br />
low self-esteem, and other psychological and physical<br />
problems (Helgeson & Fritz, 1998; Spence et al., 1979). However,<br />
the submissive traits can sometimes be associated with more<br />
positive evaluations in work situations. For example, astronauts<br />
are expected to work cooperatively with one another, and those<br />
who were higher in submissiveness were rated as more competent<br />
by their peers (Rose, Fogg, Helmreich, & McFadden, 1994).<br />
Individuals who suffer from excess submissiveness can<br />
sometimes gain benefits by manifesting these traits. Such individuals<br />
often have difficulty with the positive self-assertion reflected<br />
in the instrumental traits. By devoting themselves entirely to others<br />
and neglecting the self, they can gain influence by creating<br />
relationships in which others become dependent on them (Fritz &<br />
Helgeson, 1998). The problem is that negating the self can result<br />
in depression with an accompanying loss of self-esteem.<br />
Complaining Traits<br />
The complaining traits include characteristics such as complaining<br />
and nagging and are most frequently associated with<br />
women (Spence et al., 1979--see Table 1). However, research<br />
has found that these traits are related to status, not gender<br />
(Gerber, 2009). When men are in low-status positions, they also<br />
are characterized by more complaining traits. These traits can be<br />
functional for low-status individuals because they allow them to<br />
exercise influence in an indirect way. At the same time as lowstatus<br />
individuals attempt to increase their influence, they<br />
acknowledge that the other person has the right to make the final<br />
decision. Because of this, the high-status person need not feel<br />
threatened in his or her leadership role.<br />
The previously discussed study with police partners illustrated<br />
how the complaining traits can be effective for low-status persons.<br />
When a man and a woman work together as partners, the<br />
man has more status than the woman. This is because the police<br />
department is a highly masculine-typed setting and the man is<br />
always expected to take charge--even when the woman has more<br />
job experience. One way a woman officer is able to gain more<br />
influence is by complaining. Research found that in male-female<br />
police teams, the woman described herself as having more complaining<br />
traits than the man–and her male partner perceived her<br />
as complaining more than him as well (Gerber, 2001). Complaining<br />
appeared to serve an important function for both officers in<br />
these male-female teams. Women officers, who sometimes had<br />
more experience than their male partner, were able to gain greater<br />
influence over the decisions in the partnership. In addition, the<br />
woman officer’s complaining traits were positively correlated with<br />
both officers’ evaluations of their work competence. In other<br />
words, the more the female officer complained, the more competent<br />
both she and her male partner saw themselves in their work.<br />
The Gender-Stereotyped Traits in Different Cultures and<br />
Changes over Time<br />
Most studies of gender differences have been conducted in<br />
the United <strong>State</strong>s. However, research from other countries shows<br />
that these gender differences in personality are found in other<br />
societies as well. A major study of gender differences in the traits<br />
ascribed to men and women in the U.S. and 24 other countries<br />
found that many of the traits that were consistently associated<br />
with women were similar to the expressiveness that is characteristic<br />
of low status roles, and many of the traits that were associated<br />
with men were similar to the instrumentality that is characteristic<br />
of high status roles (Williams & Best, 1982/1990). These findings<br />
can be explained by the status and power differences between<br />
the genders that are found across cultures. A universal pattern<br />
across societies is one in which men have more status and power<br />
than women (Eagly, Wood, & Johannesen-Schmidt, 2004). Although<br />
some societies are more egalitarian than others, all of the<br />
gender hierarchies across cultures favor men.<br />
If status and power differences between the genders underlie<br />
the differences in personality traits that can be observed across<br />
cultures, then we would expect that, as women’s status in relation<br />
to men increases, the ways that men and women describe their<br />
own personality traits would also change. Consistent with this<br />
argument, as women’s status increased throughout the 1970s to<br />
the 1990s in the U.S., women’s assertiveness increased so that<br />
recent samples show no gender difference (Twenge, 2001). This<br />
increased assertiveness in women’s self-concepts may reflect, in<br />
part, the success of the women’s movement in encouraging women<br />
to strive for higher status educational and occupational roles.<br />
By contrast, women’s and men’s expressiveness scores have<br />
shown little change over time. The gender difference in the expressive<br />
traits in which women are more expressive than men has<br />
remained substantial (Twenge, 1997). This may reflect the lower<br />
value placed on the expressive traits in comparison to the instrumental<br />
traits. But there is another explanation, which has to do<br />
with power. As girls and women have been “encouraged to become<br />
more assertive, to stand up for their own legitimate<br />
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ights,...and to aim high in their vocational aspirations,” they have<br />
gained in status (Spence & Buckner, 2000, p. 59). Although<br />
women’s status has increased over the decades, the power relationship<br />
between the genders, particularly in intimate relationships<br />
such as marriage, has shown relatively little change (Steil,<br />
1997). Some research has found that the expressive traits are<br />
related to power (Saragovi, Aube, Koestner, & Zuroff, 2002).<br />
Thus, the absence of change in expressiveness may reflect the<br />
greater power that men still have in comparison to women, both<br />
in occupational settings and in intimate relationships and marriage.<br />
Implications for Psychotherapy<br />
In addition to the socially desirable instrumental and expressive<br />
traits, there are other less-researched gender-stereotyped<br />
personality traits that are socially undesirable–the dominating,<br />
submissive and complaining traits. The status approach to gender<br />
stereotyping can explain how all of these traits become linked<br />
with gender. Because men have higher status than women, the<br />
instrumentally oriented (instrumental and dominating) traits become<br />
associated with men and the expressively oriented<br />
(expressive, submissive and complaining) traits become associated<br />
with women. However, as research has shown, the instrumentally<br />
oriented traits characterize high-status individuals and<br />
the expressively oriented traits characterize low-status individuals,<br />
regardless of gender.<br />
The socially desirable instrumental and expressive traits<br />
continue to be prescriptive for women and men and are linked<br />
with female and male gender identity. The effect of these widely<br />
shared cultural prescriptions for men’s and women’s behaviors is<br />
to promote the enactment of relationships in which men have<br />
more status and power than women. The task for psychotherapy<br />
and for psychotherapists is to help women and men develop<br />
ways of defining their respective gender identities which are not<br />
dependent on culturally expected differences in status and power.<br />
The instrumental and expressive traits are valuable for both<br />
genders, and the challenge is to enable people to move beyond<br />
conventional expectations for men’s and women’s behaviors and<br />
personality traits so as to realize their own individual potential.<br />
REFERENCES<br />
Antill, J. K. (1983). Sex role complementarity versus similarity in<br />
married couples. Journal of Personality and Social Psychology,<br />
45, 145-155.<br />
Bem, S. L. (1974). The measurement of psychological androgyny.<br />
Journal of Consulting and Clinical Psychology, 42, 155-<br />
162.<br />
Broverman, I. K., Broverman, D. M., Clarkson, F. E.,<br />
Rosenkrantz, P. S., & Vogel, S. R. (1970). Sex-role stereotypes<br />
and clinical judgments of mental health. Journal of<br />
Consulting & Clinical Psychology, 34, 1-7.<br />
Eagly, A. H., Wood, W., & Johannesen-Schmidt, M. C. (2004b).<br />
Social role theory of sex differences and similarities: Implications<br />
for the partner preferences of women and men. In A. H.<br />
Eagly, A. E. Beall, & R. J. Sternberg (Eds.), The psychology<br />
Page 22<br />
of gender (2 nd ed., pp. 269-295). <strong>New</strong> <strong>York</strong>: Guilford Press.<br />
Gerber, G. L. (2001). Woman and men police officers: Status,<br />
gender, and personality. Westport, CT: Praeger.<br />
Gerber, G. L. (2009). Status and the gender stereotyped personality<br />
traits: Toward an integration. Sex Roles, 61, 297-316.<br />
Friedan, B. (1963). The feminine mystique. <strong>New</strong> <strong>York</strong>: Norton.<br />
Fritz, H. L., & Helgeson, V. S. (1998). Distinctions of unmitigated<br />
communion from communion: Self-neglect and over involvement<br />
with others. Journal of Personality and Social Psychology,<br />
75, 121-140.<br />
Helgeson, V. S., & Fritz, H. L. (1998). A theory of unmitigated<br />
communion. Personality and Social Psychology Review, 2,<br />
173-183.<br />
Helgeson, V. S., & Fritz, H. L. (1999). Unmitigated agency and<br />
unmitigated communion: Distinctions from agency and communion.<br />
Journal of Research in Personality, 33, 131-158.<br />
Hollander, E. P., & Offerman, L. R. (1990). Power and leadership<br />
in organizations: Relationships in transition. American <strong>Psychologist</strong>,<br />
45, 179-189.<br />
Lester, D., Granau, F., & Wondrack, K. (1982). The personality<br />
and attitudes of female police officers: Needs, androgyny,<br />
and attitudes toward rape. Journal of Police Science and<br />
Administration, 10, 357-360.<br />
Moskowitz, D. S., Suh, E. J., & Desaulniers, J. (1994). Situational<br />
influences on gender differences in agency and communion.<br />
Journal of Personality and Social Psychology, 66, 753-761.<br />
Rose, R. M., Fogg, L. F., Helmreich, R. L., & McFadden, T. J.<br />
(1994). <strong>Psychological</strong> predictors of astronaut effectiveness.<br />
Aviation, Space, and Environmental Medicine, 65, 910-915.<br />
Rose, R. M., Helmreich, R. L., Fogg, L., & McFadden, T. J.<br />
(1993). Assessments of astronaut effectiveness. Aviation,<br />
Space, and Environmental Medicine, 64, 789-794.<br />
Rosen, L. N., Weber, J. P., & Martin, L. (2000). Gender-related<br />
personal attributes and psychological adjustment among<br />
U.S. Army soldiers. Military Medicine, 165, 54-59.<br />
Saragovi, C., Aube, J., Koestner, R., & Zuroff, D. (2002). Traits,<br />
motives, and depressive styles as reflections of agency and<br />
communion. Personality and Social Psychology Bulletin, 28,<br />
563-577.<br />
Spence, J. T., & Buckner, C. E. (2000). Instrumental and expressive<br />
traits, trait stereotypes, and sexist attitudes: What do<br />
they signify? Psychology of Women Quarterly, 24, 44-62.<br />
Spence, J. T., Deaux, K., & Helmreich, R. L. (1985 ). Sex roles in<br />
contemporary American society. In G. Lindzey & E. Aronson<br />
(Eds.), Handbook of social psychology: Special fields and<br />
applications (Vol. II, 3 rd ed., pp. 149-178). <strong>New</strong> <strong>York</strong>: Random<br />
House.<br />
Spence, J. T., Helmreich, R. L. & Holahan, C. K. (1979). Negative<br />
and positive components of psychological masculinity<br />
and femininity and their relationships to self-reports of neu-<br />
Vol. XXIII No. 2 • Fall <strong>2011</strong> • <strong>NYS</strong> <strong>Psychologist</strong>
otic and acting out behaviors. Journal of Personality and<br />
Social Psychology, 37, 1673-1682.<br />
Spence, J. T., Helmreich, R. L., & Stapp, J. (1975). Ratings of<br />
self and peers on sex-role attributes and their relation to selfesteem<br />
and conceptions of masculinity and femininity. Journal<br />
of Personality and Social Psychology, 32, 29-39.<br />
Steil, J. M. (1997). Marital equality: Its relationship to the wellbeing<br />
of husbands and wives. Thousand Oaks, CA: Sage.<br />
Twenge, J. M. (2001). Changes in women’s assertiveness in response<br />
to status and roles: A cross-temporal meta-analysis,<br />
1931-1993. Journal of Personality and Social Psychology,<br />
81, 133-145.<br />
Twenge, J. M. (1997). Changes in masculine and feminine traits<br />
over time: A meta-analysis. Sex Roles, 36, 305-325.<br />
Weber, J. P., Rosen, L. N., & Weisbrod, C. (2000). Gender-based<br />
personality traits and military cohesion. Military Medicine,<br />
165(4), iii, 297.<br />
Whitley, B. E. (1984). Sex-role orientation and psychological wellbeing:<br />
Two meta-analyses. Sex Roles, 12, 207-225.<br />
Williams, J. E., & Best, D. L. (1982/1990). Measuring sex stereotypes:<br />
A thirty-nation study (Rev.ed., 1990). <strong>New</strong>bury Park, CA:<br />
Sage.<br />
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Addressing Intimate Partner Violence on College<br />
Campuses: Strategies and Opportunities<br />
Vanessa M. Bing, PhD<br />
LaGuardia Community College, City University of <strong>New</strong> <strong>York</strong><br />
Intimate partner violence (IPV) represents a pattern of coercive<br />
and abusive behavior in a relationship where one partner attempts<br />
to gain control over another intimate partner. Intimate partner<br />
violence largely affects women and is a global public health concern.<br />
College women are part of the national statistics, although<br />
less is known about this population as the phenomenon is largely<br />
under studied. The City University of <strong>New</strong> <strong>York</strong> has recently taken<br />
an important move in addressing the problem of intimate partner<br />
violence by passing a resolution for each of its campus school<br />
to develop a policy addressing intimate partner violence on campus.<br />
It is recommended that U.S. colleges and universities similarly<br />
take proactive measures to create structures, policies and<br />
procedures for addressing IPV and undertake research to understand<br />
the nature and scope of this problem on college campuses.<br />
Keywords: intimate partner violence, abuse, gender violence, college<br />
dating<br />
Intimate partner violence (hereinafter IPV) is broadly defined<br />
as violence occurring between persons who have a current or<br />
former dating, marital or co-habiting relationship, with someone of<br />
the same- or opposite-sex. Such violence, frequently referred to<br />
as domestic violence, can represent a pattern of coercive and<br />
abusive behavior in a relationship when one partner attempts to<br />
gain or maintain control over another intimate partner. This abuse<br />
can be physical, sexual, emotional, economic or psychological in<br />
nature. Even when there are no acts of physical violence, the<br />
threat of violence is present and abolishes one’s sense of safety<br />
and security in the relationship. Although men are also victims of<br />
partner abuse, findings from the Bureau of Justice Statistics’ National<br />
Crime Victimization Survey show women are at significantly<br />
greater risk of IPV (Tjaden and Thoennes, 2000). Indeed, the<br />
overwhelming majority of reported victims are women.<br />
In the United <strong>State</strong>s, violence against women is a significant<br />
problem. This violence perpetrated by intimates constitutes 20 -<br />
25% of violent crimes against women (Rennison, 2003; Tjaden<br />
and Thoennes, 2000). The highest rate of intimate partner violence<br />
occurs among women ages 16 – 24 (U.S. Department of<br />
Justice, 2003; 2009), and there are estimates that some 32% of<br />
college students are victims of intimate partner violence (Feminist<br />
Majority Foundation, 2005). However, girls as young as age 12<br />
have been counted among those victimized by intimates with females,<br />
aged 12 and older, reporting approximately 552,000 nonfatal<br />
violent victimizations (rape/sexual assault) by an intimate<br />
partner in 2008 (Catalano, Smith, Snyder & Rand, 2009). The<br />
Centers for Disease Control and National Institute of Justice report<br />
nearly 5 million incidents of IPV occurring each year among<br />
women 18 and older, and IPV results in nearly two million injuries<br />
and over 2000 deaths nationwide. Intimate partner violence or<br />
domestic violence in particular has become one of the most serious<br />
public health and criminal justice issues, with one of every<br />
four U.S. women being physically assaulted or raped by an intimate<br />
partner (Tjaden & Thoennes, 2000).<br />
The <strong>State</strong> of <strong>New</strong> <strong>York</strong> Office for the Prevention of Domestic<br />
Violence reports equally staggering numbers in their Domestic<br />
Violence Dashboard Project Data (2008) noting approximately<br />
450,000 domestic violence incidents are reported to police<br />
departments annually, and 50% of females aged 16 and older<br />
who were victims of homicide were killed by an intimate partner.<br />
Similarly, a report from the <strong>New</strong> <strong>York</strong> City Department of Health<br />
and Mental Hygiene (2008) supports these state and national<br />
statistics, citing nearly half of fatal violence against women to be a<br />
result of IPV. In 2005 alone, nearly 4,000 <strong>New</strong> <strong>York</strong> City women<br />
were treated in emergency departments for injuries due to intimate<br />
partner violence. Anonymous surveys conducted between<br />
2004 - 2005 revealed an estimated 69,000 <strong>New</strong> <strong>York</strong> City women<br />
aged 18 and older reported fearing an intimate partner; and 49%<br />
of women killed by an intimate partner had a prior domestic incident<br />
report in the system. These figures are compelling and paint<br />
a critical portrait of women being victimized in <strong>New</strong> <strong>York</strong> City as<br />
well as throughout the state. Students attending colleges in <strong>New</strong><br />
<strong>York</strong> City and <strong>New</strong> <strong>York</strong> <strong>State</strong> are part of these statistics. Yet,<br />
little attention is typically given to college students who experience<br />
these issues.<br />
Consequences and Effects of IPV<br />
Women who are victimized by their intimate partners face<br />
serious physical and psychological injuries, the costs of which<br />
cannot be adequately measured. These women suffer from a<br />
number of clinical syndromes including depression, generalized<br />
anxiety, and posttraumatic stress disorder (PTSD). Additionally,<br />
these women may experience a plethora of other conditions including<br />
chemical dependency, substance abuse, somatic and<br />
medical symptoms, negative health behaviors, and changes to<br />
health service utilization (World Health Organization, 2000). IPV<br />
victims may feel suicidal, homicidal and/or blame themselves for<br />
the abuse. Intimate partner violence is also repetitive, with twothirds<br />
of victims reporting multiple incidents of abuse by their intimate<br />
partner. In one survey, half of all women reported victimization<br />
by the same partner from two to nine times (Carr & Ward,<br />
2006). These repeated experiences of abuse may lead to a retraumatization<br />
of the victim and heightened PTSD or other stress<br />
responses.<br />
Relationship Violence and the College Student<br />
Much of the research on violence in college students has<br />
examined the problem of sexual violence, specifically rape and<br />
sexual assault (e.g. Belknap & Erez (1995), American College<br />
Health <strong>Association</strong> (2005)) finding that 15 - 25% of college women<br />
—————————————————————————————<br />
Dr. Vanessa Bing is a licensed clinical psychologist and an Associate<br />
Professor of Psychology in the Social Science Department at LaGuardia<br />
Community College of the City University of <strong>New</strong> <strong>York</strong>. She also holds the<br />
position of Faculty Mentor/Director of LaGuardia’s Women’s Center, and<br />
previously served as Director of the Women’s Center at Borough of Manhattan<br />
Community College, CUNY. As a licensed practitioner, Dr. Bing has<br />
worked in a variety of educational and clinical settings. Immediately prior<br />
to joining the faculty at LaGuardia, Dr. Bing was a supervising psychologist<br />
at the University Counseling Center at <strong>New</strong> <strong>York</strong> University where she<br />
was also a member of the adjunct faculty in the M.A. Counseling Program<br />
in the Department of Applied Psychology at the Steinhardt School. Dr.<br />
Bing has published a number of articles addressing minority and gender<br />
issues in psychology and clinical practice, and has lectured extensively on<br />
the issue of trauma and domestic violence. Dr. Bing’s current research<br />
interest focuses on the experience of intimate partner violence in women<br />
attending urban colleges, and the impact of partner violence on student<br />
retention.<br />
Page 25<br />
Vol. XXIII No. 2 • Fall <strong>2011</strong> • <strong>NYS</strong> <strong>Psychologist</strong>
are projected to be victims of an attempted or completed rape<br />
during their college careers. College students who experience<br />
intimate partner violence (as distinct from the sexual violence of<br />
rape and sexual assault) are, by and large, an under studied and<br />
under represented group. This is significant given the fact that<br />
people in the traditional 16 - 24 -year old college age group are at<br />
greatest risk for experiencing IPV. For many students, college<br />
provides the first opportunity for experiencing a real adult relationship<br />
and therefore increases the chance for the possibility of experiencing<br />
an unhealthy or negative one.<br />
Students who experience IPV will struggle with issues similar<br />
to those of non-college attending adults and adolescents. However,<br />
for many college students there may be the added shame,<br />
stigma or embarrassment of being in such a relationship. The<br />
presumption of being “too smart” (as exemplified by their enrollment<br />
in college) to be in such a toxic relationship may add to the<br />
student’s unwillingness to disclose this fact. The student is then<br />
likely to experience depression, anxiety, substance use/abuse,<br />
which can only compromise their ability to function effectively as a<br />
student. Loss of concentration, the inability to complete assignments,<br />
and missing/skipping classes are a few behaviors that<br />
may result.<br />
Stories on the Frontline<br />
The stories of IPV among college students are as varied as<br />
the students who live these experiences. At the City University of<br />
<strong>New</strong> <strong>York</strong> (CUNY), where this author has taught and counseled<br />
student survivors of intimate partner violence for over ten years,<br />
many women survivors of IPV have shared stories of hope, pain,<br />
and significant loss. A majority of students attending the City University<br />
of <strong>New</strong> <strong>York</strong> are first-generation college students from<br />
immigrant backgrounds seeking to better their lives. Many are<br />
representative of poor, working-class and minority groups, and<br />
single-parents who look to education as their way out of poverty.<br />
For a number of the female students attending CUNY’s colleges,<br />
the issue of intimate partner violence is a major concern. These<br />
students frequently seek assistance in managing the myriad of<br />
issues related to their IPV from their campus Counseling Centers,<br />
or Women’s Centers which are often the first stop because of<br />
their perceived sensitivity to women’s concerns.<br />
Juanita, a 24-year old Puerto Rican female sought assistance<br />
from the Women’s Center to deal with her abusive boyfriend, the<br />
father of her seven-year old daughter. Juanita claimed that she<br />
believed that her boyfriend was “going to kill me.” Her boyfriend<br />
expressed his anger with her for never being around. Juanita<br />
acknowledged that her boyfriend resented her attending college,<br />
feeling that she “thinks she’s better than him” and was developing<br />
a “big head.” Juanita resided alone with her daughter and expressed<br />
anxiety and trepidation in going home each night, fearing<br />
that her boyfriend would be waiting for her and that they would<br />
have some altercation. When asked why she had not gone to<br />
the police, Juanita responded that she thought that they would not<br />
help her. Moreover, she sympathized with her boyfriend and was<br />
concerned about the implications of his not being able to see his<br />
daughter if he were sent to jail. Juanita never once showed any<br />
concern about the potentially violent situation her daughter might<br />
be placed in if her boyfriend’s anger continued to escalate, and<br />
needed to be educated to the potential dangers of her ongoing<br />
abuse.<br />
Elena, an undocumented resident, sought assistance from<br />
the Women’s Center, presenting in a very agitated state. She<br />
reported being physically and emotionally abused by her partner<br />
with whom she lived. She indicated that she wanted to leave the<br />
relationship and had told her partner so. He in turn proceeded to<br />
threaten her with deportation. Fearful of being sent back to her<br />
home country and being unable to pursue her educational studies,<br />
Elena was inconsolable. She feared that she would need to<br />
remain in this toxic relationship in order to earn her degree, or<br />
return home only to suffer potentially greater abuses there.<br />
Aurelia, a nursing student reported that her boyfriend began<br />
stalking her after she attempted to sever the relationship. He<br />
sent text messages incessantly, advising her that he would pick<br />
her up after class and that she should not make any plans to<br />
hang out with any of her friends. The boyfriend too would phone<br />
her at home, make unannounced visits to her home, and phone<br />
members of her family with whom he had ingratiated himself.<br />
Aurelia expressed feeling “suffocated” and “trapped,” and believed<br />
that she could not get away from this situation. She believed<br />
there was nothing to do.<br />
Each of these stories reveals part of the experience of college<br />
women dealing with the experience of intimate partner<br />
abuse. Some of these women struggled with the norms of their<br />
culture, which dictated submissive behaviors and compliance on<br />
their part, imposing no sanctions on the abusive behaviors perpetrated<br />
by their male partners, while others simply did not fully<br />
grasp the nature of their abuses. What many women students<br />
frequently experience is the negative consequence of stepping<br />
out of the gendered norms of their native culture, particularly<br />
when this is contrary to its teachings. While much of what they<br />
learn in college encourages their independence, critical thinking,<br />
and risk-taking, these ideas move many of these women away<br />
from traditional stereotypes and encourage the development of<br />
newly defined roles and patterns of assertive behavior. Sadly,<br />
these women are often confronted with negative responses to<br />
such efforts of growth and assertion. The challenge then is being<br />
able to educate these women about the nature of their experience<br />
with their partners without compromising their safety, and allowing<br />
them to embrace the growth the comes with their developing identities.<br />
Doing so may encourage more students to report the violence,<br />
seek appropriate help, and maintain their student status.<br />
Many students approach the campus-based Women’s Center<br />
seeking a vast array of services that may include housing assistance,<br />
personal counseling, and legal advice. With regard to<br />
their experiences of IPV, women have reported being stalked,<br />
beaten and threatened by their boyfriends, husbands, and brothers<br />
and needing counseling to help manage the many feelings<br />
arising from these events. Others have sought out information<br />
regarding housing and public shelters in order to escape the violence<br />
they experience at home. Additionally, many seek legal<br />
IPV at the City University of <strong>New</strong> <strong>York</strong><br />
advice concerning their rights when the father of their child(ren) is<br />
physically violent, as well as information regarding what rights are<br />
guaranteed to the victim when a restraining order is obtained.<br />
The following stories exemplify the types of concerns that are<br />
currently being presented at CUNY’s Women’s Centers:<br />
Page 26<br />
At the City University of <strong>New</strong> <strong>York</strong> (CUNY), the nation’s largest<br />
urban public university, growing attention has been given to<br />
the problem of intimate partner violence. At its June 2010 meeting,<br />
the Board of Trustees of CUNY adopted a resolution mandating<br />
that IPV and domestic violence, stalking, and sexual assault<br />
among its student population be addressed on each of its campuses<br />
(CUNY <strong>New</strong>swire, 2010). This policy recognizes the experience<br />
of IPV in the lives of students and represents a significant<br />
step in identifying specific efforts and strategies towards addressing<br />
and ameliorating the problem of IPV.<br />
Women’s Centers, located at ten of the CUNY colleges, have<br />
had as its primary mission to empower and educate women students<br />
about intimate partner violence and other concerns impacting<br />
women. The Centers provide direct services (i.e. one on one<br />
or group counseling) as well as information, advocacy and referrals.<br />
The CUNY Women’s Centers work together through the<br />
Council of Women’s Centers, the umbrella organization comprised<br />
of the 10 campus centers, so that their collective voices<br />
Vol. XXIII No. 2 • Fall <strong>2011</strong> • <strong>NYS</strong> <strong>Psychologist</strong>
can be heard, and to help shape policy related to IPV, sexual assault<br />
and other gender related matters throughout CUNY.<br />
Creating a Methodology for Addressing IPV on Campus:<br />
Recommendations<br />
The emotional and psychological effects of relationship violence<br />
can be pervasive and longstanding. For students experiencing<br />
such abuse, their academic futures may be in jeopardy. For<br />
this reason, it is imperative for college campuses to be proactive<br />
in their efforts to address intimate partner violence. A campuswide<br />
coordinated response is needed to address IPV and to educate<br />
the campus community of its inherent dangers. Any such<br />
model should be designed to: 1) educate the college community<br />
about the nature and scope of intimate partner violence; 2) offer<br />
training to key personnel (e.g. counseling, health service providers,<br />
public safety, academic advisors) to respond to student complaints<br />
of IPV; 3) provide campus-based support services to students<br />
in need; and 4) to establish clear standards and a unified,<br />
campus-wide protocol to address IPV that will be put into effect<br />
and enforced.<br />
Educating Students, Educators, Student Support Personnel<br />
and Administrators<br />
In order to prevent occurrences of partner violence, students<br />
need to be aware of what constitutes abusive and coercive behaviors<br />
in relationships and the specific norms of racially and culturally<br />
diverse groups that promote or sanction gender violence. In<br />
order to foster this type of learning, counseling and student affairs/<br />
student support personnel may want to promote a “healthy relationship<br />
campaign” that provides clear definitions and culturally<br />
sensitive examples of the elements of productive relationships<br />
and those of corrosive relationships. Using forums such as new<br />
student orientations, freshmen seminars, and encouraging student<br />
programming among diverse student groups, fraternities,<br />
sororities and clubs is a good start. Such activities should specifically<br />
highlight national statistics of IPV so that students can understand<br />
that they are not alone; identify cultural definitions of intimate<br />
partner violence, noting how they are colored and shaped by<br />
personal experiences, familial background, and racial/ethnic heritage;<br />
explore how cultural pressures to conform to gender role<br />
expectations create opportunities for abuse; and clearly describe<br />
the signs of an abusive personality.<br />
College faculty, staff and administrators, like students, are<br />
frequently unaware of the problem of intimate partner violence.<br />
As such, professional development, faculty support and support<br />
staff training should be made available to educate all members of<br />
the college community. Colleges should develop task forces to<br />
study the problem of IPV on campus and make use of Women’s<br />
Centers that can provide training, workshops and presentations<br />
on issues of partner abuse. Specialized training should be made<br />
available to counseling professionals in learning to identify the<br />
presence of intimate partner violence and treating student victims.<br />
Male students should be actively encouraged to act as allies to<br />
support the eradication of violence against women through their<br />
participation in men’s organizations or other student groups that<br />
encourage advocacy and activism. Faculty too should become<br />
involved and encourage their students’ participation in workshops,<br />
campus-wide presentations, and town-hall summits that address<br />
partner violence. Faculty can bring their classes to such events<br />
and create class assignments attached to them. Encouraging<br />
students to write about and research what they have learned at<br />
such forums can be invaluable. As part of routine health screenings<br />
at college health centers, health center personnel should ask<br />
about the presence of partner violence (just as one would about<br />
alcohol or drug use). Student volunteerism at women’s shelters<br />
should be encouraged so that students may learn, first hand, the<br />
impact of partner and family violence. Finally, academic administrators<br />
should be encouraged to look at the problem of IPV as a<br />
possible cause for student attrition and develop research strategies<br />
to examine the relationship between partner/family violence<br />
and student retention.<br />
Conclusion<br />
Academia, still considered an ivory tower, is not immune to<br />
societal problems. Violence perpetrated against women can be<br />
found on many college campuses. Commuter college students<br />
who experience partner violence at home bring these real world<br />
problems with them into the classroom. Similarly, students living<br />
on campus bring personal lifestyle choices and behaviors into<br />
their new living quarters. Academia cannot afford to ignore these<br />
substantial issues that have every possibility of impacting their<br />
students. Moreover, as colleges become more and more culturally<br />
diverse, our students will bring with them norms from their cultures<br />
and societies that may denigrate women by our standards,<br />
and encourage abusive behaviors. Women students are being<br />
raped, stalked, threatened and violated in a variety of ways, in<br />
their homes and in their relationships. As they attempt to develop<br />
newly defined roles, they risk being confronted with negative responses<br />
to their efforts. Husbands, boyfriends, and lovers who<br />
resent their partner’s efforts toward autonomy and movement<br />
from culturally defined roles may feel incited to violence in order to<br />
restore the order and balance of power in the relationship. Thus,<br />
college counselors, mental health practitioners, and other health<br />
care professionals can take a lead role in addressing a public<br />
health concern and enhancing the experiences of all of our students.<br />
Unless we take an active role in creating policies and procedures<br />
to help students manage these experiences in their lives<br />
and help to cultivate a level of understanding of what constitutes<br />
healthy and appropriate relationships, we will continue to fail<br />
where it matters – in the creation of a civil, peaceful and respectful<br />
society.<br />
REFERENCES:<br />
American College Health <strong>Association</strong> (2005). Campus Violence White Paper.<br />
Baltimore, MD: American College Health <strong>Association</strong>.<br />
Belknap, J. & Erez, E. (2005). The victimization of women on college campuses.<br />
In B.S. Fisher & J.J. Sloan (Eds.) Campus crimes: Legal and<br />
social policy perspectives, 156-178. Springfield, IL: Charles C. Thomas.<br />
Carr, J. L. & Ward, R. L (2006). ACHA campus violence white paper. Journal<br />
of Student Affairs, Research and Practice, 43(3), 380 - 409.<br />
Catalano, S, Smith, E. , Snyder, H., & Rand, M. (2009). Female Victims of<br />
Violence. Washington, DC: U.S. Department of Justice.<br />
CUNY <strong>New</strong>swire (2010) CUNY Board approves new policy to protect and<br />
help sexual assault victims. Retrieved from http://www1.cuny.edu/mu/<br />
forum/2010/07/20/cuny-board-approves-new-policy-to-protect-and-help<br />
-sexual-assault-victims/<br />
Feminist Majority Foundation (2005) Violence against women on college<br />
campuses. Retrieved from http://feministcampus.org/fmla/printablematerials/v-day05/Violence_Against_Women.pdf<br />
<strong>New</strong> <strong>York</strong> City Department of Health and Mental Hygiene (2008). Intimate<br />
partner violence against women in <strong>New</strong> <strong>York</strong> City. <strong>New</strong> <strong>York</strong>: <strong>New</strong><br />
<strong>York</strong> City Department of Health and Mental Hygiene.<br />
<strong>New</strong> <strong>York</strong> <strong>State</strong> (2008). Domestic Violence Dashboard project: 2008 data.<br />
Retrieved from http://www.opdv.state.ny.us/statistics/nydata/2010/<br />
nys2010data.pdf<br />
Rennison, C. M. (2003). Intimate partner violence, 1993-2001. Washington,<br />
DC: U.S. Department of Justice, Bureau of Justice Statistics.<br />
Tjaden, P. & Thoennes, N. (2000). Extent, nature and consequences of<br />
intimate partner violence: Findings from the National Violence against<br />
Women Survey. Washington, DC: National Institutes of Justice.<br />
U.S. Department of Justice, Bureau of Justice Statistics (2009, September).<br />
Female victims of violence. Washington, DC: U.S. Department of Justice.<br />
U.S. Department of Justice, Bureau of Justice Statistics (2003, February).<br />
Intimate partner violence, 1993-2001. Washington, DC: U.S. Depart-<br />
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Contributions of <strong>New</strong> <strong>York</strong>, Women <strong>Psychologist</strong>s<br />
Florence L. Denmark, PhD<br />
Pace University<br />
John D. Hogan, PhD<br />
St. John’s University<br />
Women have made significant contributions to psychology in <strong>New</strong><br />
<strong>York</strong> City and <strong>New</strong> <strong>York</strong> <strong>State</strong> beginning in the pioneer days of<br />
psychology. In fact, <strong>New</strong> <strong>York</strong> became, and remains, a mecca for<br />
women psychologists. Whether honing their psychological expertise<br />
in one of <strong>New</strong> <strong>York</strong>’s top notch schools, or bringing a fresh<br />
perspective from out-of-state, this group’s amazing efforts bridged<br />
the gender gap, and in many cases, accomplished it in the face of<br />
adversity. This article documents the contributions of some of<br />
these women.<br />
One of the earliest female psychologists in <strong>New</strong> <strong>York</strong>, Margaret<br />
Floy Washburn (1871-1939), faced many gender barriers<br />
during her life. After completing her undergraduate education at<br />
Vassar College, she was denied regular admission to Columbia<br />
University for graduate work because of her gender. Later admitted<br />
into Cornell University, Washburn went on to complete the<br />
first Ph.D. degree ever awarded to a woman in psychology<br />
(1894). While at Cornell University, Washburn worked closely<br />
with Edward B. Titchener, a renowned experimental psychologist<br />
and student of Wundt, who became her formal mentor. Despite<br />
Washburn’s notable work in animal psychology, Titchener chose<br />
not to admit her into his Society of Experimental <strong>Psychologist</strong>s,<br />
one of the most important psychology “networking” organizations<br />
of that time. In fact, Titchener excluded all women from membership.<br />
Nevertheless, Washburn went on to become the second<br />
female president of the American <strong>Psychological</strong> <strong>Association</strong><br />
(APA, 1921), as well as being the second woman ever to be selected<br />
for membership in the highly selective National Academy of<br />
Science (1931). In 1925 Washburn was named one of four editors<br />
of the American Journal of Psychology. She held a faculty<br />
position at Vassar College for most of her long career.<br />
Christine Ladd-Franklin (1847-1930), another early woman<br />
psychologist who faced sexism throughout her life, was denied a<br />
career in linguistics and physics because women were not allowed<br />
to enter most observatories or laboratories at the time.<br />
Instead she used mathematics and psychology to extensively<br />
study optics, color vision, and binocular vision at Johns Hopkins<br />
University in 1882. Initially she was not awarded a doctoral degree<br />
despite her work there, due to gender restrictions. However,<br />
decades later, in 1926, her doctoral work was at last acknowledged,<br />
and she was awarded a Ph.D. In the mean time, she held<br />
a position as a part-time lecturer at Columbia University, starting<br />
in 1910. Ladd-Franklin was an active feminist, promoting women’s<br />
achievement of graduate education, economic independence,<br />
and the right to vote. She addressed Titchener, directly<br />
criticizing his policy on excluding women from his Society of Experimental<br />
<strong>Psychologist</strong>s, yet she was never granted membership.<br />
Naomi Norsworthy (1877-1916) is probably the least known<br />
name in this list, primarily due to her early death at age 39, but<br />
she was nonetheless a psychologist of great accomplishment.<br />
Born in <strong>New</strong> <strong>York</strong> City in 1877, Norsworthy expressed an early<br />
interest in teaching and enrolled in the <strong>New</strong> Jersey <strong>State</strong> Normal<br />
School at Trenton at age 15. By the time she was 18, she had<br />
graduated from the state school and was teaching a third-grade<br />
class in Morristown, <strong>New</strong> Jersey. After three years there, she<br />
acted on her strong desire for further education and enrolled in<br />
Page 28<br />
Teachers College of Columbia University from which she graduated<br />
with a bachelor of science degree in 1901. Still not satisfied,<br />
she continued on to graduate work at Teachers College, graduating<br />
with a Ph.D. in 1904. Her dissertation focused on mental<br />
deficiency in children.<br />
Norsworthy was hired to teach at Teachers College, the first<br />
woman faculty member there. Her male students were frequently<br />
resentful that they were being taught by a woman, but her<br />
knowledge and ability consistently won them over. She presented<br />
the results of her dissertation research in 1904 at a meeting of the<br />
<strong>New</strong> <strong>York</strong> branch of the American <strong>Psychological</strong> <strong>Association</strong>. Her<br />
presentation was the first made by a woman at the branch meeting.<br />
Norsworthy remained at Teachers College for 16 years,<br />
teaching at both the graduate and undergraduate levels. She was<br />
working on a book on child psychology at the time of her death<br />
from cancer. The book was completed by a colleague and published<br />
two years after her death.<br />
Karen Horney (1885-1952) grew up in Germany and originally<br />
pursued a medical degree in neuropsychiatry. Soon after,<br />
she experienced the birth of her first child and loss of her mother,<br />
which brought on a bout of depression and led Horney to psychoanalysis.<br />
Horney began seeing a psychoanalyst to combat her<br />
depression, and developed a strong appreciation for this approach.<br />
Horney joined the Berlin Psychoanalytic Society and<br />
began employing psychoanalysis in her own practice. Then in<br />
1930, Horney came to Brooklyn where she became increasingly<br />
critical of Freud’s traditional approach to psychoanalysis, openly<br />
criticizing its male centered views. She pointed out that cultural<br />
factors strongly influence the stereotypic sex roles appointed to<br />
men and women. She also posited that it is equally plausible for<br />
men to experience “womb envy” as it is for women to experience<br />
“penis envy” (Freud’s concept).<br />
____________________________________________________<br />
Florence L. Denmark, PhD, is Distinguished Professor Emerita in Residence<br />
at Pace University. She received her doctorate in social psychology<br />
from the University of Pennsylvania She is past-president of several<br />
divisions of <strong>NYS</strong>PA, as well as serving as president of <strong>NYS</strong>PA itself. She<br />
has written on a variety of issues, but with particular emphasis on issues<br />
of women and gender. In addition to her presidency of <strong>NYS</strong>PA, she has<br />
been president of the Eastern <strong>Psychological</strong> <strong>Association</strong>, Psi Chi, the<br />
National (now international) Honor Society in Psychology, the International<br />
Council of <strong>Psychologist</strong>s, and the American <strong>Psychological</strong> <strong>Association</strong>.<br />
Among numerous awards, in <strong>2011</strong>, she received APA’s highest honor, the<br />
Award for Outstanding Lifetime Contributions to Psychology.<br />
John D. Hogan, PhD, is Professor of Psychology at St. John’s University.<br />
He received his doctorate in developmental psychology from Ohio <strong>State</strong><br />
University. His areas of special interest are the history of psychology,<br />
developmental psychology, and international psychology. He is the coauthor/co-editor<br />
of three books and more than 200 chapters, articles, book<br />
reviews and encyclopedia entries, and has made more than 150 presentations<br />
at professional meetings. He is currently a section editor for the<br />
American Psychology. In 2010, he served as president of the Society for<br />
General Psychology (APA Div.1). In <strong>2011</strong>, he will complete his term as<br />
president of APA Division 52 — International Psychology.<br />
In 1937, Horney published The Neurotic Personality of Our<br />
Vol. XXIII No. 2 • Fall <strong>2011</strong> • <strong>NYS</strong> <strong>Psychologist</strong>
Time, which outlined a theory of personality development and<br />
neurosis that did not vary based on gender, but instead on parentchild<br />
relationships and the repression of hostility. Many traditional<br />
Freudians were not accepting of her theories and in 1941 Horney<br />
resigned from the <strong>New</strong> <strong>York</strong> Psychoanalytic Society. In turn, she<br />
established the <strong>Association</strong> for the Advancement of Psychoanalysis<br />
and the American Institute for Psychoanalysis, both in <strong>New</strong><br />
<strong>York</strong> that same year.<br />
Another early woman in psychology was Leta Stetter Hollingworth<br />
(1886-1939). Upon moving to <strong>New</strong> <strong>York</strong> from Nebraska,<br />
she discovered she was not able to pursue a teaching career<br />
because married women were prohibited from teaching at the<br />
time. Instead she went back to school, earning her Ph.D. in education<br />
from Columbia University in 1916 and eventually became a<br />
research associate there. Her research challenged many of the<br />
myths concerning gender differences. For example, she refuted<br />
the variability hypothesis, a belief that since there were more incidents<br />
of male prominence, as well as more male institutionalization,<br />
there must be more variation in the male brain. She also<br />
disproved the menstruation hypothesis, demonstrating that women’s<br />
monthly cyclical phases did not affect their mental or motor<br />
performance.<br />
Hollingworth had strong clinical interests, particularly in mental<br />
testing and treatment, establishing the Classification Clinic for<br />
Adolescents at Bellevue Hospital. She made contributions to the<br />
ethical standards at the time, in the burgeoning field of clinical<br />
psychology. She felt strongly that both mentally retarded and<br />
gifted children should be given a special education. She advocated,<br />
researched and published in this area. Her consideration of<br />
environmental influences on both adolescent and gender development<br />
came at a time when biological variables were of primary<br />
concern by most researchers. Because her contributions to psychology<br />
came early in the twentieth century, many of Hollingworth’s<br />
contributions were never professionally recognized.<br />
Mary Cover Jones (1896-1987) was born in Pennsylvania<br />
and attended Vassar for her undergraduate education. Inspired<br />
by a lecture on conditioning, given by John B. Watson, Jones<br />
pursued a psychology Ph.D. from Columbia University and completed<br />
the degree in 1926. Informally supervised by Watson,<br />
Jones conducted pioneering research on deconditioning fear in a<br />
young boy who had a strong fear of rabbits. This research, conducted<br />
in the early 1920s, is considered to be the earliest recorded<br />
case of systematic desensitization.<br />
Jones’ other work in <strong>New</strong> <strong>York</strong> City included psychological<br />
testing, research on group intelligence tests, teaching emotionally<br />
disturbed children in the public schools, and overseeing research<br />
at Columbia’s Institute of Child Welfare. Soon after the completion<br />
of her Ph.D., Mary and her husband, Harold Jones (also a<br />
psychologist), and two children, moved to California where Jones<br />
was instrumental in setting up a nursery school at Berkeley.<br />
While at Berkeley, Jones participated in the Oakland Growth<br />
Study which followed adolescents’ personality development and<br />
maturation, providing informative findings to the field of developmental<br />
psychology. Differences in personality and coping strategies<br />
were found among males and females depending on their<br />
onset of maturation. Jones also identified certain personality<br />
traits in adolescence that correlate with drinking problems later in<br />
life. In addition to her useful research contributions, Jones was<br />
known to be an interesting and supportive professor. By the end<br />
of her career Jones had authored more than 70 publications and,<br />
along with her husband, produced the first ever, educational television<br />
course in developmental psychology. She was elected<br />
president of APA Division 7, Developmental Psychology, and received<br />
the G. Stanley Hall Award, the highest honor given by the<br />
division.<br />
Lois Murphy (1902-2003) was raised in a highly intellectual<br />
environment by parents who instilled in her a love for learning.<br />
She took somewhat of a circuitous route to becoming a psychologist,<br />
first studying economics at Vassar University and then theology<br />
at Union Theological Seminary. She taught comparative religion<br />
at Sarah Lawrence College for seven years before turning<br />
her interests toward psychology. She and her husband, psychologist<br />
Gardner Murphy, wrote Experimental Social Psychology,<br />
her first publication, in 1931. Due to the inspiration from raising<br />
her own two children, Murphy began to study child development,<br />
authoring her second book, Social Behavior and Child Personality.<br />
She then became involved in projective methods and<br />
their use in the study of young children’s personalities. She<br />
taught a course on human life and child development at Banks<br />
Street College for Teachers.<br />
Eventually, Murphy decided to pursue a Ph.D. at Teachers<br />
College while simultaneously conducting research on the development<br />
of sympathy in preschoolers. She was awarded her doctoral<br />
degree in 1937. The value of her work was not recognized<br />
until years later. From this, she went on to study children’s methods<br />
of coping. Her books published on preschool children integrated<br />
a developmental and psychoanalytic perspective. She<br />
also applied her interest in preschoolers, mobilizing resources for<br />
parents where she saw great need. In line with these interests,<br />
Murphy had a strong involvement in the Head Start movement on<br />
the national, state and local levels.<br />
Towards the end of her career, Murphy worked to better integrate<br />
child development and psychoanalysis, through participating<br />
in seminars, presenting at conferences, consulting on prosocial<br />
research projects, and as a guest scientist at the National Institute<br />
of Health’s Center for Child Health and Development.<br />
Anne Anastasi (1908-2001) was born, raised and remained<br />
in <strong>New</strong> <strong>York</strong> her whole life. Growing up she received a combination<br />
of public schooling and private tutoring. At fifteen she opted<br />
to skip high school and go directly to Barnard College, the women’s<br />
college of Columbia University. Even more impressively, she<br />
completed her Ph.D. degree in psychology from Columbia in only<br />
two years, finishing it in 1930 at age 21. Her interest in psychology<br />
was sparked by the influence of Harry Hollingsworth, with<br />
whom she took a course in developmental psychology, and from<br />
her reading of an article by statistician Charles Spearman.<br />
Anastasi held faculty positions at three colleges in <strong>New</strong> <strong>York</strong>:<br />
Barnard, Queens College (where she founded their psychology<br />
department), and eventually Fordham University. Throughout,<br />
Anastasi conducted research and published several texts in the<br />
areas of psychological testing and differential psychology. In<br />
1970 she was the third woman to become president of the American<br />
<strong>Psychological</strong> <strong>Association</strong>. She was also honored with the<br />
Gold Medal Award for Life Achievement in the Application, Practice<br />
and Science of Psychology.<br />
Mary Henle (1913-2007) earned her masters degree from<br />
Smith College in 1935, where she felt very supported and encouraged<br />
as a woman psychologist. Working with Kurt Koffka, an<br />
influential Gestalt <strong>Psychologist</strong> and professor at Smith, she developed<br />
a lifelong appreciation for Gestalt psychology. For her doctoral<br />
degree in 1939, Henle attended Bryn Mawr College, and<br />
studied at Swarthmore for her postdoctoral fellowship.<br />
Despite her acceptance and support during her years spent<br />
in school, Henle faced discrimination during her career, feeling<br />
that some doors were closed to her as a Jewish woman. She<br />
held a professorship at the <strong>New</strong> School for Social Research,<br />
where she felt very happy and intellectually stimulated. Henle<br />
conducted empirical work in the areas of perception, human motivation,<br />
human rationality, and thinking and logic. Towards the<br />
end of her career, Henle worked to correct the misunderstandings<br />
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Vol. XXIII No. 2 • Fall <strong>2011</strong> • <strong>NYS</strong> <strong>Psychologist</strong>
of Gestalt psychology, which she believed would be better appreciated<br />
after the strong wave of cognitive psychology had passed.<br />
Virginia Staudt Sexton (1916-1997) was born and raised in<br />
<strong>New</strong> <strong>York</strong> City. She completed her undergraduate degree at<br />
Hunter College, in 1936; received a Ph.D. in experimental psychology<br />
at Fordham University, in 1946; and sought postdoctoral<br />
training in both neuroanatomy from Columbia University, and in<br />
clinical psychology from the <strong>New</strong> <strong>York</strong> <strong>State</strong> Psychiatric Institute.<br />
Sexton was known throughout her career as an inspirational<br />
teacher and mentor, holding positions at several schools. In her<br />
first position at Notre Dame College of <strong>State</strong>n Island, Sexton established<br />
the psychology program, set up a psychology laboratory,<br />
and headed the department. Her next position was at Hunter College,<br />
in the Bronx (later Lehman College), from which she retired<br />
as Professor Emerita. Unfortunately, she faced sexism when she<br />
first started at Hunter, in the form of heavier course loads given to<br />
her because she was a woman. She was able to overcome this<br />
climate of discrimination and worked to prevent other women from<br />
encountering the same experience. Finally, Sexton served as the<br />
Distinguished Research Professor of Psychology at St. John’s<br />
University, until her retirement in 1990.<br />
Sexton published at length, authoring books and articles on<br />
the psychology of religion, women’s issues, humanistic psychology,<br />
and the history of psychology with both a national and international<br />
focus. Very active politically, Sexton was elected president<br />
of the International Council of <strong>Psychologist</strong>s, four APA divisions,<br />
the American Catholic <strong>Psychological</strong> <strong>Association</strong>, National Psi<br />
Chi, the <strong>New</strong> <strong>York</strong> <strong>State</strong> <strong>Psychological</strong> <strong>Association</strong> (<strong>NYS</strong>PA), and<br />
the Eastern <strong>Psychological</strong> <strong>Association</strong>. For her involvement and<br />
influence in the field, Sexton was awarded the Gold Medal of the<br />
<strong>New</strong> <strong>York</strong> Academy of Sciences in 1982, and <strong>NYS</strong>PA’s Margaret<br />
Floy Washburn Award and Allen V. Williams Jr. Memorial Award.<br />
Mamie Phipps Clark (1917-1983) received her MA degree in<br />
developmental psychology from Howard University in 1939. During<br />
this time she began her studies of the racial identification of<br />
Negro children. She earned her Ph.D. from Columbia University<br />
in 1943, at a time when there were no female graduate faculty,<br />
only two other women in the graduate class, and no other black<br />
students in the program. With the collaboration of her husband,<br />
Kenneth Clark, Mamie continued her research on the development<br />
of identity in Negro children, finding that at age three these<br />
children become aware of their racial identity and begin to acquire<br />
a negative self-image. The Clarks’ studies demonstrated that it<br />
was society’s negative views of their race that influenced the children’s<br />
identification. These findings were later used as part of a<br />
“social science statement” presented in a case supporting school<br />
desegregation and submitted to the United <strong>State</strong>s Supreme Court,<br />
which ruled in favor of school desegregation in the 1954 court<br />
case of Brown v. the Board of Education.<br />
Despite the magnitude of her contributions, Clark still found it<br />
difficult to obtain a position in psychology at different points<br />
throughout her career because of the negative attitudes existing at<br />
the time. In the face of the racism and sexism she experienced,<br />
Clark relied on the strong support of her husband and children.<br />
Eventually she was hired by a private agency to administer<br />
psychological tests, but while there Clark also provided psychological<br />
services for young homeless girls and advocated for their<br />
psychological needs. Then, in 1946, Clark and her husband<br />
founded the Northside Center for Child Development, the first<br />
child guidance center offering full psychological services in Harlem<br />
at the time. While working at the Northside Center, she discovered<br />
that many children were inappropriately being referred to<br />
classes for the mentally retarded. Upon testing these children,<br />
she fought for their proper placement, bringing publicity and respect<br />
to the center. Throughout her career, Clark continued to<br />
advocate for the psychological needs of minority groups in <strong>New</strong><br />
Page 30<br />
<strong>York</strong> City.<br />
Ethel Tobach (1921 - ), born in Ukraine, she emigrated to the<br />
United <strong>State</strong>s, with her family, to avoid political conflict there. She<br />
attended Hunter College where she helped to disprove genetic<br />
determinism and uncovered the institutionalized racism and sexism<br />
which had used this faulty theory for support. She completed<br />
her Ph.D. from <strong>New</strong> <strong>York</strong> University in 1957. A social activist, as<br />
well as a teacher and researcher, Tobach used her psychological<br />
research to contribute to social policy and peace-building. Her<br />
research advanced the fields of genetics, and evolutionary and<br />
comparative psychology. Tobach developed her research through<br />
her positions at the American Museum of Natural History, the City<br />
University of <strong>New</strong> <strong>York</strong>, and <strong>New</strong> <strong>York</strong> University School of Medicine.<br />
Throughout her career, Tobach was highly active in professional<br />
organizations such as the APA, and she was one of the<br />
founders of the organization, <strong>Psychologist</strong>s for Social Action.<br />
Because of her facilitative contributions to public policy, nuclear<br />
disarmament and peace building, Tobach was awarded the American<br />
<strong>Psychological</strong> Foundation’s Gold Medal in Public Interest<br />
Award.<br />
Florence L. Denmark (1932 - ) is an internationally recognized<br />
scholar who is probably best known for her work in the psychology<br />
of women and, more recently, for her work in aging. A<br />
Pennsylvania native, she came to <strong>New</strong> <strong>York</strong> City after receiving<br />
her doctorate in psychology from the University of Pennsylvania in<br />
1958. She taught at Queens College before moving to Hunter<br />
College, CUNY, where she was chair of the Psychology Department<br />
and Thomas Hunter Professor of Psychology. Later she<br />
accepted a position as the Robert Scott Pace Distinguished Professor<br />
of Psychology at Pace University where she now holds the<br />
title Distinguished Professor Emerita in Residence.<br />
Denmark attributes much of her success to the encouragement<br />
and achievement orientation she received from her family.<br />
In addition, early in her career she was fortunate to come under<br />
the influence of several important mentors, including Mary<br />
Reuder and Virginia Staudt Sexton. Because she found female<br />
mentors to be scarce, she has made it a point to serve as an active<br />
mentor ever since, and has encouraged others to do so.<br />
In addition to her influential writing on the psychology of women,<br />
Denmark has published on such topics as leadership, minority<br />
concerns, urban life, and women in the history of psychology.<br />
She has served as president of many psychology organizations,<br />
including Psi Chi, the (now) International Honor Society in<br />
Psychology; the <strong>New</strong> <strong>York</strong> <strong>State</strong> <strong>Psychological</strong> <strong>Association</strong>; the<br />
Eastern <strong>Psychological</strong> <strong>Association</strong>; and the International Council<br />
of <strong>Psychologist</strong>s; and as vice-president of the <strong>New</strong> <strong>York</strong> Academy<br />
of Sciences. In 1980, she served as president of the American<br />
<strong>Psychological</strong> <strong>Association</strong>.<br />
Denmark has received many honors for her work, including<br />
six honorary doctorates, the Gold Medal for Life Achievement in<br />
Psychology in the Public Interest, the Distinguished Contributions<br />
to Education and Training Award, and the Distinguished Contributions<br />
to the International Advancement of Psychology Award. At<br />
the <strong>2011</strong> annual convention of the APA she was presented with<br />
their highest honor, the Award for Outstanding Lifetime Contributions<br />
to Psychology.<br />
Beverly Greene (1950 - ) received her doctorate in clinical<br />
psychology from Adelphi University in 1983. Although she originally<br />
worked in public mental health, she is known today as a<br />
leading author in the areas of sexual minorities and women of<br />
color. She is presently an esteemed professor at St. John’s University,<br />
where she was awarded the 2008 Outstanding Faculty<br />
Achievement Medal. Through her broad publications, Greene has<br />
created an awareness of the ways in which discrimination and<br />
poverty effect marginalized populations and the construction of<br />
Vol. XXIII No. 2 • Fall <strong>2011</strong> • <strong>NYS</strong> <strong>Psychologist</strong>
identity. In 2007, Greene was honored with the Distinguished<br />
Career Award from the <strong>Association</strong> for Women in Psychology.<br />
Common accomplishments emerge among these talented,<br />
hard working women. Many shared a politically responsible, socially<br />
conscious outlook, backed by an appreciation for research<br />
and a desire to share knowledge and inspire younger generations.<br />
These <strong>New</strong> <strong>York</strong> women have had quite an influence on<br />
psychology’s history, over the past century, as more and more<br />
women enter psychology and work in <strong>New</strong> <strong>York</strong>, they will continue<br />
to have an impact on the discipline.<br />
REFERENCES:<br />
American <strong>Psychological</strong> Foundation Staff. (2003, July/August). Public<br />
Interest Award: Ethel Tobach, PhD. Monitor on Psychology: American<br />
<strong>Psychological</strong> <strong>Association</strong>, 34(7), 94. Retrieved September 2,<br />
2008, from http://www.apa.org/monitor/julaug03/apfnews.html<br />
Christine Ladd-Franklin. (2007). In PlanetMath Encyclopedia. [Web].<br />
Mravinci. Retrieved July 31, 2008, from http://planetmath.org/<br />
encyclopediaChristineLaddFranklin.html<br />
Dewsbury, D. A. Ethel Tobach. Founders of the Animal Behavior Society:<br />
Founders and friends at the 1984 ABS meeting in Cheney, WA.<br />
Retrieved September 25, 2008, from <br />
Hogan, J. D. (1998). Obituary: Virginia Staudt Sexton (1916-1997). American<br />
<strong>Psychologist</strong>, 53(10), 1155-1156.<br />
Lawson, R. B., Graham, J. E., & Baker, K. M. (2007). A history of psychology:<br />
Globalization, ideas, and applications. Upper Saddle River:<br />
Pearson - Prentice Hall.<br />
O’Connell, A. N., & Russo, F. R. (1983). Models of achievement: Reflections<br />
of eminent women in psychology. <strong>New</strong> <strong>York</strong>: Columbia University<br />
Press.<br />
Scarborough, E., & Furumoto, L. (1989). Untold Lives: The first generation<br />
of American women psychologists. <strong>New</strong> <strong>York</strong>: Columbia University<br />
Press.<br />
Stevens, G. & Gardner, S. (1982). The women of psychology: Volume II:<br />
Expansion and refinement. Cambridge: Schenkman Publishing Company,<br />
Inc.<br />
Washburn, Margaret Floy (1871-1939). (2001). In Gale Encyclopedia of<br />
Psychology, 2nd ed. [Web]. Gale Group. Retrieved July 31, 2008,<br />
from http://findarticles.com/p/articles/mi_g2699/is?0003/ai?<br />
2699000353/print:tag=artBody;col1<br />
Call for Arcles for 2012 <strong>NYS</strong> Authors<br />
The <strong>NYS</strong> <strong>Psychologist</strong> is indexed in APA’s PsycInfo and<br />
is circulated worldwide.<br />
right to edit all copy. The final decision to publish an article rests<br />
with the editorial board.<br />
Theme. Current issues, trends and research in psychology.<br />
Article may be theoretical, empirical and applied, on all aspects of<br />
psychology and the future of psychology. All articles must be referenced.<br />
Manuscript preparation. Authors should prepare manuscripts<br />
according to the Publication Manual of the American<br />
<strong>Psychological</strong> <strong>Association</strong> (5th ed.). Manuscripts should be no<br />
more than 12 double-spaced pages including references, 250<br />
words on a page, with at least a one-inch margin on all sides of<br />
the paper, and with typeface no smaller than 12 points. Abstract<br />
and keywords. All manuscripts must include an abstract containing<br />
a maximum of 120 words types on a separate sheet of<br />
paper and a brief biography related to your expertise and/or topic<br />
of approximately 120 words. After the abstract, please supply up<br />
to five or six key words. References. References should be<br />
listed in alphabetical order. Each listed reference should be cited<br />
in text, and each text citation should be listed in the References.<br />
All copy must be double-spaced and instructions on preparing<br />
tables, figures, references, and metrics, and abstracts appear in<br />
the Manual.<br />
Editorial policy. All manuscripts are first reviewed by the<br />
Editor-in-Chief to determine if they are appropriate for this journal.<br />
We do not accept opinion pieces. All manuscripts are peer reviewed.<br />
Authors are required to obtain and provide to <strong>NYS</strong>PA<br />
all necessary permissions to reproduce any copyrighted<br />
work. The editorial board of the <strong>NYS</strong> <strong>Psychologist</strong> reserves the<br />
Manuscript submission. To be considered for <strong>2011</strong> publication,<br />
please send submissions electronically. Suggested editorial<br />
changes are communicated electronically. Two hard copies<br />
will be requested that are clear, readable, and on paper of good<br />
quality if the manuscript is accepted. Authors should supply an<br />
e-mail address and fax numbers. Authors should keep a<br />
copy of the manuscript to guard against loss.<br />
E-mail manuscripts to Diane Fisher, dfisher@nyspa.org.<br />
The electronic file should be prepared accurately, consistently and<br />
simple, avoiding the use of special fonts or elaborate formatting<br />
for aesthetics; completing a spell check of the file is suggested.<br />
Paragraphs should be formatted the same way throughout.<br />
Deadline for submission is May 1, 2012<br />
<strong>NYS</strong> <strong>Psychologist</strong> is the official journal of the <strong>New</strong> <strong>York</strong> <strong>State</strong><br />
<strong>Psychological</strong> <strong>Association</strong> and, as such, contains archival documents.<br />
It also published articles on current issues in psychology<br />
as well as empirical, theoretical, and practice articles based on<br />
broad aspects of psychology. <strong>State</strong>ments contained in the <strong>NYS</strong><br />
<strong>Psychologist</strong> are the personal view of the authors and do not constitute<br />
<strong>NYS</strong>PA policy unless so indicated.<br />
<strong>NYS</strong>PA reserves the right to edit all copy. The <strong>NYS</strong> <strong>Psychologist</strong> is indexed<br />
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Copyright and permissions. Those who wish to reuse <strong>NYS</strong>PA-copy righted<br />
materials must secure from <strong>NYS</strong>PA and the author written permission<br />
to reproduce a journal article in full or journal text of more than 500 words.<br />
Page 31<br />
Vol. XXIII No. 2 • Fall <strong>2011</strong> • <strong>NYS</strong> <strong>Psychologist</strong>
Allen V. Williams, Jr. Memorial Award<br />
The Allen V. Williams Jr. Memorial Award, <strong>NYS</strong>PA's highest honor,<br />
is awarded annually by <strong>NYS</strong>PA's Council of Representatives to<br />
a psychologist who has contributed significantly to the progression<br />
of psychology and/or has made a unique contribution to the <strong>New</strong><br />
<strong>York</strong> <strong>State</strong> <strong>Psychological</strong> <strong>Association</strong>.<br />
Dr. Barbara Fontana was the Allen V. Williams Jr. Memorial<br />
Award <strong>2011</strong> honoree. Dr. Fontana's award was presented by Dr.<br />
Laurence Baker<br />
Citation: Barbara Fontana, PhD<br />
Dr. Fontana was on Council for six years as a<br />
representative of Suffolk. She was the first<br />
Member-at-Large to the Executive Committee<br />
from Council. She has been on the Finance<br />
Committee. She just finished working on the<br />
revamp as a member of the Committee on the<br />
Referral Service. One of the important and<br />
famous things about her, since 2007 she has<br />
been co-chair of the Committee for Psychotherapy Practice, CPP,<br />
which is <strong>NYS</strong>PA's attempt, with varying degrees of desperation<br />
depending upon the weather, to make psychotherapy practice a<br />
viable business as well as a useful and valuable service, among<br />
other things. She is secretary of <strong>NYS</strong>PA, which is quite a job and<br />
one she does phenomenally well. And upon the recent resignation<br />
of <strong>NYS</strong>PA's treasurer, Barbara in a demonstration of questionable<br />
judgment volunteered to fill in as treasurer. So she is now secretary<br />
and treasurer, maintaining two demanding jobs at once. In<br />
addition to <strong>NYS</strong>PA, Dr. Fontana is a member-at-large on the<br />
board of the Suffolk County <strong>Psychological</strong> <strong>Association</strong> and its past<br />
president and current coordinator of its mentoring program. She<br />
has been part of a peer supervision group for almost 20 years,<br />
with other private practice people. She is a volunteer at the Pre-<br />
Cana program at her church for 10 years. She stated that among<br />
her passions are photography and kayaking. She has been a trustee<br />
for a rural cemetery that is an historic landmark for 10 years.<br />
I am deeply honored to be this year's recipient of the Allen V.<br />
Williams Award and to have been nominated with Jerry Grodin<br />
and Richard Wexler, who are outstanding psychologists and leaders.<br />
As I have looked back on many years as a psychologist, I<br />
asked myself why I feel so active within my profession, and I think<br />
of some of the right lessons that my parents taught me. One is<br />
that you can accomplish anything if you are determined and you<br />
try hard enough, and another is that it is really important to be<br />
reliable and dependable. Secondly, the importance of giving back<br />
to your community by volunteering and by mentoring others, and<br />
the last and the most important one for me, which I learned from<br />
my dad: to treat everyone with lots of kindness.<br />
I have done many things within <strong>NYS</strong>PA, but the most part of<br />
my work on the Committee on Psychotherapy Practice, has been<br />
advocating for the many psychologists who want to continue to<br />
provide psychotherapy. I hope that as we actually face the challenges<br />
that will come with prosperity from HDO and medical<br />
homes. We will not abandon psychotherapy as one of our profession's<br />
core activities. As Dr. Jonathan Shepard told us yesterday,<br />
psycho-therapy works. I believe that if we can work together in an<br />
atmosphere of trust and respect, we can find the way for psychologists<br />
to earn a decent living while providing psychotherapy. I<br />
also believe that we can develop ways to establish opportunities<br />
for psychologists to do both of these things in the future, and thirdly<br />
I believe that if we work together, we can also get psychologists<br />
fairer terms in healthcare. Before I close, I would like to just thank<br />
a few people. I thank Council for selecting me for this honor.<br />
When I heard it, I was actually speechless and as most of you<br />
know that that doesn't happen very often. I would like thank Dianne<br />
Polowczyk for believing in me and asking me to co-chair<br />
CPP. I certainly never would have done it if Dianne had not. I<br />
would like to thank George Northrup, Jerry, and Dianne who have<br />
served with me on CPP since the beginning. You have been great<br />
people to work with and I treasure your friendship. I would like to<br />
thank the Suffolk County <strong>Psychological</strong> <strong>Association</strong> because that<br />
has been my professional home with wonderful colleagues for me<br />
over the last 30 years. And last but not least I would like to thank<br />
my children, Gina and David, for being here today and for what<br />
you have all been to my life. I would also like to invite each of you<br />
if you have not gotten the dashboard/bumper sticker for your car,<br />
do so. This is a CPP project and each of the divisions contributed<br />
$25 to make this happen, so thank you to all and take it each of us<br />
and let us spread the word that, so that everyone wants to talk to<br />
a psychologist. Thank you.<br />
Past awardees since the establishment of the Allen V. Williams,<br />
Jr. Memorial Award in 1980 are:<br />
2010 Larry Baker<br />
2009 Gayle Berg<br />
2008 June Feder<br />
2007 Max Heinrich<br />
2006 Sharon Brennan<br />
2005 JoanneLifshin<br />
2004 Franklin H. Goldberg<br />
2003 Barbara Cowen<br />
2002 Michael J. Sullivan<br />
2001 Sandra E. Tars<br />
2000 Lester Schad<br />
1999 George Stricker<br />
1998 David Nevin<br />
1997 John D. Hogan<br />
1996 John Northman<br />
1995 Leonore Loeb Adler<br />
1994 Florence Denmark<br />
1993 Harry Sands<br />
1992 Richard Cohen<br />
1991 Sidney (Bud) Orgel<br />
1990 Joseph Zubin<br />
1989 Ted Reiss<br />
1988 Reuben Silver<br />
1987 Ruth Ochroch<br />
1986 Virginia Staudt Sexton<br />
1985 Helena Mallay Lesk<br />
1984 Howard Cohen<br />
1983 Justin P. Carey<br />
1982 Milton Theaman<br />
1981 Samuel Pearlman<br />
1980 Doris K. Miller<br />
Page 32<br />
Vol. XXIII No. 2 • Fall <strong>2011</strong> • <strong>NYS</strong> <strong>Psychologist</strong>
Presidential Award<br />
Dr. Donna Rasin-Waters, president of <strong>NYS</strong>PA (<strong>2011</strong>) presented awards to the following recipients for their tremendous contributions<br />
to the association:<br />
Valerie Abel, PhD Peter Kanaris, PhD William Barr, PhD<br />
<strong>NYS</strong>PA Distinguished Service Awards<br />
<strong>NYS</strong>PA's Awards Committee each year selects psychologists who have given exemplary service to the <strong>New</strong> <strong>York</strong> <strong>State</strong> <strong>Psychological</strong><br />
<strong>Association</strong> and acknowledge <strong>NYS</strong>PA's appreciation for their outstanding performances and contributions.<br />
Citation: Chris Allen, PhD<br />
Dr. Allen is on <strong>NYS</strong>PA's Council of Representative as well as a representative of Central <strong>New</strong> <strong>York</strong> <strong>Psychological</strong><br />
<strong>Association</strong>. She is on the Task Force on Representation as well as the Bylaws Task Force, which appears at<br />
times to be a permanent assignment with an endless task. She has been an Executive Committee member-atlarge,<br />
was on the Committee on Strategic Planning and has been a past president of her regional. She is in private<br />
practice and has an executive coaching business. She is an adjunct faculty member at Syracuse University, and is<br />
at Upstate Medical University where she supervises residents. She has a wonderful husband, two kids and three<br />
cats.<br />
Citation: Lenny Davidman, PhD<br />
Dr. Davidman is a member-at-large on the Executive Committee. He is treasurer of the Manhattan Psych <strong>Association</strong>.<br />
He is <strong>NYS</strong>PA's unofficial media watchdog and critic. He is on the PLANY board. He is, since 1977, at the Metropolitan<br />
Hospital Center, where he was chief psychologist. Since 1978, at <strong>New</strong> <strong>York</strong> Medical College, he is an<br />
assistant professor. He has been a swimming instructor for a while, and he was a taxi driver. He was a waiter during<br />
the <strong>NYS</strong>PA convention at the Concord Hotel when he was 17, which has to be roughly 100 years ago. And at<br />
the other end of it he is being trained in terrorism counter-surveillance by a professional Jewish security agency.<br />
Citation: Leah Klungness, PhD<br />
Dr. Klingness has been intricate in bringing <strong>NYS</strong>PA into the social media arena. She has been focused on social<br />
networking, specifically on Twitter, where her account is said to have more followers than APA's.<br />
Sidney A. (Bud) Orgel Memorial Award<br />
The Sidney A. (Bud) Orgel Memorial Award was established in 2005 to honor an early career psychologist. The honoree for <strong>2011</strong><br />
was Frank Corigliano. The award was presented by the Chair of the Awards Committee, Dr. Laurence Baker at <strong>NYS</strong>PA's Annual<br />
Convention, <strong>2011</strong>.<br />
Citation: Frank Corigliano, PhD<br />
Dr. Corigliano completed his internship at the Friends Hospital in Philadelphia, which is the oldest private psychiatric<br />
hospital in the United <strong>State</strong>s. He was on the Convention and Marketing committees. He is now active with the<br />
Clinical Division. He was representative of NOFP to Council, and president of NOFP. His biggest <strong>NYS</strong>PA-related<br />
work now is with the Extern-ship Fair. He is obviously an up and coming psychologist even before he is officially<br />
called a psychologist.<br />
Page 33<br />
Vol. XXIII No. 2 • Fall <strong>2011</strong> • <strong>NYS</strong> <strong>Psychologist</strong>
The Beacon Award for Advocacy<br />
The Beacon Award for Advocacy recipient is chosen by <strong>NYS</strong>PA's Awards Committee in recognition of leadership and/or advocacy in<br />
establishing a guiding light for the profession of psychology. This award was presented to honoree Dr. Marianne Jackson at the <strong>2011</strong><br />
Annual Convention by Dr. Larry Baker, chair of <strong>NYS</strong>PA's Award Committee.<br />
Citation: Marianne Jackson, PhD<br />
Dr. Jackson is one of the highly principled members of <strong>NYS</strong>PA and greater society. She does things on the basis<br />
of what she really believes to be right, and is well known for that. She is a fighter for social issues and she<br />
serves sometimes as a social conscience for all of us. She is running for president of the Brooklyn <strong>Psychological</strong><br />
<strong>Association</strong>. Marianne is a clinical psychologist in private practice in Brooklyn. She got postdoc training at the<br />
Postgraduate Center. She is former president of <strong>NYS</strong>PA. She founded <strong>NYS</strong>PA's Health Care Committee in<br />
2000. She has been involved in the Division of Women's Issues, and Social Issues, and the Editorial Policies<br />
Committee. She is a member of Physicians for a National Health Program and the <strong>New</strong> <strong>York</strong> Coalition Against Torture. She is interested<br />
in getting things done, not just in talking about them, and that does tend to differentiate her from some of us.<br />
Grace Lauro Awards<br />
The recipients of the Grace Lauro Award are chosen by the Independent Practice Division in collaboration with the Academic Division,<br />
for recognition of a student’s scholarly research.<br />
Amber Kraft Nemeth, MA<br />
The City College, City University of <strong>New</strong> <strong>York</strong> (CUNY)<br />
The Effects of Early Maternal Interpersonal Violence Exposure on Children’s Behavior: Examining Mechanisms of Maternal Aggression<br />
and Affect Dysregulation<br />
Jessica R. Houser, MA<br />
Long Island University<br />
Eating in Response to Negative Emotion: Implications for Mood Repair and Select Working Memory Functions<br />
Iskra Smiljanic, MA<br />
The City College, City University of <strong>New</strong> <strong>York</strong> (CUNY)<br />
Eating in Response to Negative Emotion: Implications for Mood Repair and Select Working Memory Functions<br />
Martha M. Agresta, MA<br />
Derner Institute for Advanced <strong>Psychological</strong> Studies, Adelphi University<br />
Women Who Use Pornography: Healthy Sexual Outlet or Re-experiencing of Trauma?<br />
Classifieds<br />
Gramercy Park: Psychotherapy office. Beautifully furnished psychotherapy offices, art-filled.<br />
Available weekdays, evenings and weekends. Call: days (212) 982-0317, evenings (212) 741-0660.<br />
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Generous Terms, Well appointed office space with two consultation rooms and waiting room. Parking.<br />
Coffee shop on site. Referrals possible. Paul Moglia, PhD, 914-964-0336, pmoglia@snch.org<br />
For more information about advertising, please contact Kathryn Ohanian, kohanian@nyspa.org or (800) 732-<br />
3993. Online classifieds are available on our website at www. nyspa.org.<br />
Page 34<br />
Vol. XXIII No. 2 • Fall <strong>2011</strong> • <strong>NYS</strong> <strong>Psychologist</strong>
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