Monday, March 12, 2007

Changing From Information to Transformation

I was looking at a site on Christianity and Mental Health called Mind and Soul and came across an article on the need for churches to change their approach on how they teach their congregation. The situation that is described is one that I have certainly felt - being told what's wrong with you but not how to fix it. The truth is that even if I do learn something new, if I don't apply it then I will forget it.

I think one sentence sums it all up well, "Most people don't need information, they need techniques to help them change and a supporting culture in which to do (so)." I think that is what many of us long for. The opportunity to grow in a supportive and instructive environment.

Saturday, March 10, 2007

Is My Education Making Me a Better Person?

If you count Kindergarten, I have been in school for 20 years. And since I still have four years ahead of me until I get my doctorate, I guess you can say that I'm a believer in education. But while I believe all this education will open up career options for me, I still have to question whether or not I am becoming a better person out of all this time in school. I regularly visit a blog by a psychologist who is a professor at Biblical Seminary and he wrote a personal apology for a statement he made in a class. One sentence captures the message well, "Seminary education can be rather dangerous."

As a student of both psychology and theology I can relate. I can often feel the pull towards smugness and pride whenever I get into a conversation on either topic and perhaps I should apologize to those who I have vainly given my opinion to as fact (and sometimes rather insensitively). Education can make you feel empowered and that can indeed be dangerous. I think it's good to be critical - to know your weaknesses - and that is no less true for ventures where you are pouring your time and money into. I must critically ask myself if my education is making me a better person.

I've noticed, paradoxically, that learning makes me both more open-minded and closed-minded. At times writing position papers, learning theory, or criticizing theology can make me choose sides and suddenly my views are the "right" views. But there are also times when I, as a result of my psychological training, can see that where a person is coming from is more important than what they are saying. I can see their side because I can sense their passion, pain, or fear about an issue. It can often depend on my mood whether or not I am close-minded with others and perhaps the work ahead of me is to better control my mood.

Beyond that, I believe that the trials of being evaluated and stretched have forced me to develop a better work ethic. While in college I could skate along with a mediocre work ethic, I find myself needing (and occasionally desiring) to work hard and become the best psychologist I can be. I also have learned how to balance my life with school, work, social events, and time to relax. And of course everything I learn about people in my classes I can apply to myself.

So, indeed I would say: yes, my education is making me a better person. But I know that it doesn't always do so. In the past two years I have managed to stave off burnout and hopelessness (for the most part). Perhaps that is because in those dark times where I feel so stressed out, I usually take a minute and see how this is all shaping me to become the person I want to be. If I did not have those times of renewal, and the people who encourage me on, I could easily become bitter and my education would be my downfall. Although I wish at times I could be in a steady 40 hour week and making money, I am thankful for the opportunity that has been set before me. God has brought me this far, he will lead me on.

Tuesday, March 06, 2007

Prescription Privileges for Psychologists


In the last month, a bill has been introduced to the California state assembly regarding prescription privileges for psychologists. Similar bills have already passed in New Mexico and Louisiana. Now, in case you didn't know, psychiatrists are medical doctors and have the ability to prescribe medications while psychologists do not. However, this bill would change that by allowing psychologists to gain prescription privileges (RxP) by undergoing a two-year post-doctoral education that involves both didactic instruction and practicum. The American Psychological Association is lobbying for this bill to pass under the auspices that psychologists can help meet the needs of underserved populations, particularly in rural areas. However, it seems that the true purpose is to gain a clear distinction for psychologists from other mental health workers - in other words RxP is for economic purposes. The bill is opposed by psychiatrists and some other members of the medical field.

I want to bring up a few key issues why I think it is a bad idea for California to allow psychologists to gain RxP.

1. There is little evidence to show that psychologists can provide quality medical care. 50% of all mental illnesses are associated with an underlying general medical condition. Psychologists may not be able to understand all of the nuances of these conditions to treat properly. The real problem is we do not know if psychologists will provide quality care, we should wait to see how it goes in New Mexico and Louisiana.
2. The reasons for pursuing RxP, particularly meeting the needs for clients in rural areas, may be a fallacy because it seems that most psychologists who pursue the further education will want to work in urban and suburban areas.
3. The training program may be too short to properly train. The APA is lobbying for a training plan but the plan is much different from the one that the Department of Defense used to train psychologists to prescribe. Again, it's a question of knowing whether or not it will work.
4. The occupation of the psychologist will work best if there is unity within the members. RxP will cause a disunity as psychologists choose to either pursue RxP or get left behind. As a field, psychologists need to stick together.

In the end I recognize that there are problems with the system we currently have. There are not enough psychiatrists and most prescribing is done by general practitioners who have little training in psychopharmacology (i.e. meds for mental health issues). This is a problem. But I don't think RxP is the solution at this time. Psychologists already have the ability to gain RxP through gaining an advanced nursing degree, which takes about three years, so proposing a separate avenue is premature at this point in time.

Saturday, March 03, 2007

A Critique of Christian Apologetics

In high school I had a stage where I got very interested in apologetics. If you don't know what it is, Christian apologetics is making an argument for Christianity based on logic and reason. But I no longer get much comfort from most of the philosophical arguments that are made. Why? Here's a few reasons:
1) A great deal of apologetics is based on "straw-man" arguments. By straw man I mean that Christians will misrepresent the secular viewpoint as being simplistic and then will make easy work of demolishing "their" viewpoint.
2) Apologetics is often based on poor interpretations of science. I will limit my argument to evolution. Evolution does not mean that humans were created by chance. Evolution is a systematic law that makes sense. One can argue that it would take tremendous time to come together or that their would be roadblocks to evolution (like human consciousness) but that is based on solid science. Again, this is creating a straw man but it is particularly aggravating to me when science is portrayed as being irrational.
3) Arguments often rely on intuition and pathos. The one I hate is "I can't believe we evolved from monkeys." Like it or not, that doesn't influence it's truth.
4) Most importantly, apologetics look primarily at the God of creation but not at the God of Subsistence. Sure, we can argue for a first cause of the universe till the cows come home, but where is God in the world today? In a world where science seems to have an explanation for everything, where does God fit in? I want to know that God is present in my life and hears my prayers.

While I've found great comfort in a limited amount of apologetics, particularly reasons to believe in the resurrection of Christ (particularly relevant considering the latest archaeological "findings"), I am in a place where I must rely in part on a non-rational faith. Instead of knowing the truth, I must live the truth. I do not know that God truly exists but I have chosen to live His life, accepting the truth as best I can, because the one thing I do know is that my life is better when I live it as he revealed it to us. I cherish that Paul commanded us to be "stewards of God's mysteries." (1 Corinthians 4:1)

Tuesday, February 27, 2007

Knowledge without Deeds is Dead

As my research project develops, one of the issues that comes to the forefront is that there is a divide between theoretical research and actual practice. Tens of thousands of psychological articles are published every year but perhaps only about 1 in 100 actually impact practice in some shape or form. It seems that researchers in psychology are spending all their time delving deeper and deeper into understanding an issue without every taking the time to work out how it could affect actual practice. Although we can get into trouble by making recommendations without proper theory to base it on, psychologists simply can't neglect this part of research.

Friday, February 23, 2007

I'm So Left Brained

I first must warn you this is hardly profound or insightful (am I ever??) but you may get a kick out of it all anyways.

So in my neuropsychology class it had been suggested that people have assymetrical facial expressions. I just reviewed about 20 pictures of me and I am now convinced that the right side of my face is more expressive than my left. I have a "good side." And if I remember right, facial expressions are contralateral (but it could be ipsilateral) and so this is just confirmation that I am left-brained (logical).

If you want to test this out go to my profile and look at my picture (my right side is on the left in the picture). If you can't tell by my smile then look at the creases in my cheek.

Actually this may explain why I think I look better in pictures than I do in the mirror. In pictures my right side of my face is on the left side but in the mirror my right side is on the right side. Now our right hemisphere processes facial expressions better than our left hemisphere. And since the left visual field (which would see the right side of my face in pictures) connects with the right hemisphere, it would make sense that I would appear happier and better looking in pictures than in the mirror. Haha - this all must sound so vain!!! Well I found it interesting and so you may too.

I should not I just watched A Scanner Darkly, a Philip K. Dick novel turned movie, that talks about split brain stuff which sorta triggered my desire to check this out for myself.

Saturday, February 17, 2007

Indifference on Genocide

Pastors, political activists, and concerned citizens beware! Alerting others to mass atrocities may not be the best manner to engender concern and compassion to people in need, according to a recent research article. My suggestion to the natural human reaction to be overwhelmed by mass suffering would be to focus specifically on an individual case of suffering rather than presenting numbers of how many people are actually suffering. I don't think preaching at our need to become sensitive to the actual numbers will work - that is to say I don't think you should force your numbers on people to make them comply. Instead, by focusing on an individual it becomes possible to address larger concerns regardless of this phenomenon.