MPA Blog/Book Reviews


Blog Post: Book Review

LaBuda, J., Axelrod, B. N., & Windell, J. (2018). Cognitive Behavioral Protocols for Medical Settings: A
clinician’s guide. Routlege, New York, NY.
By Brigid Waldron-Perrine, Ph.D., ABPP and Summar Reslan, Ph.D., for the Michigan Psychological Association
To date, health, rehabilitation and neuropsychologists working in medical settings have relied on myriad far-flung resources, often handed down over time and only loosely anchored to their original source, to optimally engage in psychotherapy practices aimed at addressing physical, emotional and cognitive complaints of patients in busy medical settings. In the era of increasing emphasis on evidence-based care, this book fills an extremely important resource gap for this population of treaters and patients, and, in the opinion of these writers, should be required reading at the graduate practicum, internship, and post-graduate residency training levels for those moving into careers in health psychology, rehabilitation psychology, and neuropsychology.
The book is extremely well organized with a logical flow to the content. In part one, the initial chapter reviews common conditions and highlights important considerations for assessment and treatment. The section is well-researched but concise and leads the reader to numerous scientific references with regard to specific conditions.  The second chapter reviews essential features of successful psychological interventions with explanations grounded in the scientific literature regarding why each element is imperative. Without setting the stage for successful psychotherapy by engaging in these principles, psychologists are not likely to have the success they desire with their patients. Thus, this section, if followed, sets the clinician up for success with the specific intervention that they choose. Chapter three lays out the general principles of evidence-based practice and treatment in particular, and thoroughly reviews the evidence base of specific intervention approaches with specific patient populations.
Part two of the book includes specific evidence-based and brief intervention approaches to commonly reported difficulties in a medical population. Organized into four sections (physical symptoms, mood symptoms, anxiety symptoms and interpersonally disruptive symptoms), specific protocols include pre-treatment considerations, session by session topics to be addressed and useful tools such as tables/charts, graphs, figures and worksheets to be utilized by the therapist and patient. Homework, or out-of-session practice, is emphasized, and behavioral monitoring charts to be utilized by the therapist-patient dyad are included in the protocols. Normalization of emotions in the context of making efforts to change behaviors and recognize the unhelpfulness of certain thinking patterns is a common theme throughout the protocols, which reflects a transdiagnostic Cognitive Behavioral Therapy (CBT) approach. Throughout the book, there appears to be the perfect balance between description of empirically-supported ideas, easy to understand and implement treatment considerations, and concrete examples of the discussed concepts to promote implementation. 
Integration of assessment and treatment is also a theme through the book.  This is particularly relevant to the cognitively impaired patient population, as an accurate and thorough assessment is essential to ensure appropriate interventions will be implemented, and to minimize any iatrogenic effect stemming from inadvertent reinforcement of inappropriate or maladaptive behaviors. For practitioners who may have less experience working with cognitively impaired patient populations, this section is essential reading. The book authors incorporate possible cognitive weaknesses and presentations that patients in a busy medical setting may exhibit (e.g., delirium), and account for these presentations in the proposed treatment protocol. This is a consideration that is not a focus in other abbreviated CBT-influenced treatment protocols. In the chapter dedicated to behavioral management of disruptive behaviors in confused patients (Chapter 11), empirically-supported principles of functional analysis and behavioral therapy are incorporated into an otherwise largely CBT influenced book. This is a reflection of the care and consideration taken on the part of the book authors to recognize the special needs of confused patients (e.g., recognizing the limits of cognitively-based therapy techniques with confused patients) and introduce appropriate management strategies. In this chapter, the book authors deviate from delineating how CBT principles can be adapted for use in a medical setting, and instead draw on behaviorally-based principles to best suit a patient’s needs.
In their final chapter, the authors encourage the reader to utilize the previously described protocols flexibly, taking into account the specific presentations and complaints of their individual patients, and to generalize the principles described therein to other patient populations they might see. The reader is encouraged to turn to the literature for the latest science with regard to assessment and intervention approaches, and to integrate their findings into their daily practice.
This book strikes an important balance between proving structured, easy to follow protocols including helpful therapeutic tools while also encouraging critical thinking, flexibility and lifelong learning in the providers that are its target audience. As neuropsychologists and rehabilitation psychologists working with the patient populations who present with symptoms that these protocols are intended to address, we cannot recommend this book highly enough.

Ortman, D. (2016). Depression anonymous: The big book on depression addiction. Msi Press, Hollister, CA.

By Robert L. Funaro, Ed.D, LLP, Hospice Volunteer, for the Michigan Psychological Association

This is the second work that this reviewer has been honored to read and review from the author Dr. Dennis Ortman. It is a noteworthy work delving into a clinical process addressing depression. It is this reviewer’s experience that Dr. Ortman in this work weaved masterfully the interconnectedness of the complex issues of depression with the paradigm of the 12 Step Program. He cites case stories, diagnostic information and recommendation along with a thorough and clear explanation of the 12 Step Program to communicate the relatedness of Depression and healing with the human processes necessary to assist clients to life very satisfying and fulfilling lives.

He clearly explains that Change, Understanding, Growth and Acceptance of one’s dynamics involve the many folded processes of loss, grieving, and acceptance. The work is a kind of roadmap for assisting a client with the inevitable reshaping, reframing of one’s perception of oneself. If one is willing to accept the challenges that facing, accepting, and overcoming this depression addiction can have in one’s life then the outcome can be most satisfying leading one to personal happiness and fulfilment. Learning to pay attention to one’s feelings and reflecting on the layers of one’s life can assist one to peel back the layers of depression. The reflective process permits one to contemplate the inner voice without giving in to the temptation toward personal desolation.  Overcoming one’s shame and guilt and searching for friends, colleagues, and professionals who can assist one to see the inner true self is a part of the journey towards healing and self-fulfillment. This process is very well explored in this work.

Using a systematic (step) process of approaching one’s inner dynamic, a person can understand their depression, accept it, face it and assist in the process of moving from power to powerlessness in the face of difficult life moments. The author excellently takes a calculated approach to some of the steps of understanding depression. The author offers suggestions to clients who are seeking “recovery” and self-fulfillment. He reminds the reader that “change only happens when the pain of holding on is greater than the fear of letting go.”(p. 111).

Acknowledging that one is depressed, recognizing the harm that it has on one’s life, can lead to self-compassion and forgiveness as well as healing. Being rid of “bad” habits and proceeding into a new life can be both frightening as well as invigorating – as clinicians, this reviewer believes, we understand this process and have seen it in our practices. This work is practical, challenging, thought-provoking, energizing and reflective all at the same time. With the addition of prayer and personal reflection life can take on a whole new aliveness. This reviewer particularly enjoyed the phrase that recovery from depression can awaken a slumbering Spirit. I hope that others will take the time to read this work and see how they can awaken this slumbering spirit in the clients that they serve in their practice. I close with this from Anon: “Just when the caterpillar thought the world was over, it became a butterfly” (p. 167).

James Forman, Jr. (2017): Locking Up Our Own: Crime and Punishment in Black America.   New York: Farrar, Straus & Giroux.

By James Windell, M.A., for the Michigan Psychological Association
James Forman, Jr., a professor of law at Yale University, has written a wonderfully lucid and compassionate book that looks at just how endemic racism is in America.

How endemic is it?

It is so much a part of our society that even African-American leaders are complicit in the development of the harsh laws and policies that ultimately led to mass incarceration.

Forman, who is African American, was a public defender in Washington, D.C. before he went on to teach law at Yale. In D.C. as a public defender, he had the opportunity to observe firsthand how lives – and communities – were devastated by the criminal justice response to drug crimes as well as to non-violent offenses. He was also involved in the Washington, D.C. political scene as laws were passed which would mandate harsh sentences for various kinds of drug violations and other kinds of offenses. In this book, Forman traces how a city with strong black leadership came to have so little tolerance or compassion for the young men – and they were mostly young men rather than young women – who were involved with drugs and who committed both violent and nonviolent crime, often related to drug addiction.

This book tells a story about what African Americans thought, said and did in Washington, D.C. from the 1970s into the 2000s. Although Forman focuses on the actions of black officials, he does not “minimize the role of whites or of racism in the development of mass incarceration.” He indicates that to the contrary, it was racism that shaped the political, economic and legal context in which the black community and its elected representatives made their choices. As Forman notes early on in the book, “From felon disenfranchisement laws that suppress black votes, to exploitative housing practices that strip black wealth, to schools that refuse to educate black children, to win-at-all-costs prosecutors who strike blacks from jury pools, to craven politicians who earn votes by preying on racial anxieties, to the unconscious and implicit biases that infect us all, it is impossible to understand American crime policy without appreciating racism’s enduring role.”

The story of the war on drugs in Washington, D.C. is as story about how a majority-black city, like D. C., with black leadership remained committed to marijuana prohibition, and he points out, this was obviously not about city officials who were acting out of indifference or hostility to black lives when imposing tough criminal penalties that disproportionately burdened a black minority. Instead, D.C.’s black leaders saw themselves as guardians of the black community and they wanted to protect that community, especially young people, from the dangers of drug use. The leaders of D.C. did not want to harm the community by imposing tough sanctions on minor drug use; however, by enacting incremental steps, there was increasingly more serious collateral damage.

What Forman learned and he relates in this book is a cautionary tale. It’s a history lesson that should be learned and understood by all of us. More importantly, this history lesson deserves to be read and understood by everyone who cares about how our society, and especially our communities of color, carries on the current approach to criminal justice.

During the second term of President Barack Obama’s administration we could be proud that the president was speaking out and taking action to counter the previous decades’ tough-on-crime approach. President Obama understood that since the 1970s and the beginning of the War on Drugs, the “tough-on-crime approach” that dominated our criminal justice system’s means of going about business was code for “Let’s throw the book at young men and women of color, who victimize the good people of color.”

Unfortunately, the current administration in Washington has no demonstrated understanding of our criminal justice history and tends to govern through slogans and simplistic policies that reflect no understanding of what has worked in the past and, more significantly, what has failed miserably in the past.
Although neither our U.S. Attorney General nor our president is likely to read this book, the rest of us can read and digest this book in order to advocate for changes in our criminal justice system; changes that would reform our approach to dealing with drugs offenses and other crimes; changes that would rely on intelligence, compassion, insight, understanding, and a sense of what is best for our communities – not what is best for garnering votes from the portion of our electorate that operates out of fear and ignorance.

Ortman, D. (2017). Anger anonymous: The big book on anger addiction. California: MSI Press.

Reviewed by Robert L. Funaro, Ed.D, LLP, Hospice Volunteer, for the Michigan Psychological Association

Sometimes as a therapist, we overlook the obvious because we think that we know what is going on within one of our clients or patients. This reviewer has been fortunate in that he has been in supervision for almost 30 of his 40 plus years as a therapist. I mention this because sometimes (many times) my supervisor points out the obvious and makes the obvious very real. I had the very same reaction as I read this work by Dr. Dennis Ortman.

Very few of my clients over the years have not had some form of anger issues – some easy to diagnose and others more complicated. Dr. Ortman’s initial warning label ”Handle with extreme caution!” proved time and time again to be true. His challenging, open-book draws the reader’s attention to the complicated issues surrounding the dynamic of anger. I found the insights both from his own personal life as well as from his professional life most helpful in breaking open the struggles one can have when confronted with anger issues. 

Dr. Ortman’s integration of the “steps” as presented in AA with the application and insights of anger management truly enlightening and extremely worthwhile to read, assimilate, and apply to clients (or to one’s self) with these issues. This reviewer found the insights and suggestions with regards the power of Self-Examination, the power of prayer and connectivity with others most helpful. The author’s approach to the dynamic of forgiveness and the insights about forgiveness offers to the reader much to think about and much to integrate both into one’s life as well as one’s practice.

This reviewer found Dr. Ortman’s simple but profound challenge to take the first steps of admitting the powerlessness of anger, the need to find one’s Higher Power, and one’s willingness to embrace the journey of acceptance and healing very cathartic and practical. One’s real life acceptance of anger and its management as a possibly long term process was most helpful. There is an understanding that each person, each client may face their “demons” in their own time and manner. Equating anger management with recovery carries a peace-filled resolve on one’s journey and for this reviewer also. Affirming that anger management is a work in progress is consoling. Dr. Ortman’s final line does prove true, as I hope it will prove true for those who read this work: “You are born free, free to be yourself. You only have to claim your birthright.”

Grann, D. (2017). Killers of the flower moon: The Osage murders and the birth of the FBI. New York: Doubleday.
Review by James Windell, M.A., for the Michigan Psychological Association

In May, 1921, Anna Brown, an Indian living in the Osage territory of Oklahoma disappeared.
Almost 50 years before her disappearance, though, in the early 1870s, the Osage Indians had been driven from their lands in Kansas to a rocky, seemingly worthless reservation in northeastern Oklahoma. Three decades later, however, it turned out that the Osage were living on one of the largest oil deposits in the United States. That meant that oil promoters had to pay the Osage for leases and royalties. Every person on the Osage tribal rolls began receiving a royalty check. Those checks started out as a few hundred dollars, but eventually become thousands – and every year payments increased. In 1923 alone, the Osage cashed checks totaling more than $30 million. At that time, the Osage were considered the wealthiest people per capita in the world. Every Indian (in this book, Grann, very deliberately and with reason, refers to Native Americans as Indians), like Anna Brown, had a regular income that allowed them a comfortable life.
A week after Anna vanished, her body was discovered by a hunter and his son. She had been murdered. But she wasn’t the first Osage to die suddenly and mysteriously – and she wouldn’t be the last. In fact, over the course of a few years dozens of Osage were killed. However, the investigations into these seemingly unrelated but strange deaths by the tribal police and the Bureau of Investigation (the law enforcement agency that would later be renamed the Federal Bureau of Investigation) were haphazard and less than exhaustive.
When Anna Brown was murdered, the Bureau of Investigation was not yet directed by J. Edgar Hoover and its director in the early 1920s, William J. Burns, appeared to be concerned about doing a competent investigation. And when Hoover took over the reins of the Bureau in 1924, he was still new to the job and he, too, wanted to protect the reputation of his department and he called in one of his special agents, Tom White, and told him to go to Oklahoma and solve these murders. Tom White, who was more of a cowboy than what the popular image of the stereotyped FBI special agent would evolve into during the 1930s, took his job seriously and over the next several years diligently tracked leads. Ultimately, the sleuthing by White and agents working with him led to one man and one motive – accumulating the royalties of as many Osage as possible through wills and assignments.
Grann writes a compelling story of the Osage murders and he shows the parallels with the development of the Bureau of Investigation in the years before J. Edgar Hoover established his dictatorship over the FBI and before his prejudices and biases began to be displayed. In much of Hoover’s 48-year tenure as director of the FBI, while he built the agency into a powerful and elite crime-fighting agency, it became more and more apparent that he was a deeply flawed man who could not overcome his biases. As is clear in other books such as Steve Hendrick’s “Unquiet Grave: The FBI and the Struggle for the Soul of Indian Country” (Thunder’s Mouth Press, 2006) and Thomas Gid Power’s “Broken: The Troubled Past and Uncertain Future of the FBI” (Free Press, 2004), in later years, after the Anna Brown murder was solved, the FBI operated in tribal lands in a despicable manner provoking conflict and sewing seeds of discontent which ensured that the response would be armed hostilities. While this was going on, the FBI lied to the American people about their own role in violence and mayhem on reservations.
Hendrick’s book detailing events around the Wounded Knee incidents during the 1970s, demonstrates the less than exemplary record of both Hoover and his special agents in dealing with the American Indian Movement and American Indians. Typically, American Indians were badgered, manipulated and probably murdered – all with the complicity of the FBI.
Grann’s book reminds us of an earlier, perhaps more innocent time, when the Bureau of Investigation at least made an honest effort to solve crimes on reservations. This was prior to Hoover’s COINTELPRO programs that sought to contain – if not encourage – the destruction of the American Indian, not to mention every other group that Hoover thought un-American.
I recommend Grann’s “Killers of the Flower Moon” for the pursuit of justice against killers of the Osage. This book should be read before Hendrick’s and Powers’ depiction of the FBI 50 years later, by which time the FBI’s moral bankruptcy was in full flower under Hoover.

Blog Post: Book Review
Toronto, E., Ponder, J., Davisson, K., Kelly, M. (2117) A Womb of Her Own: Women’s Struggle for Sexual and Reproductive Autonomy. N.Y.: Routledge
Reviewed by Carol Stratman Ph.D.

Posted February 5, 2018

This book thoughtfully covers a kaleidoscope of topics related to female identity. The title sums it up, “A Womb of Her Own: a woman’s struggle for sexual and
reproductive autonomy”. The editors have collected articles that deeply explore the woman’s struggle with reproductive and sexual freedom. Both research findings
and clinical vignettes are employed to exemplify and explore the social and psychological issues involved in female sexuality. Toronto present thought
provoking information which is organized into three sections entitled 1)a culture of oppression, 2)women and sexual trauma, and 3) women defining motherhood.
The first section addresses both the conscious and unconscious impact of decades of misogyny which is certainly relevant to our recent social and political climate.
Issues such as the impact of patriarchy have influenced women’s control of their reproductive rights and promoted submissiveness, a relinquishment of autonomy
and possibly depression. Dealing with similar psychological issues, a description of gay men and women’s reproductive experience is included. The authors discuss the many developments in these areas and illustrate how the feminist movement has brought to light the value of equality for both men and women and the importance of autonomy in facilitating mental health.

The second section, “Women and Sexual Trauma” explores the ‘cultural and relational matrix that degrades our autonomy as well as our safety” p71. The
author suggests that our culture and institutions may perpetuate dismissal of a woman’s traumatic experience. On an individual level, dealing with the aftermath of
rape, that is, feelings of helplessness, self blame as well as denial are addressed. Research is presented that suggests that even the vicarious experience of a friend’s violation has an impact on feelings of safety and security for women. 

The third and very fascinating section, Women defining motherhood, explores the experience of choosing to be a mother and also the option of choosing to be
childfree. Our assumptions and stereotypes are challenged as the authors deepen our understanding of individual reproductive experiences. For example, the authors examine the cultural idealization of motherhood. It is often assumed that giving birth is a wonderful experience, painful at times but euphoric as well and we are rewarded with a healthy happy infant. Sometimes this ideal is realized but for some women the experience is outside the ideal. The author reports that twenty-five percent of mothers may experience postpartum depression which disrupts the illusion of the ideal mother creating feelings of inadequacy, of being a “bad mother”. 

Because mothers are vulnerable and ashamed, these feelings tend to be hidden leaving women to struggle alone. Other topics include infertility, adoption, therapist
as mother, and women who choose to be child free. The authors explore the emotional struggles and societal pressures that women may confront with each of
these experiences.

In summary, this book brings up important issues in reproductive autonomy. Each topic deserves a book of it’s own. Hopefully the information explored here will
stimulate our curiosity, expand our thinking and generate further in depth exploration of these important issues. A Womb of Her Own is valuable reading for
anyone who works or lives with women. 
Blog Post: Book Review
Never Long Enough. Krakoff, Joseph H., Sider Michelle Y.; Front Edge Publishing, LLC, 2017.
Reviewed by Robert L. Funaro, Ed.D, LLP, Hospice Volunteer

Posted January 25, 2018

I have come to understand that Life is a Journey of Emerging, Evolving, and Interconnecting Processes. Sometimes we look at things and see only a very small picture of the wonder that is contained in what we see. I found this reality in reading this work by Rabbi Krakoff and Dr. Sider. 

At first glance it appears "simple" to read and "easy" to understand. However, it's depth is in the time it takes to enter into the pages, re-live life, and ponder the mystery, the wonder, and the difficulty in experiencing grief and loss. 

Time and timelessness are important human dynamics to consider and when one moves into timelessness is an age old wondering. This book gives one an opportunity to pause, slow down a bit, and ponder how letting go does not mean ending. The value of the Now is exposed and the joy and benefit of enjoying memories savored. 

Both in the words written and in the artwork presented, we are confronted with asking and reflecting on some critical life issues.  Life, memories, stories, history can never be taken away even when our loved ones have moved into Timelessness. Gone but not forgotten has a new reality when one contemplates the messages of this simply profound work. Its audience might well be directed to those who have lost a loved one or who are assisting one to let go and move into new life. No there is never enough time, but maybe we need to look at how we use our time in order to have no fears of looking back and saying "...if only..."
Blog Post: Book Review
Unselfie: Why Empathetic Kids Succeed in Our All-About-Me World.  Michele Borba; New York: Touchstone, 2016.
Reviewed by Jim Windell, M.A., for the Michigan Psychological Association

Posted November 27, 2017

I read Michele Borba’s latest book thinking it would be another one of Borba’s competently written parenting books that would be helpful to psychologists who work with parents and children.

Certainly, I was well aware before opening it up that today’s millennials – and, perhaps, rightly so – have been accused of being self-centered and egotistic. And I recognized that bringing up children in a world that is self-absorbed and obsessed with those ubiquitous selfies is undoubtedly challenging for parents who want to raise their kids to be selfless, altruistic and empathic.

But as I made my way through Borba’s well-written and intelligent book, it was forcing me to consider that it was saying something important about the leadership and role models we see daily in the news media. Michele Borba’s book’s central theme is that empathy and kindness is extraordinarily important in children and it can be taught to them by their parents and other significant adults in their lives. It’s not just a temperamental trait that kids either are – or are not – born with.

However, one aspect of teaching kids to be empathetic, to have feelings for others, to be able to take the perspective of others, and to be kind to people is to see it modeled by adults. But the question that kept haunting me as I read this book was: How much of just the opposite is being modeled by leaders and government officials these days? I thought about the incivility, the name calling, the blaming, and, at times, an almost merciless approach to people who have experienced disaster and crises, and the abuse and assault of women by those in positions of authority and power. If children are being exposed to this in the media, doesn’t this complicate the job of parents?

While Borba does not address these questions directly, she does lay out in chapter after chapter how parents and teachers have taught children to be less egocentric and more empathetic. In nearly everyone of the nine chapters, Borba, an educational psychologist and renowned parenting expert, provides practical, hands-on, research-based recommendations that can be used by parents of children from toddlers to teens to help them be the kinds of caring, giving children most parents truly want. And while the book doesn’t offer an antidote to non-empathetic models who frequently show up in the media, it does argue that raising empathetic children is more crucial than ever today.

With that, I think most of us, would agree.
Blog Post: Book review
White Rage: The Unspoken Truth of Our Racial Divide. Carol Anderson; Bloomsbury, 2016.
Reviewed by Jim Windell, M.A., for the Michigan Psychological Association

Posted September 30, 2017

Carol Anderson is the Samuel Candler Dobbs Professor and Chair of the African American Studies department at Emory University. She is the author of the recent book White Rage: The Unspoken Truth of Our Racial Divide.
When we remember and experience – or re-experience – the incidents of social unrest, protests, and inner city riots, associated with such cities as Detroit, Newark, Watts, or – more recently – Ferguson, St. Louis – we know and understand that the provocation was often police brutality or police shooting of an unarmed African American. That’s what generally gives rise to community outrage. Some of us may call it – with good reason – black rage and we can justify the violent responses by recalling 150 years of injustice visited upon African Americans. Injustices, broken promises, and government misconduct are seen by some as legitimate reasons for the anger that frequently pushes people over the edge and out of their houses to take to the streets.
However, what Carol Anderson so capably writes about in this book is not the angry response of blacks to discrimination and injustice. Instead, she details in her book how she had an epiphany one day. What she became aware of that day was that the kindling, the spark, of the black anger igniting violent responses. The kindling she says is really white resentment and white rage.
And it is this white rage that typically gets overlooked and ignored in the aftermath of another community uprising. Recently, after Anderson’s book was published, we witnessed this white rage in its blatant and palpable form in Charlottesville this last summer. Most often, though, Anderson contends, white rage is not visible. “Rather,” Anderson writes, “it works its way through the courts, the legislatures, and a range of government bureaucracies.”
The author goes on to write that white rage doesn’t have to take the form of a Dylan Roof taking a gun into a black church and killing people point blank. And it doesn’t have to be a white man driving his car into a group of protestors. Nor does it have to be a group of white supremacists wearing white sheets. “Within the halls of power, it can achieve its ends far more effectively and destructively in more subtle ways.”
Unfortunately, as is clear from our current political climate, white resentment and white rage is all around us. It is graphic and quite apparent. Anderson shows it though in the actions of a succession of presidents, including Richard Nixon and Ronald Reagan, in the decisions of the U.S. Supreme Court, in the laws passed by legislatures, and in criminal justice system policies. The High Court, for instance, as Carol Anderson points out, made the following rulings – all within our lifetime:

            - Affirmed that the police can stop anyone based on something far below the understood threshold of probable cause;
            - Approved racial profiling;
            - Upheld harsh mandatory sentencing for drug offenses;
            - Tossed out irrefutable evidence of racial bias in sentencing because of its implications for the entire criminal justice system;
            - Approved ridiculous peremptory strikes to eliminate blacks from juries (so long as the prosecutor’s stated rationale was not based on race);
            - Shielded district attorneys from disclosing the role the defendant’s race played in prosecutorial discretion.
Although Anderson does not say this in her book, because it came out before the last president election, she has written subsequently that white resentment put Donald Trump in the White House. And it is likely that white resentment and rage will keep him there while he continues to play on the seething, irrational fears about an increasingly diverse America. His pronouncements and his policies feed into his supporters’ worst racial fears and worries. Anderson wrote in the New York Times recently that no matter how much scandal or evidence of incompetence the administration displays, the president’s followers will continue to believe that Trump – and he alone – “can make America White Again.”
Anderson ends her indictment of the invidious white rage in our land by imaging what our country would be like if Reconstruction had actually been successfully completed, if the South had actually followed the law after the Civil War, and if Brown v. Board of Education had actually been implemented. She imagines that if these things had actually happened we wouldn’t have to worry about either White rage or Black rage.
Book Review:  “He Wanted the Moon. The Madness and Medical Genius of Dr. Perry Baird, and His Daughter’s Quest to Know Him.” By Mimi Baird and Eve Claxton. New York:  Broadway Books, 2015.

Reviewed by Steven J. Ceresnie, Ph.D., for the Michigan Psychological Association

Posted September 17, 2017

When reviewing a book, Groucho Marx’s comment comes to mind:  “From the moment I picked your book up until I laid it down I was convulsed with laughter. Someday I intend on reading it.”
Unlike Groucho, I read this book and convulsed with sadness, disgust, shock, and gratitude that Mimi Baird had the grit, courage, and literary skills to write this book.
This story weaves together psychiatric history, gut wrenching descriptions of barbaric psychiatric treatments, biography, and fine literature --- all rolled into a book you can’t put down. The story was originally called, “Echoes from a Dungeon Cell.”
We learn that when Mimi Baird was 6 years old, and her sister Catherine was 4 years old, her father left the family.
Dr. Perry Baird was removed from his home against his will and taken to Westborough State Hospital---the first of several psychiatric hospitals. Ms. Baird’s father was never talked about, and she saw her father only once when she was a teenager.
Ms. Baird’s mother divorced her father in 1944 – the year he left – and quickly remarried. Ms. Baird wrote: “After my mother remarried if was as if I had lost both my parents.”
In her 50’s, Ms. Baird got a second chance to know her father through his writings, scrawlings on onionskin paper found boxed-up in a relative’s garage, medical records, and conversations with colleagues and friends. Her father’s memoir documented five months of his dreadful life in a psychiatric hospital giving us are rare, perceptive view of a mind on a roller-coaster of sanity and madness.
Her father suffered from manic-depression, now called bipolar disorder, at a time when there was no effective treatments.
Ms. Baird’s father attended Harvard Medical School and graduated with highest honors --- a man who spent all his time studying. He specialized in dermatology and started a successful practice in Boston.
During his training, Dr. Baird worked with the famous physiologist Walter Cannon.  Early in his career, driven by his research and his knowledge of mental illness,  Dr. Baird published the article, “Biochemical Component of the Manic-Depressive Psychosis,” in “The Journal of Nervous & Mental Disease:  April 1944 – Volume 99 – Issue 4 – ppg 359 – 366.
Psychosis took over Dr. Baird’s brilliant mind when he was 29 years old. He lost his license to practice medicine. His thoughts became more bizarre. He endured treatments that included straitjackets, cold packs, an 11 day narcosis treatment using sodium amobarbital, and a frontal lobotomy. You may remember that the physician who performed many frontal lobotomies won a Nobel Prize for this “treatment.”
Dr. Baird had much to say about is psychiatric treatments:
“I pray to God that in the future I shall be able to remember that once one has crossed the line from the normal walks of life into the psychopathic hospital, one is separated from friends and relatives by walls thicker than stone; walls of prejudice and superstition. It may be hoped that psychopathic hospitals will someday become a refuge for the mentally ill and a place where they may hope to recover through channels of wise and gentle care. But the modern psychopathic hospitals I have known are direct descendants of ancient jails like Bedlam, and I believe that they do harm, not good.”
After returning to normal health from a manic state, Dr. Baird writes: “The feelings of self-criticism, shame, and embarrassment are true foes and they inflict the deepest wounds, undermining self-co.nfidence and making it hard to face the world.”
In May 1959, a year after she graduated college, Mimi’s mother called to tell her about her father’s death.
He died in Detroit, Michigan in a hotel. He came to Detroit from Texas for work. He drowned in the bathtub, the result of a seizure some say was associated with his lobotomy.
About the book’s title, Ms. Baird tells us her father loved to ride horses. Riding partner friends described Dr. Baird:  “He was supercharged with energy…He wanted to beat everyone – other riders didn’t care for him, but he was a great athlete…Your father, he couldn’t help himself. You know, Mimi, he wanted the moon”
This book is a significant contribution to the psychiatric literature. We have come many miles from the barbaric treatments Dr. Baird endured. Now, many people with manic-depression can live normal lives ---- yet many people are never properly diagnosed or treated. Many experience an average of 10 years of mental chaos before effective treatment. And psychiatric maladies are still marinated in fear, shame, and stigma. We have many miles to go. This book helps to lead the way.

Blog Post: Book Review
Elizabeth Hinton (2016): From the War on Poverty to the War on Crime: The Making of Mass Incarceration in America. Cambridge, MA: Harvard University Press.
Reviewed by James Windell, M.A., for the Michigan Psychological Association

Posted August 23, 2017

I confess that I came to this book with the notion that it was President Richard Nixon’s declaration of the War on Drugs in 1971 that set the stage for mass incarceration in this country. I fully believed that it was Nixon’s instituting a war on drugs that resulted in African Americans being rounded up for arrest and imprisonment, and, if anything, later presidents, such as President Ronald Reagan, simply ramped up what Nixon began. That ramping up consisted of a get-tough-on-crime era that would lead to the overcrowding of our jails and prisons.
But I was wrong. Elizabeth Hinton’s book, “From the War on Poverty to the War on Crime: The Making of Mass Incarceration in America,” brought new insights on the timeline of events along with a more fully developed back story that changed my perspective. Hinton effectively reveals data that argues that the roots of mass incarceration actually began with both President John Kennedy and President Lyndon Johnson.
When Johnson was elected after serving out Kennedy’s term, he was stung by the criticism of his opponent in the presidential campaign of 1963/64 that Johnson was soft on crime. Because of his sensitivity to that charge, once he was elected he established the President’s Commission on Law Enforcement and the Administration of Justice to study crime in the U.S. Out of the report of that commission, entitled “The Challenge of Crime in a Free Society,” came Johnson’s War on Crime.
So, while the Reagan administration is often credited with promoting a domestic policy shift toward imprisonment and urban surveillance, the national crime control programs the Reagan administration developed in the 1980s were hardly a sharp policy departure. The actual deployment of such crime control programs were initiated during the civil rights era with Kennedy’s “total attack” on delinquency in 1961.
The Kennedy administration’s anti-delinquency programs were well intentioned. Ostensibly, they were to provide low-income citizens in 16 cities with counseling, job training, remedial education, and other social welfare programs with the idea to prevent juvenile crime. Then, Johnson expanded Kennedy’s program by taking it nationally and reframing it as a “War on Poverty.” However, at the same time, the Johnson administration introduced more aggressive and exhaustive supervision in black urban areas. Later, when Nixon assumed the presidency, he discontinued the more progressive programs and focused on the punitive aspects of Johnson’s policies while also introducing draconian sentencing reforms and supporting the targeted deployment of aggressive undercover police squads and urging more prison construction.   All of these programs and policies inevitably led to the mass incarceration that resulted in the number of prisoners swelling to 2.2 million citizens in the early 21st century.
But Hinton puts the total number of prisoners we had (and continue to have) into a perspective that is jaw dropping. She points out that between the end of the Civil War in 1865 and the start of the presidency of Lyndon Johnson 100 years later some 185,000 Americans spent time in prison. But, from the start of Johnson’s War on Crime until the launch of Reagan’s War on Drugs, 251,000 people were sent to prison.

This book tells in exquisite detail how each succeeding president from Reagan on played a pivotal role in keeping the momentum going toward locking up more citizens, especially minority citizens. In telling the story, Hinton describes various policies that have exacerbated the problem.
One such policy was the STRESS program in Detroit. STRESS was an acronym for “Stop the Robberies, Enjoy Safe Streets,” and was inaugurated under Detroit Police Chief John Nichols in January, 1971, with a $35,000 grant from the government’s Law Enforcement Administrative Assistance agency. Nichols designed STRESS to patrol the low-income, mostly  black neighborhoods that had been identified as areas in which crime occurred. Mostly this was in the Cass Corridor area, a block west of Woodward near the Wayne State University campus.

Some 200 to 250 police officers were assigned to STRESS, employing plainclothes and decoy operations to anticipate and prevent crime. However, what STRESS, in effect, did was to pit the police against the African-American community and, thus, played a part in the ongoing tensions between the community and the police. The program sounded good when Nichols proposed it, but in reality it resulted in far more arrests and a remarkably higher death toll of citizens than any program in any other city in America. In just the first two years of operation, STRESS resulted in more than 6,000 arrests and the killings of 18 civilians – all but one black. Nichols chalked up the killings by police officers as just part of the job of making the city safer. However, it did not, apparently, result in safer streets and a lower crime rate. But it did increase the tensions between the minority communities and the police. And, in the end, it drove a wedge between black and white officers who engaged in more than one Keystone-cops-like shootout between police officers.

When Coleman Young took office as mayor in 1974, one of his first acts was to disband STRESS, but only in more recent years have there been solid efforts to change the Detroit Police Department culture to seek to improve police-community relations.
Whether you are trying to make sense of the police-community relations in Detroit or the mass incarceration of African Americans in this country, this book should be required reading.

Blog Post: Book Review
Daniel M. Wegner and Kurt Gray (2016). The Mind Club: Who Thinks, What Feels, and Why It Matters.
Reviewed by Barbara H. Rigney, Ph.D., for the Michigan Psychological Association

Posted August 22, 2017

Daniel Wegner was a Professor at Harvard and a 2011 recipient of the American Psychological Association Distinguished Scientific Contribution Award. In 2010, after he was diagnosed with ALS, he enlisted his former graduate student Kurt Gray, who now leads the Mind Perception and Morality Lab at University of North Carolina at Chapel Hill, to help bring to life this book, conceived before the diagnosis and published after his death in 2013. Their research probes questions about mind that go beyond science and philosophy and provides answers to puzzling questions, such as why we think some animals make great pets and others make great meals and how we attribute intention or culpability.
While the writing is smooth-and the authors do a nice job seamlessly integrating their research findings and anecdotes to illuminate the relevance of how we perceive mind, the book gets off to a somewhat slow start as it lays out for the reader concepts fundamental to subsequent discussions on how membership in the Mind Club impacts our views on animals, machines, patients, enemies, and more boldly our views of God, the dead, and ourselves.
The authors do make a compelling argument for reading on - the question of whether other minds exist is inherent in understanding things like how Nazis could murder 6 million Jews, why animals are tortured for sport, how one can escape blame, how we treat patients with chronic pain, why vegetative patients can seem more dead than the dead, why it's not always advantageous to be the most competent one in a group, and why conspiracy theories are inevitable.
"The Mind Club" simply is a "...a collection of entities who can think and feel." Membership matters because it bestows respect, moral status, but also responsibility.
Cryptomind refers to those more challenging cases, turnip -> no, robot -> maybe? A mind is less objectively determined and more about perception.
The foundation of the book was a 2500 person survey from which the authors determined that people see mind primarily in terms of agency and experience. Agency, an "outside" characteristic, includes abilities like planning, self control, thinking, doing, accomplishing goals. Experience, an "inside" quality of mind, includes the ability to have an inner life-feelings, physical sensations like hunger or pain, personality. The survey also revealed that people distinguish between minds with agency and moral responsibility, and minds with experience and moral rights.
In order to facilitate delving into broader and more complex questions of mind, Wegner and Gray distill these rules down to two kinds of perceived minds: thinking doers and vulnerable feelers. Thinking doers are moral agents, have agency, moral responsibility, and are performers of good and evil, e.g. the heroes and villains. Vulnerable feelers are moral patients and have experience and moral rights; they are recipients of good and evil e.g., the rescued or injured. And if you're still with me, the authors further define moral and immoral: (Im) morality = Agency (of agent) + Experience (of patient). In this way, maximum immorality would be a powerful agent acting on a vulnerable patient while minimum immorality would be a weak agent acting on an invulnerable patient. Following this model, if we saw a CEO punch a little girl, we would likely deem that immoral, wrong. To see a little girl punch a CEO might be seen as "funny." I can already hear some saying, " that wouldn't be funny!" and the authors nicely illustrate throughout the book this reality - nothing is really that simple when it comes to our perceptions.
The relevance and timeliness of this book cannot be overstated, for it provides a paradigm in which to understand extraordinarily complex aspects of human behavior, like, what makes an "enemy" and how can we best challenge those who would cast "others" as such for ideological or political gain, how to understand seemingly incomprehensible views on relative harm of gay marriage or drug use if we ourselves see no harm there, why victims are often blamed, how being part of a group can paradoxically make us both the most mindless and also be a source of the most intelligent behavior, how they can foster cooperation but also perpetrate the worst harms. The authors probe with sensitivity and directness matters we often shy away from, such as difficult end-of-life and beginning-of-life decisions, how mind perception impacts the very divisive questions about God, and ultimately how mind perception shapes our understanding of ourselves, and the very fact that we are trapped in our own minds prevents us from connecting with others completely. Gray argues, finally, hopefully, that this model of mind as perception is what can enable us to get out of our own minds in order to better understand the minds of others, a very worthwhile endeavor, especially now.
Blog Post: Book Review:The Narcissist You Know: Defending Yourself Against Extreme Narcissists in an All-About-Me Age" by Joseph Burgo, Ph.D.
Reviewed by Robin McCoy, M.S., Ph.D., for the Michigan Psychological Association

Posted June 25, 2017

The use of the descriptive narcissist in today’s media driven culture is approaching ubiquity and is more commonly used and as a concept of vanity often seen in celebrities or politicians. However, most of us haven’t interreacted with a true narcissist. We have, however had interactions with individuals that left us "feeling some kind a way"’ and unable to pinpoint the exact cause of those feelings.

Joseph Burgo describes that feeling as a narcissistic injury which is just one point on the spectrum of behavior. or injury nevertheless you feel injured. In this excellent and easy to read, pop psychology book, the author utilizes profiles and case studies that illustrate the differences between a healthy self-esteem and psychopathy. He is equally adept at helping us to understand our own narcissism that we each exhibit given the right conditions. Each vignette is followed by strategies and tactics to guard against narcissistic injuries and the extreme and dangerous winner take all personality type of behavior that results in harms to the individual and everyone around them, including friends, family, and coworkers.  
Blog Post: Book Review:Blood in the Water: The Attica Prison Uprising of 1971 and its Legacy" by Heather Ann Thompson, 2016.
Reviewed by Jim Windell, M.A., for the Michigan Psychological Association

Posted June 15, 2017

“Blood in the Water” is a book that ought to be read and, indeed, studied by everyone who cares about rights, civil rights, and the way we treat prison inmates. Ostensibly, Heathen Ann Thompson, a University of Michigan historian, writes a detailed and tragic history of the Attica prison riot that started on September 9, 1971.
But this is not just a book about what some people today might think of as a relatively obscure New York State prison riot of almost 40 years ago. Instead, this book, which was nominated for the National Book Award and did lead to Dr. Thompson receiving a Pulitzer Prize in 2017, is about the long-standing plight of mass incarceration, the never-ending war on drugs, the sorry state of American prisons, and what turned out to be a decidedly successful political cover up of a horribly botched retaking of a prison.
When I went to hear Dr. Thompson speak in Ann Arbor about this book, she told a fascinating story of her 11-year-long hunt for documents in her effort to ferret out what really happened at Attica between September 9 and September 13, 1971. In her talk she detailed her persistent search for the records that were hidden from the public, and she described how the search for missing records and documents took on a life of its own, particularly when it became apparent that authorities in New York – literally from the office of the governor on down to  prison officials – were involved in a massive effort to keep the public –and the families of the victims –from ever finding out what treachery and evil actually took place.
Prison riots, such as this uprising at Attica Prison, are, Dr. Thompson points out, almost always due to years of abuse, neglect and inhumane treatment of prisons. At Attica, there was active neglect of the reasonable demands of the prisoners combined with a backdrop of cruelty by guards and mishandled attempts at communication between the warden and the inmates. Unfortunately, the poorly handled communication attempts, and a profound failure to listen to prisoners and respect their need to be treated as human beings, happened not only in the years leading up to the resistance by prisoners, but throughout the four days of negotiations. At any one time, the warden or Governor Rockefeller could have met with the prisoners and settled the problems. But their refusal to budge made inevitable the overwhelming retaliatory strike by hundreds of armed guards, state troopers and the military –all itching to inflict as much damage as possible on the unarmed prisoners. The result, as can be imagined, was simply a massacre in which 39 men (guards as well as prisoners) were killed and hundreds wounded.
The one person ultimately responsible for this brutal massacre was Governor Nelson Rockefeller, who could have prevented it, but was powerless to stop it once it started. And after the murderous assault took place, it was the governor’s office, the New York State Department of Corrections, and Attica Prison officials who blamed the prisoners and conspired to keep telling the same lies while hiding records of the various investigations of the uprising.
Not only was a fabricated account of what happened peddled to the media in the immediate aftermath of the assault, but investigators hid the truth, issued false reports, and made sure that a fiction was fed to the press and to the families of the victims.
Dr. Thompson was able to unearth, through her diligent and painstaking forays across the state of New York, enough of the hidden documents and transcripts to piece together what should have been made known to the public right after the uprising ended. Because the truth was hidden, guards and prison officials were able to retaliate against the prisoners in a callous fashion after peace was restored – even though the prisoners were not responsible for the deaths that occurred in the retaking of the prison.
To understand mass incarceration, prison management, a correction system that has changed little in the last 150 years in this country, this book – as painful as it is to take in at times – needs to be carefully read. Although psychologists will obtain a better understanding of prisons, prisoners, and the criminal justice system, the people who truly need to read this the most – corrections officers, governors, legislators, and the Attorney General of  the U.S. – are perhaps the least likely to actually read this book. As a result they will be no closer to understanding what Winston Churchill said in 1910. He said back then, long before he would be prime minister of Britain, that the stored up strength and the virtue of a civilization can be measured by how it treats its criminals. As Dr. Thompson suggests in “Blood in the Water,” when we try to measure our society based on how we treat our prisoners, our country will be seen to be terribly flawed and lacking in both strength and virtue.
Blog Post: Book Review:Neurologic: The Brain's Hidden Rationale Behind Our Irrational Behavior," by Eliezer J. Sternberg, 2016.
Reviewed by Michael Sytniak, Ph.D., for the Michigan Psychological Association

Posted January 17, 2017

Eliezer Sternberg’s book Neurologic is his third book on human behavior.  He is a neurologist with a background in neuroscience and philosophy.  His most recent book looks at how basic brain research and examination of neurological damage might explain seemingly “irrational” behavior.
The basic theme throughout the book is the distinction between the conscious and unconscious systems of the brain and how the brain compensates when it is confronted with contradictory information between those systems.  This has obvious consequences for our work when trying to help people change behaviors and emotions that are strongly influenced by the unconscious systems.  This book is similar to other books that examine the types of logical errors humans are prone to make when our unconscious mental processes are influencing our behaviors with little insight or oversight from our conscious mind.  
Dr. Sternberg writes in a pleasant and easy to read style and mixes in a some light humor.  He uses various personal clinical examples that add interest to his prose.  He explains the neurological reasons behind alien abduction phenomena, something Carl Sagan did over twenty years ago in “The Demon-Haunted World: Science as a Candle in the Dark.”  However, he also provides many other interesting explanations of other idiosyncratic human behaviors keeping the book moving along.
Most interesting is an exploration of a potential explanation for hallucinations in schizophrenia using the insights that have been drawn from research on an African freshwater fish that informed human brain research. This research suggests that a basic brain process that helps us recognize our own thinking and verbalizations, as well as other sensory phenomena, is dysfunctional in somebody suffering from schizophrenia.  The patients are then left with thoughts that are not recognizable as their own.  Eliezer hypothesizes that the brain needs an explanation for these “other” voices and that explanation requires a powerful entity that can put these thoughts into the patients’ head against their will.  This is how outside powerful entities like the devil, FBI, and god come to be utilized by the mind to explain the troubling, seemingly extraneous thoughts.
He also extensively discusses various neurological aspects of hypnosis and how these aspects may explain the clinical phenomena of dissociation.  As somebody who has a little more that peripheral knowledge of hypnosis (Thanks Dr. Diatch) most of his discussion is well founded and sound.  I was concerned that he inadvertently reinforced a damaging myth about hypnosis but he clarifies his position later in the book.   
In addition to alien abduction, schizophrenia and hypnosis, he covers the fallibility of human memory, deja vu, how different behavioral processes get transferred to our unconscious mind sometimes with disaster consequences, human echolocation, phantom limb pain, dream characteristics in the totally blind and the impact of human emotion on memory.  The breadth of human experience covered in the book is wide and in most aspects is explored in an interesting and thought provoking manner.  
All of these topics are rooted in insights from brain pathology and basic brain research.  The overarching idea is to show how unconscious brain processes influence behavior without the knowledge or consent of our conscious mind.  Freud would be proud!
I do see a few problems with this book.  My first criticism is related to all books of this type and is not specific to this volume.  When reading a book like this that necessarily simplifies processes that are very complex, I wonder what an expert in the brain processes being discussed might say about the generalizations.  I would guess that they would say, “That’s generally true, but…..”  I also imagine that these books can become dated very quickly as new research comes out extending our understanding of how the brain works.
Criticisms more specific to this book are one example where the writer uses a study where 30% of the subjects showed a generated false memory as evidence of a brain process neglecting the fact that 70% of the subjects did not!  If a fundamental mental process was being measured one would expect a much greater percentage of people to display this tendency. He also tends to interpret functional MRI results in definitive ways when I suspect these interpretations are far from settled or as simple as he presents.  The logic is then further extended off of these interpretations to build a broader argument.  This reasoning may be found to be correct as science of the brain progresses, but he seems to be presenting them in very concrete and decided ways.  I would bet that the ultimate truth in these areas will turn out to be much more complicated than he seems to be presenting.  Finally, he incorrectly labels an event as a false negative when it actually was a false positive, but only an obsessive psychologist would care about that error.         
Overall the book provides many insights into how the brain works and how certain irrational behaviors can be explained with the underlying functions in the brain.  I found many interesting anecdotes about the brain, some of which have important implications for understanding our clients and their struggles to overcome emotional and behavioral problems.  If you have read some of the books already in the popular press on behavioral economics, neuroscience or the psychology of brain processes and human thinking, you will likely find some of the information in this book repetitive.  However, despite some of the redundancy, I did find the book interesting and thought provoking generating different ideas about potential application in clinical practice.  

Blog Post: Book Review: “After the Doors were locked: A History of Youth Corrections in California and the Origins of Twenty-First-Century Reforms," by D.E. Macallair, 2015.
Reviewed by Jim Windell, M.A., for the Michigan Psychological Association

Posted November 29, 2016

As the subtitle of this book indicates, this book is about California’s youth corrections system. But it is not just about young people being locked up in California. What developed in the 19th and 20th centuries in California simply mirrored what was going on in every state. However, if you are interested in the incarceration of children and adolescents, but you are not all that familiar with the history of youth corrections, then this book has a lot to offer you.

What follows in the next few paragraphs is a condensed version of the history of youth corrections in America that you can learn from this book. During the 19th century there was a very strong interest, particularly among middle class and wealthy women, to “save” children. What they were saving them from was industrialization and urban life. But it wasn’t every child who needed saving; mostly, it was children of the so-called “dangerous classes” – comprised of the poor, lower class, and immigrants. These were the children the white elite thought needed to be saved. Throughout the later part of the 1800s there were various schemes to save children, but the ones that seemed to stick were institutionalization and, ultimately, the establishment of juvenile courts.

Heading into the 20th century, these two methods to protect and save children – juvenile courts and institutionalization – went hand-in-hand as state legislatures brought juvenile courts into existence and gave them the power by state statutes to remove children from their parents and their homes. Although juvenile courts had the power to take children away from their parents and place them in institutions, of course, it was always with the intent of helping children. The mantra developed to justify the actions of courts was that they were taking into consideration “the best interests of the child.” However, it is very clear in retrospect that it was almost always middle class white people – whether they were child savers, philanthropists, social workers, or juvenile court judges – who made decisions about lower class and disruptive children.

And between 1850 and 2000, California not only placed children in juvenile detention centers, reform schools, and industrial schools, but also in the massive juvenile corrections system developed in that state – the California Youth Authority (CYA). While the CYA was, again, developed with the best of intentions, the end result often was no different from the institutions that Charles Dickens railed against in books such as “Oliver Twist.” No matter the name of the juvenile detention or juvenile residential center, and no matter where in the U.S. they were located, children were often neglected, physically abused, and sexually mistreated. That was as true in the CYA as in any other institution.

However, starting about 2005, the California legislature and Governor Arnold Schwartzenegger began to see the dark side of the CYA and other residential facilities for youth and had an inkling that young people were better off outside of state institutions than inside of them. To the state’s credit, California opted for systemic reform of the juvenile justice system by closing most of the CYA facilities and letting counties come up with programs to treat their children. This reform paralleled what was – and is – slowly going on in other states: A growing realization that children, especially the poor, the lower class, the delinquent, and the children of color, have no business in institutions.

The first institutes for youth began with the establishment of the House of Refuge in New York and other large cities, particularly in the Northeastern section of the U.S. beginning in 1825. But as author Macallair points out in this historically important book, it has taken our society about 190 years to figure out that children should not be locked up because they are poor, lower class, immigrant, or black – or because they are acting like children.

Blog Post: Book Review: “Hell is a Very Small Place: Voices from Solitary Confinement” by Jean Casella, James Ridgeway, and Sarah Shourd
Reviewed by Jim Windell, M.A., for the Michigan Psychological Association

Posted November 17, 2016

Sarah Shroud, a journalist and one of the editors of this anthology of writings from prisoners, spent 410 days in solitary confinement while she was held as a political hostage by the Iranian government in 2009 and 2010. After her release and following her return to the U.S., Ms. Shroud became more aware of the draconian practice of solitary confinement and its use as a routine control mechanism in United States prisons. And she learned that is far more extensively in this country than any country in the world.

As a consequence of this growing awareness, she started talking to other survivors of solitary confinement. And, in fact, she began recording their stories and combining other stories collected by her colleagues, Jean Casella and James Ridgeway, this anthology was put together.

Shroud, in her preface to “Hell is a Very Small Place,” tells us that the writers and story tellers in this book have achieved a hard-earned, twisted kind of beauty. “They have chosen to plunge head first into the existential pain of their isolation to construct a bridge with one of the few tools they have left: words.”

Readers can begin to share that existential pain with these 22 stories that so vividly tell – honesty and poignancy – of their experiences living in solitary confinement. All of these stories are by solitary confinement survivors who describe the devastating effects of spending years, and in some cases, decades, in solitary. Altogether these accounts constitute a searing indictment of a practice that as one writer phrases it is like having served a sentence “worse than death.”

While people can live on death row knowing they will be executed at some time in the future, it is psychological torture to have to endure the isolation of solitary confinement. In an introduction to the personal stories by co-editors Casella and Ridgeway there is a brief history of solitary confinement in U.S. prisons. But in this introduction they begin to talk about the psychological effects suffered by the survivors, as well as so many other prisoners.

Writing a review about the essays in this book just does not give a true indication of the feelings and emotions conveyed by these prisoner’s words or their experiences. The following quotes come from some of the writers in “Hell is a Very Small Place”:

“To some judges sitting on high who’ve never done a day in the box, maybe twenty-five years of this isn’t cruel and unusual. To folks who have an insatiable appetite for vengeance against prisoners who have committed terrible crimes, perhaps it doesn’t even matter how cruel or unusual my plight is or isn’t. For people who cannot let go of hate and know not how to forgive, no amount of remorse would matter, no level of contrition would be quite enough, only endless retribution would be right in their eyes. Like with Judge Mulroy, only an eternity in hell would suffice. But then, given even that, the unforgiving haters would not be satisfied that hell was hot enough; they’d want the heat turned up higher. Thankfully these folks are the few; in the minds of the many, at a point, enough is enough.”

William Blake is currently serving his 29th year in solitary in New York’s Great Meadow Correctional Facility.

“The hardest thing about spending years in the SHU [Special Housing Unit; a euphemism for solitary conferment] is that it’s not ‘just’ years. Call it what is: a circle of perpetual sensory deprivation that spans an entire lifetime…The psychological damage does not fix itself…The hardest thing? Nobody cares.”

Cesare F. Villa, age 55, has been in the SHU at Pelican Bay State Prison in California since 2001.

“Our country has thousands of its people confined to concrete cages. Years pass, lives pass. The suffering does not. Our families suffer most, watching us grow old and go crazy in a cage. This is my biggest pain, knowing my mother and sister suffer with me. I cannot see how this is helpful to society. Most men will spend years in a cage alone and be released back into society filled with hate and rage. It is an ugly truth. We as a country are blind to the reality of our prison system.”

Jesse Wilson is serving his sentence, since 2007, in the U.S. Penitentiary, Administrative Maximum (ADX) in Florence, Colorado.

On any given day, more than 100,000 people are held in isolation in a U.S. prison. This book helps to show the wasted humanity and the broader aspects of solitary confinement. To better understand the psychological, legal, ethical, and political dimensions of solitary confinement I recommend this book.

Blog Post: Book Review: “A Common Struggle: A Personal Journey Through the Past and Future of Mental Illness and Addiction” by Patrick J. Kennedy and Stephen Fried
Reviewed by Barbara Rigney, Ph.D., for the Michigan Psychological Association

Posted August 24, 2016

Patrick Kennedy, youngest son of Ted Kennedy, has taken on as his life’s work increasing awareness of and advocating for proper treatment, funding, and recognition of the needs of those challenged by mental illness and addiction. This book is equal parts the story of “why”, “how”, and “what,” resulting in a somewhat unusual blend of legislative and personal history. Kennedy’s own very personal struggles with bipolar disorder and addiction provide a context in which his passion for this work is well understood, and he effectively emphasizes the importance of destigmatizing mental illness and addiction. At times, however, it seems as if some of the personal revelations and Kennedy back stories are there to keep the reader interested through some of the wonkier details, rather than being necessary for the reader to understand the evolution of mental health and addiction policies.

For readers who are interested in the politics of health care, this can be an interesting read. It also is a vivid reminder of how far we have come and how recent it was that parity for mental health services/reimbursement was not a reality, and that there is work yet to be done. For Kennedy fans, this book provides some very personal insight into one of America’s most famous families, who seem to have suffered a disproportionate amount of tragedy, and who, despite, or perhaps because of that suffering, take seriously their obligation to improving the conditions of those less privileged. While I doubt Kennedy intended this, his story clearly illustrates the great disparity in potential consequences for the “haves” vs. the “have-nots” when faced with the challenges of severe mental illness and addiction. Or perhaps it is his acute awareness of his good fortune that drives him to level the playing field for others.

Blog Post: Book Review: “Cure: A Journey into the Science of Mind Over Body” by Jo Marchant
Reviewed by Barbara Rigney, Ph.D., for the Michigan Psychological Association

Posted August 5, 2016

Aptly titled, Marchant’s book reads like a guide as it takes the reader through the ever- growing scientific landscape of mind-body research. It also seems like a personal journey for Marchant. She begins with a skeptical tone and outright rebuttal of homeopathy as pure sham, but then moves through chapters covering a range of topics that demonstrate the power of mind in wellness, including placebo, chronic pain, the power of thought itself, the significant impact of stress on health, and even touching on the role of spirituality and social connection in wellness. By the end, one gathers that this journey has personally changed Marchant. She puts to use her strong science background (a PhD in genetics and medical microbiology) to dissect the research and separate out fact from fiction;“…I believe that everything in nature can be studied scientifically if we ask the right questions, and that the medical treatments we put our trust in should be tested in rigorous trials.” But she also does not ignore the very real experience of those who are not cured by modern medicine and who still suffer from chronic pain or depression, despite the 3 trillion dollars Marchant says is spent on health care, or the alarmingly high number of Americans taking prescription medication.

Cure is, for all of the research it wades through, a very interesting read and accessible to a wide audience. Marchant takes the reader around the world, from a basement laboratory in Turin, Italy, to an Alpine lab 12,000 feet above; we are there with her meditating on the beach in California and volunteering at the sacred baths of Lourdes, France. Her personal encounters with the scientists and providers on the front lines of mind-body medicine as well as with the individuals searching for answers to their suffering make for compelling reading as well as stimulate one’s own evaluation of disease and wellness in the 21st century. By book’s end, Marchant seems to have abandoned her initial conceptualization of “mind vs. body” and ultimately expresses hope for a medical system that “would recognize that the vast majority of health problems we face aren’t physical or psychological-they are both.” Marchant does briefly address the role of social policies in health, depicting quite effectively the role of poverty, stress, and inequality in chronic disease. However, she leaves for others, or perhaps for another book, any proposed solutions to these social policy issues. Additionally, solutions to obstacles posed by the significant financial interests of more traditional medical interventions are also left unexplored.

I strongly recommend this book. It should be required reading for entering medical students, and would be a worthwhile read for anyone involved in providing care to patients, and for anyone who inhabits a body and is interested in managing their own wellness.  

Blog Post: MPA on Michigan Lieutenant Governor's Behavioral Health Workgroup
By Joy Wolfe Ensor, PhD, and the Michigan Psychological Association Insurance Committee
Posted July 22, 2016

Early this year, Gov. Rick Snyder proposed boilerplate language in Section 298 of the FY2017 budget that would have integrated Medicaid physical and mental health services by shifting service delivery to private Medicaid HMOs.  In the face of strong objections to this proposal, Lt. Gov. Brian Calley convened a “Stakeholder 298 Work Group” charged with three tasks: (1) to clarify the core values for Michigan Department of Health and Human Services’ (MDHHS) service delivery process; (2) to recommend improved boilerplate language to the Legislature; and (3) to propose design elements for an improved, more integrated system of delivering public mental health/substance use/developmental disability services to the citizens of Michigan.  Thanks to the efforts of MPA’s leadership, our Association had a seat at the table, along with some 100 other stakeholders from a wide array of constituencies.
The Stakeholder 298 Work Group met five times over the course of the spring.  The meetings were chaired by Lynda Zeller of MDHHS and facilitated by Peter Pratt of Public Sector Consultants; in addition, Lt. Gov. Calley attended two of the meetings.  The process followed a (loosely-defined) consensus model, in which consensus on the various elements was defined as a two-thirds supermajority of favorable or neutral (“I can live with it”) votes.
In the interest of transparency, MDHHS launched an open website:,5885,7-339-71550_2941_76181---,00.html, which currently has extensive minutes of all five meetings, the final Core Values statement, and resource documents that helped guide progress to the stated end goal. 
The work group achieved its goals, reaching consensus on the Core Values statement; on recommended boilerplate language, many of which were incorporated into the recommendations of the Joint Legislative Conference; and on preferred design elements for an improved service delivery system.  For details, please see minutes of the June 22, 2016 meeting on the Stakeholder 298 website, and the Joint Conference Report document.
The current boilerplate language calls for a new workgroup to submit a final design proposal to the Legislature by January 15, 2017.  The plan for the follow-up Executive Policy Group is described extensively in the June 22 minutes.  Lynda Zeller stated a commitment to make the ongoing process inclusive of stakeholders’ concerns.  MDHHS will maintain and update the Stakeholder 298 website, and hopes to have a draft work group document ready for review and public feedback by mid-October.
Michigan Psychological Association will continue to monitor developments in MDHHS as part of our mission to participate in the public policy process in order to promote the public welfare.  
Book Review: The Last Asylum: A Memoir of Madness in Our Times by Barbara Taylor, Chicago: University of Chicago Press, 2015
Reviewed by Betty Bishop, PhD, for the Michigan Psychological Association
Posted July 7, 2016

This autobiography looks at the treatment of severe mental illness in England in the 1980s and 1990s. The author, a well-known writer and historian, describes her problems with depression and severe anxiety and her three hospitalizations at Frien Mental Hospital in London. She looks back at the historic treatment of those with mental illness in England starting in the 1800s and continuing through the closing of all large mental hospitals in the 1990s. In England, as was also true in the United States, there was a major shift from big government-run psychiatric hospitals to day treatment programs, hostels for those who could not live independently, and community-based treatment.

The core of the author’s treatment was a psychoanalysis which lasted over 20 years including the times when she was hospitalized. Using frequent excerpts from notebooks which she kept during the analysis, she provides a very interesting account of her life and mental health treatment. She credited her own recovery to the consistent work with her analyst and the support of a group of friends.

This eloquent and very personal account provides a fascinating view of mental health treatment and psychiatric services at a time of major transition. Similar challenges were being faced by mental health treatment programs in the USA during the same time period. The book is worth reading to trace the recent history of psychiatric care and to see the similarities and differences between the USA and England.
Book Review: “Nonsense: The Power of Not Knowing” by Jamie Holmes
Reviewed by Debra Smith, PsyD, for the Michigan Psychological Association
Posted June 17, 2016

Using a plethora of real life examples, Holmes brings to life the impact, positive and negative, ambiguity and ambivalence can have on our daily lives. The idea that ambiguity and ambivalence are more prevalent than we recognize was well established and backed with multi-disciplinary research. Holmes makes a strong case for becoming more conscious of the times when, as individuals and organizations, these mental states can bring us to a decision prematurely. Closing the process of decision making so early due to our need to resolve the discomfort and anxiety related to ambiguity usually results in eliminating more creative and constructive outcomes. With clear, easy to read prose, Holmes builds a fascinating case for expanding our capacity to deal with what we don’t know - not only think outside the box but find ways to forget the box - and approach situations with a more flexible vision. Holmes further suggests that our ability to mitigate our discomfort with ambivalence, ambiguity, and not knowing has led to the development of some of our greatest inventions, marketing strategies, and interventions in bigotry, prejudice and discrimination.
Book Review: The Confidence Game: Why We Fall for It... Every Time by Maria Konnikova (1)
Reviewed by Elissa H. Patterson, PhD, Health Psychologist at the University of Michigan Health System, for the Michigan Psychological Association
Posted June 12, 2016

Inspired by David Mamet's depictions of swindlers, Maria Konnikova describes the psychological roots of our universal human vulnerability to being conned. The word "con" conjures up negative word associations (convicts, disadvantages, contrary), but ironically, its use in the abbreviation of the phrase "the confidence game" stems from the assurance that the fraudster exudes and inspires in his victims (2). Konnikova aptly demonstrates this confidence to be a key feature of setting someone up to be fleeced. She describes the lives of individuals touched and sometimes ruined by con schemes, going back centuries. In each vignette, the subtleties of the yin and the yang of the con game emerge as we see victim after victim go from hope and excitement to loss and disappointment. In some cases, the disappointment is mercilessly wrestled in to submission through self-protective psychological mechanisms. For instance, Fred Demara a man without a medical degree, was so extremely effective at impersonating a surgeon on a Canadian Navy ship that he actually performed surgeries on wounded men; and after he was dismissed because it was brought to light that he had assumed the name of a surgeon on the Canadian mainland, the ship's captain refused to believe the evidence, and told Demara he would gladly take him back as a surgeon anytime. Konnikova points out that most of us like to think that we could not be fooled in such a way and then she introduces the concept of cognitive dissonance (3) (we adjust our thoughts and beliefs to maintain consistency within ourselves, even when that means disregarding otherwise painfully obvious facts); and we are forced to examine the intrapsychic dilemma that the captain might have faced. He most likely believed himself to be a responsible person who would not foolishly expose his sailors to unnecessary risk. If it were true that he allowed a man without a medical degree or any medical credentials to perform life or death surgeries on his sailors, he would have to acknowledge that he put his wounded soldiers at grave risk, which would be inconsistent with his belief about himself. It's much easier to cognitively and emotionally blur out the conflicting information so that the prior beliefs can be maintained: "you are our surgeon; you saved the lives of many sailors; I am grateful to you".

Through personal interviews both with con artists and those who got conned, Konnikova gives us a front row seat of the inner workings of con games. She describes many stories in which the con was about money and some in which control was commandeered for other purposes, but they all involve sizing up the victims, psychological manipulation, and very carefully timed collection of the currency being sought. Konnikova introduces us to the structure and language used to describe the stages of a con game and she explores the needs, motivations, and rewards that fuel the con artist.

Konnikova's training as a psychologist is evidenced by the wide breadth of knowledge that she shares about psychological principles that explain why confidence games are effective. They are effective because they capitalize on social skills, heuristics, principles of influence, faith, trust, and the human desire for meaning and hope, among many other reasons sprinkled throughout the chapters.

Like a film with fully developed characters, this book is refreshingly complex in that it includes many different types of cons. For instance, Konnikova takes us behind the scenes with magicians and psychics to see some of the tricks of those trades. With these examples, she exhibits the duality of being conned. In some circumstances it is a delightful experience (like a magic show or hearing from a psychic that good fortune will befall us), and in other circumstances, it is heartbreaking (like realizing that the psychic has cleverly exploited our faith to drain our bank account). The mechanics of evoking the illusions may be the same in both cases, but the psychological outcomes are painfully different.

This book could serve as a practical guide and theoretical text book for con artists or anyone with a mission that involves changing the behavior of other people (be that to raise funds to cure world hunger or to get a 6-year old to eat his green beans). It also could serve as an entertaining, illustrated, case-based introduction to many important concepts within the fields of social psychology, behavioral economics, and evolutionary psychology.

Konnikova talks about the con artist as someone who at once takes advantage of our prosocial human instincts in the basest and most exploitive way and at the same time inspires some of the most powerful life-affirming forces: faith, hope, and meaning. Ultimately, we are keenly reminded by the phenomena described in this book, that, as Shakespeare told us through Hamlet, "there is nothing either good or bad, but thinking makes it so," (4) and that every principle that we are hardwired or environmentally molded to respond to can be used to benefit us or used to dupe us in to giving away our most prized valuables (be they spiritual or material).


1. Konnikova, Maria. The Confidence Game: Why We Fall for It... Every Time. New York, NY: Viking, 2016.
2. Con [Def. 5]. (n.d.). In Merriam Webster Online, Retrieved June 9, 2016, from
3. Festinger, Leon, and James M. Carlsmith. "Cognitive consequences of forced compliance." The Journal of Abnormal and Social Psychology 58.2 (1959): 203.
4. Shakespeare, William. The Tragedy of Hamlet, Prince of Denmark. Complete Moby - Shakespeare, n.d. Retrieved June 9, 2016 from
Book Review: "When the Sun Bursts: The Enigma of Schizophrenia" by Christopher Bollas
Reviewed by Carol Stratman, PhD, for the Michigan Psychological Association
Posted May 24, 2016

Who is this therapist who can witness human experience with such intensity? How does psychotherapy work, especially with severely troubled individuals? How does the therapist facilitate an ability to feel comfortable, to tolerate ambiguities, to realize potential? Anyone interested in pursuing these questions, no matter what their theoretical orientation, will benefit from reading “When the Sun Bursts”. The answers are not simple. They are evolving, individual and often raise further questions. Part of what makes Christopher Bollas so engaging whether in his writing or in his clinical work is his ability to tolerate the unknown or as he has said the “unknown known” and his insatiable curiosity.

In this book, Christopher Bollas expresses an uncanny ability to enter the world of another simultaneously almost unconsciously or automatically employing his intricate knowledge of theory and clinical experience to navigate the life of the schizophrenic. He describes with multiple and detailed clinical examples how effective psychotherapy is nuanced for each individual while maintaining the basic underlying principles. These principles include qualities such as respectful, attentive listening, consistency, keeping commitments to time etc., and maintaining the frame of therapy to provide a safe environment. He describes how schizophrenia develops especially in the stressful transition from adolescence to adulthood. Then continues with case examples that help us understand how symptoms develop to accommodate the lived myth or distortion of reality. Discovery of the underlying meaning of symptoms results in an understanding and assimilation of thoughts and feelings so that one may navigate everyday life successfully. For example, one woman in therapy became furious with him for allowing a fire breathing dragon to enter the therapy and terrorize her. They came to understand that this hallucination arose as a defense from a reflection that Dr. Bollas had made about her need to drag on negative thoughts. The dragon in the room represented her terror at giving up the safety of negative thoughts. At this juncture, she is “no longer the recipient... she now understands it and she is then free either to retain it as an assumption, or the memory of one, or to abandon it... Any good interpretation that makes an unconscious assumption conscious creates a potential space. The potential is that through wording and understanding, a previous axiom can now change...” p.184. Bollas writes that in general schizophrenics experience many of the ordinary life changes or transitions as traumatic and develop unusual symptoms to communicate their terror. He summarized that a vital condition of therapeutic effectiveness is whether the therapist is able to reintroduce to the patient, to the generative potential and not the threat of change. He/she “will have to earn the person’s trust that the trauma of change has some benefit to it... Schizophrenics embark on many changes as a result of intensive psychotherapy, but changes will take longer for them than for the non-psychotic personality. Although medications may prove invaluable in the course of psychotherapy, nothing helps schizophrenics more than a single one-on-one commitment by a fellow human being who has taken the time and endured the training to know how to read them, be with them, and talk to them.”p.186-187.

Although intending to address psychotic experience, these principles are applicable to any psychotherapy, even to the human experience in general.

Bollas’ writing style is not theoretical yet his writing communicates complicated theory in everyday language. “When the Sun Bursts” is poetic, compelling, and as fascinating as reading a good novel. The reader is engaged, does not want to put the book down. If this is your experience as well, the following are some suggested additional readings.


Bollas, C., Phillips, A., (2011) Christopher Bollas Reader. NY: Routledge
Bollas, C., (2009) Infinite Question. NY: Routledge
Bollas, C., (1992) Being a Character. NY: Routledge
Book Review: Staying Sharp: 9 Keys for a Youthful Brain through Modern Science and Ageless Wisdom by Henry Emmons, MD and David Alter, PhD (2015)
Reviewed by Janelle Cayo Ettema, PhD, for the Michigan Psychological Association
Posted May 14, 2016

For people at middle age and beyond, few things are more important than “staying sharp.” We worry about cognitive decline, dementia, and the general loss of vitality that can accompany the aging process. In their book, Staying Sharp, Emmons and Alter offer hope for a second half of life that is full of engagement, vitality, and joy.

Henry Emmons is a holistic psychiatrist and David Alter is a psychologist who specializes in neuropsychology and health psychology. The authors explain recent advances in neuroscience and how neuroscience provides an umbrella for uniting what both science and ancient wisdom can teach us about aging well. In the first part of the book, in simple but not simplistic language, the authors provide the reader with enough background in brain science and the importance of attention (mindfulness and emotion regulation) to lend authority and clarity to the next three parts in which they provide specific recommendations for a healthy, vibrant, and joyful second half of life. Throughout the book, they support their recommendations with clearly written scientific explanations. The authors’ nine keys to staying sharp involve 1) movement, 2) sleep, 3) nutrition, 4) curiosity, 5) flexibility, 6) optimism, 7) empathy, 8) connectedness, and 9) authenticity. Without resorting to gimmicks, Emmons and Alter thoroughly explore and elucidate the nine keys, providing clear and practical recommendations for each area.

I can find very little in this book to criticize. The only minor problem I noticed was that in Chapter 6 on nourishment, the authors state that recommendations on a seasonal cleanse are available in the Resources section, and I could not find that information.

Of the many books I have read on how to keep the brain young and healthy, this is one of the very best. In this highly engaging and informative book, Emmons and Alter give extensive, practical, and well-supported recommendations not only for “staying sharp,” but also for living a full and joyful life at any age.

Book Review: Stay: A History of Suicide and the Arguments Against It – By Jennifer Michael Hecht
Reviewed by B. Kay Campell, PhD, for the Michigan Psychological Association
Posted May 3, 2016

Dr. Hecht, who holds a PhD in the History of Science from Columbia University, takes the reader through an extensive examination of the beliefs and attitudes surrounding suicide beginning with biblical stories and concluding with modern day philosophical arguments for and against taking one’s own life. Her review of the literature is a model which could benefit anyone seeking to write a research paper. She writes with a conversational tone that allows her to weave her findings into a comprehensive text where her skill as a historian is well demonstrated.

The history of suicide is far more complex than I had appreciated. Dr. Hecht highlights the contributions shaping our views that derived from ancient religions, Greek and Roman history, myths and legends, politicians, philosophers, artists, writers, scientists, ethicists and others. For example, at one time committing suicide was a sin against the Church because only God, who gave life, could take a life. Over time suicide was considered a crime and the body of the deceased person was mutilated as punishment. In Roman law a slave who committed suicide was considered a thief because he took what was owned by another. The story of Lucretia has prompted philosophical discussions for centuries because of the circumstances surrounding her self-murder. She was a noble, honorable and favored matron of ancient Rome who was raped by the son of the King who threatened to accuse her of adultery if she complained. She would not be shamed nor would allow the shame an accusation of adultery would have brought to her husband and his house so she described the event to her husband and his companions and then stabbed herself in her abdomen. Augustine , an outstanding theologians of early Christianity, wrote “this crime was committed by Lucretia; that Lucretia so celebrated and lauded slew the innocent, chaste, outraged Lucretia” yet he continues, “ the only crime of this highly praised woman was that she killed an innocent, pure and furious woman – herself.” Her death inspired visual artists, playwrights and writers throughout history. Rembrandt created several paintings depicting the Death of Lucretia and one of them hangs at the Detroit Institute of Art and another is in the National Gallery. Shakespeare in 1594 wrote his long poem, The Rape of Lucrece, and her assault and sacrifice created a theme he wove into subsequent works. Her choice reflects suicide as an honorable choice, one made for the greater good of others. But the value of such a sacrifice has been argued over the centuries.

Suicidal martyrdom claimed by terrorists to be in the service of a better life hereafter is not technically suicide inasmuch as the intent is to murder others. Islam arose in the seventh century C.E. and was, in its origins, fiercely against suicide, fiercely against killing. Endurance of an unbearable life was explicitly prized; the courage to live in spite of hardship was far more admirable. Emile Durkheim, the founding sociologist, wrote a seminal monograph in 1897 studying the suicide rates in Catholic and Protestant populations. He is quoted in Dr. Hecht’s book as saying “nothing in fact is more contrary to the general spirit of Mahometan civilization than suicide, for the virtue set above all others is absolute submission to the divine will, the docile resignation ‘that makes one endure all patiently ‘” (53).

Despair suicide was acknowledged for those whose physical suffering exceeded their tolerance for unremitting pain and may have become the foundation for assisted suicide as we know it today. But suicide because of emotional despair has been bitterly debated and is soundly criticized by Dr. Hecht throughout this book. But nonetheless she quotes the poet Anne Sexton:

“I don’t want to live... Now listen, life is lovely, but I Can’t Live It. I can’t even explain. I know how silly it sounds... but if you knew how it Felt. To be alive, yes, alive, but not be able to live it. Ay that’s the rub. I am like a stone that lives... locked outside of all that’s real. ...I wish, or think I wish, that I were dying of something for then I could be brave, but to be not dying, and yet... and yet to (be) behind a wall, watching everyone fit in where I can’t, to talk behind a gray foggy wall, to live but to not reach or to reach wrong... to do it all wrong... believe me (can you?) ...what’s wrong. I want to belong. I’m not a part. I’m not a member. I’m frozen”.

Dr. Hecht says, “…such feelings are not uncommon. To live through this painful feeling is hard work and requires prodigious courage. That courage comes from recognizing that we are not alone.” (220) Virginia Woolf wrote in 1931, ten years before her suicide, “I have lost friends some by death, others by sheer inability to cross the street.” And here expressing how difficult it is for the depressed and suicidal person to find the courage Dr. Hecht’s speaks of pushing onward in spite of the pain, to reach out in spite of the wall blocking the way.

Unfortunately, when one person chooses to take their own life others follow. Sociologists and behavioral scientists realized the phenomena of “cluster or copy-cat suicides” and steps have been put into place to protect the public from the “contagious” aspect of a suicide. As more was understood about decisions surrounding suicide, students in the helping professions, including the police, emergency technicians, and the media were offered courses on risk assessment and management of the suicidal patient. In this case, STAY may be a helpful addition to their reading list as well as in those for advanced college or graduate classes especially if faculty reviewed and selected specific chapters. Certainly I think Social Science faculty may find the book a useful source for their own lectures and while the citations in Notes were helpful I was disappointed there wasn’t a more thorough and concise bibliography. The book, however, is not a book for a depressed person contemplating suicide. Nor is it a book when one is feeling lonely, friendless, isolated and disheartened. Hope is critical in maintaining optimism, which, when discouraged, might be in short supply. It is important to know that two of Dr. Hecht’s friends committed suicide and their deaths surely inspired her intellectual effort to understand their decisions. If she had known of their emotional pain she might have said to them what she says throughout the book: Stay alive for the sake of the community, for the sake of those who may follow in your footsteps, for the sake of what may come later in your life that you would lose if you choose to die rather than to struggle through the current situation. She argues “that part of you that wishes to die is only one part of yourself and you owe it to the other parts of yourself to survive.” She doesn’t say, however, stay alive for me! But her sorrow and her anger at their loss are palpable.

Throughout the book she repeats variations on these themes and I found myself thinking K-12 educators would find her messages helpful when teaching students that life is precious and we are all part of a community with unique gifts that would benefit others in ways we cannot predict. Dr. Hecht urges us to “use our courage to stay alive”.

On the last page she writes, “When we cannot see our own worth and are tempted to leave life, we are doing a shining service to our community and to our future selves when we choose to stay. If there is one factor universally recognized as a route to happiness it is to be of use to others. When you are tempted to suicide and you make the decision to reject it in part for the sake of community, you may gain some of the happiness that derives from simple being of use.” And as she concludes she says, “First, choose to stay”.


Augustine of Hippo, Saint (426) City of God translated by William Babcock (2012) Hyde Park, NY: New City Press

Durkheim, Emile (1897) (1951) Suicide: a Study in Sociology. Ed. George Simpson, trans. John A Spaulding and George Simpson. New York: The Free Press ISBN 0-684-83632-7

Hecht, Jennifer Michael (2013) STAY – A History of Suicide and the Arguments Against It. New Haven and London: Yale University Press

Rembrandt, van Rijn (1664) The Death of Lucretia. Detroit Institute of Art and the National Gallery of Art, Washington, DC

Sexton, Anne (2004) Anne Sexton: a Self Portrait in Letters, ed. Lois Ames. New York: First Mariner.
Reviewed by Shawn Katterman, PhD for the Michigan Psychological Association
Posted Apr. 7, 2016

Barbara Smith (aka B. Smith) and Dan Gasby have given an incredible gift to the community by writing this book. B. Smith is a model, author, lifestyle expert, restauranteur, actress, and television host, who was diagnosed with early onset Alzheimer’s disease in 2013. In this memoir, she and her husband of 23 years and business partner, Dan Gasby, provide an open, honest, and vulnerable account of their navigation through the world of Alzheimer’s disease.

The majority of the book written by Dan, where he chronicles their struggles, missteps, and lessons learned throughout the process. B. Smith has excerpts interspersed throughout the book, which give a brief glimpse into the world of Alzheimer’s from her view. This book will undoubtedly provide invaluable validation and information to countless others struggling with Alzheimer’s. They openly share the details of their journey thus far in dealing with the progression of B’s disease, including an instance in 2014 where B. went missing overnight. They also share their process with decisions about treatment, and when and how to hire help at home.

They review the importance of supporting the needs of caregivers and individuals with Alzheimer’s disease, with specific strategies that have worked for them. Additionally, they are a voice for the imperative need to increase awareness and research in general, and particularly among African Americans and women, who are disproportionately affected. I would highly recommend the book to anyone looking to learn about the fight against Alzheimer’s in a way that is personal, emotional, and factually-based.

Josephine Johnson wins APA Division 42 Distinguished Public Service Award
Posted Feb. 18, 2016

From Dr. June Ching, Past President of Division 42:
Distinguished Public Service Award

Josephine Johnson is most deserving of thisaward through her contributions and commitment to the provision of psychological services to communities, along with her active involvement in the areas of multiculturalism, diversity, advocacy, and self-care. In addition to her private practice, Jo has served as a consultant to residential treatment centers, community mental health agencies, a special education center, and a university counseling center. Furthermore, Jo has contributed to the field and to the public with her APAPO presentations and publications on topics of Integrating Multicultural Competencies into Independent Practice and Ethics and Multiculturalism: Advancing Cultural and Clinical Responsiveness. She was on the Task Force to Review and Update the Multicultural Guidelines and chaired the Task Force on Implementation of the Multicultural Guidelines. Jo has been an active leader in state, division and APA governance, having served as President of the Michigan Psychological Association (MPA), MPA FAC, APA BOD, Division 42 COR and chair of the APA Membership Board. She has been honored with awards by the APA Committee of State Leaders Diversity Delegates, MPA, Farmington-Farmington Hills Multicultural Multiracial Council, and Pepperdine University.

Review new mass-market books through MPA
Posted Feb. 12, 2016
MPA is proud to announce a new service available to members: the opportunity to read and review mass-market books pertaining to psychology and mental health.   Publishing houses provide free review copies to agencies such as MPA for honest reviews – either positive or negative.  If you are interested in reviewing a title for MPA, the title will be shipped to you for free, and yours to keep afterwards.  Guidelines for book reviews are as follows:
1. Offer to review a book and the copy will be shipped to you for free
2. Submit a review back to MPA within 2 months.  Although you are welcome to post your review elsewhere, a copy of the review will be posted on MPA’s blog, MPA social media, and sent to the publishing house.
3. After submitting a review, you are welcome to request another book to review.  Maximum of 3 titles per member, per year.
4. Titles are first-come first-serve – the first member to express interest in a title will be the one to receive the review copy
Currently, the following titles are available for review:
Upside: The New Science of Post-Traumatic Growth Rendon, Jim
NeuroLogic: The Brain's Hidden Rationale Behind Our Irrational Behavior Sternberg, Eliezer J.
Staying Sharp: 9 Keys for a Youthful Brain through Modern Science and Ageless Wisdom Emmons, Henry & Alter, David
The Narcissist You Know: Defending Yourself Against Extreme Narcissists in an All-About-Me Age Burgo, Joseph
Nonsense: The Power of Not Knowing Holmes, Jamie
The Narcissist Next Door: Understanding the Monster in Your Family, in Your Office, in Your Bed - In Your World Kluger, Jeffrey
The Last Asylum: A Memoir of Madness in our Times Taylor, Barbara
In the Mind Fields: Exploring the New Science of Neuropsychoanalysis Schartz, Casey
He Wanted the Moon Baird, Mimi
A Common Struggle: A Personal Journey Through the Past and Future of Mental Illness and Addiction Kennedy, Patrick J.
Untangled: Guiding Teenage Girls Through the Seven Transitions to Adulthood
The Confidence Game: Why We Fall for It…Every Time
Damour, Lisa
Konnikova, Maria
If you are interested in reviewing any of these titles, would like to request other titles to review, or would like to be contacted in the future regarding new titles, please e-mail me (Aaron Weiner) at

Increased Coordination between MPA and Blue Cross  
Posted Nov. 11, 2015 

The Michigan Insurance Committee has joined the Tri Staff Meeting within Blue Cross.  This group meets every six weeks, and will allow us consistently address issues with Blue Cross that are important to our profession.
If you have any suggestions, please feel free to email Dr. Mike Sytniak at

Quick Tips from an Internship Training Director for Applications and Interviews
Posted Oct. 14, 2015 

For Applications:
A carefully written cover letter is essential.  It should state the applicant’s doctoral program, year in that program, and general area of interest.  From there, the applicant should explain his/her interest in the site and then go onto explain why he/she is a good fit (talk about past clinical experiences).  Explaining interest and fit is VERY important.  Sometimes peoples’ previous training experiences do not closely match what a site has to offer.  This is fine – but the applicant must explain why they are now applying to a site that is different from previous training sites.  The applicant should go on to explain what he/she hopes to learn at the site and how this will ultimately advance his/her career plans.
On Interview:
Listen very carefully to the questions you are being asked and be sure to answer all parts of a question.  It is ok to ask to have the question repeated.
If anxiety is a problem, practice interviewing with your DCT or fellow classmates in your doctoral program.  High levels of anxiety will adversely affect one’s application.

Blog Post: New “Wiki” for Mental Health Professionals: The Link Between Environmental Hazards and Neurodevelopment
William Bloom, Ph.D., LP, Chair, MPA Child and Family Committee
Juliana Roth, Ecology Center, Ann Arbor, Michigan

Posted May 2014

Psychologists, along with other healthcare professionals, are well aware of how important preventative care is to lowering one’s risk of adverse health consequences. Reducing exposure to hazardous chemicals is an overlooked but important method for reducing risk. The scientific literature is building a strong case for the relationship between exposure to hazardous chemicals and adverse neurodevelopment and behavioral health disorders. One promising area of study is the relationship of environmental hazards to the expression of autism

Hazardous chemicals are present in everyday household products, including such things as baby shampoo As poised to be partners on the integrated healthcare front, a new area of competency for Psychologists is emerging; awareness of the intersection of psychology theory and practice and the developing science linking environmental hazards to neurodevelopmental, behavioral, and emotional disorders.

As a tool to be better informed of the link between our chemical environment and child neurodevelopment, behavior disorders, and emotions, the Ecology Center, along with its partner organizations, has launched a new “wiki” []. The goal of the wiki is to give healthcare providers, researchers and policymakers a forum to discuss and share scientifically-based findings on environmental factors and human health. The focus of the wiki is on research addressing these problems in children. The database is accessible by concerned parents and scientists alike.

The format of the “wiki” allows users to follow what scientists are learning about children’s environmental health at the moment, creating an essential link between the two for protecting children from exposure. It offers promise as a tool for Psychologists to access current thinking about the relationship of our chemical environment and its impact on our developing children. This tool is designed as a resource to our clients as well. The material on the wiki is edited for scientific value.

To sign up for the wiki and to contribute to its resources, go to:

Blog Post: Environmental Toxicants and the Brain?
William Bloom, Ph.D., MPA Child and Family Committee
Juliana Roth, The Ecology Center, Ann Arbor, Mi

Posted December 2013

The legacy of lead poisoning is decades old in the United States. Healthy children exposed to lead paint suffered permanent brain damage, resulting in problems with learning and speech. Even worse, some children’s blood concentration of lead reached fatal levels. Such a devastating loss of healthy life should, at the very least, inspire a commitment from chemical companies and retailers to be responsible for the safety of products.
Our current national chemical policy provides little incentive for a company to pay attention to how chemicals affect human health. It is up to outside agencies to prove a chemical harmful after it’s in use rather than requiring a preventative analysis. Such conditions set the stage for another lead catastrophe. Chemical companies play an active role in covering up the harmful nature of these chemicals and create campaigns to promote their use.
And sadly, it’s already underway. This generation’s chemicals of concern are largely those that affect the endocrine system. These chemicals, known as Endocrine Disrupting Chemicals, are responsible for hormonal changes in the body that result in increase chances of developing cancer, neurological development problems, birth defects and reproductive disorders. Women in fields where there is a known exposure to carcinogens and endocrine disruptors were found to have 36% higher rate of breast cancer.
The issue of toxic environments is crucial for those in a field involved in studying the brain, human development, and behavioral disorders. What we eat, where we live, and what’s in the products we use has a drastic effect on the proper functioning of the brain. Behavioral problems in children may be rooted to the way these chemicals are interacting with their development. More and more studies are showing that autism may also be linked to exposure to toxics.
It’s critical for professionals to take an active role in educating their colleagues on how the environment is connected to a healthy psychological life. Not only do the diseases linked to environmental toxics cause stress and grief in people’s lives, but some of the very disorders psychologists study and treat may also have an environmental root.
Stay tuned to this new blog series to learn more about specific chemicals and the emerging science linking them to neurological and developmental disorders and diseases.
MPA partners with other environmentally sensitive healthcare groups as part of The Ecology Center’s Michigan Network for Children’s Environmental Health (MNCEH).  This blog is written in partnership with MNCEH.