Monthly Archives: November 2010

Custody Disputes and Distorted Parent-Child Relationships

It is a commonplace in family relationships in custody disputes that parent-child relationships are distorted and often unhealthy. These distortions arise from several sources, including parental insecurity (hence, the common sleeping together), distortions arising from the evaluation process itself, and what I call “competitive parental attention.” It may be covert or overt. It is observed in both parents.  […]

Conditional Release in Hawaii–Is the System Failing?

On 11/07/2010, the Star Advertiser published a story on Hawaii’s Conditional Release program (“Violence Caused by Freed Patients”)–where mentally offenders are released into the community after they have been adjudicated–that was inaccurate and misleading. Neil Gowensmith posted a response here a few days ago. I am attaching my letter to the editor. It will be interesting to […]

Achilles in Vietnam

The issue of combat PTSD is much in the news these days. The greatest illusion that seems to be put forth is that we can “treat” PTSD as if exposure to war was something you can get over, if only we had “better treatment.” It ends up being a sort of minimization of the costs of […]

The facts about Conditional Release in Hawaii

A couple of recent Star Advertiser pieces were quite critical of the Conditional Release system in Hawaii. They highlighted a recent CR case that was exceptionally tragic, and also highlighted another tragic event pursuant to someone released from the Hawaii State Hospital after a finding of unrestorability and a period of civil commitment. Unfortunately the […]

The human capacity for self-deception

As a psychologist with 26 years experience ( I figure at this point I have accrued somewhere between 30,000 and 40,000 hours of clinical experience), I frequently wonder how I have been shaped by my experience, first as a therapist, and later as a forensic clinician, working in both criminal and primarily Family Court arenas. I just […]

Graduate Psychology Education in Hawaii and Elsewhere

Regarding the EPPP, data are available at the ASPPB website: 2010 Psychology Licensing Exam Scores by Doctoral Program (the numbers following the passrate include the various content areas of the exam) Argosy U. – Hawaii (ASPP) Clinical 132 took exam, 75 passed —  56.80% pass rate66.7%      62.1%    66.9%    63.9%    60.2%    69.1%    51.8%    73.8% (the lowest […]

Graduate Psychology Education in Hawaii and Elsewhere

Another piece of our 2010 HPA presentation on training and workforce issues in professional psychology concerned how well local training programs are preparing graduates for two career hurdles: internship selection and the passing the Examination for Professional Practice in Hawaii (EPPP).  I’ll present the numbers in two separate posts and let everyone give them their […]

The Psychology Internship Match Crisis

For our 2010 HPA presentation on developments in professional psychology, we examined various career and workforce issues in professional psychology, including the current status of the internship match crisis. There has been an increasing trend over the past 10 years for the number of graduates who fail to match to an internship (2009: 3825 applicants, 846 […]

Oversupply of Psychologists in Hawaii?

I have been bogged down with work. Just did a presentation at HPA on professional psychology practice in Hawaii and found some interesting information. In looking at workforce information I was shocked to discover that Hawaii has 854 licensed psychologists! Over 209 are out of state. Hawaii has experienced a 30% increase in the number […]

PTSD and Malingering: Practice Pointers

There appears to be a dramatic split among mental health professionals who write primarily from a treatment or plaintiff perspective and those who take a more skeptical approach. This article by Steve Rubenzer reviews recent developments in the assessment of malingering, including symptom validity measures, and applies them to the assessment of PTSD. Recommendations for current practice are provided.