  The Pennsylvania Psychological Association's Public Information Newsletter |
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Psychological News You Can Use
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"Autumn, the year's last, lovliest smile."
--William Cullen Bryant
Greetings,
As you reflect on the past year and look ahead to the year to come, we hope you find these excellent articles informative.
Most everyone can think of someone they know who has been touched by bullying, disability, drug use, or body image issues. In light of this fact, we request that you please help us share these articles by forwarding this newsletter to anyone who might benefit from it.

Christina Carson-Sacco, Psy.D.
Licensed Psychologist
PPA E-Newsletter Editor
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National Depression Screening Day October 11, 2012
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On October 11th, National Depression Screening Day, free programs for the military, colleges, universities, community-based organizations and businesses will be available, nationwide.
NDSD raises public awareness and screens people for depression and related mood and anxiety disorders.
NDSD also provides local referral information for those seeking treatment. Through this program, more than half a million people each year have been screened for depression since 1991.
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K2 & Bath Salts: Dangers of Designer Drugs
Allison Otto, M.S.,
Psy.D. Candidate
Since the initial speculation that bath salts were the cause of the "Miami Cannibal" attack, designer drugs known as "K2" and "bath salts" have become a hot topic in the media. If you are unfamiliar with this story, Rudy Eugene became known as the "Miami Cannibal" when he attacked Ronald Poppo by biting pieces of flesh off of his face on the MacArthur Causeway in Miami, Florida, in May. Reports later identified only marijuana in Eugene's system. What are Designer Drugs? - Synthetic Drugs: They are produced in a laboratory and often designed to have effects similar to natural drugs.
- Designer Drugs: Designer drugs are a form of synthetic drugs. They are specifically designed to circumvent existing laws, with slightly modified molecular structures to that of existing illegal or controlled substances. They are generally synthesized from common chemicals, and marketed under attractive or household names, like "bath salts."
Continued...
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 Body Image: Let's Get Positive!
Christie Sworen-Parise, Psy.D.
Does any of this sound familiar to you? "I feel fat," "I hate my body," "I wish I had nicer legs/hair/arms," "I want to be skinner," or "I am too skinny?" Such statements are ways of putting yourself down and speaking negatively about yourself. It is not easy to love all parts of ourselves, but getting stuck in negative self-talk can lead to an unhealthy body image and low self-esteem.
What is body image and self-esteem? Body image is how we perceive our physical body and how we think others perceive our body. Therefore, body image is not based on what we actually look like, but what we think we look like. Body image, in turn, can affect our self-esteem. Self-esteem is how much we feel we are worth or how much we value ourselves.
- What influences our body image and self-esteem? Body image is ever changing and is influenced by many variables. Some of these variables include pubertal development, society/media, and family.
- Puberty presents a difficult time for many not just because our bodies are changing, but it's a period when we want to be accepted by others. At this time, we tend to compare ourselves to others and everyone develops at different stages.
- Society places unrealistic expectations on us to look a certain way. Popular magazines use make-up, lighting and air-brushing to slim down the images of their very thin models. Today's popular look is impossible to achieve by the majority of the population.
- Family life influences our body image in many ways. Family members, such as parents, may be struggling with their own body image issues. Parents serve as role models for their children and may criticize their children for the way they look or what they eat. Joining a particular sports team may also add pressure onto parents and children for a certain look.
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 Honoring the Culture of Disability
Tim Barksdale, Psy.D., NADD-CC
Individuals with disabilities are people, first (Snow, 2012). This may seem so common sense that it need not be stated. Unfortunately, we continue to hear references that include: "that blind guy," "the poor crippled athlete" or "the deaf mute child." Frequently, people with intellectual disabilities are still referred to as "retard" or worse and those with behavioral health diagnoses are given labels such as "the borderline" or "the schizophrenic."
Language is powerful and cognitive behavioral therapy teaches us that the use of labels affects the way we feel about, think about, or even how we behave toward a person.) Just as important, our use of language can affect how people with disabilities feel about themselves.
It is suggested by the American Psychological Association that when identifying someone with a disability, disorder, or impairment, it is best to first say the person's name or pronoun and then, when necessary, the disability/ impairment is stated secondly (Smith, 2001.)
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 Bullying Prevention Programs: What Works?
Throughout the United States school districts have been encouraged, and even mandated, to have policies and programs to prevent bullying. What factors make for effective bullying prevention programs? Well designed research studies have analyzed the components of effective programs. Some elements of empirically successful programs follow.
Elements of Effective Programs
1. A whole school anti-bullying policy is in place. This means the program is multi-faceted and comprehensive. The assumption is that there is "buy in" from personnel at all levels. School principals who are involved and committed seem to provide the best chance for schools to have low rates of bullying (U.S. Department of Justice, 2002).
A school-wide program assumes preliminary work so staff, parents and students have been provided with information, have had input into policies before initiation, and are clear about what should be done when they see an instance of bullying (Farrington & Ttofi, 2009).
2. Classroom rules. Successful programs often had teachers and students develop, at the classroom level, a list of unwanted behaviors that could be classified as bullying and understood by the children. This procedure enlists the ideas of the students and allows for the explanation of why certain behaviors are wrong. Although not the primary goal, critical thinking is probably being developed. This has the effect of allowing for the transfer of understanding bullying from one example to others.
3. School conferences and programs. Providing information to faculty, staff, parents and students about what constitutes bullying and what measures will be taken provides a common understanding about bullying. One of the difficulties with bullying is the fact that children don't report it because they don't expect adults to do anything with the information. Campus-wide programs demonstrate that adults are committed to take action.
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K2 and Bath Salts, Continued...
A History of Designer Drugs Although synthetic drugs are not new, in the past three decades designer drugs have received national attention as their popularity has grown. In many cases, synthetic drugs are initially created for legitimate medical use.
- For example, the original version of "K2" was created by Dr. John W. Huffman, an organic chemist at Clemson University, for possible therapeutic effects.
- In the 1980s, at least two chemists were arrested for synthesizing 3-methylfentanyl, a drug that is several hundred times more potent than morphine. On the street, this drug was sometimes referred to as "China White," a street term for many of the analogs of fentanyl, which is a synthetic opiate analgesic.
"K2"
"K2" generally refers to some combination of herbal plant matter sprayed with a synthetic cannabinoid agonist, mixed with other ingredients.
Possible effects:
- Initially likened to a powerful marijuana high
- Severe agitation and anxiety
- Fast, racing heartbeat and higher blood pressure
- Nausea and vomiting
- Muscle spasms, seizures, tremors
- Intense hallucinations and psychotic episodes
- Suicidal and other harmful thoughts/actions
Why should we be concerned about designer drugs?
Designer drugs are generally designed to be different enough from existing illegal drugs, so that they can be sold legally.
- This legal loophole also applies to using designer drugs: If the drugs are not illegal, then people who are subject to drug testing will not get caught.
- Designer drugs are also more difficult and expensive to test for. Labs are unable to test for every chemical compound that is known on the street as "bath salts".
- Designer drugs are often manufactured in other countries to circumvent domestic laws.
- Although our government is assertively addressing the legalities of designer drugs, their presence is likely to continue, as is the case with any other illegal substance.
Designer Drugs are Disguised
- "Bath salts" are just one of the household product names used to describe the designer drug. These substances have also been referred to as "Jewelry Cleaner" and "Vanilla Sky," and "K2" has also been referred to as "Spice," "Incense," and "Potpourri."
- Just because designer drugs are illegal does not mean they are not available.
- Despite recent bans, drugs like "K2" and "bath salts" are still available in many stores.
- You can easily find designer drugs like "K2" and "bath salts" online, order them with a credit card, or even get free samples sent to you in the mail.
- 11% of 12th graders report that they have used "K2" within the past year.
Designer Drugs are Unpredictable
- New designer drugs are always coming out.
- Designer drugs are illegal and unregulated. There are limitless "brands" of any designer drug, and even the same brand may contain different drugs, in different amounts, at different times. This makes the effects of designer drugs completely unpredictable.
- Designer drugs like "K2" and "bath salts" generally include ingredients that are omitted from ingredients listed on packaging.
The Next Designer Drugs are Always On Tap
- The second generation of "K2" has emerged: "K3."
- "Opana," or Oxymorphone, a semi-synthetic opioid analgesic, is a growing trend in our area
- "Krokodil," a morphine derivative, has become an epidemic in Russia that causes a potentially fatal, "flesh eating" effect. This drug's presence has not yet been documented in the United States.
Obtaining Help
Designer drugs like "K2" and "bath salts" can be highly addictive, and using them can lead to both dangerous and unpredictable results.
Here are some resources for accessing treatment providers:
Resources for education and prevention:
Federation of American Scientists
National Institute on Drug Abuse
Drug Enforcement Administration
Treatment Research Institute
American Association of Poison Control Centers
Allison Otto, M.S., currently works as a clinical supervisor and therapist at MARS-ATP, Mid-Atlantic Rehabilitation Services-Addiction Treatment Programs, located in Bethlehem, PA. She is a Psy.D. student at Chestnut Hill College, and is beginning her predoctoral psychology internship at The Reading Hospital and Medical Center this fall.
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Culture of Diversity, continued...
To honor people with language consider:
- Rather than "blind lady" say "Jane who is blind"
- In place of "retard" or "MR" say "the man with an intellectual disability"
- "The woman with schizophrenia" should be used in place of "the schizophrenic"
It is also inappropriate to use the phrase "suffers from" as it places a negative and stigmatizing interpretation of a person's state that may or may not be his or her experience. In addition, the adaptive equipment that one uses should be described as how it assists a person, not how it limits a person e.g., rather than "a man confined to a wheelchair" consider, "the man who uses a wheelchair."
Another thing to consider is how we interact with a person with a disability. Just as it can be awkward for some people to engage those from different cultures, it can be just as uncomfortable for many to interact with a person possessing a disability.
Here are some general tips that may be helpful:
- Instead of asking, "Does she like going out?" speak directly to the person with the disability even if the person is deaf or has an intellectual disability.
- Always ask before helping a person with a disability, because the assistance may not be needed, wanted, or as helpful as intended.
- If a person who is blind needs assistance, offer your arm, don't take his.
- Use a qualified sign language interpreter when providing significant information. It is best to use someone who is not related to better ensure that the information is not filtered or translated with bias.
- Do not cover your face with hands or a clipboard when talking with someone who is hearing-impaired, as this person may rely on seeing your lips to help recognize the sounds of your words.
- Respect the privacy of a person and refrain from asking a person with a disability how they became that way. Unless medically necessary, allow the person to share this information when and if they want.
This list could go on for pages and pages. Remember that just as people with disabilities are not "cursed" or "suffering," they are also not "special," "poor" or "innocent," because these well-intended words can be just as condescending and hurtful. The best rule of thumb is to remember that people with disabilities are "people first" and should be afforded the same considerations and treatment as you would want for yourself.
For more information on interacting with people with various physical and mental disabilities, go to www.unitedspinal.org/publications.
References
Burns, D.D. (2010). Feeling good, the new mood therapy. Chicago: William T. Morrow.
Silver, Y. (2008). Diability ettiquette. Retrieved from United Spinal Association.
Smith, D. (2001). A primer of diversity.Retrieved from American Psychological Association.
Snow, K. (2012, August 8). People first language. Retrieved from Disability is Natural.
Tim Barksdale, Psy.D., the Chair of the PPA Committee on Multiculturalism, has provided therapy for over 15 years to a wide range of people, including those with intellectual and developmental disabilities for which he has a National Clinical Certification. He received his psychology doctorate from the Philadelphia College of Osteopathic Medicine.
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Body Image, Continued...
What are the effects of a negative body image? If we have a negative body image, we are vulnerable to life-long consequences such as:
- Depression and anxiety
- Low self-esteem
- Eating disorders
- Poor interpersonal relationships
- Unhealthy eating or exercise habits
- Substance use
How do I gain a positive body image? A positive body image is learning to accept yourself. When you accept yourself the way you are, your body image is less likely to be influenced by others. A positive body image, in turn, will boost your self-esteem. The following are several tips in improving your body image:
- Realistic expectations: Remember that those images in the magazines are fake and unobtainable for the majority of the population.
- Set realistic goals: If you want to change your health, talk to your doctor. Set realistic goals and put one foot in front of the other. Setting realistic goals is a great way to stay focused and motivated!
- Love your body: Focus on all the positives that your body has to offer; your strengths, rather than your weaknesses. Bodies come in all shapes and sizes. Move towards being the best YOU!
- Replace those negative thoughts: Tell your brain STOP when those negative comments begin ("I am fat," "I hate my legs," etc.). Replace those thoughts with something more positive such as, "I am better today than I was yesterday," "I can do it," "I am worth it," etc.
- Compliment yourself daily: Look in the mirror and say something nice to yourself every day. Put Post-It notes around your house with positive sayings. When you say or read these compliments, say them out loud with assertiveness!
- Surround yourself with positive people: Enough said!
What if I need help? Dealing with a negative body image and low self-esteem are sometimes too much to handle alone. Remember, a negative body image and low self-esteem can lead to problems such as depression, anxiety, substance use, and eating disorders.
If you are feeling this way, there are places to go for help. You can speak with a psychologist who specializes in body image issues. Talk to your doctor for a referral for someone in your community.
Christie Sworen-Parise, Psy.D., is the Assistant Director at Allied Services Integrated Health Systems in Scranton, PA, and has a private practice in Kingston, PA. She provides services to children, families, and young adults including assessment, treatment and consultation for Autism Spectrum Disorders (ASD), parenting issues, and coping with defiance. She also specializes in sport and exercise psychology.
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Bullying Programs, Continued...
4. Effective classroom management and disciplinary methods
Classroom management plays a big role in managing bully behavior. Naturally, a well-run classroom provides less opportunity for bullying; there is greater attention to learning tasks and less "open" time. Classroom discipline plays a part in the other direction as well. Overly harsh discipline creates an atmosphere in which "Might equals right." The assumption is created that one should use status and power to get what one wants. If the child feels powerless and disrespected in the learning situation, bullying among students is more likely to occur. Some children will be so used to being dominated by adults they will show helplessness among their peers, and become targets of bullying. Others will imitate the models they've been shown and imitate adults who abuse power by engaging in bullying behavior.
5. Improved supervision. Decrease in bullying was correlated with more supervision of children on playgrounds, in hallways, cafeterias and other school settings. This intuitive finding should encourage the use of volunteers and other adults in those places where bullying is likely to happen.
6. The dose-response effect. The greater the duration of the program(s) for teachers, children, and parents, and the more intense the training (the greater the number of hours involved), the more effective the prevention program (Farrington & Ttofi, 2009). In addition, the Department of Justice website recommends that one-time or one-year programming is not sufficient. New students and faculty will need to be exposed to the expectations that have been set.
Less Effective Methods
1. Zero-tolerance policies. As the public has come to understand the great harm that bullying can cause, the cry has gone out for zero-tolerance policies. Research studies have indicated that zero-tolerance policies are NOT effective. They discourage reporting by both students and staff. If suspension is the required punishment, the offender experiences less supervision, becomes less tied to the school, loses academic opportunity, and will probably feel less included in the school setting.
Studies of program effectiveness suggest that firm discipline is crucial, but sanctions need to be proportional to the offense. If bullying is addressed promptly in minor instances with reasonable punishments given in classrooms, there is a greater likelihood of success.
2. Peer mediation and conflict resolution techniques. The evidence suggests that training students in peer mediation techniques is not an effective component of bully prevention programs. Such programs may actually increase victimization. Bullying, by definition, involves an imbalance of power. Peer mediation may be more appropriate for situations involving equal peers or ordinary peer-to-peer conflict.
In conclusion, research studies on bullying prevention suggest that the most effective are school-wide programs that develop commitment from adults and students, provide consistent and pervasive messages, involve reasonable sanctions, and provide effective classroom management training.
References
Farrington, D. P., & Ttofi, M. M. (2009). School-based programs to reduce bullying and victimization. Campbell Systematic Reviews, 6, 1 - 148.
http://www.cops.usdoj.gov/pdf/e12011405.pdf (2002)
http://www.ehow.com/list_6147362_school-bullying-laws-pennsylvania.html
Gail Cabral, IHM, Ph.D., is a Professor of Psychology at Marywood University, in Scranton. She is a developmental psychologist with an interest in peer relations and friendship, spirituality and aging.
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About Us The Pennsylvania Psychological Association's mission is to advance psychology in Pennsylvania as a means of promoting human welfare. PPA carries out this mission through activities that advocate vigorously for public access to psychological services, educate and support the professional development of our members, educate the public through disseminating and applying psychological knowledge, and that maintain and build organizational strength. Pennsylvania Psychological Association

416 Forster St Harrisburg, PA 17102 Phone: 717-232-3817
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