Spring 2014
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 How Happy Is Your Marriage? Ten Questions That Matter
Judith Coché, Ph.D.
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For 35 years I have worked to help couples create happy marriages. Recently I was deeply touched as Art, a distinguished businessman with white hair and deep brown eyes, wept quietly. After five years of intense psychotherapy for each partner and the couple, Jan, his wife of 39 years had announced that she was finally strong enough to leave him unless he made her a top priority in his life.
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Do You Have the Right Stuff?
Michael DeStefano, Ph.D.
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We all have times when we are faced with trials and tribulations in our everyday life. Not one of us, young or old, is immune from stress and misfortune. There are those events or situations that may be small and seemingly insignificant, but that still require us to contend with and take care of. Then there are those highly stressful events that demand that we take action and make major adjustments in how we live our life.
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  What to Expect When You See a Child and Adolescent Psychologist
Marolyn Morford, Ph.D. & Brad Norford, Ph.D.
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You're worried about something going on with your child - it might be nothing, it might be something serious, you're not sure.
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 Get Ready for Spring: 5 Tips for a Fresh Start
Christie Sworen-Parise, Psy.D.
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It's time to rethink our new year's resolutions. Did some fall through the cracks? No worries. It's time for a fresh start! Spring is the traditional time we clean out our closets, dust the cob webs from our doors, and start fresh.
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Written by PPA psychologists for everyone interested in how psychology impacts their everyday life.
Topics include issues related to business, parenting, education, mental health treatments, forensic information, addictions, prison concerns, legislative events, and much more! Quick Links:
Psychologically Healthy Workplace
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e-Newsletter Committee Chair
For many, this newsletter arrives at the tail end of a trying, harsh winter. My hope is that crocuses will soon be peeking from the ground and bringing with them a burst of energy and spring rejuvenation. This issue contains articles on 'spring cleaning' your life, resilience, and healthy relationships. Also, we continue our series on understanding what a psychologist can do for you, with a great article about child psychology. Enjoy!
Christina Carson-Sacco, Psy.D.
Licensed Psychologist
 Creative Director
The Pennsylvania Psychological Association's purpose is to advance psychology in Pennsylvania as a means of promoting human welfare, and to educate, update and inform the public and our membership on current psychological theory and ethical practice through training activities and public policy initiatives.
Pennsylvania Psychological Association
416 Forster Street
Harrisburg, PA 17102
Phone: 717-232-3817
Fax: 717-232-7294
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How Happy Is Your Marriage? Ten Questions That Matter
Continued
"I will leave you if you keep putting me last. Mark my words because you won't hear them again. You barely come home, and then you are gone again to a board meeting. You want it all and no life has it all. Pick your poison: either modify your career or say goodbye to me."
Art blanched, clearly trying to resist her words. But the determination in her face forced him to take her seriously. "Actually, I would give anything to grow old with you. I want to lie next to you each night until I die. I can't believe it has come to this." Tears forming in the corners of his eyes, he reflected, "I would give it all up for a real marriage. You have raised our children while I have been at work. You have made us a beautiful home. You have cared for my mother to let me get to the top of my field. Now it is our time for a happy marriage and I may have ruined my chances. "
Jan closed her eyes to block out the pain she saw in the face of the man she loved. "If you mean it, make me a priority before I am not here to care. I love you more than anyone other than our children. I want nothing more than for you to take me in your arms, but you have not done that for 4 years. So I have convinced myself that being single is better than this. At least if I am single I can find a boyfriend."
The most crucial skill for human well-being is knowing how to love. Maslow, the psychologist best known for creating a hierarchy of human needs, ranked the need for belonging and loving as second only to the need for human health and safety. Loving well is essential to human happiness. Most of us are aware of a pulsating, demanding human drive to create the sense of well-being provided by a human partner. There is no adult love equivalent to sexually seeded love between adults, which is so powerful that it has the capacity to both augment and plunder human well-being. The way we love our partners, our children, our parents, our friends and our pets literally predetermines our own sense of physical and emotional well-being.
Here is a little quiz to help you build the happiest of marriages by looking at how your marriage is. Drs. Whisman, Snyder and Beach developed it. It is solidly researched so you can take the results seriously. Simply answer the questions below with "True" or "False."
- I get pretty discouraged about our relationship sometimes.
- My partner often fails to understand my point of view on things.
- Whenever I'm feeling sad, my partner makes me feel loved and happy again.
- My partner and I spend a good deal of time together in different kinds of play and recreation.
- My partner has too little regard sometimes for my sexual satisfaction.
- There are some serious difficulties in our relationship.
- Minor disagreements with my partner often end up in big arguments.
- Just when I need it the most, my partner makes me feel important.
- Our daily life is full of interesting things to do together.
- Our sexual relationship is entirely satisfactory.
To score, give yourself one point for each "True" for # 1, 2, 5, 6, and 7 and one point for each "False" to # 3, 4, 8, 9, and 10.
Warning sign: If you score more than 5 points, your marriage is on a rocky road. Art and his wife each had imperfect scores of 9 items each, a sure sign that professional help was needed.
After you and your partner take the quiz, sit quietly and share what you love about your marriage. Be glad about what you have built with each other. And if your marriage is in a danger zone, do promise to work to improve it. A good marriage is one of the best gifts you can give yourself.
Judith Coché, Ph.D., ABPP, is a Clinical Supervisor in Marriage and Family Therapy and a Clinical Professor in Psychiatry at the Perelman School of Medicine at the University of Pennsylvania. She is owner of The Coche Center, LLC, a practice in Clinical Psychology in Center City Philadelphia and Stone Harbor, New Jersey. You can reach her at www.cochecenter.com.
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Do You Have the Right Stuff?
These stressors can range from serious illness, financial blows, or other unexpected traumas such as natural disasters, the loss of a loved one, or being a victim in an unexpected tragic situation. How do we find our strength to cope? How do we manage to move forward, and not feel crushed by the weight of a misfortune, or by the steady stream of demands and worries that fill our everyday lives?
The term "resilience" has been coined to refer to those qualities and skills that allow a person to effectively deal with all the stressful situations that life may bring one's way. And it is not just coping ability that makes one resilient. Just as important is the ability to bounce back from adversity and disappointments, as well as knowing when to ask for help and where to find those resources. Resilience is not something a person is simply born with: it is so much more than our inborn temperament, and so much more than a set of innate abilities that we may or may not be fortunate enough to have.
Perhaps one of the most encouraging things about resilience is that one can learn and develop those skills. One does not simply "possess" resilient qualities. Resilience is truly a process - a lifelong learning process - that continually allows us to not necessarily avoid problems or stressful situations, but to effectively handle them. Some of the resilient skills have been taught to or shared with us. Some of the skills we have innately possessed. Having these skills and qualities do not make us invulnerable. They do, however, make us capable and resourceful, and not easily overwhelmed by the myriad stresses, problems or traumas that we might confront.
Even though much has been written about promoting and developing resilience in youth, it is a concept that is just as relevant to adults. We certainly want to be able to provide our young people with the skills they will need to successfully navigate the ups and downs of life. As caring adults and mentors, we should do all we can to afford them the opportunities to learn these skills. But adults need to hone their abilities as well, and to find opportunities to shore up and develop their own strengths and competencies.
How does a person build these resilient qualities? The American Psychological Association has compiled a list of ten ways to accomplish this:
- Make connections. Encourage and nurture good relationships with family and friends. Know who, where, and how to ask for help. Keep yourself involved. Help others. Be a mentor.
- Don't see crises as insurmountable problems. There is much to be gained from how you interpret what happens in your life; how you perceive may alter how you respond to these challenges.
- Accept that change is part of living. Always focus on what can be changed, and what is in your control, rather than bemoan what you can't or may not have power over.
- Move toward your goals. Keep your goals realistic and attainable. Work at them, make necessary adjustments, and don't let difficulty persuade you to give up.
- Take decisive action. Take direct action when you can. Don't withdraw; don't put your head in the sand. Ask for help when you feel you can't do it alone.
- Look for opportunities for self-discovery. Once again, it's about how you interpret what has happened in your life. See challenges and crises as chances to learn about yourself, and about your abilities. Knowing that you have dealt with crises in the past lets you know that you have grown and changed regardless of what roadblocks and hardships you have encountered.
- Nurture a positive view of yourself. Give yourself a break. Everyone faces stress, and everyone struggles with difficult situations. Having hardships and stressful times can work to build confidence yourself and in your ability to manage life. Even when things have not worked out well, we always learn for the next time.
- Keep things in perspective. Don't magnify the negative impact of difficulties, no matter how stressful. Keep your perspective. Know what you have accomplished, and know who and what resources are there for you.
- Maintain a hopeful outlook. Don't ever lose sight of a better future. Optimism is not ignoring misfortune or difficulty. True optimism is about a positive outlook, and hopefulness. It is about finding ways to continually learn and grow, and to appreciate who we are, despite all we have been faced with.
- Take care of yourself. Find ways to nurture yourself physically, psychologically and spiritually. Not only will you feel better daily as a result, but you will also be better prepared to successfully manage the next stress that comes along in life's journey.
Keep in mind that true resilience is not a matter of simply having "the right stuff": it is actually a continuous process of learning, practicing, enhancing and sharing those skills that make us and those we care about, resilient.
For more information, check out: "The Road to Resilience" pamphlet published jointly by the American Psychological Association and the Discovery Health Channel. Brooks, R. and Goldstein, S. The Power of Resilience: Achieving Balance, Confidence, and Personal Strength in Your Life. McGraw Hill, 2004.
Michael A. DeStefano, Ph.D., is a licensed psychologist in private practice in Bryn Mawr, PA. He has specialized in working with adolescents, young adults, children and families for over 25 years in a variety of multidisciplinary treatment settings. He is a strong proponent of strength-based, culturally competent, and developmentally appropriate care. He can be reached through the website www.BrynMawrPsych.com, or directly atmdestefano@brynmawrpsych.com.
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What to Expect When You See a Child and Adolescent Psychologist
Continued
 Here are some of the reasons parents might want to talk to a child and adolescent psychologist: - A parent is worried: Is it ADHD or autism or something else?
- A 3-year-old is asked to leave daycare for biting.
- A 6-year-old has severe and lengthy tantrums at home and in public.
- A 9-year-old is avoiding school and won't say why.
- A 10-year-old is having trouble at school and the parents are told that testing by a psychologist would help.
- A 13-year-old is having "scary thoughts" but won't tell you more than that.
- A 14-year-old is found hiding food and later heard throwing up in the bathroom.
- A 17-year-old is making suicidal comments.
Who are child and adolescent psychologists and how can they help? Child psychologists are not only licensed psychologists, but they also have specialized, science-based training in treating serious psychological issues and managing day-to-day family challenges in a more effective manner. Child psychologists are everywhere! In agencies, hospitals, schools, and private offices. What is it like to see a child and adolescent psychologist? Adults and children often say they feel much more comfortable in a child psychologist's office than they expected. Parents feel relief to come to a comfortable place and have a knowledgeable, caring professional hear their concerns. Everyone feels relaxed with the toys, games, and puzzles in the office. In the first couple of visits, the psychologist gathers information from all family members about their thoughts related to the problem. This could include any information parents provide from other sources such as reports, material from baby books, school grades, or drawings. Often the parent and the child are asked to complete standardized checklists to help clarify problems and strengths the child has. What happens next depends on how the child or family can best be helped. Sometimes a more formal, expert evaluation is recommended. Other times a course of therapy or other outside professional resources are suggested. Did you know that, of all mental health providers, only psychologists are trained in how to administer and interpret tests of intelligence, learning, development, and emotional functioning? What is therapy like? If treatment is the next step after the first visits, the psychologist will explain who will be involved and what method will work best. Parents and kids should feel comfortable asking any question they'd like about anything the psychologist proposes to do. Well-trained child and adolescent psychologists use interventions that are based on good science. Some well-proven methods for children include Parent-Child Interaction Therapy, Trauma-focused Cognitive Behavior Therapy, and Behavior Therapy. Child and adolescent psychologists are skilled and personable in relating to children and teens, which helps parents to have confidence in the work they will be doing. Often for younger children, parents remain in the room and are an important part of the treatment. Parents can be taught many effective techniques to help a child with depression, anxiety, and impulsive or defiant behaviors. Sometimes a parent just needs help learning how to use "time out" effectively or to set up a positive behavior management plan to encourage the child's cooperation. At times the problems are more complex and severe, requiring more time with the parent and the child separately and together to provide the most effective interventions. What about my teen? When working with teenagers, the psychologist spends more time with the teen apart from the family, respecting a growing independence and need for privacy. Many of the research-based techniques that are effective with adults can be applied to teens, such as cognitive behavioral therapy or interpersonal therapy. Sometimes both teens and parents use the sessions to improve their communication with each other so that they can resolve their issues together in a calmer, more loving manner. For more information, go to: http://effectivechildtherapy.fiu.edu/parents. Marolyn Morford, Ph.D., is a child and adolescent psychologist who sees children and young adults and is the director of the Center for Child & Adult Development in State College, PA. www.ccad-pa.com Brad Norford, Ph.D., is a child and adolescent psychologist who is the director of Bryn Mawr Psychological Associates in Bryn Mawr, PA, www.BrynMawrPsych.com.
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Get Ready for Spring: 5 Tips for a Fresh Start
Continued
This spring, why not apply spring cleaning to your life? After all, you ARE worth it! Get ready to dust the rust away to a happier and healthier you. It's never too late to start over! Below are 5 tips to spring cleaning your life.- Catch Your ZZZZZZZs: According to the National Sleep Foundation, 60% of adults report having sleep problems. We, as adults, need an average of eight hours of sleep a night! An article written by Harvard Women's Health Watch reports that sleep helps with learning and memory, affects the hormones involving our metabolism, decreases stress, and increases mood. Here are some tips: Keep a regular schedule, avoid caffeine four to six hours before bed, avoid alcohol, avoid heavy meals before sleep, and sleep in a quiet, calm environment.
- FORGIVENESS is Your Gift to Yourself: Holding onto negative feelings towards yourself or others can be detrimental to your overall health. Every day is a new day and a chance to smile. Realize that holding negative feelings will only bring YOU down. Do yourself a favor and learn to forgive. Forgiveness clears your mind for better things! Need a place to start...try a little yoga or meditation.
- Have FUN: Remember when being a kid meant having fun until the sun went down? As we get older, we tend to abandon our hobbies in place of responsibility and obligations. Pick one activity that you used to enjoy, something that makes you smile. Pencil it into your weekly schedule and have fun! Need ideas? Go dancing, listen to a band play, go bowling with friends...the list is endless!
- Freshen Up Your DIET: Lola Berry, a nutritionist and author of The 20/20 Diet, says a simple spring "detox" can help you lose weight and feel GREAT! Need a place to start? Choose unprocessed foods, reduce or eliminate refined sugar, and reduce your portion sizes.
- Let the SUNSHINE in: Research has shown that light (or a lack of it) can affect your brain chemistry. We notice our mood changes when the days are longer! Grab some Windex, open the blinds, and let some mood-lifting sunshine in!
Be good to your body and mind and they will be good to you! Happy spring cleaning!Christie Sworen-Parise, Psy.D., is the Assistant Director of Psychological Services at Allied Services in Scranton, PA. She is a licensed psychologist and specializes in the areas of Autism Spectrum Disorders, ADHD, cognitive evaluations, and learning evaluations. She developed and co-facilitates a social skills group called "Connections" in Luzerne County for adolescents diagnosed with Asperger's. She is an active member of Pennsylvania Psychological Association and a member of the National Register of Health Service Psychologists in the state of PA.
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Thank you again to these PPA members for sharing their expertise
with our public audience and again with us in this e-Newsletter!
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