January 17, 2011

MLK to psychologists: We need creative maladjustment

In honor of today's holiday, I am excerpting portions of a speech by Martin Luther King Jr. to psychologists, which remains prophetically relevant to our field today. I have made the entire speech, "The Role of the Behavioral Scientist in the Civil Rights Movement," available for download (HERE).

... For social scientists, the opportunity to serve in a life-giving purpose is a humanist challenge of rare distinction.... Social scientists, in the main, are fortunate to be able to extirpate evil, not to invent it....

On crime and urban violence

After some years of Negro-white unity and partial success, white America shifted gears and went into reverse. Negroes, alive with hope and enthusiasm, ran into sharply stiffened white resistance at all levels and bitter tensions broke out in sporadic episodes of violence. New lines of hostility were drawn and the era of good feeling disappeared....

Science should have been employed more fully to warn us that the Negro, after 350 years of handicaps, mired in an intricate network of contemporary barriers, could not be ushered into equality by tentative and superficial changes.... Negroes could contain their rage when they found the means to force relatively radical changes in their environment. [But] without a more effective tactic for upsetting the status quo, the power structure could maintain its intransigence and hostility. Into the vacuum of inaction, violence and riots flowed and a new period opened....

Urban riots ... are a distorted form of social protest. The looting which is their principal feature serves many functions. It enables the most enraged and deprived Negro to take hold of consumer goods with the ease the white man does by using his purse. Often the Negro does not even want what he takes; he wants the experience of taking. But most of all, alienated from society and knowing that this society cherishes property above people, he is shocking it by abusing property rights. There are thus elements of emotional catharsis in the violent act....

The policymakers of the white society have caused the darkness; they create discrimination; they structured slums; and they perpetuate unemployment, ignorance and poverty. It is incontestable and deplorable that Negroes have committed crimes; but they are derivative crimes. They are born of the greater crimes of the white society. When we ask Negroes to abide by the law, let us also demand that the white man abide by law in the ghettos. Day-in and day-out he violates welfare laws to deprive the poor of their meager allotments; he flagrantly violates building codes and regulations; his police make a mockery of law; and he violates laws on equal employment and education and the provisions for civic services. The slums are the handiwork of a vicious system of the white society; Negroes live in them but do not make them any more than a prisoner makes a prison. Let us say boldly that if the violations of law by the white man in the slums over the years were calculated and compared with the law-breaking of a few days of riots, the hardened criminal would be the white man....

The unemployment of Negro youth ranges up to 40 percent in some slums. The riots are almost entirely youth events--the age range of participants is from 13 to 25. What hypocrisy it is to talk of saving the new generation--to make it the generation of hope--while consigning it to unemployment and provoking it to violent alternatives.

When our nation was bankrupt in the '30s we created an agency to provide jobs to all at their existing level of skill. In our overwhelming affluence today what excuse is there for not setting up a national agency for full employment immediately?

... These are often difficult things to say but I have come to see more and more that it is necessary to utter the truth in order to deal with the great problems that we face in our society....

On taking a stand

There are those who tell me that I should stick with civil rights, and stay in my place. I can only respond that I have fought too hard and long to end segregated public accommodations to segregate my own moral concerns. It is my deep conviction that justice is indivisible, that injustice anywhere is a threat to justice everywhere....

On some positions cowardice asks the question, 'Is it safe?!' Expediency asks the question, 'Is it politic?' Vanity asks the question, 'Is it popular?' But conscience must ask the question, 'Is it right?!' And there comes a time when one must take a stand that is neither safe, nor politic, nor popular. But one must take it because it is right....

On the role of the social scientist

Negroes have been oppressed for centuries not merely by bonds of economic and political servitude. The worst aspect of their oppression was their inability to question and defy the fundamental precepts of the larger society. Negroes have been loathe in the past to hurl any fundamental challenges because they were coerced and conditioned into thinking within the context of the dominant white ideology.... For the first time in their history, Negroes have become aware of the deeper causes for the crudity and cruelty that governed white society's responses to their needs. They discovered that their plight was not a consequence of superficial prejudice but was systemic.

The slashing blows of backlash and frontlash have hurt the Negro, but they have also awakened him and revealed the nature of the oppressor. To lose illusions is to gain truth. Negroes have grown wiser and more mature and they are hearing more clearly those who are raising fundamental questions about our society whether the critics be Negro or white. When this process of awareness and independence crystallizes, every rebuke, every evasion, become hammer blows on the wedge that splits the Negro from the larger society.

Social science is needed to explain where this development is going to take us. Are we moving away, not from integration, but from the society which made it a problem in the first place? How deep and at what rate of speed is this process occurring? These are some vital questions to be answered if we are to have a clear sense of our direction....

The problem is deep. It is gigantic in extent, and chaotic in detail. And I do not believe that it will be solved until there is a kind of cosmic discontent enlarging in the bosoms of people of good will all over this nation....

On creative maladjustment

There are certain technical words in every academic discipline which soon become stereotypes and even clichés. Every academic discipline has its technical nomenclature. You who are in the field of psychology have given us a great word. It is the word maladjusted. This word is probably used more than any other word in psychology. It is a good word; certainly it is good that in dealing with what the word implies you are declaring that destructive maladjustment should be destroyed. You are saying that all must seek the well-adjusted life in order to avoid neurotic and schizophrenic personalities.

But on the other hand, I am sure that we will recognize that there are some things in our society, some things in our world, to which we should never be adjusted. There are some things concerning which we must always be maladjusted if we are to be people of good will. We must never adjust ourselves to racial discrimination and racial segregation. We must never adjust ourselves to religious bigotry. We must never adjust ourselves to economic conditions that take necessities from the many to give luxuries to the few. We must never adjust ourselves to the madness of militarism, and the self-defeating effects of physical violence.

In a day when Sputniks, Explorers and Geminies are dashing through outer space, when guided ballistic missiles are carving highways of death through the stratosphere, no nation can finally win a war. It is no longer a choice between violence and nonviolence, it is either nonviolence or nonexistence. As President Kennedy declared, 'Mankind must put an end to war, or war will put an end to mankind.' And so the alternative to disarmament, the alternative to a suspension in the development and use of nuclear weapons, the alternative to strengthening the United Nations and eventually disarming the whole world, may well be a civilization plunged into the abyss of annihilation. Our earthly habitat will be transformed into an inferno that even Dante could not envision.

Thus, it may well be that our world is in dire need of a new organization, The International Association for the Advancement of Creative Maladjustment. Men and women should be as maladjusted as the prophet Amos, who in the midst of the injustices of his day, could cry out in words that echo across the centuries, 'Let justice roll down like waters and righteousness like a mighty stream'; or as maladjusted as Abraham Lincoln, who in the midst of his vacillations finally came to see that this nation could not survive half slave and half free; or as maladjusted as Thomas Jefferson, who in the midst of an age amazingly adjusted to slavery, could scratch across the pages of history, words lifted to cosmic proportions, 'We hold these truths to be self evident, that all men are created equal. That they are endowed by their creator with certain inalienable rights. And that among these are life, liberty, and the pursuit of happiness.' And through such creative maladjustment, we may be able to emerge from the bleak and desolate midnight of man’s inhumanity to man, into the bright and glittering daybreak of freedom and justice.

I have not lost hope. I must confess that these have been very difficult days for me personally. And these have been difficult days for every civil rights leader, for every lover of justice and peace.

King was assassinated seven months after giving this speech at the American Psychological Association's 1967 convention.

January 14, 2011

fMRI controversies: Special journal section

A special section of the Association for Psychological Science's journal, Perspectives on Psychological Science, is dedicated to controversies surrounding functional Magnetic Resonance Imaging, or fMRI, technology. The articles* are:
  • Neuroimaging: Voodoo, New Phrenology, or Scientific Breakthrough? Introduction to Special Section on fMRI by Ed Diener -- In response to the widespread interest following the publication of Vul et al (2009), Perspectives Editor Ed Diener invited researchers to contribute articles for a special section on fMRI, discussing the promises and issues facing neuroimaging.
  • Mistreating Psychology in the Decades of the Brain by Gregory A. Miller -- Scientists tend to consider psychology-biology relationships in two distinct ways: by assuming that psychological phenomena can be fully explained in terms of biological events and by treating them as if they exist in separate realms. These approaches hold up scientific progress and have important implications for clinical practice and policy decisions (e.g., allocating research funds).
  • Brain Imaging, Cognitive Processes, and Brain Networks by Brian D. Gonsalves and Neal J. Cohen -- The growth of neuroimaging research has led to reflection on what those techniques can actually tell us about cognitive processes. When used in combination with other cognitive neuroscience methods, neuroimaging has promise for making important advancements. For example, neuroimaging studies on memory have raised questions not only about the regions involved with memory but also about component cognitive processes (e.g., the role of different attention subsystems in memory retrieval), and this has resulted in more theorizing about the interactions of memory and attention.
  • Mapping Mental Function to Brain Structure: How Can Cognitive Neuroimaging Succeed? by Russell A. Poldrack -- To understand the anatomy of mental functions, researchers may to need to move away from commonly used brain mapping strategies and begin searching for selective associations. This will require more emphasis on the structure of cognitive processes, which may be achieved through development of formal ontologies (e.g., the Cognitive Atlas) that will describe the “parts” and processes of the mind. Using these ontologies in combination with large-scale data mining approaches may more directly relate mental processes and brain function.
  • The Appeal of the Brain in the Popular Press by Diane M. Beck -- Why do people like the brain so much? Brain-related articles in the press, especially ones about fMRI research, tend to be very popular with the general public, but many of these articles may result in misinterpretations of the science. Part of the popularity may be attributed to their deceptively simple message: Perform an action and a certain area lights up. In addition, people are more confident in “biological” images than in the behavioral phenomena on which the images are based. In order to maintain trust with the public, scientists have a responsibility to provide the press with descriptions of research and interpretations of results research that are clear, relevant, and scientifically accurate.
  • Frontiers in Human Neuroscience: The Golden Triangle and Beyond by Jean Decety and John Cacioppo -- The development of neuroimaging has created an opportunity to address old questions about brain function and behavior in new ways and also to uncover new questions. The knowledge that emerges from neuroimaging studies is more likely to be beneficial when combined with techniques and analyses that break down complex constructs into structures and processes, measures that gauge neural events across different times, and animal studies.
  • Bridging Psychological and Biological Science: The Good, Bad, and Ugly by Arthur P. Shimamura -- The advent of functional neuroimaging has brought both praise and criticism to the field of psychological science. Although most studies relying on fMRI are correlative, they do offer some clues about the biology underlying psychological processes. However, it is not sufficient to show which area of the brain is involved in a particular cognitive process; rather theories need to address “how?” questions (e.g., How does the hippocampus contribute to remembering?) in order to best bridge psychological and biological science.
*Note: Click on any of the highlighted author names to send an email to the author, requesting a copy of the article.

Hat tip: Ken Pope

January 12, 2011

Linguist lambasts DSM-5 proposal as gibberish

Leave it to an asexual linguist to lay bare the convoluted nature of the paraphilia diagnoses being proposed for the DSM-5. Andrew Hinderliter, a former English teacher and grad student at the University of Illinois, says his activism regarding the DSM's Hypoactive Sexual Desire Disorder led him to stumble across disturbing global flaws in the DSM-5 sexual disorders morass.

The wording of the proposed new definition of "paraphilia" (sexual perversion) is so nonsensical that one must ignore the literal text in order to apply it the way the authors say they intend, Hinderliter writes in his new article, "Do Not Disregard Grammar," in the Journal of Sex and Marital Therapy. That article follows a companion piece published in the Open Access Journal of Forensic Psychology.

As I have blogged about previously, the members of the sexual disorders workgroup for the DSM-5 seems oblivious to the potentially disastrous forensic implications of their proposals. Vague and careless wording is not so critical in the clinical arena where, presumably, everyone is working toward the same goals. However, as attorneys know well, in the forensic context every little word matters -- a lot.

"Given that a person can be deprived of procedural due process rights -- possibly for the rest of their life --on the basis of a diagnosis of paraphilia NOS, caution and careful wording in defining paraphilia in DSM-5 is all the more important,” Hinderliter cautions.

Perhaps the workgroup has the clandestine aim of introducing chaos into the civil commitment system for sex offenders. If so, it couldn't be doing a better job. Get ready for skirmish after skirmish over nebulous terms such as "phenotypically normal," "generalized" and "intense."

January 11, 2011

Follow me on Twitter

I haven't been able to carve out much blogging time lately, despite an ever-growing list of worthy topics. If you would like more frequent updates from me, you can subscribe to my Twitter feed. Tweets are just brief headlines, directing you to other articles on the web. To give you a sample, I have just tweeted about (among other things):
  • Guarding Grandpa: Illinois spending money it doesn't have to keep convicts who can barely walk behind bars
  • Supreme court may decide if juveniles 14-and-under can be sentenced to life without parole
  • Tucson rampage -- Wall Street Journal asks: Is There Really a Link Between Violence and Mental Illness?
  • Autistic children immune to contagious yawn
  • Dark side of Oxytocin: Hormone of the clan, not of universal brotherhood
  • Secondhand TV linked 2 eating disorders among girls in Fiji
  • New drug stockpile enough to kill 80 people
  • Lucasville Five Hunger Strike Begins
  • On Bradley Manning, Solitary Confinement, and Selective Outrage
  • The Nazi and the Psychiatrist
For lots more interesting news, I also recommend you check out Vaughan Bell's great blog, Mind Hacks. His weekly "Spike Activity" roundup will keep you up to date on psychology news and views from around the globe.

Child abuse assessment: Special issue

Forensic psychologist Eric Mart has guest edited a special issue of the Journal of Psychiatry and the Law on assessment and testimony in cases of child abuse. The articles address both scientific and practical aspects of child abuse assessment, testimony, and research. They include:

Maternal Filicide and Mental Illness in Italy: This retrospective review co-authored by Geoffrey McKee, who has written books on filicide, and Alesandra Bramante compares the forensic characteristics of mothers with and without severe mental illness who killed their children.

Interviewing Immigrant Children for Suspected Child Maltreatment: Lisa Aronson Fontes examines challenges posed in forensic interviews of immigrant children when there is a suspicion that these children may be victims of child abuse or neglect. Suggestions are made
for interviewers regarding the interview setting, preparations, building rapport, conveying respect, narrative training, pacing the interview, and trauma symptoms that may stem from issues unrelated to the abuse.

Persistent Problems with the "Separation Test" in Munchausen Syndrome by Proxy: Munchausen syndrome by proxy remains a controversial diagnosis because information is easily tainted to make the mother appear responsible for her child’s symptoms. Loren Pankratz critiques (and offers alternatives to) the “separation test,” a scientifically problematic procedure that is often used to gather evidence against the mother.

Common Errors in the Assessment of Allegations of Child Sexual Abuse: Finally, the special issue editor himself tackles common errors in the complex, challenging, and high-stakes undertaking of assessing CSA allegations. After reviewing frequent causes of substandard investigations, the illustrious Dr. Mart provides ideas for research-based methods to improve the situation.

January 8, 2011

Little New England state serious about its motto

"Live Free or Die" even applies to sex offenders

In most of the 20 U.S. states with civil commitment statutes for sex offenders, the costs are staggering. As I have reported previously, millions of dollars are being spent to prosecute and detain certain recidivist sex offenders, while public school teachers must beg for basic supplies like pencils and paper.

New Hampshire is a dramatic exception. Since passing its civil commitment law four years ago, it has civilly committed only two men.

Yes, only two. William Ploof and Thomas Hurley. Both, not surprisingly, had sexually assaulted boys, not girls or women.

The dearth of commitments was a big surprise, according to an AP article by Norma Love. The state’s Corrections Commissioner had set aside 10 psychiatric beds and thought those would be overrun. The chief public defender had hired three new attorneys and a legal secretary and opened a new office in anticipation of a flood of cases. He's since laid off most of the new staff.

Of the many hundreds of cases referred to prosecutors for review, just eight have been found to merit prosecution. In the United States as a whole, more than 5,000 sexual predators are confined indefinitely.

Some attribute New Hampshire's reticence to preemptively detain citizens to its civil libertarian philosophy, as manifested by its state motto. The state does not require seatbelts or helmets and rarely pursues the death penalty.

But also, there seems to be no rabid political or citizen lobby like elsewhere. A spokeswoman from the Coalition Against Domestic and Sexual Violence, for instance, said her group is fine with the law's implementation. Amanda Grady told the AP reporter that she trusts New Hampshire's prosecutors to pick the option that best fits the individual case -- whether it be monitoring felons through parole, civil commitment or the state's sex offender registry.

Could this be a little spark of rationality and common sense (as opposed to moral panic) in crime policy in 21st century America? If so, three cheers for The Granite State.