Monday, August 10, 2015

Psychology loses its bearings


We just got back from Toronto, where we attended the annual convention of the American Psychological Association (APA). I’ve written about this conference before—sometimes about the interesting sessions I attended, and sometimes about personal lessons I gleaned from my time there. The site was lovely—Toronto is a beautiful city and our hotel overlooked Lake Ontario. 


But this year’s conference was a different sort of experience from most APA conventions because APA has been in the news big time—and not happily so. In case you’ve missed the nasty business that has rocked APA to its core—and with it, potentially, the field of psychology for some time to come—let me offer the Cliff Notes on a scandal.

As you know, since 9/11, this country has been absorbed with concerns about safety, security, danger, risk—the whole package that comes with such a terrifying and disorienting event, especially when the understandable fear is fanned by policies that magnify the threat of “terror.” Among those have been the detention and “enhanced interrogation” of “enemy combatants” at Guantanamo and so-called “black sites” elsewhere around the world. We now know that some of those interrogations involved what has come to be acknowledged, even by some of Bush’s cronies, as torture. Obama ended the most egregious practices shortly after he entered office (although some folks argue that unethical practices persist, even under his government). 

Enter psychology. Nearly all major health care and mental health organizations—professional organizations representing doctors, nurses, psychiatrists, social workers, and others—actively, publicly repudiated these practices and prohibited their members from participating in them, invoking the historic bottom-line absolute dictum of healthcare providers, “First, do no harm.”

I say “nearly all” such organizations because psychology’s largest professional organization, the American Psychological Association (APA)—my professional organization—failed to issue such a prohibition. Instead, when challenged, APA conducted “thorough reviews” that found nothing amiss. They established a committee to review the Association’s relevant ethics policy, and then insisted that all was well.

Still, lots of folks were unconvinced. For over a decade, some members of APA have tried to call APA to task for this ethical violation. They have been ignored, maligned, and subjected to personal attack. They persisted anyway, and finally got the attention of prize-winning author James Risen. His book, Pay Any Price: Greed,Power and Endless War, specifically identified the role of psychologists in enhanced interrogation. The media scrum that followed finally forced APA to commission an independent report—with dramatic and disturbing results.  
 
A quote from that report: “The evidence supports the conclusion that APA officials colluded with DoD [the Department of Defense] officials to, at the least, adopt and maintain APA ethics policies that were not more restrictive than the guidelines that key DoD officials wanted. . . . APA chose its ethics policy based on its goals of helping DoD, managing its P.R., and maximizing the growth of the profession.” The report also highlighted internal problems—insular governance, failure to attend to critics, insistence on allegiance, and so on—that point to systemic failures.

So, this recent conference of APA happened smack in the wake of the independent report and all the publicity it generated (for examples, look here, here, here, here, and here). I went to the conference every bit as much to see what it “felt” like as to go to informational sessions. How would people be, I wondered—preoccupied, indifferent, ambivalent, anxious, angry, defensive? Would they talk about this crisis or just do their usual work, as if it weren’t in the air? The answer was, not surprisingly, all of the above. In some circumstances, people went about their business as if nothing were amiss. But it was always easy to engage people in conversation about this situation. No one I spoke with was unaware of it (though that observation may be biased by the company I keep) or hesitated to talk about it.

On Friday, several days into the meetings, the elected representatives passed a resolution clearly prohibiting the participation of psychologists in military interrogations. The details of the resolution matched the hopes that had long been expressed by the group who had pursued this issue so vehemently. Most members (and likely, most in governance) heaved a collective sigh of relief. Now, it seemed, we could get down to the business of cleaning up the mess. A few folks were unhappy, especially some military psychologists, but most seemed proud of the decision … as if we had made it personally.

One friend, knowing that I had resigned from APA several years ago over this very issue, asked if I felt vindicated. I said I didn’t because I didn’t actively do anything other than withhold my dues, instead leaving the active protesting to others. “Vindicated” should apply to the rather small group of folks who were active in their dissent, who repeatedly distributed information to the governing bodies—information that those in governance chose to disregard or discredit—and finally raised enough awareness to expose the truth. I did feel betrayed, angry—and at the same time relieved that this truth finally saw the light of day. I was also worried, fearing that psychologists' genuine, positive work may have suffered a damaging blow. And I felt a bit hopeful that maybe, just maybe, this would be a turning point. And I was a bit skeptical as well, not daring to believe that so many problems could be managed without a major upheaval.

With all of that in mind, I attended the “town meeting” scheduled for open discussion of the report and the way forward for APA. (You can read about that meeting and prior teach-ins here.) Projected on screens at the front of the very large hall was a word cloud showing the words that people had used to describe their reaction to the report, with larger lettering indicating more uses of a particular word. Here’s what those screens looked like:



Sitting between two such screens were the past president of APA and next year’s president (the current president didn’t participate, as he was mentioned in the report). I can only imagine how uncomfortable these two women must have felt. They began with an apology to APA members, on behalf of all of those who had been involved in governance over the years, for the actions and inaction identified in the report. One of them borrowed a quote from Warren Buffet: “It takes 20 years to build a reputation and 5 minutes to destroy it." Psychology has been building its reputation for about 135 years now, and it was mightily damaged, if not destroyed, in a decade. The facilitators' comments suggested that folks had spent a lot of time and psychic energy trying to begin healing the damage, envisioning a way forward.

The discussion that followed was very civil throughout, though it included both “dissenters” (the title they prefer for their group) and military psychologists, both current members of governance and people who (like me) had left APA over this, both long-time APA members and graduate students just entering the profession. The facilitators were informative, open, and surprisingly non-defensive. The discussion lasted for almost two hours, and only a little of it seemed redundant.

I left feeling more upbeat, if cautious. If these two women, the former and future presidents, roughly represent the commitment of others, then there may be hope. Among the goals they committed to, in addition to an end to psychologists’ involvement in torture, were these: intentional efforts to include more diverse voices at all levels of governance; creation of leadership development programs to bring new people into governance; attention to critics, no matter how uncomfortable their message (this is easier sworn than performed, IMHO); active enlistment of students and early-career members to bring fresh perspectives; an open letter of apology to the communities that have been harmed by the anti-Muslim and anti-Arab undertone of the whole “interrogation” program; increased attention to the role of race in how the association operates; and more.

It’ll take time before we know the full impact of this whole process. What will this mean for psychology’s relationship with the public? Will people even know about this scandal? Will they care? Will they trust us less? And what will this do to the relationship between APA and its members? Will lots of people leave the organization in disgust? Will potential new members (e.g., current students in training) shy away?

We’ll see. Time will tell whether people feel they can trust psychologists again. Whether I can trust APA again. Right now, I am not proud to call myself a psychologist. I imagine people saying of anything associated with the field, “Psychology! Why would you trust psychology to help? They help with torture, that’s what they help with.” Why wouldn’t people think that? Why shouldn’t they?

As someone at the Town Hall said, psychology is better than its worst moments. This has, for sure, been one of my profession’s worst moments. I’m eager to see whether we can find our way again.




© Janis Bohan, 2010-2015. Use of this content is welcome with attribution and a link to the post.

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