Monthly Archives: May 2013

Missouri suspends social worker Brett Young, had relationship with and married former patient

On October 18, 2012, the Missouri State Committee of Social Workers suspended the license of clinical social worker Brett Young for up to three years and shall thereafter be placed on probation for another three years. The Committee’s document states that Young reported to the Committed in March 2012 that she had married a former patient whom she’d treated for six months, concluding in April 2011. She further stated that three months after the termination of the therapeutic relationship, she ran into the former patient at a local gym and developed a friendship with him, which evolved into love and marriage. However, the Committee also received a complaint which stated that Young and the client had reached a mutual agreement to end therapy due to the feelings that had developed between them.

State prohibits social worker Stacy Schauer from treating female patients

On October 25, 2012, the Kansas Behavioral Sciences Regulatory Board suspended the license of social worker Stacy Schauer but stayed the suspension and imposed several terms and conditions on her. According to the Board’s document, Schauer self-reported to the Board that she’d entered into an intimate relationship with a former client approximately a month after ending the patient-therapist relationship. The terms and conditions placed on Schauer include a prohibition on treating female clients without another adult present and practice supervision for an indefinite period of time.

State revokes counselor Kristin Marchese’s license for sex with client

On April 8, 2013, the Wisconsin Marriage & Family Therapy, Professional Counseling and Social Work Examining Board revoked the license of the professional counselor Kristin E. Marchese. The Board’s document states that Marchese engaged in a sexual relationship with a client.

Texas psychiatrist David Cardwell arrested on sexual assault charge

On or about March 8, 2013, Austin (Texas) Police arrested psychiatrist David Williams Cardwell on a charge of second degree felony sexual assault. It was reported in media that the woman had gone to Cardwell because her husband was concerned about her mental state and that Cardwell gave her a drug that made her groggy, after which he is reported to have undressed and sexually assaulted her.

State suspends license of psychiatrist Ali Salim, indicted in rape, murder of pregnant woman

On April 10, 2013, the Medical Board of Ohio suspended the license of psychiatrist Ali Salim.

Salim was arrested on or about February 20, 2013 following an indictment in the Court of Common Pleas, Delaware County, Ohio, charging him with two counts of murder, rape, felonious assault, corrupting another with drugs, kidnapping, two counts of tampering with evidence and abuse of a corpse.

News reports state that Salim is accused of injecting a 23-year-old pregnant woman with a lethal dose of heroin and then “doing ‘inhumane’ things to her corpse.” The woman had answered a Craigslist ad that Salim had placed, allegedly for housecleaning.

Salim has pleaded not guilty on all charges and was released from custody on February 25 on conditions which include house arrest and GPS monitoring.

Salim has declined to provide the Board with certain factual information concerning the pending criminal matter against him.

Trial date set for psychiatrist Joseph Jurand on sex assault charges

An Oct. 15 trial date has been set for a Jefferson County (W. Virginia) psychiatrist who was indicted by a county grand jury in April on felony sexual assault and abuse charges in a case involving a 15-year-old girl, Assistant Prosecutor Hassan Rasheed said Wednesday.

Joseph Anthony Jurand, 60, of 6145 Shepherdstown Pike in Shenandoah Junction, W.Va., is charged with two counts of sexual assault in the third degree and one count of sexual abuse, according to court records.

Jurand, who has an office in Shepherdstown, W.Va., was arrested April 13 following an investigation by Detective Tracy Harrison of the Jefferson County Sheriff’s Department.

Jurand, who is out on bond, was arraigned April 29 in Jefferson County Circuit Court.

The victim’s mother filed the complaint against Jurand, according to court records.

The victim met Jurand a few years earlier because “she had an interest in psychiatry,” according to court records.

The defendant began giving the girl gifts, including CDs, chocolates, a stereo and a laptop, according to court records. The investigation also showed that he sent texts and emails about himself to the victim saying he was on the verge of divorcing his wife.

The alleged assaults occurred in Jurand’s home, according to court records.

Jurand is being represented by Martinsburg, W.Va., attorney B. Craig Manford.

Source: Richard F. Beslisle, “Trial date set for Jefferson County psychiatrist on sex assault charges,” Herald-Mail, May 8, 2013.

U.S. government mental health institute dumps the DSM

The National Institute of Mental Health (NIMH) is distancing itself from the the American Psychiatric Association and its upcoming Diagnostic and Statistical Manual of Mental Disorders (DSM-5).

While they acknowledge that the goal of DSM “is to provide a common language for describing psychopathology” they are no longer convinced that approach has value if we are going to solve 21st century cognitive science problems.  It is, paraphrasing the statement  of Thomas R. Insel, M.D., Director of the National Institute of Mental Health, more of a dictionary than a manual.  He uses the term “Bible” instead of ‘manual’ but I would have used ‘glossary’ rather than ‘dictionary’.

Insel pulls no punches in his statement on why they are not going to fund things based on DSM criteria any more.

“The weakness is its lack of validity. Unlike our definitions of ischemic heart disease, lymphoma, or AIDS, the DSM diagnoses are based on a consensus about clusters of clinical symptoms, not any objective laboratory measure.”

This is a charge leveled at psychology as well, and the field in general, but psychiatry takes the biggest hits, because they are supposed to be the most evidence-based. Unlike psychology, psychiatrists have to be M.D.s first. Writing in The New Yorker, Gary Greenberg tries to tackle why cognitive science hasn’t kept pace with medicine, much less the physical and life and earth sciences, writing rather nicely that “it’s not entirely clear that psychiatrists want a solution to the problem.”

Insel is more blunt. “DSM diagnoses are based on a consensus about clusters of clinical symptoms, not any objective laboratory measure. In the rest of medicine, this would be equivalent to creating diagnostic systems based on the nature of chest pain or the quality of fever.”

Basically, he says DSM is stuck in the past.

Indeed, symptom-based diagnosis, once common in other areas of medicine, has been largely replaced in the past half century as we have understood that symptoms alone rarely indicate the best choice of treatment.

Patients with mental disorders deserve better.

NIMH is leaving the past behind. In the past, Insel notes, they would reject a biomarker that did not match a DSM category. Now they instead want to collect how all data – genetic, imaging, physiologic and cognitive – cluster, and not just how symptoms do.  They call it the Research Domain Criteria (RDoC) project.

“That is why NIMH will be re-orienting its research away from DSM categories.,” he wrote, and that means funding applicants are going to have to adjust to the 21st century.

The APA may be outraged, and certainly some DSM-5 defenders, but I predict people in cognitive science who want to really do science and get NIMH funding are relieved that they are not going to have to cater to a document everyone seems to know was always flawed.

Read Insel’s whole statement, Transforming Diagnosis, and have hope for the future.

Source: Hank Campbell, “NIMH Delivers A Kill Shot To DSM-5,” www.science20.com, May 3, 2013