VOLUME 1 ISSUE 2
The Navy Psychologist
June-July 2008 From the Editors
We are pleased to offer the second issue of The Navy Psychologist (TNP). It is intended to build
Inside This Issue community, bolster morale, and disseminate information. Our current issue offers a number of
announcements relevant to the annual APA convention and the Navy Day meeting. The newsletter will be
circulated via email and will simultaneously be posted to the web at the address listed at the bottom of
1 From the Editors & Message from the
this page. Do you know anyone affiliated with Navy Psychology who is not receiving the TNP? If so,
Specialty Leader please notify us.
2 National Training Director This issue of TNP focuses on deployments for psychologists. We asked a number of Navy psychologists
that have deployed in different capacities to share their experiences with our community. Different
3 COSC colleagues have written about deploying on a carrier, deploying as an OSCAR psychologist, and the top
10 things not to forget when leaving for deployment. CDR Bergthold and visiting contributor and guest
4 OSCAR ―pop‖ psychologist CAPT Robert Koffman (psychiatrist) provide some enlightening information about the
Navy’s Combat Operational Stress Control Program.
Once again we invite contributions from anyone in the Navy Psychology community. In the upcoming
editions we will be considering short articles or column pieces on
6 Psychology on the Deck Plate
- Research/program reviews in various areas of practice. Many of you continue to do research
in a number of interesting and diverse areas.
7 Navy Authors: Military Psychology
- Caring for the care-giver; synopses of special groups or programs running in your area that
focus on medical personnel, chaplains and psychologists returning from deployments
8 Care for the Caregiver
- Serving overseas. The highs and lows of deployment
- Career concerns and advice for Navy psychologists
9 Spotlight on Ethics
- Recommendations for practice in specific billets or with unique client populations.
10 Promotions & Awards
Finally, I (TD) will be handing the co-editor reigns to CDR Brice Goodwin. Brice will be an energetic editor
and a great shepherd for TNP. I (BJ) want to thank Tony for getting TNP off the ground and for having the
vision for a community newsletter. Please submit your ideas or short manuscripts to either CDR Brice
Goodwin (email: email@example.com) or to Brad Johnson.
12 Upcoming Events
CDR Tony Doran, PsyD W. Brad Johnson, PhD
Message from the Specialty Leader
It is with great pleasure that I introduce the second edition of The Navy Psychologist.
Thanks again to the publishers for their hard work in putting this together.
There is an ancient Chinese saying, meant as a curse, that says May you live in
interesting times.* Our times are truly interesting. The deployment demand does not look
like it will subside anytime soon. Our staffing remains the #1 priority. Presently, we are
operating at 74% of capacity. However, there are some glimmers of hope. It looks like this
year the number of retirements/resignations will just about be equal to the number of
accessions. If the numbers hold, it will be the first time since 2002 that the number of
people getting out will not be greater than the number coming in.
The biggest news involves the establishment of a post-doctoral training program
for direct accessions who have completed an internship, but have not accumulated the
requisite number of hours for licensure. We received permission to access six post-
doctoral trainees for the next three fiscal years. If the program proves successful, we will
petition to make it a permanent program. The program will be housed initially at NMCP.
The establishment of the post-doctoral program is a direct result of the hard work by CDR
Psychology Specialty Leader David Jones, Dr. Thomas Kupke, and the entire staff at Portsmouth. I would also like to
CAPT Martin Petrillo acknowledge the executive committee who put forth much effort and sage guidance in
establishing the post-doctoral program, especially Dr. Eric Getka, Dr. David Mather, CDR
Scott Johnston, and Dr. Marvin Podd.
(Continued on page 2)
The Navy Psychologist will be archived at
PAGE 2 THE NAVY PSYCHOLOGIST
From the National Training Director
By CAPT ERIC GETKA USN (ret)
It my pleasure to announce that our internship and USUHS billets for 2008 have been filled.
The Internship Professional Review Board met on January 15th and 16th at NNMC, Bethesda. Members included
CAPT Marty Petrillo (Specialty Leader), CAPT Paul Schratz, CDR John Ralph (Assistant Specialty Leader),
CDR Rich Bergthold, CDR Scott Johnston, Dr. Dave Mather (NMCSD Training Director), Dr. Marvin Podd
(NNMC Bethesda Training Director), and myself. The Board was uniformly impressed with the quality of the
applicants. Twenty-three application packages were reviewed and a historically large proportion of names, 21
out of 23, were placed on our MATCH list. Of those individuals who matched with the internships in San Diego
and Bethesda, all were ranked fourteen or higher on our MATCH list and eight were ranked among our top ten.
All-in-all, a very exciting outcome. In the section below, you will find a brief biographical sketch prepared by
each of our new interns. (Our new USUHS students will be introduced in the next issue of this newsletter).
National Naval Medical Center, Bethesda
William A. Anderson Blair – Auburn University
I grew up in a military family. My father was enlisted in the Army for 21 years. I also joined the service
immediately after high school and spent four years as an enlisted soldier. Upon completion of active duty, I
went to college and graduated from Troy University in 2001. I graduated from the Auburn University Community
Agency Counseling Master's program at in 2003 and remained at Auburn where I am currently working toward
completion of a Doctor of Philosophy degree in Counseling Psychology. My dissertation research is focused on
some of the variables that influence the decision to seek psychological services. My clinical interests include
psychological assessment and the treatment of anxiety disorders including PTSD. I am currently engaged to be
married and preparing for step-fatherhood and I enjoy both indoor and outdoor activities. A few of my hobbies
are playing computer games, scuba diving, traveling, and annoying our eleven year old.
(Continued on page 6)
Message from the Specialty Leader (con’t)
What about the internship at Portsmouth you ask. We will also re-establish
the internship the following year. We accepted 10 interns for FY09 and we will accept
12 in FY10, when we will re-start the internship. If you do the math, that means by
FY10 we will access 18 new colleagues a year.
We are also actively pursuing licensed direct accessions. We have had a
number of people interested in coming in. Presently, we have three scheduled to
attend ODS and three more working with recruiters.
Many of you probably heard about the specialty pays and bonuses that are
proposed for clinical psychologists. The exact amounts and type of pay have yet to be
determined, but I am optimistic we will see an increase in available pay and bonuses in
FY09. There have been several proposals put forth by members of congress and the
wording is being worked out for inclusion in the defense bill. Much of the success for
this rests with the coordinated efforts of the consultants/specialty leaders and
representatives from APA. We owe much to APA for the dogged manner in which they
lobbied on our behalf.
I would like to put a plug in for the APA convention. If you are able, please
consider attending. Navy Day will be Thursday, 14 Aug from 1300 to 1600 at the Coast
Who Said That? Guard Station, Boston. The sup-specialty meetings will precede this meeting from
Rick Pitino 0800 to 1200. Our Corps Chief, RDML Mittelman is tentatively scheduled to present.
As usual, we will meet that evening for dinner at a restaurant, which will be determined
John Paul Jones later. There is no shortage of great places to eat in Boston, so the dinner should be
Muhammad Ali great, but foremost is the opportunity to spend time with friends and colleagues. Hope
to see you there.
Yogi Berra In closing, let me again express my profound admiration for all of you who
Vince Lombardi work so hard and make so many differences in peoples’ lives. I am very humbled to be
your specialty leader and very proud to call myself a Navy Psychologist.
THE NAVY PSYCHOLOGIST PAGE 3
Musings on the OSCAR Program
By CDR Gary Hoyt
I was first introduced to the Operational Stress Control and Readiness (OSCAR)
concept in mid 2003. I say ―concept‖ because there was no precedent, only the basic
notion that a psychologist might have a different kind of utility working within a Marine
unit than from a conventional MTF position. The suggestion that it would be a pilot
program involving attachment to a Marine Division was initially daunting, but then
worsened by comments that ―grunts‖ eschewed outsiders as part of their charm and
ethos. The goal, I was told, was to assimilate myself and focus on operational stress
control through training and mitigation strategies. It turned out to be assimilation on the
fly, and then ―combat‖ stress control, as a few weeks after arrival in Jan 2004, I was
What I discovered is that it is not the affiliation or physical attachment to a unit that
accounts for a provider’s success, but rather one’s personal willingness to integrate
within it. Integration can be an over-used word, but in this case, refers to the need for
certain attitudes and behaviors that require us to leave our comfort zones. Below are a
few simple thoughts on integrative behaviors and principles for increased efficacy within
line units. A key point is that these ideas are not limited to those attached to OSCAR or
any operational platforms.
1) Those that place great value on the unit goals will be deeply valued and relied upon
within that unit’s functioning. This is a simple recognition that we are paid
fundamentally for our contribution to the military mission, and not solely as clinical
advocates and providers of patient-care in isolation. However, my experience and
observations have convinced me that this understanding and respect for a
Commander’s mission is directly proportional to the breadth of utilization and strength of
advocacy we then can have with respect to our patient care.
2) Insert yourself systemically. One form is by empowering the organic assets within a
system vs. having it revolve around you. As Ben Shephard suggests in ―War of Nerves‖
(2000), ―Military psychiatry is often done best, not by psychiatrists, but by doctors,
officers, and soldiers who understand the principles of group psychology and use the
defenses in the culture to help people through traumatic situations‖ (p.398). Knowing
the institutional structures we work within and the specific leadership desires are key
here. We accomplish this by moving into leaders’ worlds and de-mystifying ourselves,
thereby laying the groundwork for future advocacy and consultative successes.
3) As we approach line leaders, seek to understand before being understood. What
commanders truly want is the consultative input towards their personnel and/or the
various areas of responsibility they face. However, like grunt Marines, many units are a
closed society and tend to view outsiders as having little understanding of how their
world works or what they are trying to achieve Advice from outsiders without
understanding is then too easily dismissed as irrelevant, or worse yet, at odds with what
they are trying to accomplish. Those who do not seek first to understand are often
quickly marginalized. Historically, amidst my eagerness to convey what I know about a
patient or an operational task, if I did not have the entire picture, on many occasions I
have deservedly fallen on my face. But in getting the picture right, it has sharpened my
input and commanders’ subsequent receptivity down range.
Being an OSCAR psychologist will rank among the most meaningful, and stretching,
experiences of my life. The job was richly gratifying (and sorrowful), sacred in the
shared experiences, and persistently required perseverance and courage amidst
attempts to do the right thing. It has remained unmistakably rich for me. Interested in a
If you would like to read more on CDR Hoyt’s thoughts on the OSCAR program please read
Hoyt, G. (2006), Integrating Mental Health Within Operational Units: Opportunities and Challenges, Military
Psychology, 18, 309-320.
PAGE 4 THE NAVY PSYCHOLOGIST
THE COMBAT OPERATIONAL STRESS CONTROL (COSC) PROGRAM
By CAPT ROBERT KOFFMAN AND CDR RICHARD BERGTHOLD
I want to thank Dr. Doran for inviting me to address the illustrious group of Navy clinical
psychologists. I have been lucky to have worked with some great Navy psychologists
both on land and at sea.
Combat Operational Stress Control (COSC) encompasses all policies and programs to
prevent, identify, and treat psychological and psychiatric injuries caused by combat or
other operations. COSC is one of the priorities of the CNO to ensure that all Sailors,
Marines, and family members who bear the unseen wounds caused by stress receive
the best help possible. Moreover that the COSC team works hard to reduce the stigma
of mental illness and ensure these Sailors and Marines are afforded the same respect
given to the physically injured.
Navy COSC was born in August of 2006 when the CNO tasked BUMED to
1. Define COSC program concept, doctrine, and organization
2. Define curricula, training and exercise
3. Establish Center for Excellence for the Study of
4. Foster ―Resilient Families/Resilient
5. Assess delivery of services to families of
6. Assess deployed Navy personnel while in
7. Establish Deployment Health Clinics
8. Address mental health stigma
Our fantastic team of CAPT Westphal, CDR Bergthold at BUMED, and most recently
LCDR Chavez at OPNAV N-13, has worked tirelessly in developing COSC doctrine and
training requirements. I am personally addressing you from Kuwait and Afghanistan
assessing deployed Navy personnel while in theatre. (Those of you that know me are
probably thinking – he just wanted a break from BUMED…and you would be right).
Most recently tri-service efforts to reduce the stigma of mental illness were rewarded in
the change of question 21 in SF86. This new guidance stated that ―Mental health
counseling in and of itself is not a reason to deny or revoke a clearance.‖ Many of would
agree this is a step in the right direction and Navy mental health has much more work to
do in reducing mental health stigma. Navy COSC has also establish 17 deployment
mental health clinics throughout the United States and overseas. The picture to our
right is the deployment mental health clinic in Okinawa. The Naval Center for Combat
Operational Stress Control (NCCOSC) has been established in San Diego and is being
led by CAPT Paul Hammer, USN, MC with the support of Dr. Heidi Kraft.
This is one of the most challenging times in our nation’s history. Navy medicine has
been tasked as always to provide the best care to the defenders of freedom and their
families. I want to take this time to thank all of you for your encouragement and
participation in this effort.
Mission focused, Focused mind.
CAPT Bob Koffman MC, USN
If you would like to read more on CAPT Koffman’s thoughts on the COSC program please see
THE NAVY PSYCHOLOGIST PAGE 5
By CDR JOHN RALPH USN
By now many of you have heard of our new mentorship program, but for those
who haven’t, let me use this opportunity to tell you more about it. One of
Admiral Mittelman’s goals when he took over as Corps chief was to enhance
professional mentorship within the MSC community. One could argue that this
is particularly important for us in Navy psychology. More than ever the junior
officers in our community are working without the benefit of guidance from
more experienced psychologists. Many of us serve in billets where we are the
only psychologist in the command. Even when this isn’t true, many junior
psychologists are deploying within their first two years of service, or they’re
being left to fend for themselves while more experienced psychologists from
their command deploy. This leaves them without critical guidance at an
important stage of their career. Lack of good mentoring is a genuine problem.
We have had several instances in our community where Lieutenants have
failed to select for O-4, resulting in their involuntary removal from service.
Ironically, this has deprived us of talented clinicians who wanted to stay in the
Navy; these are psychologists we would have happily hired had they come to
us as direct accessions, simply because their records did not reveal to a
selection board the valuable contributions they had made. Lack of oversight
and support is almost always a failure in leadership, in that many junior
psychologists are simply never taught how to make their fitness reports more
competitive for promotion. Our mentoring program is intended to prevent just
Starting with last year’s internship class, all junior psychologists (meaning new
internship graduates or 1 -year direct accessions) are required to have a
mentor. This mentor is assigned to them in writing by the Specialty Leader.
The job of each mentor is to enhance the professional development of our most
junior psychologists. Mentors are required to advise their ―mentee‖ on all
aspects of his or her career, providing advice on career-enhancing
assignments, professional ethics, military customs and traditions and
professional duties and responsibilities. Perhaps most importantly, mentors
are available to provide guidance on fitness reports and to give advice on how
to prepare for a promotion board. Mentors are required to be in frequent
contact with their mentee. While the precise nature of this contact is not
defined, it is not acceptable for mentors to passively wait to be contacted with
Feedback on this program to date has been positive, but it’s still in its infancy
so there are undoubtedly things that can be improved. If you are a mentor or a
mentee with suggestions for enhancing this program, please do not hesitate to
let me know. If you’re in your first post-internship year and have not been
contacted by a mentor, please let me know that as well. The program is limited
in that we have not assigned mentors to anyone who graduated from internship
more than a year ago. If you fall into that category and would like a mentor,
please contact me and I’d be happy to oblige. Finally, to all those who have
agreed to serve as mentors, thank you for participating in this important task. If
you’d like to volunteer as a mentor, drop me a line at
PAGE 6 THE NAVY PSYCHOLOGIST
Psychology from the Deck Plate
By LT John Evans
When Dr. Doran asked me to write about carrier psychology for the community newsletter, I was initially
very excited. However, when I sat down to write, I became aware of the many facets to being the ship’s
psychologist, also known as ―PSYCHO‖ for psychology officer. So this article will summarize the most
salient issues for psychologists on carriers. It is my hope that this information will prove valuable for those
who are headed to the fleet and illustrate some of the key issues for those who have not yet had the chance
to serve on a sea going vessel. Managing multiple relationships is by far the biggest challenge that I have
encountered since coming on board. In the shipboard environment there is a high likelihood that one of
your patients may adjust your pay, wait on you in the Wardroom, be on the same MWR tour, or conduct
maintenance in your office, among other things. I remember recently sitting on a liberty boat and counting
at least four current patients sitting near me. Additionally, you may be asked to provide treatment to
someone in your department, such as another provider. Additionally, treating another officer may result in
sitting down to dinner with a patient. While, these issues can be handled in a number of ways, it is
important to consider the implications of your various roles and relationships sooner rather than later. It is
also important that you discuss these issues with clients prior to engaging in treatment and consider
As the ship’s psychologist you serve as a consultant to the command and advocate for the client. Further
complicating these relationships, as ship’s company, you are ranked for the purposes of fitness reporting by
the department heads with whom you consult. At times our recommendations are well received, but at
other times they are not. Therefore, relationships must be managed with care so as not to compromise the
needs of the client, the needs of the command, and your ability to get promoted. I have found that
presenting options, with costs and benefits, to the chain of command has gone a long way towards being
objectively ranked onboard and maintaining healthy relationships with others in the wardroom.
Furthermore, using your chain of command, i.e. the Senior Medical Officer (SMO) can be of great benefit in
many situations. Building non-professional relationships outside of your department is another key to a
successful carrier tour. I have found that building relationships through attending command functions,
eating meals with officers outside of your department, and discussing issues in person have gone a long
way toward establishing my professional role on the ship. Interestingly, unlike traditional settings, much of
my credibility has been established through non-clinical interactions. Additionally, the process of achieving
your Surface Warfare Medical Department Officer (SWMDO) qualification provides psychologists with an
opportunity to understand how the line officers conceptualize problems and think about the world. Further,
because line officers may see psychologists as disinterested in the operational Navy, the SWMDO
qualification is a great opportunity to gain a greater understanding of all the moving parts in an operational
command, while building credibility with our peers.
Confidentiality in an operational environment poses many challenges. Who really needs to know? What
needs to be shared? When do we have to disclose? Recent reporting rules regarding suicidal behavior
have further complicated this issue. It is not uncommon to have someone ask you about one of the sailors
during lunch or at the gym. Many of the Sailors onboard have jobs that have a high potential for serious
injury if not performed correctly. Therefore, the psychologist must educate the client, the command, and his
or her peers in the medical department regarding the limits of confidentiality. It is especially important that
clients understand the potential limits of confidentiality prior to engaging in treatment. Additionally, the
psychologist must take care to only disclose information that the command needs to know in a way that
protects the patient as much as possible.
Being the sole mental health provider for a battle group in excess of 5,000 can be challenging. Personally, I
miss the ―hallway‖ consultation at the clinic with peers on difficult cases. I have had to compensate with
monthly meetings while in port, and email consultations while at sea. Additionally, it has been important to
manage all of my resources, such as the ship’s Chaplains. The Chaplains can provide counseling on many
issues common to young sailors, and they hold absolute confidentiality for the service member.
Additionally, a ―Life Skills‖ curriculum was established by the previous ship’s psychologist (LCDR Jeff Cook)
that encompasses many of the key psychosocial issues young Sailors constantly face such as anger
management, stress management, goal setting, and relationship issues. These classes allow the provision
of key knowledge to an at risk Sailor. As the principal advisor on mental health issues, I have access to the
Department Heads, Executive Officer, and Commanding Officer that many other officers of my pay-grade do
not. One must be able to summarize key information in concise terms. The command leadership is looking
for decisive recommendations based on multiple sources of information to include input from the service
member’s department. This has been of great professional benefit to me as I have developed a greater
understanding of how the line community views and understands mental health issues. This is a lesson that
I will take with me to future duty assignments.
One could write volumes on carrier psychology. However, I have presented some of the highlights of my
experience thus far. I hope my observations will be of help to psychologists taking carrier assignments as
well as those who have not yet had the opportunity to serve on a carrier. Up until now, my carrier tour has
been by far my most rewarding assignment from both a personal and professional angle. The friends I have
made onboard I will carry with me long after I depart the ship. My understanding of the Navy has grown
exponentially since arriving on the USS George Washington. I feel that psychologists are uniquely suited
for this duty as we have training and experience in assessment, consultation, treatment, and managing
personal relationships. It has been clear that having a psychologist aboard is greatly valued by the
command. I strongly encourage psychologists to take advantage of operational assignments as they
provide many opportunities for personal and professional growth.
THE NAVY PSYCHOLOGIST PAGE 7
Navy Authors Series:
Edited by LCDR Carrie Kennedy and Eric Zillmer
During wartime, the need for military psychologists intensifies as the role they play in
combat zones and in the intelligence services increasingly gains importance. This
comprehensive reference book clearly illustrates this. Drawing from the expertise of 33
experienced military authors, crucial knowledge is presented to professionals providing
psychological services for military and intelligence personnel or working to enhance
operational readiness. Several Navy psychologists authored chapters for this volume.
They include CDR Anthony P. Doran, Michael G. Gelles (USN 1986-1993), CDR Gary
Hoyt, CDR David E. Jones, LCDR Carrie H. Kennedy, CDR Kevin R. Kennedy, CDR
John A. Ralph, and CAPT (ret) Morgan T. Sammons.
The timeliness of this book cannot be overstated. With record numbers of combat stress
casualties and traumatic brain injuries and controversies surrounding the role of
psychologists during wartime, military psychologists must be informed. This book
provides that foundation.
Military Psychology is a key text for military psychologists, taking on both clinical military
psychology and the newly emerging field of operational psychology. This book provides
a comprehensive resource for both new and seasoned military psychologists.
For those newer to the field, have you ever needed a go-by for a security clearance
evaluation or a substance abuse intake? Have you found yourself evaluating a member
of another service and needed to consult a specific instruction? Are you responding to
your first natural disaster or need to treat an individual with a gas mask phobia for the
first time? This book was edited by Navy Psychologist LCDR Carrie Kennedy, currently
stationed at the Naval Aerospace Medical Institute in Pensacola, to answer these
questions and more, and serve as a practical resource for the realities of military
practice. For those saltier clinicians, the book provides just as much. It is a handy desk
reference and outlines the history of military psychology, the complexities involved in the
determination of intervention strategies following a disaster or trauma, the specialties of
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military health psychology and neuropsychology and the course of combat stress.
The book does not stop there. As one of the first books on the newer field of operational
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psychologists. Have you been paying attention toan controversies of Behavioral
interesting Resistance, and Escape (SERE)
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psychologists? The chapter in this book on SERE outlines the history of SERE schools,
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serve there. Are you interested in the the text boxterrorism? The book tackles the
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psychological dimensions of terrorism and devotes theentire chapter to the indirect
assessment of Al Qaeda terrorists, using open source information. Other areas covered
are weapons of mass destruction and the assessment and selection of high risk/high
demand personnel. the Text Box Tools
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Of special interest is the fact that this volume has found an international readership. It
may be found in the libraries of 12 countries and has been translated into Chinese.
PAGE 8 THE NAVY PSYCHOLOGIST
FROM THE NATIONAL TRAINING DIRECTOR (CON’T)
Lisseth Calvio (LT, MSC, USN) – Uniformed Services University of the Health Sciences
I was born in Chalchuapa, El Salvador and grew up in Passaic, NJ. I enlisted in the Navy's nuclear power program after high school. As a 3rd
class petty officer machinist mate, I was awarded a ROTC scholarship to the George Washington University, where I earned my B.A. in
psychology. I was commissioned as a Surface Warfare Officer and served onboard the USS BELLEAU WOOD and USS PEARL HARBOR,
both out of San Diego. I was accepted into the Uniformed Services University of the Health Sciences clinical psychology program, where I am
currently located. As part of my clinical training at USUHS, I deployed for three months onboard the USS NIMITZ during their 2007 deployment
and worked under the supervision of the ship's psychologist. I am currently collecting data for my dissertation entitled "Measures of cognitive
limitations and their relation to perceived work limitations in breast cancer survivors." My clinical interests are vast and include operational
psychology, medical psychology, and cultural competency in the clinic. My hobbies include traveling, dancing, socializing, and experiencing new
Erin Graham – University of Michigan
I am from Detroit, Michigan. I received my Bachelor's Degree in Applied Psychology from New York University and I am currently working on a
joint doctoral degree in Clinical Psychology and Women's Studies at the University of Michigan in Ann Arbor. My dissertation project is
examining psychological health outcomes related to how Black women construct gender. My broad interests pertain to culture and mental
health, specifically positive psychology and resilience within ethnically and racially diverse populations. Clinically, I am interested in strengths-
based approaches to psychotherapy, drawing on personal and cultural resources in the treatment of psychopathology. For fun, I love to watch
nearly all things reality TV. American Idol and Dancing with the Stars are a couple of my favorites. And of course, I'm a huge Pistons fan.
Nicholas Guzman – University of LaVerne
I was born in Los Angeles, CA and was raised in the city of Covina, a suburb in Los Angeles County. I received my Associate of Science Degree
in Administrative Justice from Citrus College and my Bachelor of Arts in Psychology from California State Polytechnic University, Pomona. I
completed my Master of Science in Psychology at the University of La Verne where I am currently a doctoral candidate in the PsyD. Program in
Clinical-Community Psychology. I successfully proposed my dissertation in October, 2007 and plan to defend it in the spring of 2009. My
dissertation is a qualitative study exploring factors that influence adaptations in coping among individuals who have been diagnosed with
HIV/AIDS. My clinical interests include psychodynamic theory, multicultural psychology, psychological assessment, neuropsychology, and health
psychology. My personal interests include traveling, reading for pleasure or studying at nearby coffee houses, going to the movies, and spending
time with my friends.
Leah Wingeart – University of Denver
I was born and raised in Baltimore, Maryland. I obtained a B.A. in Psychology from the University of Maryland, College Park, and an M.Ed. in
School Guidance and Counseling from Loyola College in Maryland. I am currently a candidate for the degree of Doctor of Psychology from the
Graduate School of Professional Psychology at the University of Denver. My doctoral paper topic is 'The Use of Yogic Principles in the
Attainment of Peak Flow States in Sport.' My clinical interests include personality assessment, health psychology, sports/performance
psychology, and mindfulness-based therapies. I have very diverse interests and hobbies, most of them involving physical activity and being
outdoors. Recently, I have been training my lab-mix puppy, who can dig immensely deep holes!
Naval Medical Center, San Diego
Heather Anson – Eastern Michigan University
I was born and raised in Turlock, California where I received both my B. A. and M. S. in psychology from California State University, Stanislaus. I
am currently a doctoral candidate at Eastern Michigan University. In June I will be defending my dissertation which is entitled The
Neuropsychological Endophenotype of Specific Language Impairments and Autism Spectrum Disorders: Category or Continuum? My clinical
interests include behavioral and cognitive treatments of anxiety disorders, mood disorders, and autism spectrum disorders, as well as
psychological and neuropsychological assessment. When I’m not at school, studying, or working, I enjoy dancing, traveling, and spending time
with my husband.
Christofer Ecklund – Argosy University, Honolulu
I am the proud son of a retired U.S. naval officer and grew up living in many different locations. I attended Western Washington University in
Bellingham, WA where I earned a B.A. in Psychology and Chaminade University of Honolulu in Hawaii where I earned an M.S. in Counseling
Psychology. I am currently a candidate for the degree of Doctor of Psychology in Clinical Psychology at The American School of Professional
Psychology at Argosy University, Hawaii. My dissertation research, which I plan to have defended in early 2009, is entitled, ―The Influence of
Military Rank on Symptoms of Posttraumatic Stress Disorder.‖ My clinical interests include military psychology, psychological and
neuropsychological assessment, and psychopathology. I have been married nearly ten years to my beautiful wife who is a Registered Nurse. My
hobbies include reading, Macintosh computers, video games, spending time with friends and family, and ―taste testing‖ microbreweries.
Raymond-Steven Fernandez – University of Denver
Originally from Los Angeles, I was raised in Minnesota. I completed my BA in Psychology at St. John's University, in Collegeville, Minnesota,
where I also played rugby all four years. I spent the next five years in Portland, Oregon, where I worked with adolescents in a residential
treatment setting while pursuing my MA in Counseling Psychology at Lewis & Clark College, which I completed in 2002. After spending a much
needed 6 months traveling around the world I relocated to Denver, Colorado, where I am now a Doctoral candidate in the PhD Counseling
Psychology program at the University of Denver. My dissertation, which I successfully proposed in October, 2007, researches Burnout,
Employee Involvement Management Practices, and Employee Turnover and Job Satisfaction among Residential Treatment Counselors working
with the adolescent population. My clinical interests include healthy development, men's issues, outreach and marketing, and clinical
supervision. My spare time is spent renovating my house with my wife, Isobel, playing with my dog, and traveling as much as possible. My
hobbies include snowboarding, surfing, trail running, and reading spy novels.
Brooke Ruehl –Alliant University, San Diego
I was born in Tracy, California and later moved to Oakdale, California where I graduated from Oakdale High School. I attended Seattle Pacific
University in Seattle, Washington where I received a B.A. in Psychology. I am currently a candidate for the degree of Doctor of Psychology from
Alliant International University's School of Professional Psychology. My dissertation research is entitled ―The Psychological and Physical Health
Effects of Written Emotional Expression in Pediatric Hematology/Oncology, Intensive Care, and Neonatal Intensive Care Unit Nursing Staff‖. My
clinical interests include health psychology and trauma, chronic pain, stress, and treatment of PTSD. I have been married for almost 2 years.
My husband is a former Artillery Officer in the Marine Corps and is currently working as an engineer in the medical device industry. My hobbies
include running, mountain biking, and playing with our golden retriever, Jake.
(Continued some more on page 10….I know OMG!)
THE NAVY PSYCHOLOGIST PAGE 9
Navy Medicine’s Care for the Caregiver Strategy
CDR Richard Bergthold, MSC & CAPT Richard J. Westphal, NC
Normal has changed. The demands and challenges that military medical personnel
face in 2008 are dramatically different from the challenges of 2000. Operational and
occupational demands are intensified by organizational restructuring, heavier workloads,
fewer resources, and sicker patients. Consequences of untreated cumulative stress can result
in medical errors and an increased number of near misses; somatic complaints such as
changes in eating habits, gastrointestinal distress, headache, fatigue, and sleep disorders;
change in work habits such as tardiness, absenteeism; and mental and emotional difficulties
such as memory disturbances, anger, self doubt, isolation, impaired judgment; and accidents.
There is concern that Navy Medicine personnel may not be meeting their own mental health
needs or using existing mental health resources before serious consequences occur to self or
The dominant stress response paradigm in both the civilian and Navy literature has
several common elements: know the sources of job stress, know the signs and symptoms of
stress, take care of yourself, and seek help when you begin to experience impairment in daily
life. There are several significant barriers to self-help focused coping for healthcare personnel.
First, endemic job stress produces some level of stress symptoms in all workers so that
moderate and high stress look ―normal‖. Second, early stress symptoms such as fatigue,
impaired sleep, and confusion decrease self-awareness and ability to engage in self-care.
Third, nurses and corpsmen are ―other‖ focused and receive intrinsic rewards from self-
sacrifice in the service of others. Finally, there are perceived barriers (stigma) to use of mental
health services that are designed for mental illness treatment versus mental health promotion.
Navy Medicine is currently developing a three-phased action plan that starts with an
immediate response from Navy Medicine leaders, followed by a stress education program that
is other versus self focused, and finally, the development of a wellness-based mental health
Phase 1: The intent of this phase is to call immediate attention to the demands that Navy
Medicine personnel are facing, provide a positive value for caring for each other, and set an
expectation for early versus late help-seeking. The primary message is that Care for the
Caregiver is a Navy Medicine leadership responsibility and priority.
Phase II: The intent of Phase II is to build on Lazuraus and Folkman’s Stress Response
paradigm that shows how social support and augmented social support can serve to modify
reactions to primary stressors and facilitate enhanced recovery following major stress events.
Most of the healthcare work stress literature uses self-awareness and self-assessment as
starting points. The Navy and Marine Corps Stress Injury Continuum model forms the
foundational conceptual framework that also enhances consistency with other stress
response education from boot camp through war college.
Compassion fatigue intervention training will be provided to select members of every
MTF. The goal will be to have 1-2 staff members at every MTF trained in Compassion Fatigue
interventions and that those staff members will provide staff support through ongoing
education and direct stress and coping interventions. This training is ready to start now.
Operational and Occupational Stress Management training will be provided to all
SPRINT Teams. BUMED Deployment Health Directorate is developing and evaluating a
stress and coping education model that identifies green, yellow, orange, and red zone
stress/mental health behaviors that are linked with helpful phrases or actions that peers can
use. This approach has potential to normalize anticipated stress responses and provide
communication tools that create an expectation that providers can, and will, reach out to each
other when a peer may need help.
Phase III: A wellness-based mental health promotion intervention will be developed for Navy-
wide implementation. This intervention would require the development of an integrated mental
health promotion process that leverages current resources (Advance Practice Mental Health
Nurses, Psychiatric Technicians, Chaplains, Social Workers, and Family Service Center
services), has a low stigma access process, and can fast-track people in crisis to an
appropriate higher level of care as needed. Long-term monitoring and outcome measures will
need to be developed as part of this phase.
The point of contact for Navy Medicine Care for the Caregiver programs is CAPT Richard
Westphal, USN, NC (Richard.Westphal@med.navy.mil).
PAGE 10 THE NAVY PSYCHOLOGIST
Spotlight on Ethics
By LCDR Carrie Kennedy
The Case of the Amnestic Petty Officer
A Petty Officer First Class, with 12 years of active duty service, stationed aboard an aircraft carrier, falls down a ladder well
and hits his head. No loss of consciousness is noted and no serious injuries are sustained. However, upon arrival to
medical he cannot remember his name or anything about his past. Brain imaging and neurological evaluation are both
negative so he is sent to see the psychologist (or PSYCHO, see above). During his clinical interview he maintains complete
amnesia for his past and his own identity. The following is an excerpt from this interview:
Q: What is a CO?
A: Carbon Monoxide.
Q: What is an XO?
A: Hugs and Kisses.
Q: What is H2O?
A: I don’t know. A Navy term?
Collateral interviews revealed significant family stressors which were beginning to impact his job performance. Prior to this
incident he has been a good performer, with no mental health or legal history. Do you label him as a malingerer?
The primary ethical dilemma in this case is that of dual agency, the simultaneous commitment to two entities. This conflict is
encountered daily by Navy Psychologists due to the continuous service of two masters: the patient and the military.
Decisions made about any given service member will impact both. Can you ethically work on behalf of both at the same
time? Can you meet the needs of both in this case and if so, how?
The Ethical Analysis
1. The Military Manual Approach
Applying this approach entails following military regulations to the letter of the law, which in this case would require you to
report the Petty Officer for malingering.
Pros: The command is able to be tough on malingerers, making it less likely that others may adopt this ―escape‖ strategy in
times of stress.
Cons: The Petty Officer may face legal action, which will only exacerbate his level of stress and further overwhelm his coping
resources. The command may lose an experienced military member.
In this case, the Military Manual Approach does not appear to meet anyone’s needs.
2. The Stealth Approach
Applying this approach entails covering up certain aspects of cases in favor of patients. A psychologist using this approach
may not document the unbelievable symptoms and may also facilitate the Petty Officer getting time off to return home to
address his family problems.
Pros: The Petty Officer is given a chance to address his problems, he will not face legal action, and his career will not be put
Cons: If the Petty Officer cannot address his family problems quickly and so effectively that he is back to baseline, he
remains a liability at work and is unable to maintain his work responsibilities. His behavior may decompensate further. You
may be seen as an individual in the command who does not address problems appropriately. Because the Petty Officer is
not held accountable, other members of the command, may utilize this problem solving strategy in the future.
In this case, the stealth approach has a chance of benefiting the Petty Officer and possibly the command if he can be
returned to duty. However, the risks that this approach will fail in this case are considered high.
3. The Best Interest Approach
Using this approach involves weighing the needs of the military and the patient equally and acting to benefit both. This
approach typically requires considerable ethical analysis. In the current case, the best interest approach may lead the
psychologist to provide short term treatment for the Petty Officer focusing on coping strategies, elucidation of his family
problems, and subsequent focused intervention strategies (e.g., financial, contact ombudsman, etc.) to address those
problems. A discussion of the unreality of his symptoms would have to be conducted in the course of the treatment. Given
his favorable history, there is a good chance that the Petty Officer will respond positively and return to duty. (continued pg 9)
THE NAVY PSYCHOLOGIST PAGE 11
New Navy Captains
Congratulations to our new Captains: APA Advocacy on Behalf of Military Psychology
CAPT (sel) Andy Davidson To: Matthews, M. DR BS&L
CAPT (sel) Andy Cc: Alan Kazdin
CAPT (sel) Margaret Lluy Davidson doing some Subject: APA Advocacy on Behalf of Military Psychology
CAPT (sel) Robert Schlegel therapy when he was Dear Dr. Matthews,
assigned to the SEALS
I thought you would be interested in
receiving the attached Letter to the Editor
that APA submitted yesterday to the Washington Post in
response to an article about Defense Department funding,
Bronze Star for LT Bonvie
which referenced our APA initiative in support of military
psychologists and the services that they provide.
For Meritorious service in connection with combat operations against the enemy
while serving as a Command Psychologist for Joint Task Force in direct support As a result of our successful advocacy efforts in concert
of Operation Enduring Freedom from 28 May to 02 August 2006 and 31 January with Senators Joseph Lieberman (I-CT) and Barbara Boxer
to 02 April 2007. LT Bonvie’s psychological expertise , competence, and (D-CA), a provision was included by the Senate Armed
leadership enabled him to flawlessly support the Task Force through his Services Committee in a report to accompany the National
Defense Authorization Act, which would authorize
consultation to intelligence, information operations, and critical incident support.
recruitment and retention incentives for military
On numerous occasions he was exposed to hostile fire while traveling to remote psychologists, as are currently available for physicians,
bases to support ground operations. LT Bonvie’s distinctive contributions, dentists, pharmacists, and some other non-medical health
unrelenting perseverance, and steadfast devotion to duty reflected great credit professionals. By way of this letter, we strive to highlight
upon him and were in keeping with the highest traditions of the United States the contributions of military psychologists to meeting the
Navy Service mental health needs of our servicemen and women, which
increasingly involves treatment for PTSD and traumatic
brain injury. The psychology consultants/specialty leaders
to the Surgeons General of the Army, Navy, and Air Force
have informed us that efforts to expand the mental health
workforce are essential and that increasing financial
incentives for recruitment and retention is the principal
Spotlight on Ethics (continued) way to accomplish this objective. Accordingly, we have
focused intently on this initiative over the past year, which
Pros: The service member is effectively treated, does not face legal action and his career is
has included quarterly meetings with the DoD psychology
preserved. He may also have a better perception of military mental health providers. The
consultants/specialty leaders and those psychologists with
command retains an experienced service member. If the Petty Officer does not respond favorably
the DoD Office of Health Affairs, a letter to Secretary
or continues to malinger, he may still be charged via the UCMJ.
Gates, and legislative activity involving the offices of key
members of Congress.
Cons: Not all members of one’s command may concur that this is the best course of action.
The Best Interest Approach is the way in which to most effectively analyze the situation, however, I am copying APA President Alan Kazdin on this note,
it should be noted that there are times when one must utilize aspects of the Military Manual and since he has arranged for COL Bruce Crow (Clinical
Stealth approaches when making decisions. For example, the Military Manual approach will be Psychology Consultant to the Army Surgeon General),
used when a patient reports child abuse or is actively suicidal. In these cases, there are clear COL James Favret (Psychology Consultant to the Air
paths to follow, with no need for additional ethical analysis. There are also cases where Force Surgeon General), and CAPT Martin Petrillo
particularly applying the Stealth Approach is appropriate. An example would be leaving out of the (Specialty Leader for Clinical Psychology for the Navy
clinical report details related to childhood sexual abuse. When there is no benefit to highly Surgeon General) to attend the upcoming June Board of
sensitive personal information in a report, it may be appropriate to leave it out or omit details. Directors meeting to be acknowledged by the Board for
For further discussion related to the various approaches for solving military-specific ethical
dilemmas related to mixed agency, please see:
And I would like to take this opportunity to commend you
for your leadership of Division 19. I would greatly
Howe, E. G. (2003). Mixed agency in military medicine: Ethical roles in conflict. In D. E. Lounsbury
appreciate it if you would kindly forward this note to the
& R. F. Bellamy (Eds.), Military Medical Ethics: Volume I (pp. 331-365). Falls Church,
Division 19 executive committee and listserv on my
VA: Office of the Surgeon General, U.S. Department of the Army.
behalf. Please feel free to contact me if I can be of any
assistance to you and/or provide any additional
Johnson, W. B., & Wilson, K. (1993). The military internship: A retrospective analysis. Professional
Psychology: Research and Practice, 24, 312-318.
In each issue of the Navy Psychologist, a case, taken from the fleet, will be highlighted which Best,
displays one of the primary ethical conflicts of military psychologists. Please contact LCDR Carrie
Kennedy at firstname.lastname@example.org if you have a case which would be educational for the
rest of the community.
Ellen G. Garrison, Ph.D.
Senior Policy Advisor
American Psychological Association
750 First Street, N.E.
Washington, DC 20002-4242
PAGE 12 THE NAVY PSYCHOLOGIST
American Board of Professional Psychology Certification:
You Can Teach an Old Dog (or Salt) New Tricks! National Training Director (con’t) aka Leo Tolstoy
By CAPT Robert Younger MSC Matthew Schumacher – Northern Illinois University
I was born and raised in Illinois’ Fox River Valley. I stayed close to home
and received undergraduate and graduate degrees from the University of
In this brief blurb I make an unabashed pitch for Navy clinical
Chicago, while playing varsity football and captaining the track team.
psychologists to gain ABPP certification. If you’re like me, you may be
From 2000-2003 I was clinical research manager of the Bipolar Disorders
reluctant to AGAIN apply for anything, take a certifying examination with
Clinic at Stanford School of Medicine where I contributed to work on the
accompanying credentials review, and risk the perceived threat of
neurobiology, etiology and treatment of bipolar disorders – which remains
failure, rejection, and humiliation. I faced that fear despite having been
among my primary research/clinical interests. Presently, I am a PhD
licensed in three states—first in 1984—and earning specialty certification
candidate in clinical psychology at Northern Illinois University where I
in biofeedback, hypnosis and psychopharmacology [last one by APA’s
conduct research on bipolar spectrum psychopathology and suicidality
Psychopharmacology Examination for Psychologists (PEP), leading to
among adolescents and young adults. I am student representative and a
state licensure as a medical psychologist with prescriptive authority].
senior investigator (conducting psychological autopsies) for the American
Association of Suicidology, and a faculty member of the QPR institute,
Prior to the 1990s the ABPP examination process seemed designed to
which offers comprehensive suicide prevention education and training.
―weed out‖ the ―lesser‖ psychologists—those not in academic medical
My great dane (Emmy) and I can be found frequently walking along the
centers or associated with rather famous mentors. However, now the
banks of the Fox River.
instructions, attitude, and practice of the board are to recognize
professional competency and not fame or national reputation. ―Old
With the exception of LT Calvio, who has already paid her dues as a line
salts,‖ those with 15 or more years of clinical practice, can apply under
officer, the others will attend Officer Development School this summer
the ―senior option,‖ which allows an expanded definition of professional
and report to their respective internship sites on 28 July (NNMC,
role as well as more latitude in type of work sample submitted. For
Bethesda) and 4 August (NMC, San Diego).
example, for my work sample I submitted published articles and
legislative testimony on prescriptive authority and integrating behavioral
NAVAL MEDICAL CENTER, PORTSMOUTH, VIRGINIA TO OPEN
healthcare into family practice. Psychologists applying under the
GENERAL CLINICAL PSYCHOLOGY POST-DOCTORAL PROGRAM
standard option would need to submit an assessment and a treatment
case. Both options require a curriculum vitae, review of work samples,
On 01 April 2008, RADM Lefever (Director, Manpower, Personnel,
and personal statement detailing limits of practice and proficiencies, and
Training and Education Policy Division) authorized billets for a general
up to four hour oral examination by a three person committee. Be
clinical post-doctoral training program for Navy psychology. This program
prepared to integrate these into a comprehensive (and defensible)
will be available to individuals who have completed their pre-doctoral
whole. For example, if you claim expertise in child sexual abuse, then
internships and are in need of supervised hours to qualify for licensure.
you should be prepared to explain how your experience and current
(Additional details on the qualifications for applicants are below). The first
Navy role relates to that claim.
two post-doctoral positions will be located at NMC, Portsmouth where
CDR Dave Jones and Dr. Tom Kupke have successfully guided a
Finally, let me talk a little about effort and rewards. It probably takes
proposal for the program through the command’s approval process. This
several months to go through the application process, credential review,
new training initiative has strong support from the Surgeon General and is
and then oral examination. Cost is about $700, but it can be reimbursed
set to accept its first post-docs this November. Selectees will be
by the Navy Manpower, Personnel, Training and Education (MPT&E)
commissioned as Lieutenants in the Medical Service Corps and will
command in Bethesda. In addition, when you pass you qualify for the
attend the five-week Officer Development Course in Newport, Rhode
annual board certification pay of $5,000. All of the Navy practitioners I
Island prior to beginning the post-doc. This is a one-year training program
contacted found the process to be collegial and beneficial, although of
with a three-year active duty service obligation following licensure. If you
course they all passed! I understand that the pass rate in the senior
know of someone who would be interested in applying for this program,
option is over 90 percent, although I don’t have a reference for that
please invite them to contact me as soon as possible
figure. Without downplaying the effort involved in preparing the
submissions and for the examination, I suggest that most of our
reluctance revolves around the fear of failure and wondering if we know
Navy Psychology Post-Doctoral Program in General Clinical
enough or are good enough. Like most good behavior therapists we can
Psychology: Basic Qualifications:
address this fear in small approximations to reach the desired goal.
1. 42 years of age or under at date of commissioning.
Begin slowly and then move to completing the application and
2. U.S. citizenship.
submissions. You’ll feel better when you’ve done so. For more
3. Able to meet Navy health requirements for commissioning.
information, including the application process, go to the ABPP website
4. Completion of Ph.D. or PsyD in Clinical or Counseling Psychology
(http://www.abpp.org/certification/abpp_certification_clinical.htm) and an
from an APA-accredited doctoral program. (For individuals enrolled in a
Association of Psychology Postdoctoral and Internship Centers
pre-doctoral internship at the time of application, a letter from the doctoral
program training director should be submitted stating that all
r%20appicworkshop.ppt#256,1,Board Certification in Psychology:
requirements for the doctorate will be met upon successful completion of
Demystifying the ABPP Process).
5. Completion of an APA-accredited pre-doctoral
a. Individuals who have completed, or are currently enrolled in,
New Navy ABPP’s
non-APA-accredited internships will be considered on a case-by-case
b. For individuals who are currently enrolled in a pre-doctoral
CAPT Robert Younger internship, a letter from the internship training director should be
submitted stating that the individual is in good standing in the internship
CDR Julie Miller and is expected to graduate from the internship on time).
CDR Roderick Bacho
LCDR Michael Basso
LT Justin D’Arienzo
THE NAVY PSYCHOLOGIST PAGE 13
Division 19 Events at APA Navy Day at APA
Interesting Events at APA – Division 19. The annual Navy Clinical Psychology community meeting or "Navy
Symposium: Military Mental Health Intervention Models Utilized in Day" will be held at the U.S. Coast Guard Station Boston on
Iraq Thursday August 14th. This meeting, which is always held in
8/14 Thu: 10:00 AM - 10:50 AM conjunction with the APA Convention, is a chance to find out the
Boston Convention and Exhibition Center latest community news and to network with other Navy clinical
Meeting Room 252A psychologists. All Navy psychologists are encouraged to attend.
Similar to last year, specialty meetings will be held in the morning,
Symposium : Deployment, Mental Health, and Substance Use in the and the community wide meeting will begin at 1300. Unlike last
Total Force year, attendance this year is free!
8/14 Thu: 11:00 AM - 11:50 AM
Boston Convention and Exhibition Center For planning purposes, the Coast Guard station is located at 427
Meeting Room 254A Commercial Street, right on the Harbor and adjacent to Boston's
North End, famous for its Italian cuisine. It is a 10-minute walk
Symposium: Managing the Psychological Impact of Combat - from several T stops. We also plan to meet for dinner on the night
Soldiers, Units, and Leaders of the 14th, restaurant TBD. More details will be forthcoming, but
8/14 Thu: 2:00 PM - 3:50 PM if you plan to attend the meeting, dinner or both, please email your
Boston Convention and Exhibition Center
intentions to CDR Rich Bergthold at
Meeting Room 252A
Symposium: Project STAY - Developing Models and Interventions
Supporting Army Career Continuance Schedule
8/15 Fri: 8:00 AM - 9:50 AM
Boston Convention and Exhibition Center Wednesday, 13 Aug, EC meeting, 0800 to 1600.
Meeting Room 252B
Thursday, 14 Aug, sub spec mtg, 0800-1200.
Paper Session: Post-combat Adjustment and Psychological Health in
Military Personnel Thursday, 14 Aug, Navy day mtg, 1300-1600.
8/16 Sat: 10:00 AM - 11:50 AM
Boston Convention and Exhibition Center
Meeting Room 156A
All at the Coast Guard station, in Boston. Rooms TBA.
Paper Session: Investigations of Command and Leadership in Military
8/16 Sat: 12:00 PM - 1:50 PM
Boston Convention and Exhibition Center
Meeting Room 156A
Who said that?
――Excellence is the unlimited ability to improve the quality of
Symposium (S): Evidence-Based Educational Outcomes, Curriculum what you have to offer.‖
Reviews, and Core Competencies---Army--Baylor University MHA
Program ―I wish to have no connection with any ship that does not sail
8/17 Sun: 10:00 AM - 10:50 AM
fast; for I intend to go in harm's way.‖
Boston Convention and Exhibition Center
Meeting Room 158
―It isn't the mountains ahead to climb that wears you out; it's
Paper Session (S): Assessing Stress and Resiliency in Military the pebble in your shoe.‖
8/17 Sun: 11:00 AM - 11:50 AM ―If you come to a fork in the road, take it.‖
Boston Convention and Exhibition Center
Meeting Room 150 ―Fatigue makes cowards of us all‖
The answers are back on page 2