PSYCHOPHARMACOLOGY dealing with alcohol and drugs
not PSYCHOLOGY or training in sexual abuse
Alert: The CONTROVERSY between Lundberg-Love and falseallegations.com
Teaching Medical Residents at
University of Texas-Tyler
How to Recognize Sexual Abuse
|Because too few physicians
know how to spot child abuse, a
Paula Lundberg-Love, designed a program which supposedly helps family
acquire skills to identify child sexual abuse. So the American
Association told us in a recent issue of the Monitor in an article
by staff writer Sara Martin.
"`Family-practice residents have often not been taught the interview and physical examination techniques required to intervene effectively with sexually victimized pediatric patients,' Lundberg-Love apparently said to Martin. "`Many are often ill-prepared at best," the psychologist continued, "and sometimes less than competent.'"
And this is where the interview became controversial!
Lundberg-Love suggested that "[e]pidemiological data suggest that up to a third of all American women are survivors of child sexual abuse."
To the readers of falseallegations.com: Ask yourself, "Was every third woman I know sexually abused?" A mind-boggling statistic. What was the source of this alleged statistic? Staff writer Martin didn't say.
Whether Lundberg-Love told Martin is also not revealed.
Also unknown, of course, is whether Martin even asked her.
This should raise a RED flag, falseallegations.com says. Such unsupported conclusions, such unsupported reporting does all of us a disservice. It feeds into the tragedies of false allegations we are hearing about on a daily basis.
The scope of the "1/3" syndrome was narrowed a bit when stating the next and also unsupported so-called statistic: "Several studies also indicate that as many as a third of sexually abused children are under age five."
So far, more than 50 family-practice residents have completed the program and rated it as one of their most valuable clinical experiences, Lundberg-Love said. The two-year training program Lundberg-Love designed for family-practice residents studying behavioral science at the University of Texas-Tyler consists of the following modules:
The first reasonable substantive statement in the article is that, according to the psychologist, "child sexual abuse [is] difficult to identify [because of] the lack of a consistent, specific checklist of signs and symptoms."
Claiming to rely on the American Medical Association's guidelines for detecting child abuse, Lundberg-Love teaches the residents about both physical and behavioral clues as defined by the AMA:
Physical clues include abrasions and bruises on external genitalia, certain sexually transmitted diseases, and, in girls, pregnancy or a distortion of the hymen or other aspects of the female genitalia.
Partly true, partly false. Girls and women can bruise their external genitalia riding a boy's bike over a bump, falling off a bike or when rollerskating, or when horseback riding without knowing how to post or sit the seat when cantoring. And in the STD area, one must be very careful that the disease cannot also be transmitted in an alternative way! Too, there is research ongoing currently to learn what variations exist in the hymen of yountg females. Of course, there are normal differences from birth. Statistics are not available on that fact since no studies have yet been done or completed.
about the behavioral clues of abuse: provocative sexual behavior,
masturbation, sexual acting out, running away, clinical depression,
of body image, phobias and regressive behavior.
BIG problem!, falseallegations.com
believes. Each one of those so-called clues has a differential
diagnosis . . . meaning that each of those so-called clues
be caused by events other than sexual abuse. Therein lies the danger of
"After a series of lectures on child abuse" -- the
is not revealed -- "family-practice residents are able to participate
interviewing children who are suspected of being sexual abuse victims"
-- which means suspected child victims are used as guinea pigs.
the best interests of the children, to be interviewed by experienced
are expendable. It makes one wonder where the animal rights' people
When a child comes in, Lundberg-Love introduces herself and the resident, and sits in a way that allows them to talk at eye-level. For the first 15 to 20 minutes of the session, Lundberg-Love and the resident talk informally with the child to establish a trusting rapport. She then explains the purpose of the interview in appropriate developmental language.
should introduce interviewing by having herself and and the
residents do considerable role-playing
letting the student doctors experiment with their undeveloped skills
perhaps no talent whatsoever on the children. To do
the children. Further, to
balance biases as well as knowledge and experiences, a prosecutor AND a
defense attorney should be present a few times to point out the REAL
of evidence to the students. This is where psychology
and the law intersect and MUST be considered. To
be familiar with only one of them is dangerous. Doctors MUST
hearsay if they are to practice in this field. Particularly where
they are given immunity for liability for reporting false allegations.
When asking the children questions in this sensitive and
area, Lundberg-Love has the responsibility NOT to ask them questions
do NOT understand. She herself is likely to be the source of
which the child has learned and which an overzealous DA uses as
of the accused having been sexually intimate with the child. Yes,
indeed, the the child might become a victim, not of the accused, but of
Lundberg-Love and her protégés.
A Freudian slip! a slip of the tongue?
the APA magazine! Doctors are NOT to answer the questions, the children
That is true.
Wrong again! Such
rewards are PROPERLY CONSTRUED -- not MISconstrued -- in court as
false statements from the child.
At the end of the interview, the resident practices intervening techniques by asking the child some review and summary questions, enabling them to practice their intervention techniques. Lundberg-Love observes and, once the child has left, gives the resident feedback on the interview.
Wrong again! Doctors must not practice on children.And so the interview continued.
The interviewer was just doing her job, but Lundberg-Love, in the opinion of falseallegations.com, needs to be reined in and both the American Medical Association and the University of Texas at Tyler must take immediate action to correct the flaws of their program. The institutions themselves appear to be well-intentioned, but they erred when they allowed one person -- on the cash cow side of the new sexual-abuse industry -- to design their program single-handedly! That was foolish. Those institutions are and must be held to a higher standard!
Wrong again! When an attorney appears to be adversarial and aggressive, the adversarialness or aggressiveness is likely because the "family practitioner" or physician is showing his or her bias or ineptness or close-mindedness . . . not intentionally, perhaps, but because of inadequate and biased training . The doctor or psychologist must learn to be introspective and try to recognize his or her bias. Society may have bestowed them with hyper-respect but they are, after all, just human like the rest of us . . . flaws and all.
See the Table of Contents of Testifying in Court.
Subject: An article of yours allegedly describing work of Dr.Lundberg-Love
Date: Sun, 20 Feb 2000 02:44:12 -0600
From: "Paula Lundberg-Love"
I sure would appreciate seeing the entire article from the APA Monitor (1995?) that you quote. Also, did you ever contact Dr. Lundberg-Love or the APA Monitor author re: the accuracy of the article OR the accuracy of your rather "loose" interpretation of the presentation
Since you are a group who appears to be deeply invested in ACCURACY, one would think you would be equally compulsive about your requirements for accuracy....ie. quoting correctly in an appropriate context, contacting sources before you derive erroneuos conclusions, asking authors for their sources, etc.
Please enlighten me.
| Subject: Re: An
article of yours
work of Dr.Lundberg-Love
Date: Sun, 20 Feb 2000 14:05:15 -0500
From: "Barbara C. Johnson"
I've copied the entire article and inserted it at the end of this email. My other comments are interspersed below.
See the bottom of this email. [http://www.apa.org/monitor/oct95/violentc.html]
> Also, did you ever contact Dr. Lundberg-Love
> or the APA Monitor author
Tried. No luck.
accuracy of the
article OR the
Assumed the APA legal counsel passes on these articles when they deem it necessary.
I am as entitled to my opinions as you are to yours.
> Since you are a group who appears to be deeply invested in ACCURACY,
Thee is no "group." I happen to be one little old lady who is a sole practitioner.
think you would
be equally compulsive about your
I formed a reasonable belief that the American Psychological Association was only publishing information which it believed to be true. In fact, the APA called you a psychologist because that is evidently what you were holding yourself out as, when in fact you are not a psychologist but a psychopharmacologist.
I have not alerted the APA of what appears to be your misrepresentation of your professional standing. I believe that it would be reasonable for YOU to correct their misapprehension! You should also inform the various publishing companies for which you have written reviews of books they were publishing.
> Please enlighten me.
I have so enlightened you, as per your request.
Now would you enlighten me! Also please scour Sara Martin's article and point out to me where Martin has been inaccurate, if, indeed, she has been inaccurate.
Also, most importantly, please identify those statements in my webpage which are inaccurate about you in any way. If you provide me documentary proof -- that is written sources which did not originate with you -- that I am wrong, I will indeed either change my statement, apologize, or make comment on our correspondence and difference of opinion. In other words, I shall do whatever is appropriate when I hear from you again.
Barbara C. Johnson
Re: An article of yours allegedly describing work of Dr.Lundberg-Love
Date: Sun, 20 Feb 2000 22:57:41 -0600
From: "Paula Lundberg-Love"
To: "Barbara C. Johnson"
Ok, let's see if I can help. If my recollection serves me correctly, this article was in the September? or October? APA Monitor. In August of 1995 I was one presenter in a small symposium chaired by Dr. Kevin Hamberger of the Univeristy of Wisconsin. The goal of the symposium was to discuss with other psychologists the importance of teaching family practice residents about issues surrounding family violence. My task was to discuss the types of information to which that Family Practice Residents should be exposed. Dr. Hamberger discussed the issue of domestic violence and I discussed the issue of child sexual abuse.
First my background/credentails. I AM a psychologist. My M.A. is in Psychology and my Ph. D. is in Psychology, specifically physiological psychology with an emphasis in psycholpharmacology. I also completed a scientist/practitioner three year Post-Doctoral Fellowship at Washington University School of Medicine in St. Louis in Preventive Medicine. In that capacity I conitnued my basic biological research and received training in the behavioral modification of lifestyle/preventive medicine issues and worked with patients to reduce their weight, stop smoking, change their lifestyles etc.
I came to the University of Texas at Tyler as an Assistant Professor of Psychology. Because the Dept. of Psychology graduate program is an applied clinical one (M.A./ M.S.), the undergraduate program is a traditional program, I applied to the State of Texas for licensure after completing my required hours of supervision. I have had the license of Psychological Associate since on or about 1986. In the State of Texas LPAs are able to provide testing and intervention with clients under the Supervision of a Licensed Clinical Psychologist. My provision of therapeutic services is NOT conducted at UT-Tyler. I have been a part-time clinician with a private practice group. At UT-Tyler I teach graduate and undergraduate students both physiological classes and courses related to issues of Family Violence. Currently, I am a Full Professor of Psychology. Over 14 years I have done extensive continuing education in the areas of child maltreatment and domestic violence. I have even done research concerning the long term psychological consequences of childhood incestuous victimization that has been published in a refereed journal. Additionally, I completed a 300 hour formal practicum course and 2,000 hours of clinically supervised experience so that I could be eligible to take the exam for Licensed Professional Counselor in Texas. I also hold that License.
In addition, since 1989 I have served as the Behavior Science Preceptor for family practice residents at the Univeristy of Texas at Tyler HEALTH CENTER, a UT institution that is completely separate from UT-Tyler. UTT Health Center is not a medical school. It just happens to have a 3 year Family Practice Residency program. The American Academy of Family Practice Physicians has mandated that Family Practice Residents receive education in the areas of Domestic Violence, Child Sexual Abuse and Child Physical Abuse. One of my tasks as preceptor is to make sure that the residents are taught information about all of these types of family violence consistent with the policies of the AMA. I also teach them about psychological things to help them be more effective with their patients. For a number of years for two -four mornings per month I would sit in with the residents as they saw their medical patients, adults and children, and at the end of the morning provide them with feedback
I have no idea who Sara Martin is. Evidently she attended my presentation. sometime later she called me, said she had attended my talk and wanted to do an article for the Monitor and would that be OK? I agreed. She did not show me the article prior to publication due to publishing deadline as I recall. However, I barely remember the discussion. The next thing I knew there was a small blurb in the Monitor. I read it and it seemed as if she had not totally understood exactly what I had said, and did not understand that I had discussed info from all three of my positions. Family Practice Residents NEVER "practiced" children who may have been sexually abused. There were times when that issue spontaneously arose, and times when I helped them via modeling. I also used some videotapes of me performing interviews. BUt the program that gets explained in the article is a combination of things I did with grad students and things I did with Family Practice Residents, and my personal protocol for interviewing child victims. With respect to the physical exam, I have NEVER taught that. However, there is a pediatrician on staff who exposed the Residents to appropriate techniques,but never had them do such exams. Indeed, the concept was just to expose the Residents so that some might be interested in seeking more training. Also, my goal was to teach them the principles of good interviewing so that they DID NOT make mistakes that would contaminate a case. Hopefully, you noticed, although you DID NOT mention, that I was careful to make sure that they were familiar with some of the errors identified by Ceci and Bruck.
Re: my resources. There is a small document published by the American Medical Association, March, 1992 entitled Diagnostic and Treatment Guidelines on Child Sexual Abuse. That document was the primary source of my information for the Residents. I merely taught them what the AMA suggested they should know. With respect to the prevalence data,I quoted Diana Russell's landmark epidemiological study, with which I am certain you are familiar on all types of sexual victimization experienced by women as children and/or adults. Actually, her numbers re: adult women in San Francisco sexually victimized as children are a bit higher than 33%. I did not even quote Gail Wyatt's epidemiological study which obtained somewhat higher numbers. Indeed, here is a direct quote from the AMA document which I provided to the audience, "Recent studies suggest that approximately 20% of children will be sexually abused in some way before they reach adulthood, with this figure cumulating at a rate of 1% each year." (pg.5). While I realize that in the year 2000, a 1992 document sounds old, in 1995 it was quite timely.
For the record, I did not and have not,misrepresented my qualifications as a pychologist. Indeed, in the practice arena I have even worked on custody cases wherein I have detected false allegations of child sexual abuse. Also before going to school in Psychology,I was a chemist and worked as a junior research chemist doing basic organic chemicl research for a pharmaceutical company. I only add this because I value science. I value research and view myself as a scientist/practitioner.
Thank you for responding to my inquiry.
|Subject: Re: An
article of yours allegedly
work of Dr.Lundberg-Love
Date: Mon, 21 Feb 2000 01:19:44 -0500
From: "Barbara C. Johnson"
If you would like, I can upload your response and place it below my piece on the same webpage. I would preface both of them -- at the top of the page -- with a notice to the audience that both pieces exist below: mine and yours.
I suggest this way of handling it, (1) because its quick and my time for rewriting AND writing is limited these days, (2) because it would be an accurate correction -- in YOUR words rather than mine, and (3) since other than the psychopharmacologist statement, you did not specifically identify any particular statment which was in error -- although you do correct items in a general manner.
If this is agreeable to you, let me know.
Barbara C. Johnson
|NOTE: I found it
interesting that though PLL
that the reporter aggrandized her -- by making it seem that PLL was
at UIT-Tyler, although she was not -- and PLL never corrected the
to set the record straight!
I was pleased that she acknowledged that Ceci and Bruck are to be followed.
I think, boiled down she is saying the following. If I am wrong, I'd appreciate hearing from visitors to the site whether they believe I have misinterpreted Ms. Lundberg-Love's letter and credentials.
She has a master's and doctoral degree in Psychology,
physiological psychology with an emphasis in psychopharmacology . . .
effects of pharmaceuticals on the body.
*** Folks: Psychology means, literally, the "study of the psyche" or, poetically, the study of the soul, something you talk to over a bottle of good wine, a loaf of bread, some cheese, and thou. ***
After she got her Ph.D., she took a 3-year course in preventive medicine at Washington University School of Medicine in St. Louis. As a postdoctoral student, she continued researching and training by working with patients to reduce their weight, stop smoking, change their lifestyles, etc.
She went to University of Texas at Tyler as an Assistant Professor of Psychology. She applied for a state licensure after she was supervised for a certain number of hours. She became a licensed Psychological Associate on or about 1986. At some later date -- she does not say "when" -- she became a Licensed Professional Counselor in Texas.
In Texas, LPAs cannot test or have clients UNLESS the LPAs work under the Supervision of a Licensed Clinical Psychologist.
At UT-Tyler, she teaches graduate and undergraduate students both physiological classes and courses related to issues of Family Violence.
She is currently a Full Professor of Psychology.
For over 14 years she has taken continuing education courses about child maltreatment and domestic violence. She has researched the subject of long-term psychological consequences of childhood incestuous victimization . . . and that research was published in a journal after it was approved by some "referees."
I cannot determine whether her research appeared in a journal, for she forgot to give me the name of her study, the name of the journal, and the date of publication.
Since 1989, she has been a Behavior Science Preceptor at a HEALTH CENTER which has a name which makes it sound as if it is connected to University of Texas at Tyler, but it isn't connected to the university. It just sounds as if it is. That Health Center is not a medical school. It just happens to have a 3-year Family Practice Residency program.
Date: Tue, 7 Mar 2000 00:45:12 -0600
From: "Paula Lundberg-Love"
Dear Ms. Johnson,
I request that you post my earlier response to the erroneous information about me that you are disseminating on your website. Also, because I am a Ph. D. psychologist, and a licensed clinician, I suggest that you retract your statements that contradict those facts. Indeed, I maintain, that as an honorable individual, you should apologize for your unfounded, erroneous allegations, and post this brief note.
I appreciate your understanding and your willingness to rectify your potentially libelous situation.
|Subject: Re: Your
Date: Tue, 07 Mar 2000 15:53:51 -0500
From: "Barbara C. Johnson"
I will post your previous letter and this letter on the same page as the article I wrote. In that way, the visitors to the site will see both sides. No problem.
Frankly, I think it would have been better if you had taken statement by statement in my file and debated that, but I'll do it your way if that is, indeed, what you prefer.
I'll not be uploading it tonight, but likely sometime tomorrow or the next day. My schedule is already tight, but I'll try to do the "HTML-ing" over the next two days.
Barbara C. Johnson