Clinician's Corner Blog
A PHCoE blog series written by leaders, clinicians and experts on current topics of interest for psychological health care providers in the Military Health System.
Impact of Rank in Psychotherapy
Impact of Rank in PsychotherapyMay 30, 2017
Psychotherapy is always a relationship with a power differential (discuss amongst yourselves).
I think this statement is almost always true. The relationship between doctor and patient places the doctor in the position of “expert” while the patient is seeking assistance – often out of great need, or even desperation. This uneven relationship is further complicated in the Military Health System when military rank is introduced as another variable potentially impacting the relationship. And it can cut both ways.
Cultural Competence in Mental Health Treatment: What do You Call a Military Patient?
Cultural Competence in Mental Health Treatment: What do You Call a Military Patient?May 22, 2017
Are you seeing a service member as a patient? What do you call him or her? It seems like such a simple question, but it’s not as easy as it sounds. Should you address the service member by first name? Last name? Rank? Job title? Call sign?
In examining the question, we have to ask what rank denotes. To most service members, military service in general is a large bulk of their personal identity, earned through hard work, a characterization of who they are, and in many respects, rank is akin to a first name.
Female Service Members and Their Mental Health
Female Service Members and Their Mental HealthMay 15, 2017
I’ve been working for the military for over 30 years in many different roles. While my gender makes me obviously different from my male counterparts, I’ve never focused on it as a barrier because my parents raised me to do my best, and to accomplish the goals I set in my mind and heart, regardless of my gender.
Early in my career, I broke into the previously gender-restricted missile operations career field. That experience strongly shaped my perspective, and throughout my career has caused me to think about the challenges for military females.
OASIS Residential PTSD Treatment: It Does Exist!
OASIS Residential PTSD Treatment: It Does Exist!May 10, 2017
Do you have active-duty patients who require more intensive PTSD treatment than you can provide? Have you had patients complain that they couldn’t do treatment assignments because of work or home responsibilities, despite sincere motivation? Do you have PTSD patients who are resistant to psychotherapy groups because the other patients “won’t understand” them? Have you had patients who required residential PTSD treatment but whose command wouldn’t approve a Temporary Assigned Duty (TAD) to a civilian facility?
Essential Skills for Military Psychologists: 9 Tips for Communicating with Commands
Essential Skills for Military Psychologists: 9 Tips for Communicating with CommandsMay 8, 2017
Assessing and treating active-duty service members often requires interactions with commands. Per the Health Insurance Portability and Accountability Act (HIPAA), medical information may be disclosed to commands in a variety of circumstances necessary for safety, fitness for duty determinations and mission requirements. Read more about the military command exception of HIPAA.
The views expressed in Clinician's Corner blogs are solely those of the author and do not necessarily reflect the opinion of the Psychological Health Center of Excellence or Department of Defense.