“Psychology Works” Fact Sheet: Pain Assessment in Children

How do I know what type of pain my child is experiencing?

When assessing your child’s pain, it is important to distinguish between acute pain and chronic pain.

Acute pain describes pain that happens when body tissues are damaged by injuries, infections or painful procedures such as surgery or vaccinations. Acute pain usually comes on quickly and goes away after a few hours, days, or weeks. It is our body’s warning system to alert us that something is wrong. Typically, we can see acute pain with the naked eye such as swelling, a cut, an infected wound, a burn, or skin that is warm to the touch. We can respond to this type of pain using the “3P” approach: focusing on physical, psychological, and pharmacologic (medicines) strategies such as protecting the painful area, distracting ourselves, and taking pain medicines if necessary.

Chronic pain describes pain that is continuous or recurring, that lasts more than 3 months, and that continues even after an injury has healed. Chronic pain is different than acute pain in that it does not always signal that something is wrong. Chronic pain is often called an “invisible condition” – it is rare to see evidence of chronic pain with the naked eye and there are no blood tests or imaging (x ray, MRI) that show chronic pain. This is because chronic pain often occurs within the nervous system and requires the “3P” approach as part of pain management. Chronic pain can occur as part of a disease (e.g., arthritis) or can be a disease in its own right (e.g., chronic back pain).  Chronic pain is influenced by many factors such as one’s genetics, culture, temperament, parents’ responses to pain, and thoughts and feelings.

What are important considerations when assessing my child’s pain?

There are several factors to consider when assessing your child’s pain. The main way to assess pain is through self-report and through observing your child’s behaviour. Your child’s age and ability to communicate are important factors. Whenever possible, you should seek your child’s self-report of their pain. Pain is a subjective experience, and it is difficult to tell how much pain someone is experiencing just by looking at them. This means that it is generally best to ask the person in pain to tell you how much pain they are experiencing. Observers can be biased when assessing pain and tend to underestimate a child’s pain, so it is important to listen to and observe your child and believe their report.

Age:

Younger children have different ways of expressing pain than older children, and more likely to use words like “hurt” versus “pain”. For younger children (infants and toddlers) who cannot yet communicate their pain verbally, behaviours such as grimacing, flailing legs, irritability, and muscle tension can indicate pain. There is a tool called FLACC (Faces, Legs, Activity, Cry, Consolability) that can help you assess whether your baby or toddler is in pain. Typically developing children as young as 6 years old can use a pain scale to rate the intensity of their pain. For children and youth who have a good sense of numeracy, you can ask them to rate their pain on a scale of 0-10, with 0 being ‘no pain’, and 10 being ‘the worst pain imaginable’. This is called the 11-point Numeric Rating Scale. For children who don’t have a good sense of numeracy, you can also use a tool called the Faces Pain Scale-Revised. This tool shows five different faces that a child chooses from to help you understand how much pain they are feeling. When in doubt, onsider a preceding yes-no question about whether a child is hurt or in pain, and then supplement with observer assessment of pain behaviours.

Ability to Communicate:

Children who do not communicate verbally and/or are cognitively impaired often require different ways to assess pain versus their typically developing peers. If your child can report on their pain in their own way, it is best to use their self-report. If your child is not able to self-report, you are the best person to gauge your child’s pain, as you know them best. You can look for changes in vocal and social behaviour, facial expression, activity, and physical signs. The CPA has a fact sheet on pain in children with intellectual disabilities. You can also use FLACC for your child.

Gender:

Boys may be less likely to express their pain than girls. Even if your child does not express their pain verbally it is important to pay attention for any behavioural signs that your child may be uncomfortable (e.g., withdrawal from activities your child enjoys, changes in mood, holding the affected limb and/or grimacing).

Marginalized and/or racialized children:

Research shows that all children can feel the same amount of pain, but that healthcare professionals’ false beliefs and attitudes influence their assessment of pain in children who are marginalized and/or racialized in society (e.g., different race, culture, language, immigration status). Asking and believing the report of pain from the child who is experiencing it is best. Parents and/or caregivers are important advocates to make sure that a child’s pain is understood and treated.

Considering the whole pain experience:

Assessing your child’s pain should include more than just the location, severity, and frequency of their pain. Understanding the whole pain experience includes not only the biological, but also the psychological and social aspects of a child’s pain (called the ‘biopsychosocial model’). For instance, it is important to consider your child’s thoughts (e.g., viewing pain as a threat), emotions (e.g., anxiety, low mood), personality, and ability access to medical treatment. Reactions by their parents, family members, friends, and teachers to their pain can also influence how children feel. It is important to consider all these factors when assessing your child’s pain.

Where do I go for more information?

 You can consult with a registered psychologist to find out if psychological interventions might be of help to you. Provincial, territorial and some municipal associations of psychology often maintain referral services. For the names and coordinates of provincial and territorial associations of psychology, go to  https://cpa.ca/public/whatisapsychologist/PTassociations/.

This fact sheet has been prepared for the Canadian Psychological Association by Danielle Ruskin. Elise Kammerer, and Kathryn Birnie in partnership with Solutions for Kids in Pain (SKIP), a national knowledge mobilization network whose mission is to improve children’s pain management by mobilizing evidence-based solutions through coordination and collaboration.

Date: October 2022

Your opinion matters! Please contact us with any questions or comments about any of the Psychology Works Fact Sheets:  factsheets@cpa.ca

Canadian Psychological Association

Tel: 613-237-2144
Toll free (in Canada): 1-888-472-0657

Introducing the editor of Canadian Psychology, Dr. Saklofske!

Don Saklofske, PhD“Psychology journals need to be more than repositories for psychological findings and forums exclusively for psychologists and allied professionals: They must also ensure that what psychology can contribute to society at large is readily transferable to and accessible by the wider public. Thus, the true impact of Canadian Psychology will be not just how psychology as a science and a profession is served by the published articles but also how the world at large is informed about and benefits from the knowledge presented in the journal.”

—Don Saklofske, PhD
Editor of Canadian Psychology 

CONTINUE READING


Introducing the editor of the Canadian Journal of Experimental Psychology, Dr. Titone!

Debra“In addition to preserving its history, I am interested in broadening CJEP’s scope in a few ways. I would like to see submissions that address, among other topics, developmental phenomena, comparative cognition, and cognitive neuroscience approaches, as well as work that advances cognitive theory through the study of diverse populations or applied real-world social or technological challenges. I believe the journal can benefit from the contributions of authors and reviewers who have a wide variety of lived experiences and for their articles to address experimental questions about cognitive or perceptual phenomena that are relevant to these diverse experiences and perspectives.”

Debra Titone, PhD
Editor of the Canadian Journal of Experimental Psychology

CONTINUE READING


Mental Health Care for Canadian Children and Youth: The Role of School Psychologists.

Mental health and wellbeing which include the range of social, emotional, intellectual and behavioural functions upon which we all rely day to day, are critical to the success of people and the places in which they live, work, learn, and play. This is especially true for children, for whom mental health services and supports bring the biggest return on investment. School psychologists play an essential role in the mental and cognitive health and wellbeing of students in school and non-school settings, particularly, as we continue to live with the impacts of far-reaching societal events, like the COVID-19 global pandemic.

Click Here to read the Position Paper.


Invitation to collaborate in the development of Ethical Guidelines for Inclusivity and Non-Discrimination in Psychology

The CPA Committee on Ethics (CoE) has identified the need for an update, clarification, and expansion of the Guidelines for Non-Discriminatory Practice (1990, Updated 2001, 2017) and has approved the development of Ethical Guidelines for Inclusivity and Non-Discrimination in Psychology.  Our goals with this project are to provide clarification of the issues and to guide psychologists towards best practices. In keeping with our Code, these revised guidelines will be aspirational in nature rather than prescriptive or proscriptive

As Coordinator of this endeavour, Dr. Cannie Stark invites all CPA Members to collaborate with the CoE on this endeavour to develop ethical guidelines for inclusivity and non-discrimination in psychology.  Click here for more information

“Psychology Works” Fact Sheet: Pediatric Chronic Pain

Chronic pain in children:  What it is and why it matters

Chronic pain affects 1 in 5 Canadian children and adolescents. That is, 1-3 million youth who have pain that lasts longer than three months and that is associated with negative sensory and emotional experiences. Unlike acute pain, which typically comes from damage to the body’s tissues and lasts for a short time, chronic pain lasts longer than the expected healing time and is like an alarm system that goes on and off unrelated to actual or potential tissue damage.

Chronic pain is considered a disease in and of itself, like headaches. It can also be secondary to a chronic disease, like sickle cell disease or arthritis, surgery, cancer, or injury. Thus, chronic pain can have a gradual onset or start suddenly and can be isolated to one bodily region or spread over multiple regions. The pain that a youth may experience can be continuous (does not go away) or recurring (fluctuates over time).

Given the attention-grabbing nature of pain, many children and youths with chronic pain experience interference with numerous aspects of daily living, including academic success, school attendance, sleep, relationships with peers, activities, family functioning, and psychological well-being, including mood and anxiety. Chronic pain not only affects the child or youth, but the family as well. Parents of a child with chronic pain often face lost work productivity as they tend to their child’s needs, and report higher levels of role stress, helplessness, anxiety, depression, and post-traumatic stress symptoms than parents of children without chronic pain. The intensity of the child’s pain is not an indication of the amount of interference that a child or family experiences. As pain is invisible and often fluctuates, parents, teachers, and peers can struggle with knowing how much pain a child is experience and how to help them cope with pain.

Chronic pain is best understood through a biopsychosocial model. This model consists of:

  1. biological (e.g., nociception, pain processing in the brain);
  2. psychological (e.g., emotional and cognitive factors, coping skills); and
  3. social and family (e.g., socioeconomic, race, family dynamics, others’ responses to pain) factors.

Each of these three factors influence one another and they can have bigger, or smaller, roles in the development and maintenance of chronic pain depending on the child or youth’s age, gender, and previous experiences with pain. Chronic pain is not a physical versus mental health issue, it is a mind-body connection. The brain is the processing unit for pain and comfort signals. Therefore, all pain has an emotional component to it, and all pain is affected by factors inside and outside the child or youth.

What evidence-based psychological interventions can assist in the management of children’s chronic pain?

Since chronic pain can have so many causes, treatment is focused primarily on improving function. This approach is taken so that children and youth with chronic pain can improve their mood, school attendance and participation in activities; move more easily; get better sleep; and be able to spend time with their friends and family. These aspects are important since symptoms of depression and anxiety often accompany chronic pain. Since children and youth who have symptoms of depression or anxiety are more likely to report higher levels of pain, it can help to focus not just on improving the severity of pain, but also how to return to valued activities.

As pain follows a biopsychosocial model, it requires a multipronged approach to treatment. The most common multipronged approach is the “3P” approach, which combines psychological, physical, and/or pharmacologic (medicine) treatment strategies. For this approach, treatment is most effective when the child or youth to works with different healthcare professionals, such as with a psychologist for the mind-body connections, a physiotherapist for movement, and a physician in case any medicines are needed. Psychological interventions have the most robust evidence of any treatment modality for managing pediatric chronic pain, even more than medications or physical treatments. Two of the main modalities for treating chronic pain in children and youth is through cognitive-behavioural therapy (CBT) or acceptance and commitment therapy (ACT). These approaches to treatment can include strategies such as biofeedback, relaxation, mindfulness, addressing unhelpful thoughts, goal-setting, sleep hygiene, or self-hypnosis. Psychologists may combine these approaches to address the commonly seen connection between pain and anxiety (e.g., fear of movement). Both CBT and ACT work to improve functioning despite the pain. Therapy can be offered either in-person with a therapist or remotely online or via an app.

Parents are also an important part of psychological interventions for chronic pain in children and youth. Even though parents may find the child or youth’s chronic pain to be distressing, it is important that they remain as optimistic as they can. While younger children may rely more heavily on their parents for emotional support than older children or youth, all parents can help support their child best when they are good at validating and problem solving. This means that the parents can identify problems, break problems up into manageable parts to solve, and solve them in a positive way. Sometimes, it can be useful for the parent to learn how to do this with a therapist so that they can best support their child or youth.

Where do I go for more information?

Books:

“When your child hurts: Effective strategies to increase comfort, reduce stress, and break the cycle of chronic pain” by Rachel Coakley

“Managing your child’s chronic pain” by Tonya M. Palermo and Emily F. Law

Websites:

 You can consult with a registered psychologist to find out if psychological interventions might be of help to you. Provincial, territorial and some municipal associations of psychology often maintain referral services. For the names and coordinates of provincial and territorial associations of psychology, go to  https://cpa.ca/public/whatisapsychologist/PTassociations/.

This fact sheet has been prepared for the Canadian Psychological Association by Brittany Rosenbloom. Elise Kammerer, and Kathryn Birnie in partnership with Solutions for Kids in Pain (SKIP), a national knowledge mobilization network whose mission is to improve children’s pain management by mobilizing evidence-based solutions through coordination and collaboration.

Date: October 2022

Your opinion matters! Please contact us with any questions or comments about any of the Psychology Works Fact Sheets:  factsheets@cpa.ca

Canadian Psychological Association

Tel: 613-237-2144
Toll free (in Canada): 1-888-472-0657

Federal Government 2023 Pre-Budget Consultations (October, 2022)

The CPA provided the federal government with five recommendations (i.e., financial asks) for the House of Commons Standing Committee on Finance to consider. The objective is to help shape the 2023 federal budget. In addition, the Canadian Alliance on Mental Illness and Mental Health (CAMIMH), and the Canadian Consortium for Research (CCR) – of which the CPA is a founding member also provided their Briefs to the committee.


Open Letter to Minister of Mental Health & Addictions to Establish a Canada Mental Health Transfer (October, 2022)

Led by the Canadian Alliance on Mental Illness and Mental Health and 49 national health associations and other related organizations, an open letter was sent to The Honourable Carolyn Bennett, Minister of Mental Health & Addictions calling on the federal government to live up to its 2021 election promise to establish a Canada Mental Health Transfer with an initial value of $4.5 billion over the next 5 years. See news release.


Spotlight: CPA Student Mentor Sam Ayers-Glassey and Mentee Naya Goguen

Sam Ayers-Glassey and Naya Goguen

Sam Ayers-Glassey photo
Sam Ayers-Glassey

Stay in school kids! Or don’t. You’re cool either way!

It was a mentor who helped convince Sam Ayers-Glassey to stay in school. During her undergraduate studies, Sam wasn’t quite sure what she wanted to do. Graduate school was not really something she had entertained. She grew up in Cape Breton with an academic in the family and always wondered as a kid why anyone would choose – on purpose – to do more school. She took five years to complete her bachelor’s degree, traveling and working and obtaining non-academic certifications (swim coaching, personal training). Toward the end of those five years though, she met someone who changed the course of her academic career.

“I had a really excellent mentor in one of my professors, and after I did a writing assignment he said ‘hey – this would be a great honours thesis!’ So that’s how it progressed – I did an honours thesis (albeit on a different topic) and realized I loved doing research, and school wasn’t so bad when it was on my own terms learning things I wanted to learn! That prof then became my supervisor for my honours thesis and the co-author on the paper that came out of my thesis. He was instrumental in me even considering doing academia past an undergrad.”

Naya Goguen photo
Naya Goguen

Sam has now completed a Master’s in psychology and cognitive neuroscience and is just now starting on her Ph.D. at the University of Waterloo. Her Ph.D. will be in the same field, with the same lab, and the same supervisor with whom she did her Master’s. She enjoys the research she’s doing, the group she’s with, and the atmosphere in the lab. She doesn’t regret her decision to keep going in school and is now really taking to instructing and guiding, particularly in her role as a teaching assistant in the lab, and as a mentor with the CPA’s Student Section Mentorship Program. As a mentor, Sam has been instrumental in helping her mentee Naya Goguen make the decision NOT to pursue a graduate degree – at least not yet.

Like Sam, Naya is a Maritimer. She grew up in New Brunswick. She has just embarked upon her last semester of her Bachelor’s  of Science in Psychology at the University of Ottawa. This will be her last year of university – at least for now. She’s working in the pensions division of the Canada Revenue Agency while finishing her degree, and she has decided to continue working after graduation before she even starts thinking about jumping back into school for a Master’s. She credits Sam with helping her make this major life decision.

“Sam helped a lot when it comes to the debate I’ve had with myself – I don’t know what my goal is, should I just do a Master’s? A big part of me has always wanted to just continue and get the furthest level of education I could. Sam helped talk through it with me and helped me realize that I didn’t have to make a decision right away, and I didn’t have to go through the pressure of feeling like I had to do it. I originally wanted a mentor for honours thesis guidance, but she ended up helping with so much more: life decisions! ”

TAKE FIVE WITH SAM AND NAYA

You can listen to only one musical artist/group for the rest of your life. Who is it?
Naya: “Easy. Arctic Monkeys.”
Sam: “I’m going to say like…classic Disney movie soundtracks. Something nostalgic where I can get out of my head for a bit.”

Do you have a sport? What is it and do you watch, play, follow it?
Sam: “I’ve been a swimmer since before I can remember. I was on a non-competitive swim team, and I was a swim coach for the local masters team in Sydney before I moved to Waterloo for school. My thing was really open water swimming, what with growing up on the coast and the ocean. That’s how I used to get out of my head, was to swim for a few hours. Now I’m a volunteer swim coach for the university’s triathlon club.”
Naya: “I’ve tried swimming, archery, karate, basketball, soccer – I’ve had a lot of fun with them but none have ever really stuck with me!”

Favourite book
Sam: “In general I’ve been liking a lot of books that have a science/communication aspect to them. Books that are conversational but with a science bent. I just listened to the entire audiobook of If Nietzsche Were a Narwhal on a trip back from Cape Breton – it’s not my favourite, but it’s the kind of book I like.”
Naya: “I’d have to go with a childhood favourite series, the Percy Jackson series is an all-time favourite.”

Favourite quote
Naya: “You spend your whole life in your head. Make sure it’s a good place to be.”
Sam: “Not all classrooms have four walls.” Or, “do no harm but take no crap.”

If you could become an expert at something outside psychology, what would it be?
Sam: “Probably something creative like cooking or painting. Something carefree.”
Naya: “I would become an expert saxophonist. I did it for a year in high school and I haven’t picked it up since, but it was a fun year!”

So many students go to university because they feel like they should. They might be really talented in a specific area of study and make that area their next step to a post-secondary education. But often, they don’t ask themselves the fundamental questions that may be the most important. Do I want to do this for the rest of my life? How long do I want to continue being a student? Do I actually enjoy working in this field, skilled though I might be?

In these circumstances, it is often a great benefit to that student to take some time to reflect and to pursue as many options as possible. This way, when they are finally able to make a firm decision about their pursuit of higher learning, or a career, or a direction in life, they will feel much more comfortable and sure of themselves in doing so. This is very much the case with Sam, who did just that before meeting her mentor and setting herself on a path to a psychology Ph.D.

“In undergrad I took some extra time off and took five years to do the degree. I did some traveling and worked both part-time and full-time. I got some non-academic certifications like swim coaching and personal training, trying to get a taste of different areas I could go into. Then my prof started to help me, and having one person say ‘hey, you would be good at ____’ or ‘you’re doing really well at ______’when I was deciding whether or not to go into grad school helped a lot. Especially because he did it without putting any pressure on me to follow the path of undergrad – honours thesis – Master’s – Ph.D. – become a professor and stay in academia. I really wanted to instill that in Naya as well, that you don’t have to just tick all those boxes.”

The pressure to tick all those boxes can be intense, and the prospect of walking away from that path can be intimidating, especially when most of those around you are encouraging you – and often expecting you – to follow that exact path. It takes an empathetic person to help someone navigate that decision, and a confident person to make it. Sam nominated Naya for Mentee of the Year in the CPA Student Section Mentorship Program in large part because she is that confident person.

“Naya was a great mentee because she was really open to the different conversations we had. If she had really wanted to go to grad school and do funding applications and so on that would have been amazing as well. But it takes a lot of guts to say, ‘I don’t know what I want to do’ and talk about that week after week and go back and forth on it. I think that’s one of the major reasons she was a great mentee, because she was really open to talking about everything, and she really embraced picking my brain.”

Picking Sam’s brain has led the two to take divergent paths. But with Naya’s knowledge of self and Sam’s big-picture perspective, we have no doubt that both those career paths will be successful and rewarding. And they’re both proof that voicing the sentiment ‘I don’t know what I want to do’ can lead to ‘I know what I don’t want to do’. And that is tremendous progress.

 

Truth and Reconciliation: A Conversation With The Legacy Of Hope Foundation


Legacy Of Hope With Adam North Peigan
At the 2022 CPA Convention we sold orange T-shirts designed by Indigenous artist Betty Albert. The proceeds from those sales were donated to the Legacy of Hope Foundation, an Indigenous-led charity educating Canadians about residential schools. We spoke to Legacy of Hope President Adam North Peigan about residential schools, the sixties scoop, and Legacy of Hope’s mission.

 


Spotlight: CPA Student Mentor Maya Atlas and Mentee Kiana Chubey

Maya Atlas and Kiana Chubey

Maya Atlas photo
Maya Atlas

“Something I’ve always wanted to be is an advice columnist, and I feel like if I wasn’t in psychology that’s something I would love to do.”

Maya Atlas might perhaps one day become an advice columnist. Once she graduates with her Ph.D. in psychology, she’ll have the credentials to become one. As an avid writer, she will also have the skills to make that column fascinating. As she says, “advice columns can sometimes be literature in themselves”. Until then, however, she is contenting herself with doling out the advice directly, as a mentor in the CPA’s Student Mentorship Program.

Kiana Chubey photo
Kiana Chubey

Maya is in the second year of her Ph.D. at Toronto Metropolitan University, studying post-traumatic growth in MDMA-assisted therapy for couples with PTSD. Her mentee is Kiana Chubey, who is in her fifth year at the University of Manitoba doing her honours thesis. Kiana is hoping to go into clinical psychology with an eye toward working with children, and is leaning on Maya when it comes to navigating the system and applying to graduate programs.

Kiana is a painter, but finds that her undergraduate studies can suck up a lot of time and keep her very busy! As Maya tries to carve out time to write during her Ph.D., Kiana finds she must make an effort to create time to work on art during her undergrad; This is one of the few similarities the two have.

TAKE FIVE WITH MAYA AND KIANA

What is the psychological concept (bystander apathy, confirmation bias, that sort of thing) that blew you away when you first heard it?
Kiana: “Learning about false memories is really fascinating. How we can actually implant false memories. We talked a lot in class about eyewitness testimony for example, how it isn’t really that accurate or the best way to solve a crime.”
Maya: “In my undergraduate years I took a class called the neuroscience of consciousness. Learning about different states, near-death experiences, and that kind of thing. It sparked something in me and in some way became tied to my current research interest, which is psychedelic-assisted therapy.”

You can listen to only one musical artist/group for the rest of your life. Who is it?
Kiana: “I really like Tom Petty. I like older music and he has a lot of good songs and I feel like his music is a little more special since he recently passed.”
Maya: “I’m totally cheating on this answer, I would pick a really great playlist. I think listening to one person forever would be horrible!”

Favourite book
Maya: “Wild, by Cheryl Strayed. It’s a memoir of her journey through grief and a lot of hardship in her life. She sets off on a hike by herself and finds her way and comes to acceptance with what’s happened so she can move forward.”
Kiana: “I’ll Give You the Sun by Jandy Nelson. It’s a story about separated twins, and it’s also about grieving. It has a lot to do with the importance of family.”

Favourite quote
Kiana: “’You may say I’m a dreamer. But I’m not the only one. I hope some day you’ll join us, and the world will live as one.’ I think it’s a really nice quote about world peace.”
Maya: “Mine is from the movie Call Me By Your Name, and it’s “to feel nothing so as not to feel anything – what a waste”. I think it just speaks to experiencing everything in life and not shutting down.

If you could spend a day in someone else’s shoes who would it be and why
Kiana: “I’d like to be an astronaut in space – it would be so cool to experience zero gravity, and to see Earth from space!”
Maya: “What about spending five minutes in different people throughout the day to get a variety of experiences? I think it would be interesting to get all these different perspectives. I would also go to outer space like Kiana. And underwater, as a deep-sea diver.”

Maya started out in journalism at Carleton University, switched to psychology, then went traveling for five years after completing her undergraduate degree. She did a ski season in Whistler, where she met some friends and accompanied them to Australia for a year. Then she came back to Canada to live in Banff for a year and a half. After that she moved to Vancouver where she did some creative writing courses. It was there that she realized she wanted to go to grad school for clinical psychology, and her travels took her to Toronto.

Kiana went into psychology straight out of high school in Winnipeg, staying close to home. She was passionate about art in high school but was advised to find a more lucrative career path, so she chose one where she would be able to help people, children in particular. She hopes to get into a graduate program at the University of Manitoba, so she doesn’t have to move.

Although their paths have been very different, their goals are similar and their connection is strong. Kiana has learned a lot from Maya and appreciates the advice, kindness, and mentorship she provides. Maya appreciates Kiana’s thirst for knowledge and her engagement in the mentorship process. So much so that she nominated Kiana for the CPA Student Section Mentee of the Year award. Says Maya,

“Kiana was very prepared for all our meetings, always had questions to ask, always guided where we were going. She’s really motivated, interested, and curious. We come from very different psychology backgrounds, but she was always really interested in learning, wanted to hear more, and she’s just a really curious, motivated student.”

That curious, motivated student is going places in psychology for sure – maybe not as many places as Maya has gone in her journeys around the globe, but she is certainly on an upward trajectory in the discipline. Perhaps one day the peripatetic writer and the homebody artist will collaborate as psychologists and colleagues – or Kiana will illustrate the book Maya writes. Or both! Either way, the future is very bright for these two intelligent, motivated young women.

 

Spotlight: Linnea Kalchos, Chair of the Student Section of the CPA

Linnea Kalchos

Linnea Kalchos photo
Linnea Kalchos

“Hi, my name is Linnea, I’m a student at UBC. [Spiel about UBC]. I was a teacher, and I have a real passion for social justice and in particular feminism. My research is attempting to come at these things through that perspective. Everything you say is going to be confidential, and this research will be practical. The goal is to disseminate it once we’re done, and I will make sure you have access to it.”

This is what you would hear if you were a newcomer Canadian youth participating in a project with Linnea Kalchos, a PhD student at the University of British Columbia. Her project is looking at how newcomer youth experience school integration when arriving in Canada. How do schools support them, and what kind of supports do they need?

The preamble Linnea gives these youth is by design. It incorporates all Linnea has learned over the years about approaching research through a social justice lens. Make sure the people involved in the research are also involved in the benefits derived from it, and the whole process along the way. Ensure that their participation is as comfortable and low-risk as possible. And aim for the research to have a real impact on the lives of real people.

When we spoke, Linnea was a UBC Master’s student, and has defended her Master’s thesis in the interim. The incoming chair of the student section of the CPA, Linnea uses the words ‘social justice’ the way some others use the words ‘like’ or ‘um’. That passion for social justice is one she’s keen to bring to the student section in the coming year. The section in particular has always been a leader in this realm, with many past chairs making important strides in this direction. Under the previous chair Alejandra Botia, the section created an executive position called JEDI (the Justice, Equity, Diversity, and Inclusion Executive), a position currently held by Emily Winter. Where Linnea takes it from here is still to be determined, but initial plans involve a shift to a social justice theme in the student newsletter. More broadly, she hopes the student section can invite more diversity both in experience and in research.

TAKE FIVE WITH Linnea

What is the psychological concept (bystander apathy, confirmation bias, that sort of thing) that blew you away when you first heard it?
Along the way in studying psychology, I really started get interested in somatisation – this idea that something psychosocial goes on in our minds and then our body manifests it in different ways. I feel like when I learned about it something really clicked with me, and in particular in my work with children. They don’t always have the language or the awareness to say ‘I have a stomach ache and it’s because of my anxiety’. They just have a tummy ache! I feel like our bodies do so many sophisticated things to protect us – including developing physical symptoms.

You can listen to only one musical artist/group for the rest of your life. Who is it?
It’s 100% Matchbox 20! This is definitely my dad’s influence. He’s a chef, and I have all these great memories of being in the kitchen with him watching him cook and listening to 3 AM in the early 2000s.

Favourite book
One I come back to a lot is a poetry compilation by Iain Thomas called I Wrote This For You. It’s an anthology of poems, but it also has photography infused throughout the book. It was such a beautiful book to me that I’m pretty sure I cried in the bookstore as I was reading it!

Favourite quote
“When they go low we go high” from Michelle Obama. It reminds me that if you’re living your life with integrity and as an example to other people you can’t really go wrong!

If you could spend a day in someone else’s shoes who would it be and why
Michelle Obama again! I actually want to be in her brain (and her real shoes, literally – she’s a style icon!) Her advocacy work is so important, she’s done so many things in her career beyond being the First Lady. A decorated lawyer, a mother, an activist, writer, public speaker, public health advocate. I’d love to step into her shoes and try all those roles – and hang out with her family. I think she’s fabulous!

“There’s so much great work and research in this area being done by students, and we want to invite all those different perspectives. We also want to highlight different forms of research. Methodologies that aren’t as widely recognized in psychology but that are making an appearance now. Things like social justice research, community action research, all qualitative methods, Indigenous ways of knowing, that kind of thing.”

The other part of Linnea’s current project – the kids part – is her other passion. In a previous life Linnea was a teacher. While her interests shifted to the subject of mental health and psychology, her passion for working with young people has not abated. When all is said and done, she hopes to have a clinical practice where she works with children full time. The journey to psychology was somewhat circuitous, and is best explained by Linnea herself.

“I got really into social justice in high school. I went on a volunteer trip, got connected to social justice groups, became a vegetarian – you know, all the things. I had always wanted to go to the teacher education program at Queen’s University, and that’s where I did my undergrad. I found a way to work my degree so that I could major in Global Development Studies and still be a teacher while I got my B.Ed. While I was there, I got connected with a psychology research lab doing bullying research with Dr. Wendy Craig. That was one of the best experiences of my life. Working with Dr. Craig and with PREVNet taught me so much!

I finished my undergrad and moved to Australia, where I was a teacher for three years. After my first year there I thought that while I loved working with kids, I wasn’t sure I wanted to be a teacher forever. I had a real passion for mental health, students with special needs and school support programs. I knew I wanted to go to graduate school at that point and found the perfect marriage of all my interests – which was school psychology.”

Linnea always wanted to live in Vancouver, so the program she started at UBC ticked another box for her – albeit not immediately. She did her first year of school from Australia, stuck there because of COVID travel restrictions. Luckily, she was able to move for her second year of school, so now that she’s finished her Master’s it’s with a full year of Vancouver residence under her belt.

Now starting yet another new chapter in her schooling, Linnea is embracing the new challenges that will come with studying for a Ph.D., as well as the opportunities that present themselves as the Chair of the Student Section. In approaching this new role, Linnea is drawing inspiration from some psychologists who have been doing this work for years.

“The leadership of people like [CPA Past President] Dr. Ada Sinacore has been huge. People sharing who they are openly, infusing those things into their research, representation matters so much. A practice I’ve learned from my supervisor, Dr. Anusha Kassan, is ‘outlining our positionality’. It basically means acknowledging your position and your role (which often includes your privilege) in the research process itself.”

That research will continue, as Linnea embraces a new role and gets on to her Ph.D. work. And one day the spiel she gives her research participants, or the kids she’s counseling, will start a little differently. “Hi, my name is Linnea, and I’m a psychologist”.

Spotlight: CPA Student Mentor Kayla Hollett and Mentee Liran Leidershnaider

Kayla Hollett and Liran Leidershnaider

Kayla Hollett photo
Kayla Hollett

“This email could have been a meeting.”

In a world where most meetings could be emails, and most phone calls could be texts, Kayla Hollett is old-school. A mentor in the CPA Student Section Mentorship program since 2018, Kayla’s first couple of mentorships were conducted solely via email and instant-messaging apps. It was how her mentees felt most comfortable, and how they preferred to communicate, but Kayla says she still doesn’t know what her first few mentees looked or sounded like. When she signed up to be a mentor once more in 2022, one of her conditions was explicit – her mentee would have to be comfortable using an online video platform.

Liran Leidershnaider was happy to do so. Since the beginning of the pandemic, most of us have become much more accustomed to Zoom and Skype, and it suited him just fine to interact in this way. The benefits have been noticeable. Says Kayla,

Liran Leidershnaider photo
Liran Leidershnaider

“We had bi-weekly meetings that were at least an hour where we had conversations with a lot of questions popping up all the time, and a lot of details to discuss. I also shared every single document and resource that I had with Liran and my other mentees on Google Docs so they had access to all of it. I couldn’t do that in the earlier years of the program, it was more a surface-level answer to a quick question here and there. I think our relationship on Zoom is more efficient, and going forward that’s the way to go. You know, you come in to a meeting with one question and that leads to five more. Every time Liran emails me I think ‘we could have a meeting about this’.”

Liran is just starting his fourth year of the Specialized Honours Bachelor of Science Psychology Program at York University. He grew up in a medical family, and from his childhood he was surrounded by discussions about psychology. This piqued his interest at an early age to understand why human beings behave the way they do. In high school, he took a human development course which reaffirmed his decision that psychology was the career path for him. His goal now is to one day work with patients as a clinical psychologist.

TAKE FIVE WITH Kayla Hollett and Liran Leidershnaider

What is the psychological concept (bystander apathy, confirmation bias, that sort of thing) that blew you away when you first heard it?
Liran: “When I heard about the placebo effect in high school, I was fascinated! Just the way you can make someone think something without it being actually there, is really incredible. I remember watching Grey’s Anatomy at the time, and they had a clinical trial where they gave one group of participants a pill that actually had a function, and gave the other group of participants the placebo, and the placebo group of participants showed some improvement in the clinical symptoms of their disorder! It fascinates me that we can make our brain believe in anything we want, or even make our brain think in a way that makes us better. I think it kind of validates how important psychology is for our mental health and our daily lives in general.”
Kayla: “For me it was the Flynn effect. I was in class and we talked about it – it has to do with the fact that IQ scores are increasing in the general population over decades, from the beginning of IQ testing until now. I was so fascinated by it because I couldn’t figure out how. I went to my psychology prof’s office to ask him what he thought caused it – I was very curious, and the textbook didn’t have those details. It was my curiosity about the Flynn Effect that made me start to realize psychology may be my career path of choice.”

You can listen to only one musical artist/group for the rest of your life. Who is it?
Kayla: “As a female millennial, I think I have to say Taylor Swift. But it works because she’s amazing! Her most recent two albums Folklore and Evermore I can sing along to every word of every song.”
Liran: “It’s got to be Pink Floyd. My dad used to always play them in the car, and I used to play guitar so I’d ask him about this melody or that one. They still have some of the best guitar melodies.”

Do you have a sport? What is it and do you watch, play, follow it?
Liran: “Competitive swimming. I came to Winnipeg when I was six, and since then I’ve been swimming at a provincial level, mainly at the University of Manitoba. Then when I moved to Toronto in 2013 I started swimming competitively at the North York Aquatic Club. I’ve stopped because of COVID unfortunately.
Kayla: “I strength train in my spare time. Weightlifting at the gym!”

If you could spend a day in someone else’s shoes who would it be and why?
Kayla: “I think anyone who is considered a highly successful person on a global scale. Not that I support everything they say or do, but someone like Elon Musk who runs a ton of businesses. I want to know how he manages his time! As a psychology trainee I also think it would be interesting to get inside his mind.”
Liran: “I want to be in my own shoes, but in 20-30 years time. I’m very curious as to where I’ll be in life, what I’ll be doing. Here I am now with my big aspirations and plans for the future – what will that look like in 20 years?”

If you could become an expert at something outside psychology, what would it be?
Liran: “A veterinarian. I love animals, and having two cats myself, I know how important pets are to their owners. Speaking from experience, pets have their own relaxing effect on humans, whether it’s them greeting you when you come home from somewhere, or just sitting beside you while you work. So, being able to treat animals is something that I know would have a positive impact on the pet’s owner too, and would in turn bring me joy as well.”
Kayla: “I think a physiotherapist. With strength training sometimes injury or pain comes with that. It would be so much easier if I could do physiotherapy on myself! It would also allow me to interact with people all day, which is something I gravitate towards.”

Kayla has the same career goal of working as a clinical psychologist. She is just starting the third year of her Ph.D. in Clinical Psychology at Concordia University, having completed her Master’s in Experimental Psychology at Memorial University in her home province of Newfoundland. She became interested in the biology of the brain in high school, but didn’t yet know what psychology was. She started her academic career in biology so she could study the brain. A year in, she took a psychology course as an elective and realized that perhaps this was the path she should be taking. “I went to my psych professor and said, in a bit of a panic, that I thought I was in the wrong program. He said I should switch over, I did, and I started to learn about all the different career paths available through psychology. I realized I wanted to be a therapist, to do clinical work, and now I’m super glad I made the switch.”

Sometimes, deciding on a career path is the easy part. Navigating that career path comes with many more challenges. Kayla identified with this during her undergrad degree, when she started to look into grad school herself. She says she could really have used a mentor in the same field.

“I didn’t have a formal mentor, as such, but I did have a couple of graduate students in my lab who could answer questions. But there were a couple of gaps – they hadn’t necessarily applied to the same programs that interested me (clinical) so it would have been really handy to have known someone who had applied to clinical psychology Ph.D.s. I ended up kind of navigating it myself, working together with other applicants. I applied twice, in two cycles. The first cycle I was so overwhelmed that I was able to apply to only two programs. The process is a course in itself, and it was such a steep learning curve. You’re in the fourth year of your undergrad, you’re trying to do your honours thesis along with everything else. It’s pretty overwhelming. I like to think of that time as a practice cycle, which made it easier when I applied again two years later. I really needed that practice given how much goes into the application process.”

At that time the CPA Student Section Mentorship program was not yet in full swing. In the past few years, it has become an enormously useful program for the students who participate – in large part because of that overwhelming process of graduate school applications. Liran says that Kayla’s mentorship has helped him in many ways, and that the application process is one of the biggest.

“I was an incoming third-year student last year. I knew I wanted to apply to grad school, and becoming a clinical psychologist was my career aspiration. I came in pretty knowledgeable about how to get into graduate school, but still needed information about many important details regarding how to do everything right, and Kayla knows well that I had a lot of questions. Kayla was really approachable, made sure all my questions were answered, and was readily available when I needed her. I felt really comfortable asking all the little questions which might have seemed silly. Now I feel excellently prepared, and full of the knowledge I’ve obtained over the course of this past year.”

Liran’s progress has been such that Kayla nominated him for Mentee of the Year with the CPA Student Section. Not only academic success and professional competence, but his personal growth has been a source of great pride for Kayla.

“Any undergrad who wants mentorship is excellent for that reason alone. Liran is exceptional because of his incredible growth. I saw him start off at one place, and at the end I saw him almost as a new person. Even when I see him today, speaking so professionally and ably, I’m just proud! I’m seeing him grow into an academic in front of my eyes.”

Kayla, of course, could not have seen Liran grow in front of her eyes had they not interacted via video – which makes the connection that much more rewarding. They have both applied to the mentorship program once again this year, and they hope to be paired with one another once more. They have both grown to appreciate the interaction and breadth of discussion their meetings provide, and they look forward to maintaining their connection and partnership.

The future for both of these young students is bright – well-lit, with a clean background, crisp audio, and a good internet connection.

 

Spotlight: CPA Student Mentor Stephanie Woolridge and Mentee Ava Homiar

Stephanie Woolridge and Ava Homiar

Stephanie Woolridge photo
Stephanie Woolridge

“My favourite book is called House of Leaves, by Mark Z. Danielewski. It’s like a part horror, part romance, part…academic? It’s a really interesting book with a fascinating page layout!”

Stephanie Woolridge is gesturing to the bookshelf behind her, situated dead centre in her Zoom screen and just visible on either side of her head. Ava Homiar chimes in, moving to one side so that her own bookshelf can be seen behind her head while she points toward it.

“I actually have that one on my bookshelf right now! The pages are just so interesting and it’s such a unique book!”

Ava Homiar  photo
Ava Homiar

The system works! Much like online matchmaking sites that purport to connect people via shared interests (we both listen to music and eat food! We should date!) the CPA Student Section’s Mentorship Program endeavours to connect mentors and mentees based on common goals and experiences. Undergrad students looking to pursue a research career, for example, are paired with grad students on the same path. They can help with applications to grad school, academic advice, and sometimes a lot more!

Such is the case for Stephanie Woolridge and Ava Homiar, who were connected through the program in September of 2020 – and then again in 2021 – and just recently in 2022 as well! Steph is going into the fourth year of her PhD at Queen’s in clinical psychology, while Ava is in the third year of the honours life science program, specializing in psychology, at McMaster. They share much more than a plain-white-wall-with-a-bookshelf-in-the-centre Zoom background.

Interviewer: “If you could spend a day in someone else’s shoes who would it be and why?”

Stephanie: “Anyone who goes to the International Space Station, like an astronaut. So few people get to do that and it would be so cool to be able to go up there for a day, say ‘this was dope’ then get back to my regular life.”

Ava: “Oh my gosh I was going to say astronaut too! I guess now I have to give a different answer. But astronaut would just be so fun!”

TAKE FIVE WITH STEPHANIE WOOLRIDGE AND AVA HOMIAR

What is the psychological concept (bystander apathy, confirmation bias, that sort of thing) that blew you away when you first heard it?
Ava: “I first learned about false memory creation in my forensic psychology course. It really blew my mind – I’d heard of false memories before, but just seeing the psychology behind it and how it translates into real life events is really interesting to me.”
Stephanie: “One of the things that really stands out to me is social baseline theory. It’s mostly about how social relationships are associated with improved well-being, which we all know. But there were studies done that show that when human beings are under threat, the emotion regulation parts of our brains are less active when you’re holding hands with another person. So if we’re in a threatening situation, we have to put in a lot less emotional effort when that person is next to us. Our brains have to work a whole lot harder when you’re alone.”

You can listen to only one musical artist/group for the rest of your life. Who is it?
Ava: “BTS. They have such a large and diverse discography that I don’t think I could ever get tired of listening to them. And they’re also amazing people so I feel good listening to them.”
Stephanie: “This is really hard! Right now the band I’m listening to the most is Rainbow Kitten Surprise. [Editor’s note – imagine what you think a band called ‘Rainbow Kitten Surprise’ would sound like. It does not sound like that.] They’re in constant competition with another artist called Radical Face, which I also adore…I’m kind of cheating by picking the two that are always battling it out for my top spot. All their albums are bangers, the music is always so good, I could listen to it on repeat forever!”

Do you have a sport? What is it and do you watch, play, follow it?
Ava: “I used to play tennis when I was younger, but I don’t any more – I am currently without a sport! I do always love watching figure skating, especially when the Olympics comes on. The artistry of the skaters is astonishing!”
Stephanie: “I played soccer competitively for many years, but I tore my quad so I stopped playing. I still run, but I love watching soccer on TV. Even if it’s ninety minutes with one goal, I’m happy!”

Favourite quote
Ava: “It’s from the Herman Hesse book Siddhartha, ‘I can think I can wait I can fast’. It’s a coming-of-age book that explores the value of being resilient, and that quote encapsulates the theme.”
Stephanie: “It’s from a book by Glennon Doyle, ‘if you can’t beat fear, do it scared’. I think it was popularized because Will Smith said it at some point – but I’ve always loved the quote and I feel like mental-health-wise it ties into a lot of the work I do.”

If you could become an expert at something outside psychology, what would it be?
Ava: “I would love to be totally immersed in the field of philosophy, and dedicate all my time to being involved in modern philosophical discussion and have the bandwidth and education to be able do that. I think I’d also love to be an expert in art history too – something like the history of religious art.
Stephanie: “I feel like in another life I was a classicist in some way. In first year I studied archaeology and ancient Greece and ancient Rome, and I think that would have been such a cool career path to be curating a museum or something. All the history and the culture from back in the day, I’ve always loved that.”

They are both first-generation university students, the first people in their respective families to take a scientific path. For Steph, that made things pretty difficult during her undergraduate studies, as she didn’t have family she could turn to for advice related to research or graduate studies. For Ava, things are a little bit easier because she does have one person to provide that guidance – Steph.

Both Ava and Steph started university without planning to major in psychology. Steph thought it would be a good jumping off point for other career paths, like medicine or law. Ava was taking more hard science classes, at the urging of her parents. Both ended up pursuing psychology as a career path thanks to a love for lab work and social research, and as of their second or third years their paths were set. Steph’s research at Queen’s is predominantly in early psychosis, with an emphasis on things like social cognition, interpersonal relationships, intimacy and sexuality. At McMaster, Ava is doing research involving the Schizophrenia & Community Integration Services program at St. Joseph’s hospital.

For a long time during her undergraduate studies Ava was searching for mentors who could help her navigate the post-secondary system, but was having a tough time finding anyone who could provide the specific kind of assistance she was seeking. During that time, 300 km away, Steph was mentoring people in a number of different ways. She says,

“I’ve always taken on mentorship roles throughout my degree. I’ve been a mentor for undergraduate students here at Queen’s, and I’m still a mentor for graduate students in my department. It’s something I’ve always really enjoyed. I’ve felt very privileged to have had access to mentors who have supported me throughout my career, so the opportunity to do that for someone else or to pay it forward a little bit was a great one since I know how valuable it is.”

When an email came to Steph’s inbox advertising the CPA’s Student Mentorship program, she jumped at the chance right away, knowing how valuable her insight could be for someone starting out on the same path she once took. Meanwhile, Ava was searching everywhere for a mentor who could help her. Google led her to the CPA, where she became a Student Affiliate. From there, she found the mentorship program – and Steph. Says Ava,

“When you sign up for the mentorship program, they ask you about your interests and what you’re thinking about doing in your future. You then get matched with someone who’s close to your area of interest – and I think they were really spot-on with our match! Steph and I are in the same field, have lots of stuff to talk about, and she’s provided me with great support where I’m able to talk to her related to academics and the career field I want to be in. Having that extra guidance has really affected my academic and career choices as well. I think everyone knows about mentors who can help you with school and career and grad school applications, but in Steph I’ve found a mentor who’s a friend. We talk about our personal lives, and with everything that’s going on around us that’s been really helpful for me too!”

The mentor-mentee relationship has benefits for both parties. It isn’t always an older student providing a road map for a younger one. Very often, the graduate student gets just as much out of the partnership. Steph says this is certainly the case for her.

“Over the past two years it’s just been such a privilege to hear about all the stuff Ava’s been doing, to see all she’s accomplished, and to be a part of all the conversations we’ve had. In second year, applying for her first positions, to where we are now thinking about grad school – it has really been a honour for me to be able to bear witness to Ava’s growth and accomplishments. I’m excited to see what she does next!”

Steph is a little closer than Ava to entering the workforce and putting all her knowledge to use, but both have a pretty similar career path in mind – no matter where they end up, they both want it to be somewhere where they get to do research. Lots and lots of research. So look for them to be featured together again in the future – as co-authors on a paper, as colleagues and collaborators, and, one presumes, as lifelong friends.

 

Now available: Psychology Career Pathways Series

The CPA is pleased to present three videos from early 2022 discussing career paths in Psychology, collectively referred to as the Pathways series. These videos are a fast-paced and informative exploration of a range of perspectives from a number of experienced panelists discussing graduate studies and career paths for students undertaking or planning future graduate work in Psychology.

CPA Comments on Report of Expert Panel on Medical Assistance in Dying (MAiD) and writes to Ministers of Health and Mental Health & Addictions (August, 2022)

The CPA responded with a series of recommendations to the final report of the Expert Panel on MAiD and Mental Illness which was submitted to the Special Joint (Parliamentary) Committee on Medical Assistance in Dying. The CPA has requested to appear before the Committee. The CPA also wrote to the Minister of Health and Mental Health and Addictions regarding their announcement allocating $3.3 million to the Canadian Association of MAiD Assessors and Practitioners, to which psychologists must be included.


CPA and MHCC Report on Employee and Employer Perspectives on Access to Psychological Services (June, 2022)

The CPA and Mental Health Commission of Canada collaborated on a research report Extended Mental Health Benefits in Canadian Workplaces: Employee and Employer Perspectives that sought to better understand employee and employer perspectives on access to psychological care. The findings include: 80% of employees felt coverage for psychological care was inadequate; 72% of employees said their mental health improved after receiving psychological care; 60% of employers were confident that mental health coverage provided a good return-on-investment; and 29% of employers increased their mental health coverage during the COVID-19 pandemic. The full report can be found here: https://mentalhealthcommission.ca/resource/extended-mental-health-benefits-in-canadian-workplaces-employee-and-employer-perspectives/


Truth, Reconciliation, Genocide And Psychology With Dr. Stryker Calvez And Dr. David Danto


Truth, Reconciliation, Genocide And Psychology With Dr. Stryker Calvez And Dr. David Danto
Dr. Stryker Calvez and Dr. David Danto talk Truth, Reconciliation, and the role of Psychology from the perspective of an Indigenous psychologist and an ally. We discuss Indigenous ways of knowing and how the apply to psychology, as well as the genocide perpetrated by Canadians against our Indigenous people.


Gender diversity issues, terminology, and human rights with Dr. Jesse Bosse and Aida


Gender diversity issues, terminology, and human rights with Dr. Jesse Bosse and Aida
Dr. Jesse Bosse is a gender-queer psychologist in Ottawa who works primarily with trans, non-binary, and gender-diverse people. Aida is a young trans person who is currently undergoing Hormone Replacement Therapy. We spoke to them both about the issues confronting gender diverse people, human rights issues, and the effects of the pandemic on this population.”


Gender diversity, education, and criminal justice with Dr. Ada Sinacore and Dr. Keira Stockdale


Gender diversity, education, and criminal justice with Dr. Ada Sinacore and Dr. Keira Stockdale
Dr. Ada Sinacore is an expert in human rights issues surrounding gender diversity. Dr. Keira Stockdale is an expert in the psychology of criminal justice. They are part of a group working to put out a statement on gender diversity amid an increase in violence and legislation targeted at the gender diverse community. We discuss LGBTQ2s+ rights in relation to education, the criminal justice system, and the discipline of psychology itself.


“Psychology Works” Fact Sheet: Attachment in Children

What is attachment?

Attachment is a special emotional relationship between two people, with an expectation of protection. Usually when we talk about attachment, we’re talking about the relationship between a child and his or her parents or caregivers. Sometimes we talk about attachment in romantic relationships as well. The attachment between parents and children is our focus here.

Almost every child attaches to someone. When they don’t, it is usually because of unfortunate circumstances, such as being raised in an orphanage or experiencing severe abuse or neglect. Children with no attachments are very rare and may have an attachment disorder. They, along with and their caregivers, usually need professional help. Attachment disorders are not our focus here. Information on attachment disorders can be found at: http://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/Attachment-Disorders-085.aspx

Children can attach to a small number of adults, usually those who take care of them. They don’t usually attach to other children. Although children can have great relationships with lots of adults (teachers, babysitters, family friends), they don’t really attach to those people. They like them and trust them because their experience in their attachment relationships tells them that it is safe to do so.

Although almost all children do develop attachments, attachments can vary in their level of “security.” Psychologists, researchers, and therapists often categorize attachment relationships. The main categories are secure, insecure, and disorganized. Most children (about 60%) are securely attached. Secure attachments are the best for children’s development. Disorganized attachments lead to the most difficulties in mental health and behaviour. Children can have different styles of attachments with different caregivers.

What are the different styles of attachment?

Securely attached children explore what is around them when their caregiver is nearby. They also check in by looking at their caregiver regularly. If their caregiver leaves, they usually stop exploring. When their caregiver returns, they are happy to see them and calm down quickly if they are upset. Secure attachments have been shown to help children learn, empathize, develop relationships, cope with stress, handle fear, and be independent.

There are two types of insecure attachment. In insecure avoidant attachment, children don’t appear to care whether their caregiver is there or not, but they actually care a lot. These children usually explore a lot. When their caregiver returns after leaving them these children often ignore them, but if we measure their stress response using physiological measures like heart rate, we find that they’re actually quite upset.

Children with insecure resistant attachment often appear clingy. They usually stick close to their caregiver and don’t explore much. They get very upset when their caregiver leaves them. They are not easily calmed when their caregiver returns.

Children with disorganized attachments are more unpredictable. As babies, they might do unusual things like freezing or coming to their caregiver with their head turned away. As preschoolers they tend to be bossy and controlling.

How do attachments develop?

Attachments develop over time as a child and caregiver interact. It is innate or “hard-wired.” When a child has a need, their caregiver responds. For example, if a child falls off her bike and her caregiver comes over and comforts her, the child learns to expect that. On the other hand, if the caregiver yells at her she learns to expect that. It isn’t so much what happens in any one situation, so much as the pattern of reactions that matter. Over time, the child learns what will happen when they have a need. Will their caregiver respond kindly and fulfill their need? Ignore them? Yell? This pattern determines the attachment style between a child and a specific caregiver. You can’t always see someone’s attachment style. It is only activated (turned-on) when they’re in need (e.g., stressed, sick, scared, or hurting).

Children also learn what they need to do to get their needs met. Do they need to ask, yell, or cry? Eventually, kids start to expect all relationships to be like their attachment relationships. So, they start to trust people, be unsure of people, hide their feelings, or not know what to expect. They also learn how they should behave in relationships.

When does attachment develop?

The building blocks of attachment start soon after birth. Attachment becomes clearer around 6 to 9 months of age. Each of us develops an attachment style that characterizes our approach to relationships over the course of our lifetime, but attachment styles can change based on experiences or in response to treatment.

How do I help my child securely attach?

There are lots of things you can do to help your child securely attach. First, try to be there for them when they need you. Second, let them explore or interact with what is around them when they’re ready. Here are some other things you can do:

  • Be sensitive to your child’s needs and emotions and try to respond in a way that is in tune with them.
  • Talk about feelings: your feelings and their feelings. Label everyone’s feelings and indicate that it’s okay to feel whatever you feel. You can do this even when they’re babies.
  • Stay with your child when they’re upset. Even when your child is misbehaving, you need to show them you love them. Don’t send them away or threaten to leave.
  • Enjoy your child: play with them, laugh with them, read with them, watch their television shows.
  • Follow your child’s lead. This shows them you value their ideas and thoughts.
  • Take charge when needed. This helps your child feel safe.
  • Be consistent, predictable, and stable. This helps kids feel safe.
  • Set limits. Too much freedom makes kids feel anxious, even if they think they want it. You need to be the strong one who lets them know the safe limits.
  • Accept them for who they are. You don’t need to approve of their behaviour, but you need to love them, whatever they do.

What if I make a mistake?

It’s okay! Attachments are built on thousands of experiences and are always able to change. Research shows that kids need “good enough” parents, not perfect parents. In fact, there’s something to be said for a child facing some adversity (not too much, but a little). This teaches children that they can manage these situations and helps build resilience. So, if as a parent or caregiver you make a mistake, just keep in mind that you’ll get another chance to do better soon.

What if my child isn’t securely attached?

There are a variety of different attachment-based therapies available that are supported by research. These include Parent-Child Interaction Therapy; Circle of Security; Watch, Wait, and Wonder; Interaction Guidance, Reflective Family Play, and others. See a psychologist or talk to your child’s paediatrician for appropriate evidence-based local referrals. The above-mentioned therapies and others supported by research should be favoured. There are some other therapies that indicate they are for attachment, but that are not evidence-based.

Where can I get more information?

You can consult with a registered psychologist to find out if psychological interventions might be of help to you and your child. Provincial, territorial, and some municipal associations of psychology often maintain referral services. For the names and coordinates of provincial and territorial associations of psychology, please visit:  http://www.cpa.ca/public/whatisapsychologist/PTassociations

This fact sheet has been prepared for the Canadian Psychological Association by Jen Theule, Ph.D., C.Psych., University of Manitoba.

April 2022

Your opinion matters! Please contact us with any questions or comments about any of the Psychology Works Fact Sheets:  factsheets@cpa.ca

Canadian Psychological Association

Tel: 613-237-2144
Toll free (in Canada): 1-888-472-0657

Member Profile: Drs. Karen Dyck and Melissa Tiessen

Karen Dyck and Melissa TiessenDrs. Karen Dyck and Melissa Tiessen started the Intentional Therapist initiative to help female practitioners with self-care. They will be hosting a pre-convention workshop at the 2022 CPA Convention in Calgary.

CPA Submits Brief to House of Commons Standing Committee (April 2022)

The CPA submitted a Brief to the House of Commons Standing Committee on Human Resources, Skills and Social Development and the Status of Persons with Disabilities. The Brief responds to a study the committee is undertaking on labour shortages and working conditions within the care economy – which includes healthcare workers, personal support workers and childcare workers on the front lines of the COVID-19 pandemic. The Brief focuses on the role and contributions of psychology within an integrated primary care system, the importance training additional capacity and licensure, and the need for more robust health system performance measures.

CPA Comments on 2022 Federal Budget (April 2022)

Following the release of the 2022 federal budget, the CPA issued a news release noting that while the federal government has taken some important steps forward, more strides need to be taken to improve timely access to publicly funded mental health care services. The Budget also stopped short of the need to invest in psychological research to help us understand and better respond to health and community emergencies such as the COVID-19 pandemic.

CPA Presents to House of Commons Standing Committee on Health (HESA) (March 2022)

Dr. Karen Cohen spoke to HESA on the emergency situation facing Canadians in light of the COVID-19 pandemic. In her opening remarks she focused on: (1) the important role that psychological science plays in developing current and post-pandemic policies; (2) the need to address the funding barriers that limits access to psychological care; and (3) the importance of training and regulating Canada’s health human resources.


Considerations for a National Psychotherapy Program (February 2022)

Chaired by Dr. Karen Cohen (CPA CEO), the Psychotherapy Policy Implementation Network (PPIN) under the auspices of the Mental Health Commission of Canada – recently released a report The Time is Now on how to increase access to timely access to publicly-funded psychotherapy via targeted federal funding.  The report identifies two options: (1) a National Psychotherapy Fund that would provide a fixed annual amount of federal funding to the provinces and territories to expand coverage for the assessment, diagnosis and/or treatment (i.e., psychotherapy) for mental health disorders that are not currently reimbursed through the public system; or (2) a National Psychotherapy Program that would provide a fixed annual amount of federal funding to the provinces and territories for an administered program (similar to the IAPT program in the United Kingdom) that provides expanded access for the assessment, diagnosis and/or treatment (i.e., psychotherapy) of mental health disorders.


“Psychology Works” Fact Sheet: Coping with Emergencies, Disasters and Violent Events – Ukrainian version

Інформаційний бюлетень «Психологія Працює»: подолання надзвичайних ситуацій, катастроф і насильницьких подій

Як  будь-яка стресова подія у житті, надзвичайні ситуації у сфері охорони здоров’я (наприклад, пандемії), катастрофи (наприклад, цунамі, землетруси, торнадо) та насильницькі події (наприклад, масова стрілянина, терористичні акти, війни) потребують від нас можливість впоратися. Незалежно від того, дізнаємося ми про ці події по телебаченню чи відчуваємо їх особисто, ми можемо почувати себе засмученими, наляканими, або занепокоєними за нашу особисту безпеку та за безпеку нашої сім’ї, друзів та громади. Стресові події  також можуть викликати почуття та спогади про попередні травматичні події, тим самим посилюючи страждання, які ми відчуваємо.

Люди, які можуть сильніше реагувати на стрес у зв’язку з катастрофою, надзвичайною ситуацією або насильницькою подією, включають людей похилого віку, дітей та підлітків; служби першої допомоги та медичних працівників, які допомагають у реагуванні на катастрофи/кризи; людей, які мають психічні розлади, включаючи проблеми з вживанням психоактивних речовин, або надмірну тривожність; людей, які живуть самотньо або мають мало соціальної підтримки; людей, які особисто постраждали або чиї друзі та родина особисто постраждали внаслідок подій.

Що потрібно пам’ятати про стрес

Бути емоційно-враженим, у різному ступені, великомасштабними катастрофами та подіями – це нормально. Важливо пам’ятати про наступне:

  • Люди – сильні та витривалі і як правило, мають навички, необхідні для боротьби зі стресовими ситуаціями, з якими ми стикаємося у житті.
  • Не всі реагують на ту саму подію однаково, не всі виражають своє переживання однаково.
  • Реакції та способи реагування батьків, опікунів та лідерів громади впливають на те, як діти та спільнота справляються та реагують на стресову ситуацію.

Як подолати катастрофи, надзвичайні ситуації та насильницькі події

Турбота про себе:

  • Чути про катастрофу чи кризу постійно може бути дуже важко, тому робіть перерви в перегляді, читанні чи прослуховуванні новин, зокрема в соціальних мережах.
  • Бережіть своє тіло. Дихайте глибоко, робіть вправи на розтягування м’язів або медитуйте. Намагайтеся харчуватися регулярно та збалансовано, регулярно займатися спортом, висипайтеся, уникайте алкоголю та наркотиків.
  • Спілкуйтеся з іншими. Поговоріть з друзями та родиною, або з професіоналом, про те, що вас турбує і як ви себе почуваєте.
  • Керуйте своїми думками та емоціями, зберігайте надію.
  • Підтримуйте якомога звичайний розпорядок дня, включаючи заняття тими видами діяльності, які вам подобаються або які вас розслаблюють.
  • Станьте учасником зцілення (наприклад, організуйте чи беріть участь у громадському меморіалі вшанування жертв насильства, подаруйте свій час/гроші/речі, попрацюйте волонтером у місцевій агенції)

Турбота про свою родину:

Катастрофи та кризи можуть особливо засмучувати дітей та підлітків. Діти та підлітки частково реагують на те, що вони бачать від дорослих, тому залишайтеся спокійними наскільки можливо, щоб забезпечити найкращу підтримку. На додаток до обмеження доступу вашої родини до висвітлення подій в новинах та підтримки регулярних приємних занять, ви можете підтримати свою дитину чи підлітка наступним чином:

  • Дати їм можливість розповісти про свої турботи; сказати їм про події відверто, заспокоїти та дати їм зрозуміти, що вони можуть розраховувати на вас.
  • Дати їм зрозуміти, що це нормально, якщо вони засмучені або налякані; поговорити з ними про способи впоратися з своїми почуттями.

Спільні дії:

  • Будьте в курсі подій та приймайте рекомендації від експертів.
  • Дотримуйтесь інструкцій з охорони здоров’я та безпеки від медичних установ та працівників системи охорони здоров’я.
  • Пам’ятайте, що ЗМІ повідомляють про речі, які йдуть погано, або про виняткові події, частіше, ніж про те, що йде добре, або про звичайні повсякденні події.
  • Знайдіть баланс між збором інформації та дотриманням інструкцій за вашим емоційним станом. Спробуйте знайти обсяг інформації, який для вас достатній.

Коли психологічний стрес стає занадто сильним

Катастрофи, кризи та насильницькі події впливатимуть на людей по-різному. Ми можемо постраждати психологічно та/або фізично; деякі реакції можуть бути миттєвими, а інші можуть з’явитися пізніше. Насильницькі події можуть бути особливо болючими, коли жертви є частиною расової, етнічної чи іншої групи, з якою ви можете себе ототожнювати. Особливо важко впоратися зі стресовими факторами, які знаходяться поза нашим особистим контролем.

Якщо ви помітили, що поведінка вашої дитини або підлітка значно змінилася, обговоріть з ними ситуацію. Наступні ознаки та симптоми можуть сигналізувати про психологічні проблеми, щодо яких вам, або вашим близьким може бути корисна професійна допомога:

  • Зміни в режим харчування або сну (занадто багато або занадто мало)
  • Уникання інших (навіть у межах соціального дистанціювання) або зменшення спілкування
  • Головні болі, проблеми зі шлунком, біль у шиї або спині, або погіршення хронічних проблем здоров’я
  • Надмірний плач, занепокоєння, смуток, страх або напади паніки
  • Почуття гніву, провини, безпорадності, заціпеніння, розгубленості, дратівливості або нетерплячості
  • Занадто багато думок про катастрофу чи кризу або дуже частий перегляд новин про події
  • Відсутність бажання вставати з ліжка
  • Виникли труднощі з концентрацією або увагою
  • Збільшене вживання алкоголю, тютюну та наркотиків
  • Почуття надмірного бажання захищати близьких
  • Уникання занять, які подобалися в минулому
  • Серед дітей і підлітків погана успішність у школі або уникання школи, повернення до поведінки, яку вони переросли (наприклад, енурез) або неслухняну поведінку чи необачні дії.

Важливо пам’ятати, що більшість з нас в той чи інший час мали деякі ознаки та симптоми, перераховані вище. Рекомендуємо проконсультуватися з регульованим фахівцем системи охорони здоров’я, таким як психолог, ваш сімейний лікар, медична сестра, психіатр або інший спеціаліст сфери психічного здоров’я, якщо у вас є ряд цих ознак і симптомів та вони

  • продовжуються більше двох тижнів
  • продовжуються до того моменту, коли ви не можете виконувати домашню чи робочу діяльність, дозволену рекомендаціями щодо соціального дистанціювання
  • супроводжуються сильним почуттям відчаю чи безпорадності чи суїцидальними думками.

Як можуть допомогти психологи?

Жертви катастроф, надзвичайних ситуацій та насильницьких подій – роль психолога

Щоразу, коли відбувається катастрофа, надзвичайна ситуація або насильницька подія, психологи часто можуть бути мобілізовані, щоб допомогти[1]. Психологи навчені допомагати людям як впоратися зі стресом і сильними емоціями, незалежно від того, чи є вони жертва, свідок, близька людина або особа, яка надає першу допомогу.

Психологи можуть допомогти людям впоратися з психологічними та фізичними симптомами, зазначеними вище, а також допомогти наступним чином:

  • Діагностика проблем психічного здоров’я та розробка плану лікування
  • Допомога людям у використовуванні власних внутрішніх ресурсів для початку відновлення
  • Зв’язок тих, хто вижив, з іншими людьми під час того, як вони навчаються справлятися як з матеріально-технічним, так із емоційними наслідками травматичної події
  • Освіта людей про спектр емоцій, як вони можуть відчувати після події
  • Вислухати турботи та думки людей з різних питань (наприклад, турботи батьків щодо дітей)
  • Допомога людям з особливостями тимчасових умов життя, таких як притулки
  • Надання інформації та сприяння знаходженню ресурсів для поточних потреб, таких як одяг, медичне обслуговування тощо.
  • Відстоювання потреб окремих осіб або сімей, коли вони користуються системами, створеними
  • для надання допомоги
  • Допомога людям розробити власні плани прийняття змін та відновлення
  • Допомога у вирішенні конфліктів
  • Допомога людям впоратися з будь-якими життєвими негараздами, як можуть відбуватися одночасно з травматичною подією
  • Допомога дітям з використанням позитивних стратегій подолання ситуації, зі спілкуванням з іншими, та відновити знайомий розклад та види діяльності

 

Психологи з досвідом роботи в області надзвичайних ситуацій також можуть запропонувати  консультації з визнаними гуманітарними організаціями та/або запропонувати провести навчання своїм колегам. Психологи також можуть розвивати спільні дослідницькі стосунки з психологами в уражених регіонах.

Довгострокові вимоги до людей, які мають кваліфікацію в терапії та навчанні в районах, постраждалих від стихійного лиха, численні. Психологів, які бажають допомогти в надзвичайних ситуаціях, закликають підготуватися через тренінг щодо психічного здоров’я при таких подіях.

Куди я можу звернутися для отримання додаткової інформації?

Ви можете проконсультуватися з зареєстрованим психологом, щоб дізнатися, чи будуть вам корисні психологічні послуги. Провінційні, територіальні та деякі муніципальні асоціації психологів часто можуть направити вас до послуг. Назви та координати провінційних та територіальних об’єднань психологів можна знайти за посиланням https://cpa.ca/public/whatisapsychologist/ptassociations/

Додаткові ресурси

http://cpa.ca/docs/File/Publications/FactSheets/PsychologyWorksFactSheet_PTSD.pdf

http://apa.org/topics/index.aspx

http://www.phac-aspc.gc.ca/mh-sm/pubs/mental_illness/acknowl-eng.php

https://www.redcross.ca

https://www.un.org/en/

https://www.redcross.org/about-us/our-work/disaster-relief/disaster-mental-health.html

Цей інформаційний лист підготовлено Канадською Психологічною Асоціацією.

The CPA thanks  Alexandra Froese, M.Ed., R.Psych. (SK) who translated the Fact Sheet and Nadiya Sakhno who reviewed the translation.

Дата: лютий 2022 року

Ваша думка має значення! Будь ласка, зв’яжіться з нами з будь-якими питаннями чи коментарями щодо будь-яких інформаційних  бюлетенів Psychology Works : factsheets@cpa.ca

Канадська Психологічна Асоціація

Тел: 613-237-2144 / Безкоштовно (у Канаді): 1-888-472-0657

 


[1] Адаптовано з Посібника з питань психічного здоров’я Американського Червоного Хреста Foundations of Disasters

 

Psychology Month Profile: Dr. Charlene Senn and Dr. Lorraine Radtke, Section on Women And Psychology

Dr. Charlene Senn
Dr. Charlene Senn
Dr. Lorraine Radtke
Dr. Lorraine Radtke

Dr. Charlene Senn and Dr. Lorraine Radtke, Section on Women And Psychology
The CPA’s Section for Women And Psychology (SWAP) creates a community of researchers, teachers, and practitioners interested in the psychology of women and feminist psychology. Today’s Psychology Month feature talks to Dr. Lorraine Radtke and Dr. Charlene Senn about the work they’re doing in this space.


Psychology Month Profile: Dr. Joshua Bourdage and Dr. Winny Shen, Industrial Organizational Psychology

Dr. Joshua Bourdage
Dr. Joshua Bourdage
Dr. Winny Shen
Dr. Winny Shen

Dr. Joshua Bourdage and Dr. Winny Shen, Industrial Organizational Psychology
Industrial/Organizational psychology is the study of psychology in the workplace. We spoke to Dr. Joshua Bourdage and Dr. Winny Shen about workplace culture, organizational structure, and the vast variety of work I/O psychologists do.


Psychology Month Profile: Dr. Cheryl Harasymchuk, Dr. Katherine Starzyk, and Dr. John Zelenski, Social and Personality Psychology

Dr. Cheryl Harasymchuk
Dr. Cheryl Harasymchuk
Dr. John Zelenski
Dr. John Zelenski
Dr. Katherine Starzyk
Dr. Katherine Starzyk

Dr. Cheryl Harasymchuk, Dr. Katherine Starzyk, and Dr. John Zelenski, Social and Personality Psychology
Social and Personality Psychology is really a description of two different disciplines that are inextricably linked. We spoke to Dr. Cheryl Harasymchuk, Dr. Katherine Starzyk, and Dr. John Zelenski about the contentious history and harmonious present, and the work they do to influence us all to be better.


Psychology Month Profile: Dr. Randal Tonks and Dr. Gira Bhatt, International and Cross-Cultural Psychology

Dr. Randal Tonks
Dr. Randal Tonks
Dr. Gira Bhatt
Dr. Gira Bhatt

Dr. Randal Tonks and Dr. Gira Bhatt, International and Cross-Cultural Psychology
International and Cross-Cultural Psychology are two separate but related fields. The study of cultural differences and similarities has long brought needed perspective to psychology, and that work has been accelerated as the world becomes more and more globally connected. We spoke to Dr. Randal Tonks and Dr. Gira Bhatt about the work they do in this space.


Psychology Month Profile: Dr. David Nussbaum and Dr. Yusef Karimi, Extremism and Terrorism

Dr. David Nussbaum
Dr. David Nussbaum
Dr. Yusef Karimi
Dr. Yusef Karimi

Dr. David Nussbaum and Dr. Yusef Karimi, Extremism and Terrorism
Extremism and Terrorism are not limited to a geographic location or to a time period. We see the results all over the world, here in North America, in the Middle East, and most recently in Europe. Dr. David Nussbaum and Dr. Yusef Karimi discuss psychology’s role in understanding, and possibly preventing, violent extremism.


Psychology Month Profile: Dr. Wendy Darr, Dr. Allister MacIntyre, Dr. Susan Dowler and Dr. Damian O’Keefe, Psychology in the Military

Dr. Wendy Darr
Dr. Wendy Darr
Dr. Allister MacIntyre
Dr. Allister MacIntyre
Dr. Damian O’Keefe
Dr. Damian O’Keefe

Dr. Wendy Darr, Dr. Allister MacIntyre, Dr. Susan Dowler and Dr. Damian O’Keefe, Psychology in the Military

Psychologists in the military play many roles, from personnel selection to designing training to a number of therapy roles. We spoke with Dr. Wendy Darr, Dr. Allister MacIntyre, Dr. Susan Dowler and Dr. Damian O’Keefe to learn more.


“Psychology Works” Fact Sheet: Coping with Emergencies, Disasters and Violent Events

Like any life stressor, public health emergencies (e.g., pandemics), disasters (e.g., tsunamis, earthquakes, tornadoes), and violent events (e.g., mass shootings, terrorist acts, wars), challenge the way we cope. Whether we learn about them on television or experience them personally, we can feel upset, fearful, and/or anxious as a result, both for our own personal safety and that of our family, friends, and community. Stressful events can also bring up feelings and memories of previous traumatic events thereby compounding the distress that we feel.

People who may respond more strongly to the stress of a disaster, emergency or violent event include older adults, children and teens; first responders and health care providers who are helping with the disaster/crisis response; people who have mental health conditions including problems with substance use or who worry excessively; people who live alone or have few social supports; and people who are personally impacted or whose friends and family are personally impacted by what is happening.

Things to Keep in Mind about Stress

It is normal to be emotionally affected, to different degrees, by large-scale disasters and events. It is important to remember that.

  • People are strong and resilient, and generally have the skills they need to cope with the stressors they will face in a lifetime.
  • Not everyone reacts to the same event in the same way and not everyone shows their distress in the same way.
  • The ways in which children and communities cope and react to a stressor are influenced by how they see parents, caregivers and community leaders cope and react.

Coping with Disasters, Emergencies, and Violent Events

Taking Care of Yourself:

  • Hearing about the disaster or crisis repeatedly can be upsetting, so take breaks from watching, reading, or listening to news stories, including social media.
  • Take care of your body. Take deep breaths, stretch, or meditate. Try to eat healthy, well-balanced meals, exercise regularly, get plenty of sleep, and avoid alcohol and drugs.
  • Connect with others. Talk with friends and family, or a professional, about your concerns and how you are feeling.
  • Manage your thoughts and emotions, and remain hopeful
  • Maintain as normal a routine as possible, including engaging in activities you enjoy or find relaxing.
  • Be part of the healing (e.g., organize or participate in a public memorial to honour the victims of violence, donate your time/money/supplies, volunteer with a local agency)

Taking Care of your Family:

Disasters and crises can be particularly upsetting to children and teens. Children and teens react, in part, to what they see from the adults around them so stay calm to provide the best support. In addition to limiting your family’s exposure to news coverage of the event and maintaining regular routines enjoyable activities, you can support your child or teen by:

  • Giving them the opportunity to talk about their concerns, telling them the truth, reassuring them, and letting them know they can count on you.
  • Letting them know it is ok if they feel upset or scared and talk to them about ways to cope with their feelings.

Responding as a Community:

  • Stay informed and take guidance from experts
  • Follow the health and safety guidelines of health agencies and public health officers
  • Remember that the media reports things that go wrong, or exceptional events, more often than things that go right, or common events.
  • Balance gathering information and heeding safety guidelines to reduce risk with not letting the gathering of information or the attention to safety guidelines unduly preoccupy you.

When Psychological Distress Becomes Too Much

Disasters, crises, and violent events will affect people differently. We can be affected psychologically and/or physically; some reactions can be immediate, and others can be delayed. Violent events can be especially painful when the victims are part of a racial, ethnic, or other group with whom you may identify.  Stressors that are beyond our personal control are especially difficult to cope with well.

If you notice your child or teen’s behaviour has changed significantly, discuss the situation with them.  Signs and symptoms that might signal a psychological problem or disorder for which you or a loved one might benefit from professional help include:

  • Changes in eating or sleeping patterns (too much or too little)
  • Avoiding others (even within the confines of social distancing) or talking less
  • Experiencing headaches, stomach problems, neck or back pain or worsening of chronic health problems
  • Excessive crying, worry, sadness, fear, or panic attacks
  • Feeling angry, guilty, helpless, numb, confused, irritable or impatient
  • Thinking about or watching too much television about the disaster or crisis
  • Not wanting to get out of bed
  • Having difficulties concentrating or with attention
  • Increased use of alcohol, tobacco, and other drugs
  • Feeling overprotective of loved ones
  • Avoidance of activities enjoyed in the past
  • Amongst children or teens, poor school performance or avoiding school, return to behaviours they have outgrown (e.g., bedwetting), or “acting out” behaviours

It is important to remember that most of us have had some of the signs and symptoms listed above at one time or another. You are well advised to consult a regulated health care professional such as a psychologist, your family physician, a nurse practitioner, psychiatrist, or other mental health provider if you have a number of these signs and symptoms and they

  • persist beyond a couple of weeks
  • persist to the point where you are not able to carry out the home or work-related activities permitted by social distancing advisories
  • are accompanied by intense feelings of despair or helplessness or suicidal thoughts.

How Can Psychologists Help?

Victims of Disasters, Emergencies, and Violent Events – Role of Psychologists

Whenever there is a disaster, emergency or violent event, psychologists can be and often are mobilized to help.[1] Psychologists are trained to help people cope with stress and strong emotions, whether they be a victim, a witness, a loved one, or a first-responder.

Psychologists can help with individuals deal with the psychological and physical symptoms noted above, through the following:

  • Diagnosing a mental health issue and developing a treatment plan
  • Helping people build upon their own internal resources to begin the recovery process
  • Connecting survivors with others as they learn to cope with both the logistical and emotional challenges of the traumatic event
  • Educating people about the range of emotions they may experience following the event
  • Listening to people’s concerns on a variety of issues (e.g., parents about children)
  • Helping people to manage their temporary living conditions such as shelters
  • Providing information about and helping facilitate connections to obtain resources for current needs such as clothing, medical care, etc.
  • Advocating for the needs of individuals or families as they navigate systems that have been established to provide aid
  • Helping people to develop their own personal recovery and change-acceptance plans
  • Helping problem-solve conflicts
  • Helping people manage any other life disasters that may be occurring simultaneously with the traumatic event
  • Helping children to use positive coping strategies, connect with others, help others, and re-establish familiar routines and structures

Psychologists with experience in disaster mental health and/or public health can also offer to consult with recognized humanitarian organizations and/or offer to provide training to other colleagues.

Psychologists can also develop collaborative research relationships with psychologists in the affected regions.

The long-term requirements for people skilled in consultation and training in disaster-affected areas are numerous. Psychologists wanting to help in emergency situations are urged to prepare by getting trained in disaster mental health.

Where can I go for more Information?

You can consult with a registered psychologist to find out if psychological interventions might be of help to you. Provincial, territorial and some municipal associations of psychology often maintain referral services. For the names and coordinates of provincial and territorial associations of psychology, go to  https://cpa.ca/public/whatisapsychologist/PTassociations/.

Additional resources

http://cpa.ca/docs/File/Publications/FactSheets/PsychologyWorksFactSheet_PTSD.pdf

http://apa.org/topics/index.aspx

http://www.phac-aspc.gc.ca/mh-sm/pubs/mental_illness/acknowl-eng.php

https://www.redcross.ca

https://www.un.org/en/

https://www.redcross.org/about-us/our-work/disaster-relief/disaster-mental-health.html

This fact sheet has been prepared by the Canadian Psychological Association.

Date: February 2022

Your opinion matters! Please contact us with any questions or comments about any of the Psychology Works Fact Sheets:  factsheets@cpa.ca

Canadian Psychological Association

Tel: 613-237-2144
Toll free (in Canada): 1-888-472-0657

[1] Adapted from the American Red Cross Foundations of Disasters Mental Health Manual

Psychology Month Profile: Alejandra Botia and Emily Winters, Students in Psychology

Alejandra Botia
Alejandra Botia
Emily Winters
Emily Winters

Alejandra Botia and Emily Winters, Students in Psychology

Students in psychology, like students everywhere, have had a tough adjustment to make these last two years. Alejandra Botia and Emily Winters spoke to us about what they’re doing to help their fellow students navigate the new challenges presented by COVID.


Canadian Psychological Association International Bursary

The Board of the Canadian Psychological Association (CPA) maintains an international bursary program that is available to developing and emerging countries – those who are members of the Global Psychology Alliance (GPA) as well as those who are not GPA members but are in the process of developing and formalizing organized psychology in their countries.

This fund is advertised at least annually to the member countries of the Global Psychology Alliance. Only organizations or departments of psychology, and not individual psychologists, will be eligible to apply. The fund will be capped at $5,000.00 CAN annually, with a rolling application process. A single request cannot exceed $5,000.00 CAN and the CPA reserves the right to award more or less than the amount being requested.

Click for complete information and the application link: Canadian Psychological Association International Bursary Application Form


Psychology Month Profile: Dr. Jim Cresswell and Dr. Thomas Teo, History and Philosophy of psychology

Dr. Jim Cresswell
Dr. Jim Cresswell
Dr. Thomas Teo
Dr. Thomas Teo

Dr. Jim Cresswell and Dr. Thomas Teo, History and Philosophy of Psychology

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Psychology Month Profile: Dr. Veronica Hutchings, Charlene Bradford, and Dr. Reagan Gale,Rural and Northern Psychology

Dr. Veronica Hutchings
Dr. Veronica Hutchings
Dr. Reagan Gale
Dr. Reagan Gale
Charlene Bradford
Charlene Bradford

Dr. Veronica Hutchings, Charlene Bradford, and Dr. Reagan Gale, Rural and Northern Psychology
There are unique challenges that come with living in small communities – especially those far in the north. Being a psychologist in these areas brings unique challenges as well. We spoke to Dr. Veronica Hutchings, Charlene Bradford, and Dr. Reagan Gale about their work in Yukon and Newfoundland.


Psychology Month Profile: Dr. Stryker Calvez and Dr. David Danto, Indigenous Peoples’ Psychology

Dr. Stryker Calvez
Dr. Stryker Calvez
Dr. David Danto
Dr. David Danto

Dr. Stryker Calvez and Dr. David Danto, Indigenous Peoples’ Psychology
As psychology comes to grips with the need to change practices to welcome Indigenous people and attract Indigenous practitioners, the Indigenous Peoples’ Psychology Section says this will involve many important and difficult conversations. We had one with Dr. Stryker Calvez and Dr. David Danto.


Psychology Month Profile: Dr. Lindsay McCunn and Dr. John Zelenski, Environmental Psychology

Dr. Lindsay McCunn
Dr. Lindsay McCunn
Dr. John Zelenski
Dr. John Zelenski

Dr. Lindsay McCunn and Dr. John Zelenski, Environmental Psychology
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CPA-CPAP Report on Accelerating the Integration of Psychological Services in Primary Care (February 2022)

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Psychology Month Profile: Dr. Maria Rogers and Dr. Maria Kokai, Educational and School Psychology

Dr. Maria Rogers
Dr. Maria Rogers
Dr. Maria Kokai
Dr. Maria Kokai

Dr. Maria Rogers and Dr. Maria Kokai, Educational and School Psychology
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Black History Month: Dr. Cranla Warren

Dr. Cranla Warren photo
Photo: Enje Daniels Photography

Dr. Cranla Warren
Dr. Cranla Warren is the Vice-President of Leadership Development at the Institute for Health and Human Potential. Her professional work focuses on organizational systems, leadership development, and emotional intelligence, and her volunteer work focuses on mentorship for professional women and Black girls.


Psychology Month Profile: Dr. Andrea Howard, Developmental Psychology

Dr. Andrea Howard
Dr. Andrea Howard

Dr. Andrea Howard, Developmental Psychology
Developmental psychology covers everything from infancy to old age, as human beings are continually developing throughout our lifespans. The ability to change as we progress is called ‘plasticity’, and we spoke to Dr. Andrea Howard about it.