As the 2016 presidential election approaches, psychologists are gaining media attention by diagnosing candidates as having personality disorders, especially for the Republican nominee. But the public should question whether or not offering these diagnoses is professionally ethical or in the service of political agendas.
As reflected in a recent New York Times article, the candidacy of Donald Trump has tempted some psychologists to abandon their unique training in mental health assessment and provide unprofessional diagnoses of Mr. Trump that, according to Celia B. Fisher, Director Fordham University’s Center for Ethics Education, “distort the values of their profession and violate the public trust”.
“Trained mental health practitioners serve the public good by providing diagnoses of individuals based on scientifically and professionally established assessment techniques,” notes Fisher, who chaired the committee that wrote the current American Psychological Association’s (APA) Ethical Principles and Code of Conduct, “however the public and the profession are harmed when psychologists provide opinions based on unsubstantiated information drawn from media reports or other subjective observations.”
There have been claims suggesting that psychologists who offer diagnoses of Donald Trump are doing so for the purpose of national and public interest. According to Fisher, who is the author of the widely read Decoding the Ethics Code: A Practical Guide for Psychologists, “Psychologists who claim that ‘Trumpism’ is a threat to democracy that provides moral justification to offer public diagnoses in the absence of established assessment techniques are deluding themselves into thinking that these unprofessional opinions benefit society.” Fisher further explains that psychologists are actually in “clear violation of the APA Ethics Code and are inadvertently contributing to a political climate based on opinion rather than fact.”
Celia B. Fisher, Ph.D. is the Fordham University Marie Ward Doty University Chair in Ethics and Director of the Center for Ethics Education. In addition to chairing the 2002 revision of the American Psychological Association’s Ethics Code, Fisher’s Decoding the Ethics Code: A Practical Guide for Psychologist, is now in its fourth edition from Sage Publications.
Posted in Contemporary Ethical Issues, In the News, Uncategorized
Tagged American Psychiatric Association, American Psychological Association, APA, Celia B. Fisher, Decoding the Ethics Code, diagnosis, Donald Trump, Ethics, Ethics Code, Fordham University, New York Times, psychologists, Psychology
The movement of the World Health Organization (WHO) to declassify transgender identity as a mental disorder is simultaneously a step forward in affirming the personhood of gender minority individuals, and a step backward in diagnoses that adequately reflect their health needs. The solutions posited by the WHO reveal the systemic influence of health insurance policies in defining not only medical disorders, but also social categories.
Currently, in the United States and abroad, in order to qualify for health insurance coverage for gender affirming surgery or hormone replacement therapy (HRT), mentally healthy transgender individuals must receive a diagnosis indicating a gender-related mental disorder based on either the WHO classification or the “gender dysphoria” diagnostic category in the Diagnostic and Statistical Manual of Mental Disorders (DSM). In the hopes of fostering greater acceptance while still satisfying insurers, after 25 years, the WHO is considering a new diagnostic category: “Conditions related to sexual health.”
According to Dr. Celia B. Fisher, Director of the Center for Ethics Education and Professor of Psychology at Fordham University, the new terminology, while well-intentioned, “runs the risk of perpetuating stereotypes that conflate gender identity and sexual orientation and lead to continued misclassification of transgender personhood as a sexual problem.”
Posted in In the News
Tagged Celia B. Fisher, civil rights, Conversion Therapy, DSM, gender affirming surgery, gender dysphoria, gender identity, Health insurance, LGBT youth, Transgender, World Health Organization
Posted in Contemporary Ethical Issues, Evidence-Based Ethics
Tagged Brian Mustanski, Celia B. Fisher, Fordham University, Justice, LGBT youth, Mental health, mental health research, Research Ethics, sexual health, Substance use
Central America hosts a thriving sex work industry that is a key source and transit region for sex trafficking and undocumented migrants engaged in sex work. Sex workers – particularly those who are migrant – are at high risk for HIV and other sexually transmitted infections as well as physical abuse and in some cases murder. However, the existing network of international, national, and local criminal and human rights policies applicable to sex workers can be confusing and contradictory, not only in the context of access to sexual health preventions and interventions, but also for investigators seeking to conduct that can lead to effective sexual health services.
Posted in Uncategorized
Tagged Celia B. Fisher, Central America, Elizabeth Yuko, Fordham University Center for Ethics Education, Fordham University HIV and Drug Abuse Prevention Research Ethics Training Institute, Health disparities, Human rights, international law, key populations, Lianne Urada, migration, NIH, Public Health, Research Ethics, Risks and benefits, Sex Workers, Shira Goldenberg, Vulnerable populations
The following is an interview with the American Public Health Association’s Ethics Section with Fordham University Center for Ethics Education Director Dr. Celia B. Fisher who served as an advisor for a White House panel on conversion therapy.
In April of this year, President Barack Obama announced his support for state efforts to pass Leelah’s laws. Such laws seek to ban conversion therapy, a practice which claims to change individuals with LGBTQ identities to a heterosexual identity and is named for an American transgender girl who committed suicide after undergoing conversion therapy. Celia B. Fisher is the Marie Ward Doty University Chair in Ethics and Director of the Center for Ethics Education at Fordham University and an Ethics Section member. She served as an advisor for a White House report released last fall, Ending Conversion Therapy: Supporting and Affirming LGBTQ Youth.
Posted in Contemporary Ethical Issues
Tagged APA, APHA, Celia B. Fisher, Conversion Therapy, Ethics Section, Fordham University, Leelah Alcorn, Leelah's Law, LGBT Ethics, Mental health, pseudoscience, Public Health, RELAY, SAMHSA, White House Report