Tag Archives: Celia B. Fisher

Fordham Study Addresses Health Care of Bisexual Adolescent Girls

For bisexual female adolescents,  proper sexual healthcare is difficult to obtain due to healthcare providers’ judgmental attitudes and assumptions of patient heterosexuality, and lack of opportunities for HIV and sexually transmitted infections (STI) testing. Additionally, youth openness with healthcare providers is restricted due to stigma experienced within families of bisexual teen girls and concerns of confidentiality. These findings were published in LGBT Health, a Mary Ann Liebert, Inc. publication

Principle investigators of this NIH-funded study, Dr. Celia B. Fisher, Director of the Fordham University Center for Ethics Education and Dr. Brian Mustanski, Director of the Institute for Sexual and Gender Minority Health and Wellbeing, along with Drs. Miriam Arbeit and Kathryn Macapagal, describe these health care disparities in the article, Bisexual Invisibility and the Sexual Health Needs of Adolescent GirlsThe study analyzed bisexual female adolescents’ perspectives on their access to health information and services provided by health care professionals.

In addition to attitudes and assumptions of healthcare providers and stigma within families, the findings also included limited school-based sexual health education as an important factor contributing to insufficient health care for bisexual adolescent girls.

“The findings from our study are consistent with the unfortunate fact that sexual health care of adolescent girls has largely been absent or focused primarily on birth control tools that do not prevent risk of HIV and other STI – especially if male partners refuse to use condoms,” notes Fisher, Director of Fordham Center for Ethics Education, “and this problem is exacerbated for bisexual girls who may be unprepared for sexual experiences with male partners or who engage in such experiences to avoid social stigma.”

The researchers concluded that practitioners must improve standard sexual health practices involving female youth by integrating nonjudgmental questions regarding bisexuality. According to Fisher, the study “underscores the need for additional training of family physicians and gynecologists to engage in patient centered discussions that help to overcome bisexual invisibility and fears of medical discrimination that are barriers to bisexual girls sexual health.” In a recent article about the study, William Byne, MD, PhD of LGBT Health, adds, “Knowledge of a patient’s sexuality is essential to the biopsychosocial model of clinical practice.”

According to the study, other forms of support of bisexual health among adolescent girls include addressing stigma, increasing sensitivity to privacy and expansion of school-based sexual health education.

Read more about this research in the News Medical Life Sciences article as well as in LGBT Health.

Welcome Fall 2016 Master’s Students!

The Ethics and Society blog is delighted to welcome the following candidates to Fordham University’s Master of Arts in Ethics and Society:


Kelly Collins

Kelly Collins graduated in 2011 with a BS in Philosophy and Political Science from Florida State University.  After moving to New York City shortly after graduation, she began working as a legal assistant in a well-known international law firm.  While pursuing her MA in Ethics and Society, Kelly hopes to utilize real-world skills to analyze and reflect upon today’s moral dilemmas.


Tim Colvin

Tim Colvin is currently a senior at Fordham University from Kings Park, New York. He is a dual major in Political Science and Classical Civilization with a minor in Philosophy. Tim is interested in attending law school and hopes to apply a background in ethics in practice after completing the MA in Ethics and Society.

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Medical Training for Transgender Patients Needs to Include Sensitivity to Social Stigmas for both Gender and Sexual Orientation

The recently published article on doctor’s lack of expertise in treating transgender patients in The Guardian is an important step forward in highlighting current disparities in healthcare services for this population.  The study, based on interviews with sample of 23 physicians and psychologists who chose to work with transgender patients, focused on current challenges in providing gender affirming care for individuals who are seeking medically supported transitioning treatments, such as hormonal replacement therapies (HRT).

A recently completed study by Celia B. Fisher, Ph.D. and her colleagues, funded by the National Institute for Minority Health and Health Disparities (NIMHD) confirms the need for greater medical training, based on the reports of 228 transgender males, females and gender non-conforming youth ages 14 – 21.  “Fear of stigmatization is a significant barrier to healthcare among these youth,” notes Fisher, Director of Fordham University’s Center for Ethics Education, “and in our study, 51% reported they did not discuss their transgender identity with their primary health care providers out of fear that the provider would not be accepting.”

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Relying on Psychological Assessments do not Right Death Penalty Wrongs for the Intellectually Disabled

Although the death penalty is on the decline in the United States, the case of James Rhodes highlights the ethical quagmire facing forensic psychiatrists and psychologists whose evaluations contribute whether persons with intellectual disabilities convicted of murder will live or die.

In addition to the increasingly familiar racial biases and legal flaws in death penalty convictions and use of lethal injection, according to Celia B. Fisher, Ph.D. Director of Fordham University’s Centerfor Ethics Education, little attention has been paid to the lack of professional consensus surrounding the validity and reliability of IQ tests in general and for racial minorities in particular, disagreement over the use of absolute cut-off scores to determine intellectual disability, and the inherent fallibility of tests to determine the probability of future violence.

“Professional evaluations are not a panacea for inconsistent, uninformed and often racially biased jury decisions,” notes Fisher, “rather than providing a fair and neutral assessment of mental ability forensic assessments are contributing to inconsistencies that lethally violate the human rights of convicted criminals in capital cases.”

For more information on the ethics of psychologists’ involvement in death penalty evaluations – particularly for defendants with mental disabilities Dr. Fisher’s 2013 article in Ethics & Behavior entitled “Human Rights and Psychologists’ Involvement in Assessments Related to Death Penalty Cases.”

Celia B. Fisher, Ph.D. is the Marie Ward Doty University Chair, Professor of Psychology, and Director of Fordham University’s Center for Ethics Education. She chaired the 2002 revision of the American Psychological Association’s Ethics Code and is the author of Decoding the Ethics Code: A Practical Guide for Psychologists, now in it’s fourth edition, from Sage Publications.


Will Research on 10,000 New Yorkers Fuel Future Racial Health Inequality?

Image via Flickr.

Image via Flickr

By Celia B. Fisher, Ph.D.

A 20-year, multi-million dollar study of more than 10,000 New Yorkers scheduled to begin next year claims that it will enable the development of theories, therapeutics, and policies to improve the health and quality of human life.  Although still in the planning stages, the breadth of the data collection proposed (including health habits, biological data, and geospatial mapping) combined with the lack of detail accompanying such a widespread publicity effort raises questions regarding the extent to which the research risks of such an endeavor have been well thought out.

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Jailing for Dollars: The Federal Government Takes Steps to Eliminate a Moral Stain on Justice in the US

The United States has become the world’s leading jailer with 2.2 million people in jails and prisons across the country.  With a combination of government and privately run facilities, the nation faces the moral issues surrounding the prison-industrial complex.  As reflected in a recent New York Times article, the U.S. Justice Department has announced plans to phase out the use of privately run facilities, citing less safe conditions than their government run counterparts.

In the Obama administration’s continuing efforts to address inequities in the criminal justice system The U.S. Justice Department announced plans to phase out its use of privately operated prisons, calling them less safe and a poor substitute for government-run facilities.  According to Celia B. Fisher, Director of the Fordham Center for Ethics Education “this is a welcome step toward addressing the inequities produced by a public-private system that incentivizes high incarceration rates with devastating effects on poor and minority communities.

Fordham University Center for Ethics Education brought attention to this issue in a conference on “Jailing for Dollars: The Moral Cost of Privatizing Justice” featuring Cindy Chang, Los Angeles Times, Scott Cohn, NBC, Thomas Giovanni, Brennan Center for Justice, Judith Greene, Justice Strategies and Michael Jacobson, Vera Institute of Justice. Speakers explored pressing moral questions about the prison-industrial complex, including dangerous overcrowding, unsafe work and health conditions and its consequences on individuals, families and society at large.

To watch the video of this conference, click here and scroll to the bottom of the page to play.

Celia B. Fisher, Ph.D. is the Fordham University Marie Ward Doty University Chair in Ethics and Director of the Center for Ethics Education. Fisher’s  Decoding the Ethics Code: A Practical Guide for Psychologist, is now in its fourth edition from Sage Publications.

Psychologists who “Analyze” Trump are Violating the Public Trust

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 Psychologists, is now in its fourth edition from Sage Publications.