Gerald P Koocher

Gerald P Koocher
Harvard Medical School | HMS · Department of Psychiatry and Behavioral Sciences

Ph.D.

About

216
Publications
101,030
Reads
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4,442
Citations
Citations since 2017
20 Research Items
641 Citations
2017201820192020202120222023020406080100120
2017201820192020202120222023020406080100120
2017201820192020202120222023020406080100120
2017201820192020202120222023020406080100120
Introduction
Gerald P Koocher is Senior Associate in Psychology at Boston Children's Hospital and Senior Lecturer at Harvard Medical School in Psychiatry and faculty member at the Harvard Bioethics Center. Gerry does research in Clinical Psychology, Forensic Psychology, Pediatric Psychology and Health Psychology. His most recent publications address ethical practice in medical settings.
Additional affiliations
September 2018 - present
Quincy College
Position
  • CEO
June 2013 - September 2018
DePaul University
Position
  • Head of Faculty
Description
  • Tenured Professor of Psychology
June 2001 - June 2013
Simmons College
Position
  • Dean and Associate Provost
Description
  • Currently Dean Emeritus

Publications

Publications (216)
Article
Full-text available
Medical child abuse, sometimes referred to as Munchausen Syndrome by Proxy or childhood factitious disorder, poses significant diagnostic, intervention, and ethical issues for medical and mental health practitioners alike. Psychologists working in pediatric hospitals and medical clinics should remain mindful of the health and ethical risks posed by...
Article
Full-text available
Psychological services have increasingly become integrated into adult and pediatric primary, acute, and chronic care health settings. The interdisciplinary teamwork required for optimal patient care in such settings creates particular ethical challenges not found in typical mental health practice. This chapter highlights the key ethical challenges...
Chapter
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Privacy, confidentiality, and legal privilege of mental health records in custody evaluations.
Article
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Use of animal drawings as a personality assessment tool.
Chapter
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Although psycho-social and behavioral science research rarely present serious medical hazards or threats to the physical well being of participants, such studies can raise a wide range of ethical dilemmas and controversies. When children participate in such research some special concerns related to their unique developmental vulnerabilities, relati...
Article
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Objective: This article provides an historical perspective on the Journal of Pediatric Psychology (JPP) on the occasion of its 50th anniversary. Methods: Former and current editors of JPP participated in a symposium at the 2019 Society of Pediatric Psychology Annual Conference (SPPAC), each highlighting prominent types of articles published duri...
Article
Full-text available
Growth in the presence of Emotional Support Animals (ESAs) in our society has recently garnered a substantial amount of attention, both in the popular media and the professional literature. Public media abounds with stories focusing on the increasing number of animals claimed as ESAs, the impact of this growth on society, the industry claiming to c...
Chapter
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This chapter puts health psychology within the context of the health systems of the United States and Canada.
Article
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At the time of this writing, 47 jurisdictions in the United States have enacted legislation authorizing the use of marijuana (aka, cannabis sativa) or its active ingredient, tetrahydrocannabinol (THC), for medical purposes, and 9 states and Washington, DC allow recreational use of the drug. The federal government regulates marijuana under the Contr...
Article
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Patients and families affected by medical illness can benefit from a range of psychological services and psychologists increasingly find opportunities to become integrated into adult and pediatric primary, acute, and chronic care health settings. In addition, many independent practitioners encounter patients for whom medical concerns contribute hea...
Article
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This study aimed to evaluate the validity and reliability of the Persian version of Death Anxiety Scale-Extended (DAS-E). A total of 507 patients with end-stage renal disease completed the DAS-E. The factor structure of the scale was evaluated using exploratory factor analysis with an oblique rotation and confirmatory factor analysis. The content a...
Article
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The theoretical and practical underpinnings of fees charged by mental health service providers are discussed in terms of historical and ethical contexts along with a selective review of published research. Key concepts are explained in the context of how they influence fee setting, discussion of fees with clients, fee disputes, and the influence of...
Article
Full-text available
This study aimed to evaluate the validity and reliability of the Persian version of Death Anxiety Scale-Extended (DAS-E). A total of 507 patients with end-stage renal disease completed the DAS-E. The factor structure of the scale was evaluated using exploratory factor analysis with an oblique rotation and confirmatory factor analysis. The content a...
Article
To inform ethical procedures for human subjects research using mobile health (mHealth), we examined perceived risks and benefits of study participation among emerging adults (N = 54) with drug use who completed text message assessments of substance use and sexual behaviors. Most participants reported comfort with participation and some reported per...
Book
Full-text available
Everyone, it seems, is talking and arguing about Evidence-Based Practice (EBP). Those therapies and assessments designated as EBP increasingly determine what is taught, researched, and reimbursed in health care. But exactly what is it, and how do you do it? The second edition of Clinician's Guide to Evidence-Based Practices is the concise, practi...
Article
This article memorializes Steven Walfish, PhD who was the inaugural editor of this journal, died peacefully on April 27, 2016, of a late-diagnosed cancer that progressed very quickly. Walfish was a licensed psychologist in independent proactive in Atlanta who was also a gifted mentor to students and a prolific author.
Chapter
This chapter demonstrates how research is integrated with the two other pillars of evidence-based practice (EBP): clinical expertise and patient characteristics. Research alone never suffices for making clinical decisions, nor does the simple extrapolation of research qualify as EBP. The chapter begins by correcting pernicious myths about EBP and t...
Chapter
This chapter provides a guide to the first core skill of evidence-based practice (EBP): formulating a specific, answerable question. This skill lies at the heart of accessing the best available research. To practice EBP clinicians must first form an answerable clinical question; otherwise they will likely incur frustration and waste time once they...
Chapter
This chapter reviews unfiltered information sources, which contain “virtually everything” published, without filter or fetter. Unfiltered information can be found in a wide variety of online search tools and bibliographic databases, such as MEDLINE, PsycINFO, and CINAHL, and is generally the basis for all other kinds of research evidence. This chap...
Chapter
This chapter discusses the steps EBP clinicians should take in finding evidence that addresses their clinical questions: searching background information resources, which provide overviews of topics, and then moving to filtered information resources, which provide access to timesaving, synthesized information. To help clinicians navigate these reso...
Chapter
Evidence-based practice depends on research as its key source, and that research follows one of several designs. This chapter identifies commonly used research designs, terms used in their application, and the special strengths and weaknesses of each design. Designs include randomized clinical trials, quasi-experimental designs, surveys, and case s...
Chapter
The final core step in evidence-based practice (EBP) is evaluating the effectiveness of the entire process: the E(valuation) in the mnemonic AAA TIE. In the literature, this skill is typically referred to as monitoring, measuring, or auditing clinical performance. This chapter reviews the evaluation of EBP implementation at three levels: the indivi...
Chapter
Assessing and interpreting research reports involves examination of individual studies as well as summaries of many studies. Summaries may be conveyed in narrative reviews or, more typically, in meta-analyses. This chapter reviews how researchers conduct a meta-analysis and report the results, especially by means of forest plots, which incorporate...
Chapter
Moving research evidence from science to service, from the lab bench to the bedside, poses a challenge for evidence-based practices (EBPs). Translation(al) research inclusively refers to the process of successfully moving research-supported discoveries into established practice and policy. This chapter begins with synopses of the empirical research...
Chapter
This chapter reviews the numerical indices most frequently encountered in evidence-based practice (EBP), with an emphasis on practical interpretation. The research that fuels EBP abounds with numbers. Making sense of and applying that research requires familiarity with those numbers. This chapter covers features of the normal curve, standard errors...
Chapter
This chapter assists practitioners in translating the research evidence into direct applications to their patients. It reviews the imperative of translational research and the stance of the reflective practitioner. The chapter helps practitioners translate the results of randomized clinical trials into practice by applying the CONSORT checklist. It...
Chapter
This opening chapter sets the stage for the book by sketching a brief history of evidence-based practice (EBP), explicating the definition and goal of EBPs, outlining controversies about EBP, and introducing three composite patients who will reappear as examples throughout the book. It introduces the sequential core skills of EBP, summarized by the...
Chapter
Full-text available
This chapter is a contribution to a textbook for 3rd and 4th year undergraduates taking health psychology courses in Canada and the United States. After describing health systems in the world with their differing financing, administrative and delivery arrangements, the chapter focuses on the role of health psychologists in North America. The second...
Article
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This commentary addresses the emotionally powerful account of Nicole Taus Kluemper from the perspective of a psychologist familiar with the administrative operation of the American Psychological Association (APA) and the ethics of the profession. The application of the APA's Ethical Principles of Psychologists and Code of Conduct to the case is dis...
Article
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In the context of intense interest in identifying what works in mental health, we sought to establish a consensus on what doesnot work-discredited psychological assessments and treatments used with children and adolescents. Applying a Delphi methodology, we engaged a panel of 139 experts to participate in a two-stage survey. Participants reported t...
Article
This online resource for mental health practitioners presents a variety of information required in daily practice in one easy-to-use resource. Covering the entire spectrum of practice issues–from diagnostic codes, practice guidelines, treatment principles, and report checklists, to insight and advice from today's most respected clinicians–this peer...
Article
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When I reached age 5, our family pediatrician, who made house calls, told my parents that my tonsils should come out. The deed would be done by my pediatrician and an otolaryngologist in the kitchen of my family’s apartment in Cambridge, Massachusetts, saving the expense and hazards of a hospital stay during the polio epidemic of the 1950s. I was t...
Article
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When conducting parenting plan evaluations, mental health professionals must have an understanding of the most current findings in developmental research, behavioral psychology, attachment theory, and legal issues to substantiate their opinions. This online resource focuses on translating the research associated with the most important topics withi...
Article
Each of the 38 case studies in this book is authored by an expert in psychology, psychiatry, social work, or counseling. The cases have been clustered by work setting under the general headings of psychotherapy, forensics, medical centers, national security, organizations, schools, supervision, religious settings, and public service. Each manuscrip...
Article
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The provision of mental health services over the Internet is becoming increasingly commonplace as new technologies continue to develop. Evidence in support of the efficacy of many such interventions is accumulating. Given the potential global reach of Internet-based psychological services, the authors examine ethical issues relating to this growing...
Article
Evidence-based practice promotes those research-supported treatments that have proven effective, but it rarely identifies discredited treatments that are to be avoided. We sought to establish a professional consensus on discredited addiction treatments using Delphi methodology. A panel of 75 experts participated in a 2-stage study, reporting famili...
Article
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A new survey shows that informal intervention can often avert much irresponsible scientific behaviour, and is not as risky as people might fear, say Gerald Koocher and Patricia Keith-Spiegel.
Article
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Foreword Every once in awhile a product comes along that is destined to make a difference. This Guide is such a product. Informed by data generated through surveys and interviews involving more than 2,000 scientists, the Guide gives voice to those researchers willing, some with eagerness and others with relief, to share their stories publicly in th...
Article
Rapidly expanding access to a wide array of electronically mediated modes of human communication has and will continue to change society. Why should we not expect mental health services to change accordingly? Just as we contemplate and evaluate other advances in psychological assessment and intervention activities, we must consider the changes brou...
Article
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Psychologists have historically conducted research, taught, and provided human services directly with and for people who could readily identify the providers as psychologists. Increasingly, psychologists find themselves engaged in supplying consulting services that affect the lives of many people but take place without public scrutiny or identifica...
Article
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Children find themselves included in custody evaluations in a variety of ways, sometimes to their dissatisfaction and discomfort. Even when children wish to have a voice in custody matters, they may shy away from the transparent nature of the process. Forensic evaluators seek informed consent from adults and assent from children who participate in...
Article
Full-text available
Mental health practitioners working with children and families must attend to several ethical concerns that do not typically come into play with adult clients. The challenges for practitioners usually involve attention to four subsets of concerns that all begin with the letter c: competence, consent, confidentiality, and competing interests. Using...
Article
Full-text available
Foreseeable social and technological changes will force us to reevaluate our thinking about ethically appropriate ways to fulfill our mission of using psychology to advance human health and welfare in the twenty-first century. Three categories of challenge related to societal and technological changes have become particularly evident. First, increa...
Article
Full-text available
Psychologists are regularly confronted by a wide range of ethical challenges for which no clear solution is apparent. Although the "Ethical Principles of Psychologists and Code of Conduct" (American Psychological Association, 2002) is of some help when one faces such dilemmas, it cannot provide definitive guidance or all needed answers. The process...
Article
Full-text available
In the context of intense interest in evidence-based practice (EBP), the authors sought to establish consensus on discredited psychological treatments and assessments using Delphi methodology. A panel of 101 experts participated in a 2-stage survey, reporting familiarity with 59 treatments and 30 assessment techniques and rating these on a continuu...
Article
This commentary is intended to complement the article by O'Donohue and Bradley (this issue). Additional issues related to local values, legal liabilities, and complex cognitive factors that may complicate and compromise child custody evaluations are briefly discussed.
Chapter
Chapter 3 focuses on ethical issues in forensic assessment, and presents a focused discussion of ethical problemsrelated to competence, assessment techniques, andforensic roles.
Article
Most professional forensic resources address the assessment of adults yet neglect the necessary differences that arise when working with minors. Forensic Mental Health Assessment of Children and Adolescents presents the reader with essential knowledge and practical suggestions regarding the forensic assessment of minors involved in a variety of leg...
Article
C.R. Snyder and T.R. Elliott (this issue, pp. 1033-1054) offer a thoughtful and elaborate model for future training in graduate clinical psychology, couched in visionary optimism. However, they interpret history and present trends in a manner that seems to ignore the realistic demands of economic forces. They propose thoughtful, constructive, pro-s...
Technical Report
Full-text available
I In ns st ti it tu ut ti io on na al l R Re ev vi ie ew w B Bo oa ar rd d R Re es se ea ar rc ch he er r A As ss se es ss sm me en nt t T To oo ol l ((I IR RB B-R RA AT T)) It is fully recognized that Institutional Reviews Boards carry out extremely important functions, often without sufficient resources. In many commentaries in the scientific lit...
Article
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The efforts of some institutional review boards (IRBs) to exercise what is viewed as appropriate oversight may contribute to deceit on the part of investigators who feel unjustly treated. An organizational justice paradigm provides a useful context for exploring why certain IRB behaviors may lead investigators to believe that they have not received...
Article
The reviewer offers reviews of two books on ethics, Decoding the Code: A Practical Guide for Psychologists by Celia B. Fisher (see record 2003-06981-000) and Ethics and Values in Industrial-Organizational Psychology by Joel Lefkowitz (see record 2003-06121-000). Decoding the Code: A Practical Guide for Psychologists is writtien with the same pain...
Article
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Shead and Dobson (see record 2004-14467-001) provide an excellent historical review of policies concerning self-advertising by psychologists in the United States and Canada. They conclude that psychologists can become considerably more aggressive in their professional advertising practices, while still adhering to appropriate ethical constraints....
Article
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This article examines the clergy sexual abuse crisis in the Roman Catholic Church from an ethical point of view. The article uses the RRICC values model of ethical decision making (i.e., responsibility, respect, integrity, competence, concern) to review the behavior of Catholic bishops and other religious superiors as they have tried to manage cler...
Article
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Addressing the state of pediatric psychology as a practice subspecialty, Rae (this issue) provides an excellent overview of the history and current status of the field from a perspective of fiscal travail. He bemoans the current reimbursement system for mental health ser- vices, as applied to pediatric psychology, and identifies three promising are...
Article
Full-text available
Treating adolescents in psychotherapy presents a number of unique ethical challenges. Because many adolescents who enter treatment have not yet attained the age of majority, reside in families that include other people with emotional difficulties, attend school, become involved with community agencies (e.g., the courts), and must generally take dir...
Article
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Transitions such as opening, growing, closing, or relocating a professional practice raise a host of challenging legal and ethical questions. Practitioners must consider a range of issues related to client welfare, records management, professional liability, and relationships with colleagues. Some of the issues include obligations and options when...
Chapter
Psychologists who conduct assessments face many ethical challenges in conducting their work. Assessment is unique among the services offered by professional psychologists because it is service seldom performed solely at the behest of a single individual. More typically, people who arrive at the psychologist's office for assessment have been sent by...
Article
Full-text available
Comments on the article by W. B. Johnson (see article 2002-10109-013) which summarizes the nature of mentoring, the prevalence of mentoring in psychology, primary obstacles to mentoring, and some ethical concerns unique to mentoring. The author argues that the article suffers from a small, but highly significant, inaccuracy and thereby perpetuates...
Article
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CABLES is both an acronym and metaphor for conceptualizing research participation risk by considering 6 distinct domains in which risks of harm to research participants may exist: cognitive, affective, biological, legal, economic, and social/cultural. These domains are described and illustrated, along with suggestions for minimizing or eliminating...
Article
Full-text available
To develop a brief screening tool that will allow emergency department (ED) staff to rapidly and accurately detect suicide risk in child and adolescent patients. Cross-sectional survey. Participants. One hundred forty-four children and adolescents, mean age of 13.6 years, presenting to an urban university teaching hospital pediatric ED for primaril...
Article
Full-text available
Mental health clinicians can play a cost-effective role in reducing distressing psychological symptoms accompanying diagnosis of chronic illness. Medical crisis counseling (MCC) is a focal short-term intervention directly addressing illness-related psychosocial problems. A randomized clinical trial tested the effectiveness of MCC. Counseling was of...
Article
Full-text available
State attorneys general were surveyed regarding legal and regulatory issues related to delivery of behavioral health services in their states by electronic means. The data are discussed in the context of rapidly evolving technology and practice innovations that involve delivery of professional services by teleconference, the Internet, and other ele...
Article
State attorneys general were surveyed regarding legal and regulatory issues related to delivery of behavioral health services in their states by electronic means. The data are discussed in the context of rapidly evolving technology and practice innovations that involve delivery of professional services by teleconference, the Internet, and other ele...
Article
The intensive care unit is one of the most stressful and demanding work sites of the pediatric psychologist. The rapid changes in health status that necessitate stays on the intensive care unit often constitute an emotional roller coaster ride for both family members and the staff caring for their child. The Medical Crisis Counseling (MCC) interven...
Article
Discusses the many ways in which in the American Psychological Association (APA) has evolved during the year of 1998. Specific areas addressed include initiatives and accomplishments of the Science Directorate, the Practice Directorate, the Public Interest Directorate, the Education Directorate, the Office of Communications, and information regardi...

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Many requests come in for copies of books I have authored or edited that are sold by publishing companies. Is there an easy way to explain to requesters that they should not expect authors to send current books vis ResearchGate?

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