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SCOPE OF PRACTICE ISSUES

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Energy psychology represents a new paradigm. Not surprisingly, it is controversial, particularly since many of its procedures seem quite strange and the field's early claims of extraordinary clinical outcomes far exceeded research substantiation. Beyond this, experienced therapists are incredulous on hearing reports of almost instantaneous and lasting cures for longstanding psychiatric conditions such as phobias and generalized anxiety disorder. Therapy is not that rapid. Time is needed for building rapport, examining the antecedents of the problem, exploring the meaning of the symptoms in the person's life, assessing which therapeutic modalities are most appropriate for this unique situation, and applying them. Attempts to explain the purported dramatic treatment outcomes of energy psychology in terms of insight, cognitive restructuring, reward and punishment, or the curative properties of the therapeutic relationship make no sense.

But if the electrochemical shifts in brain chemistry that are brought about by stimulating acupuncture points are examined (see brain scan images), a coherent hypothesis begins to emerge:

Stimulating acupuncture points while mentally activating memories that are at the root of negative patterns reduces the neural connections in the amygdala and other brain centers that trigger problematic emotions.

If research supports anecdotal reports that these methods may be more rapid and as or more effective than standard treatments for certain psychological problems, energy methods should become a standard of care for those conditions. This, however, raises the question of whether psychotherapists are qualified to practice these procedures. Do they fall within the appropriate "scope of practice" for psychotherapists?

This issue is being addressed within the profession of psychology in particular. It has not been resolved. But even as the question is being debated, the tide of clinical practice is clearly moving toward the acceptance of energy interventions. The 600-member professional organization that has grown around energy psychology since its establishment in 1999 (The Association for Comprehensive Energy Psychology) has developed formal Code of Ethics and Standards of Practice statements. Its membership is composed primarily of licensed health and mental health professionals and includes individuals who hold positions on the faculties of psychology departments at distinguished universities, who hold ABPP Diplomate status, who work in highly regarded clinical settings, and who represent a broad range of clinical backgrounds and orientations. The organization, as well as its individual members, has developed training programs that provide mental health professionals the knowledge and skills to incorporate the methods of energy psychology into clinical practice.

The essential question regarding scope of practice, assuming that the methods of energy psychology are of substantial relevance to clinical practice, is whether it is practical and reasonable to expect psychotherapists to be able to learn the techniques at a level where they can be practiced competently and safely. Following is the perspective of the developers of energy psychology on this question.

The experience within the energy psychology community is that its methods can be taught to licensed clinicians at a level where they can responsibly introduce them into their practices within less than 100 hours of training. The number varies widely depending upon the practitioner or organization conducting the training. There is no established standard on this issue, and one of the reasons that Energy Psychology Interactive was created was to offer standards regarding the specific knowledge and skill areas that should be mastered before clinicians introduce the methods into their practices, based on a consensus of the field's leadership.

The Energy Psychology Interactive Advisory Board, under whose auspices the program was developed, consists of 24 of the field's pioneers and recognized leaders, including 10 psychologists, 5 physicians, and 9 other licensed health or mental health professionals. On the opening page of the Energy Psychology Interactive CD, the program represents itself as a 40-hour course. Whether requiring 40 hours or 100 hours, however, the experience of the energy psychology community is that the methods can be taught to psychotherapists within a reasonable training period and without mastering a separate discipline such as acupuncture, yoga, or qi gong.

In fact, the essential techniques used in energy psychology are unregulated. Anyone, as long as they are not diagnosing or treating illness, can teach another person to self-stimulate energy points for positive effects. Energy psychology does not utilize invasive procedures. It does not involve surgery, medication, physical first aid, or even the superficial insertion of tiny needles. The methods are perhaps most akin to those taught in Touch for Health. Tens of thousands of laypeople have been certified in Touch for Health over the past three decades, and no more training than that is required for a psychologist to effectively apply energy interventions to help people with anxiety and other psychological issues.

The closest established clinical precedent to the methods of energy psychology actually exists within rather than outside the field of psychology, and that is systematic desensitization. As with systematic desensitization, a stimulus that causes an unwanted or dysfunctional emotional response is brought to mind and a physical intervention is used to replace a disturbed response with a normalized response. In systematic desensitization, muscle tension is replaced with muscle relaxation by teaching the client the willful induction of muscular tension and release. In energy psychology, disturbed neurological responses are replaced with neutral responses by teaching the client to stimulate electrically reactive areas of the skin. Systematic desensitization is of course not the only clinical procedure to utilize overtly physical interventions, and many physical interventions used by psychotherapists, particularly in aversion therapies, are invasive as well as physical. The physical interventions used within energy psychology are painless, non-invasive, and generally self-applied by the client.

Still, clinicians considering the use of energy interventions are wise to investigate the positions of both their licensing board and their malpractice insurance carrier. Assuming they are not specifically prohibited, one of the most responsible and self-protective steps you can take during this period while the professions are coming to terms with the energy paradigm is to be certain that you have obtained clear informed consent from your clients before you utilize energy interventions. The Energy Psychology Interactive CD includes sample wording that can be copied into your word processor, revised for the particulars of your practice, and integrated into your informed consent statement.

In deciding how to regard energy interventions, the clinical professions will best serve themselves and their clients by being very careful not to define their scope of practice so it omits safe, unregulated procedures that are, according to evidence that is rapidly accumulating, also highly effective for treating certain psychological issues. The profession of psychology, for instance, which is fighting to gain drug prescription privileges, would be taking a significant step backward if it defines these non-invasive methods as being outside the scope of practice of psychologists who have taken training in stimulating the body's energy centers for psychological benefit. The clinical professions should, in fact, be leading the way in setting standards for the responsible application of energy interventions as their use by laypeople is proliferating, sometimes in troubling ways. Energy Psychology  Interactive offers clinicians a readily accessible and authoritative resource for educating themselves about the responsible uses of energy interventions with psychological issues.