Health
Under Pressure, Psychology Accreditation Board Suspends Diversity Standards
The American Psychological Association, which sets standards for professional training in mental health, has voted to suspend its requirement that postgraduate programs show a commitment to diversity in recruitment and hiring.
The decision comes as accrediting bodies throughout higher education scramble to respond to the executive order signed by President Trump attacking diversity, equity and inclusion policies. It pauses a drive to broaden the profession of psychology, which is disproportionately white and female, at a time of rising distress among young Americans.
The A.P.A. is the chief accrediting body for professional training in psychology, and the only one recognized by the U.S. Department of Education. It provides accreditation to around 1,300 training programs, including doctoral internships and postdoctoral residencies.
Mr. Trump has made accrediting bodies a particular target in his crusade against D.E.I. programs, threatening in one campaign video to “fire the radical Left accreditors that have allowed our colleges to become dominated by Marxist maniacs and lunatics” and “accept applications for new accreditors.”
Department of Justice officials have pressured accrediting bodies in recent weeks, warning the American Bar Association in a letter that it might lose its status unless it repealed diversity mandates. The A.B.A. voted in late February to suspend its diversity and inclusion standard for law schools.
The concession by the A.P.A., a bastion of support for diversity programming, is a particular landmark. The association has made combating racism a central focus of its work in recent years, and in 2021 adopted a resolution apologizing for its role in perpetuating racism by, among other things, promulgating eugenic theories.
Aaron Joyce, the A.P.A.’s senior director of accreditation, said the decision to suspend the diversity requirement was driven by “a large influx of concerns and inquiries” from programs concerned about running afoul of the president’s order.
In many cases, he said, institutions had been instructed by their legal counsels to cease diversity-related activities, and were worried it might imperil their accreditation.
“The Commission does not want to put programs in jeopardy of not existing because of a conflict between institutional guidelines” and accreditation standards, Dr. Joyce said.
He would not describe the tally of the March 13 vote, which followed about three weeks of deliberation. “Nothing about this was an easy decision, and not taken lightly,” he said. “The understanding of individual and cultural diversity is a core facet of the practice of psychology.”
The commission opted to retain another diversity-related standard: Programs must teach trainees to respect cultural and individual differences in order to treat their patients effectively. In reviewing each standard, the commission weighed “what may put programs in a compromised position” against “what is essential to the practice of psychology that simply cannot be changed,” he said.
Kevin Cokley, a professor of psychology at the University of Michigan, said he was “absolutely devastated” to learn of the A.P.A.’s decision on a psychology listserv this week.
“Frankly, I think the decision is really unconscionable, given what we know of the importance of having diverse mental health providers,” Dr. Cokley said. “I don’t know how the A.P.A. can make this sort of decision and think that we are still maintaining the highest standards of training.”
He said he thought the A.P.A. had acted prematurely, and could have waited until it faced a direct challenge from the administration.
“I think that there is always a choice,” he said. “I think this is a classic example of the A.P.A. engaging in anticipatory compliance. They made the move out of fear of what might happen to them.”
According the data from the A.P.A., the psychology work force is disproportionately white. In 2023, more than 78 percent of active psychologists were white, 5.5 percent were Black, 4.4 percent were Asian and 7.8 percent were Latino. (The general population is around 58 percent white, 13.7 percent Black, 6.4 percent Asian and 19.5 percent Latino.)
The demographic breakdown of graduate students in Ph.D. programs, in contrast, is more in line with the country. According to 2022 data from the A.P.A., 54 percent of doctoral students were white, 10 percent were Black, 10 percent were Asian and 11 percent Latino.
John Dovidio, a professor emeritus of psychology at Yale and the author of “Unequal Health: Anti-Black Racism and the Threat to America’s Health,” said the A.P.A.’s focus on diversity in recruiting had played a major part in that change.
“It really is something that departments take very, very seriously,” he said. “I have seen the impact personally.”
A memorandum announcing the decision describes it as an “interim action while awaiting further court guidance” on Mr. Trump’s executive order, which was upheld by a federal court of appeals on March 13. The order, it says, “is currently law while litigation is pending.”
Cynthia Jackson Hammond, the president of the Council for Higher Education Accreditation, which coordinates more than 70 accreditation groups, said it is “unprecedented” for such bodies to receive direct orders from the government.
“The government and higher education have always worked independently, and in good faith with each other,” she said. “Throughout the decades, what we have had is a healthy separation, until now.”
The federal government began taking a role in accreditation after World War II, as veterans flooded into universities under the G.I. Bill. Accrediting bodies are regularly reviewed by the National Advisory Committee on Institutional Quality and Integrity, which advises the Secretary of Education on whether to continue to recognize them.
But government officials have never used this leverage to impose ideological direction on higher education, Ms. Jackson Hammond said. She said diversity in recruitment remains a serious challenge for higher education, which is why the standard is still so commonly used.
“If we think about what our institutions looked like before,” she said, “that might be a barometer of what it’s going to look like if there’s not attention paid.”
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Research continues to uncover new details on how fasting may help extend life.
A new study published in the journal Nature Communications investigated how intermittent fasting can boost longevity in small worms often used in aging research.
Researchers from the University of Texas Southwestern Medical Center in Dallas compared worms that were fed normally to those that underwent a 24-hour fast in early adulthood and were then fed again, according to a press release.
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The scientists measured a variety of factors, including stored fat, gene activity related to fat metabolism and lifespan.
The results showed that the life-boosting benefit did not depend on the fasting itself but on the body’s behavior after eating again.
Experts say sustainability is key when choosing a long-term weight-loss strategy. (iStock)
Study lead Peter Douglas, associate professor of molecular biology and a member of the Hamon Center for Regenerative Science and Medicine at UT Southwestern, suggested that these discoveries “shift the focus toward a neglected side of the metabolic coin – the re-feeding phase.”
“Our data suggest that the health-promoting effects of intermittent fasting are not merely a product of the fast itself, but are dependent on how the metabolic machinery recalibrates during the subsequent transition back to a fed state,” he said.
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“Our findings bridge a gap between lipid metabolism and aging research,” he added. “By targeting aging, the single greatest risk factor for human disease, we move beyond treating isolated conditions toward a preventive model of medicine that enhances quality of life for all individuals.”
Lauri Wright, director of nutrition programs at the University of South Florida’s College of Public Health, called this a “high-quality” study that adds an “important nuance to how we think about fasting and longevity.”
Intermittent fasting typically involves limiting meals to an eight-hour daily window or fasting every other day. (iStock)
The benefits of the refeeding phase after fasting were “especially interesting,” Wright, who was not involved in the study, told Fox News Digital.
“The researchers showed that longevity was linked to the body’s ability to turn off fat breakdown after fasting, allowing cells to restore energy balance,” she reiterated.
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“From a scientific standpoint, that’s a meaningful shift because it suggests fasting is not just about burning fat, but about metabolic flexibility.”
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Fasting may support longevity through triggering metabolic switching, enhancing cellular repair and stress resistance and improving markers like insulin sensitivity, research shows.
Limitations and cautions
Although this study provides “important insight” on the power of refeeding, Wright noted that the findings should be approached with caution, as the study was done on worms and cannot always be translated to humans.
“Additionally, it explains how a process might work in a controlled lab condition rather than real-world eating behaviors,” she added as a limitation. “Finally, the study is short-term and doesn’t give us the long-term translation on lifespan outcomes.”
The review found intermittent fasting was barely more effective than doing nothing, according to the study authors. (iStock)
Wright cautioned that fasting is “not a magic solution for longevity, and how you eat overall matters more than when you eat.”
“I advise, first and foremost, to focus on diet quality, including a variety of fruits and vegetables, healthy fats and minimally processed foods,” she said.
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For those who are considering fasting, it’s better to stick with a moderate plan — like a 12- to 14-hour overnight fast — rather than going to extremes, Wright said. After fasting, she recommends focusing on well-balanced meals.
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Several groups of people should be cautioned against fasting, according to Wright, including those with diabetes who are on insulin or hypoglycemic medications, those who are pregnant or breastfeeding, anyone with a history of eating disorders and older adults at risk of malnutrition.
Anyone considering intermittent fasting should consult with a doctor before starting.
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More than three million people travel to undergo cosmetic surgery each year, statistics show — but the potential savings come at a cost.
Most people opting to pursue this so-called “medical tourism” are chasing budget-friendly price tags.
International surgeries, such as hair transplants in Turkey, can cost as little as $4,000 to $5,000 compared to $20,000 to $30,000 in the U.S., but often come with extreme risks, according to board-certified plastic surgeon Dr. Sheila Nazarian of California.
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The doctor recently joined Lisa Brady on the “The FOX News Rundown” podcast to discuss the rising trend of medical tourism. One of the biggest risks, she said, is the lack of safety regulations in popular destinations like Mexico and Turkey.
As demand spikes in these medical tourism “mills,” there have been reports of non-medically trained staff performing procedures like hair transplants.
Most people opting to pursue “medical tourism” are chasing budget-friendly price tags. (iStock)
“I’ve heard that they [international clinics] are even recruiting people who maybe were taxi drivers and then putting them through their own training program … to become hair transplant technicians,” Nazarian said. “That’s how high the demand has become.”
In the U.S., medical school graduates are granted a “physician and surgeon” license, which means doctors — including pediatricians or OB-GYNs — can legally perform cosmetic surgeries, even if they didn’t receive specialized training for those procedures during residency, Nazarian noted.
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Instead of pinching pennies, the doctor recommended paying whatever amount is necessary to ensure quality treatment.
“People think of it as, you know, going to the mall. … It’s surgery, and surgery has risks,” she said. “You need to be with someone who not only can perform a beautiful surgery, but who can handle possible complications well.”
“You need to ask them: ‘What was your residency training in? And if you wanted to, would you be allowed to do this procedure in a hospital?’”
Aftercare is another critical factor in the success and safety of a cosmetic procedure, as the doctor emphasized that 20% of a surgical result depends on post-operative care.
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This can be difficult or even impossible to manage when a doctor is in a different time zone, she cautioned, or if the clinic disappears shortly after the procedure.
Nazarian also noted the importance of addressing the psychological component of plastic surgery, noting that no procedure will fix underlying unhappiness. The doctor said she uses screening questionnaires to ensure that patients are truly seeking self-improvement rather than a “cure” for deeper issues.
International surgeries, such as hair transplants in Turkey, can cost as little as $4,000 to $5,000 compared to $20,000 to $30,000 in the U.S., but often come with extreme risks. (iStock)
“If you’re not already generally very content with your life, a knife in my hand is not going to bring you there,” Nazarian said.
“The analogy I always give is you don’t want a paisley couch — you want a neutral couch and you can put paisley pillows on it,” she said, noting that a procedure should “make you look normal, God-given, athletic. And then you can change your clothes when the trends come and go.”
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Samuel Golpanian, M.D., a double board-certified plastic surgeon in Beverly Hills, said he has also seen an increasing number of patients undergoing cosmetic procedures abroad, sometimes with “devastating consequences.”
“The key is being extremely careful before embarking on this journey.”
“I’ve seen a wide range of complications, including infections, poor wound healing, significant scarring and tissue necrosis (skin death),” he told Fox News Digital. “These complications often lead to prolonged pain, ongoing medical problems, and significant additional costs to repair the damage.”
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Golpanian said he’s treated patients who received unsafe or non-medical-grade injectable materials, which can lead to serious long-term health issues.
One surgeon said he’s treated patients who received unsafe or non-medical-grade injectable materials, which can lead to serious long-term health issues. (iStock)
“I’ve also seen damage to underlying structures, asymmetry and results that are extremely difficult — sometimes impossible — to correct.”
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“That said, I’ve also seen some good outcomes, so it’s not all bad,” he noted. “The key is being extremely careful before embarking on this journey.”
Quick tips for safe ‘medical tourism’
Fully vet the surgeon. “Most surgeons will provide information about their education and training, but it’s important not to accept these claims at face value,” Golpanian said. “Verify them directly by contacting the institutions where they trained.”
Ask for references from prior patients. Ideally, it’s best to get references from U.S.-based patients who can speak candidly about both their experience and their results, the surgeonsaid.
Think beyond the cost. Golpanian emphasized the adage “you get what you pay for.” “Cost should take a back seat to experience, training, judgment and proven results,” he advised.
Be cautious about relying on before-and-after photos. These can be selective or even enhanced, Golpanian warned.
Keep aftercare in focus. “Make sure the practice emphasizes comprehensive follow-up care and has a clear, realistic post-operative plan in place.”
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