Transformance: The AEDP Journal Author Assurances and Submission Checklist
Instructions. Please use this form to confirm your manuscript is in compliance with all “Transformance” policies and requirements. We require this form be reviewed, and an assurance verified prior to peer review.
The corresponding author must EITHER
1)print and review this document, initial, sign, and fax to Gil Tunnell at 212-352-3511 OR
2)cut and paste the below assertion (bounded by ***) in an email to email@example.com
Regarding submission of (list title of manuscript):
I have reviewed all of the components (parts 1-3) of the “Transformance author assurances and submission checklist”, understand the requirements, and assume responsibility that my manuscript complies with all of the requirements.
Part 1: Author Assurances and Transformance: The AEDP Journal Requirements.
Instructions: either (1) print, initial each line and sign at the end of the section, and mail or fax to above or else (2) read and review, then cut and paste the “author assurances email” above into an email as above
_______ If research involved the use of human participants was the research with human participants approved by an institutional ethics committee or institutional review board (“IRB”) and is this so indicated in the manuscript? (see section 3)
_______ Did the participants give informed consent to be involved in this research and is this so indicated in the manuscript?
_______ Does the manuscript give any case study or individual participant information? If so, review the “Case Presentation Checklist” information (below-section 3) and submit with manuscript.
_______ Is this original work? Submission of a manuscript to the Transformance: The AEDP Journal represents a certification on the part of the author(s) that it is original material, and that neither the manuscript or a version of it has been published elsewhere, is not being considered for publication elsewhere, and has been approved by each author. Any form of publication other than an abstract of less than 400 words constitutes prior publication. This includes portions of symposia, proceedings, books/chapters, invited papers or any types of reports, and electronic databases.
_______Financial Disclosure. Please circle the number of appropriate statement(s):
1.I certify that I (and all co-authors) have no relevant financial interests in this manuscript.
2.I certify that all financial and material support for this research and work are clearly identified in the manuscript.
3.I certify that all my (and all co-authors) affiliations with or financial involvement with any organization or entity with a financial interest or any financial conflict with the subject maters or materials discussed in the manuscript are disclosed completely in a letter to the editor.
_______ Is the manuscript in compliance with all remaining policy requirements as specified in the “Part 2: Submission Instructions” including authorship, disclosure of financial or non-financial competing interests, length limitations, etc?
Part 2 – Transformance: The AEDP Journal Required Format Submission Checklist
All submissions should be sent as attachments via email to firstname.lastname@example.org. Please send your manuscript as a single Microsoft Word file (.doc or .docx) or equivalent.
_______ Manuscripts must be succinct and no more than 9000 words total (including references, tables etc).
_______ Manuscripts must be double-spaced, with 1 inch (3 centimeter) margins on all sides, with 12 point font.
_______ Paragraphs should be indented at 0.5 inches.
_______ All pages should have a running header with the authors name, the title of the paper, and “page x of total” (i.e. page 3 of 5), starting with the tile page as page 1.
_______ Manuscripts have been spell-checked.
_______ Manuscripts have been edited so that the writing is clear and concise.
Note: We require full information on authorship for submission. We will prepare a version of the manuscript to send out for peer review that removes authorship information.
_______ Authors listed with degrees (e.g., MS, PhD, MD)
_______ Location of the institution and place where the work was done
_______ Corresponding author’s name, address, telephone number, fax number, and e-mail
_______ Word count
_______ (If applicable) Acknowledgment of previous presentation, grant support, commercial support, or other credit.
_______ Contact information and complete mailing addresses of all co-authors (other than the Corresponding Author)
_______ A single paragraph abstract/introduction of 100-250 words must be provided.
Citations in text
_______ All citations in text should be in proper APA format. **Please ensure that your format is compliant with the following examples, and consult the APA manual for formats not listed below.**
1.Work by one author: (Putnam, 1989).
2.Work by two authors: (Cardeña & Spiegel, 1993). Cite both names every time the reference occurs in the text. Use no comma between authors.
3.Work by three, four or five authors: First text citation: (Van der Hart, Van Kijke, Van Son, & Steele, 2000). Use commas after all authors. Subsequent text citations: (Van der Hart et al., 2000).
4.Work by six or more authors: In all text citations, use only the surname of the first author followed by et al. and the year of publication, e.g., (Ross et al., 1992).
5.Order of citation: When citing two or more works within the same parenthesis, list them in alphabetical order by the surname of the first author. Separate citations by semicolons.
_______ Reference list should be double-spaced, with a hanging indent format.
_______ Each reference should list all authors.
_______ Full titles of journals should be listed.
_______ The reference list should be in proper APA format. **Please ensure that your format is compliant with the following examples, and consult the APA manual for formats not listed below.**
Journal article. Titles of and volume number of journals should be italicized. Journal titles should have all important words capitalized.
Benedict, L.L., & Zautra, A.A. (1993). Family environmental characteristics as risk factors for childhood sexual abuse. Journal of Clinical Child Psychology, 22(3), 365-374.
Book. Titles of books should be italicized. Only the first word of book titles should be capitalized.
Putnam, F.W. (1997). Dissociation in children and adolescents. New York: Guilford Press.
Book Chapter. Page numbers must be included for book chapters.
Goodwin, J. (1996). Childhood DID: The male population. In J.L. Silberg, (Ed.), The dissociative child (pp. 69-84). Lutherville, MD: Sidran Press.
Kluft, R.P., & Fine, C.G. (Eds.). (1993). Clinical perspectives on multiple personality disorder. Washington, D.C.: American Psychiatric Press.
Chapter in Edited Book.
Liotti, G. (1999). Disorganization of attachment as a model for understanding dissociative psychopathology. In J. Solomon & C. George (Eds.), Attachment Disorganization (pp. 291-317). New York: The Guilford Press.
Manuscript Title: _____________________________________________
Corresponding Author’s Name (please print): ________________________________________
Corresponding Author’s Signature: _____________________________________________
Please print this page out, fill it in, sign it, and return it to either fax 646.505.5292 or Natasha Prenn, LCSW, 307 W. 89th St. NY NY 10024, or (preferred) email above “author assurance” to email@example.com.
Part 3: Transformance: the AEDP Journal. Checklist for presentation of 1) research or 2) any patient information (case presentation )
Note: If this is not a research study, skip to #2
1. RESEARCH STUDY: INSTITUTIONAL REVIEW BOARD APPROVAL AND INFORMED CONSENT. Papers that report results of data collected from human participants must include a statement that written informed consent was obtained from participants after adequately explaining the study’s procedures to them. Deviations from the standard written informed consent process should be fully explained. Approval by an Institutional Review Board or Ethics Committee should be documented and mentioned in the written report.
In your cover letter to the editor please address these issues.
a) Was the research with human participants approved by an institutional ethics committee or institutional review board (“IRB”)? Please explain.
b) Does the manuscript itself answer question #1? If so, on what page? If not, please add this to the manuscript and provide the page number in your cover letter.
c) Did the participants give informed consent to be involved in this research? Please explain.
d) Does the manuscript itself answer question #3? If so, on what page? If not, please add this to the manuscript and provide the page number in your cover letter.
2. CASE PRESENTATION: PATIENT INFORMED CONSENT AND PRIVACY
If the manuscript you are submitting gives any case study or individual participant information, please READ THE INFORMATION BELOW, and complete the case presentation checklist.
PATIENT INFORMED CONSENT AND PATIENT PRIVACY. Authors must have written informed consent from any patient/clients described in case study material The authors must take steps to protect the identity of patients reported in case reports and elsewhere. Identifying information (e.g., names, initials, hospitals, dates) must be avoided or changed. Note that authors must both protect the integrity of the case study information such that crucial details for interpretation are retained, and protect patient privacy such that non-crucial details that could violate the privacy of the patient are changed. Authors who wish guidelines for protection of patient anonymity are referred to “Statements from the Vancouver Group, International Committee of Medical Journal Editors” in British Medical Journal 1991; 302: 1194. Authors submitting case study material will be required to complete this checklist. Within the case report itself there should be a statement that the patient/client has given informed written consent for the publication and that the identity of the patient/client has been disguised by omission and alteration of non-crucial information.
Client/patient informed consent and confidentiality is a professional and ethical imperative, and we require that patients give informed consent to have their cases written about, and that client identity be thoroughly disguised in published articles. Note at the same time that case presentations must have epistemological integrity – they should not be fictionalized but rather identity should be disguised while retaining informational fidelity of essential case information. Due to our value on authenticity and veracity of crucial case information, composite case studies are not published.
Please follow these general guidelines when disguising cases.
* Identify clients by a fictitious name only. The fictitious name selected should be completely distinct from the patient’s real name (e.g., don’t make a “William” into a “Bill” or retain the client’s first initial).
* Change basic facts, such as age, occupation, geographic location, city size, and the like so long as these facts are not crucial to case interpretation.
* Wherever possible, alter details regarding the client’s family composition (e.g., a divorce can become a separation, a deceased family member can be made alive), as long as these facts are not crucial to case interpretation. .
* Change gender and race/ethnicity in cases where these factors did not play an important role in the case or course of treatment.
* Avoid specifics (e.g., rather than giving exact dates, give the season and change the year).
* Do not make mechanical or easily traced changes (e.g., don’t change North Carolina to South Carolina)
* If the disguising is done correctly the patient/client should be able to recognize self, but others should not. If the client’s life experiences are unique, and so critical to the presenting problem and/or treatment as to prevent the case from being adequately disguised, then the author should obtain a separate signed publication release from the client. That separate release should be founded on the client having actually read the case presentation and agreeing with the manner in which their identity is presented and confirming that the case description is adequately truthful.
Case Presentation Checklist
1) Please indicate by checking below those elements of the case that have been altered. This checklist is not exhaustive; in preparing the case illustration; please alter as many details as possible without changing information crucial to case interpretation or otherwise undermining the integrity of the case presentation.
______Client’ name (must be changed)
______Client’s marital status
______Client’s family composition
______Client’s geographic location
______Client’s educational level
______Other case details (explain)
2) Have you elected to retain information that could compromise patient privacy? ______
If yes, do you have signed informed consent from the patient for this that is based on the client/patient having read the case presentation?
3) To the best of your knowledge and judgment, do you believe you have sufficiently protected the patient’s privacy by altering details, while retaining the integrity of your cases study (crucial information for interpretation retained? ______If the disguising is done correctly the patient/client should be able to recognize self, but others should not.
If no, please explain:
4) Please describe your method of obtaining informed consent from the patient/client:______
5) Within the case report is there a statement that the patient/client has given informed written consent for the publication and that the identity of the patient/client has been disguised by omission and alteration of non-crucial information?______
If no, explain.
Manuscript Title: _____________________________________________
Corresponding Author’s Name (please print):________________________________________
Corresponding Author’s Signature:_____________________________________________
Please print this page out, fill it in, sign it, and return it to either fax 646.505.5292 or Natasha Prenn, LCSW or (preferred) email above “author assurance” to firstname.lastname@example.org.