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Training Director

Carlos Fayard, Ph.D.

Dr. Fayard

Dr. Carlos Fayard completed his undergraduate training in Argentina, and pursued his doctoral degree in psychology at the California School of Professional Psychology in San Diego. He has been involved in the training of medical students, Psychiatry residents, and Clinical Psychology interns since 1988. After serving for 6 years as a bilingual psychologist at Patton State Hospital, he joined Loma Linda University Department of Psychiatry where he currently is in private practice, working with individuals and couples. In addition, Dr. Fayard is the Director of Psychotherapy Training for the Psychiatry residency program, the Chair of the Committee on Religion & Psychiatry, and coordinates the Religion & Psychiatry elective for senior medical students. As part of the Clinical Psychology internship program, Dr. Fayard teaches a year-round seminar on Diversity and Spirituality as applied to the process of psychotherapy, and an Advanced Evidence-Based Psychotherapy Seminar, which is a joint course for Clinical Psychology interns and Psychiatry Residents. He provides weekly individual supervision to Clinical Psychology interns and Psychiatry residents.

Dr. Fayard is the Assistant Director for Mental Health Affairs in the Health Ministries Department of the world headquarters of the Seventh-day Adventist church. In this capacity, he has lectured and consulted locally and internationally. He is also a consultant to the Catholic Diocese of San Bernardino, California.

Area of specialty: Integration of spirituality and psychotherapy

Clinical & Research interests: Integration of spirituality and psychotherapy; neurobiological basis of spirituality

Selected references:

Fayard, C., Hernandez, B. C., Anderson, B. & Harding, G. IV (Eds.). (2011). A Christian worldview and mental health: Adventist perspectives. Berrien Springs, MI: Andrews University Press.

Fayard, C., Pereau, M. J., Ciovica, A. (2009). ‘Love the Lord with all your mind’: Explorations on a possible neurobiology of the experience of God and some implications for the practice of psychotherapy. Journal of Psychology and Christianity, 28, 167-181.

Program Faculty

William Britt, III, Ph.D., ABN

Bio: Dr. Britt has been in the Dept. of Psychiatry, Loma Linda School of Medicine since 1981. He graduated from Rosemead School of Psychology at Biola University in 1981 with a Ph.D. in Clinical Psychology. He is currently Associate Professor of Psychiatry, a Diplomate of the American Board of Professional Neuropsychology, and Fellow of the American College of Professional Neuropsychology.  He began the practicum in Clinical Psychology in this department in the early 1980’s, and assisted in its development into an internship.

He was Co-Investigator in a 5 year NIH/NIA funded research grant on Iron Metabolism Alterations in Alzheimer’s disease with a focus on mild cognitive impairment and the progression to Alzheimer’s dementia.  His clinical practice includes psychological and neuropsychological testing, individual and group inpatient psychotherapy. Internship focus is currently individual supervision and teaching Assessment and Treatment of Suicidal Patients to psychiatry residents and psychology interns. He is on the editorial board of the Journal of Psychology & Theology.

In the Dept. of Psychiatry, he teaches Cognitive Behavior Therapy, the aforementioned course on suicide and psychotherapy supervision for residents. He is a founding member of the LLU International Behavioral Trauma Team and a member of the School of Medicine Committee on Student Disability.

He has been a Clinical Neuropsychologist at Patton State Hospital since 2002, working two days a week.  This is the largest forensic hospital in the nation with 1500 patients and 70 psychologists. His designation is Senior Psychologist Specialist (Neuropsychology).  He works on the Neuropsychology Consultation Service and is coordinator of a cognitive rehabilitation program. His role includes supervision of interns and fellows, cognitive rehabilitation, and neuropsychological testing.

Area of specialty: Neuropsychology of children, adolescents, and adults. Integration of psychology and Christian Theology

Research/clinical interests: Mild Cognitive Impairment

Selected references:

Britt III, W.G., Hansen, A.M, Bhaskerrao, S., Larsen, J.P., Petersen, F.,Dickson, A., Dickson, C., Kirsch, W.M., (2011) Mild cognitive impairment:  Prodromal Alzheimer’s disease or something else? Journal of Alzheimer’s Disease, 27, 543-551

Kirsch, W.M., McAuley, G., Holshouser, B., Petersen, F., Ayaz, M., Vinters, D.V., Dickson, C., Haacke, E.M., Britt III, W., Larsen, J., Kim, I., Mueller, C., Schrag, Kido D., (2009)  Serial susceptibility weighted MRI measures brain iron and microbleeds in dementia.  Journal of Alzheimer’s Disease, 17,559-609.

Bartnik Olson, B.L., Holshouser, B.A., Britt III, W.G., et al (2008). Longitudinal Metabolic and Cognitive Changes in Mild Cognitive Impairment Patients. Alzheimers Disease and Associated Disorders – An International Journal, 22(3), 269-277.

Wagner, M., Bartnik Olson, B., Britt, W.,  Kirsch, W.  (2008)  Tissue loss in patients with mild cognitive impairment and Alzheimer’s disease:  A longitudinal voxel-based morphometry study. Journal of Investigative Medicine, 56(1):145.

Larsen, J.P., Britt III, W., Kido, D., Bartnik Olsen, B.L., Holshouser, B.A., Kirsch, W.M. (2007). “Susceptibility weighted magnetic resonance imaging in the evaluation of dementia.” Radiology Case Reports, 2(4).

Britt III, W., et al (2006, July) The Architecture of Mild Cognitive Impairment: A Preliminary Study. Alzheimer’s & Dementia, Vol 2, Issue 3, (Suppl.1) S297

Dhanji, T.A., Davies, V.L., Armon, C., Moses, D.E., Britt, W.G., et al.  (2000). ALSQOL-11 – a short, subjective, disease-specific, quality-of-life scale for patients with ALS. Sensitivity to change. Neurology, 54 (Suppl.), A344.

Armon, C., Davies, V.L., Dhanji,T., Moses, D.E., Britt, W.G., et al.  (2000). Quality-of-life scales:  Who determines the individual item weights and does it matter. Lessons learned from the ALSQOL-11.  Annals of Neurology, 48, 22.

Davies, V.L., Armon, C., Britt, W.G., et al.  (1999). A new, short, subjective, disease-specific, Quality-of-Life scale for patients with ALS-the ALSQOL-11: A cross-sectional validation study.  Neurology, 52 (Suppl.), A527.

Britt III, W.G.  (1988). Pretraining variables in the prediction of missionary success overseas. In O’Donnell, K.S. & O’Donnell, M.L. (Eds.), Helping Missionaries Grow: Readings in Mental Health and Missions. Pasadena: William Carey Library.

Britt III, W.G. (1988). God’s holiness and humanity’s self-esteem. Journal of Psychology & Theology, 16, 231-221.

Britt, B.  (1983, May).  Help him think before he acts. Worldwide Challenge, 10(5), 21.

Britt III, W.G. (1983). Pretraining variables in the prediction of missionary success overseas.  Journal of Psychology and Theology, 11(34), 203-211.

Britt, B.G. (1982, Mar.). Predicting missionary success overseas prior to selection.  Emissary, 13(1), 1-7.

Antonia Ciovica, Ph.D.


Area of specialty:

Research/clinical interests:

Selected references:

Steve Nitch, Ph.D., ABPP

Bio: Dr. Nitch is board certified in Clinical Neuropsychology through the American Board of Professional psychology (ABPP). Dr. Nitch received his Ph.D. in Clinical Psychology in 2002 from Loma Linda University, with a concentration in the area of Neuropsychology. His doctoral dissertation explored the relationship between chronic pain and non-pathological personality traits. Dr. Nitch completed an internship at the Loma Linda VA Hospital and then a Neuropsychology Fellowship at Harbor-UCLA Medical Center. Upon the inception of the Neuropsychology Consultation Services at Patton State Hospital in 2004, he began his tenure in state service. When not serving the governor, Dr. Nitch works in the outpatient Psychiatry clinic at the Loma Linda Behavioral Health Institute and in private practice. His research interests include malingering and suspect effort, the differential diagnosis of dementia, adult attention-deficit disorder, and the cognitive correlates of psychosis. In addition, he maintains an active interest in studying the functional effects of psychotropic medications, having earned a Master’s Degree in Psychopharmacology (2006). Dr. Nitch provides weekly individual supervision at the Department of Psychiatry and the BMC.

Area of specialty: Neuropsychology

Research/clinical interests: Malingering; Dementia; Cognitive Remediation; Neuropsychology of psychosis

Selected references:

King, L., Bailie, J., Kinney, D., & Nitch, S.R. (2012). Is the RBANS factor structure appropriate for inpatient psychiatry? An exploratory higher order analysis. Manuscript submitted for publication. 

Bailie, J., King, L., Kinney, D., & Nitch, S.R. (2012). The relationship between self-reported neuropsychological risk factors and RBANS test performance among forensically committed psychiatric inpatients. Manuscript accepted for publication by Applied Neuropsychology.

Nitch, S.R., & Glassmire, D. (2007). Non-forced choice measures to detect noncredible cognitive performance. In K.B. Boone (Ed.), Assessment of feigned cognitive performance: A Neuropsychological Perspective. New York: The Guilford Press.

Nitch, S., Boone, K.B., Wen, J., Arnold, G., & Warner-Chacon. (2006). The utility of the Rey Word Recognition Test in the detection of suspect effort. The Clinical Neuropsychologist, 20 (4), 873-887.   

Arnold G., Boone K.B., Lu P., Dean A., Wen J., Nitch S., & McPherson S. (2005).  Sensitivity and specificity of Finger Tapping scores for the detection of suspect effort. The Clinical Neuropsychologist, 19 (1), 105-120.

Nitch, S.R., & Boone, K.B. (2004). Normal personality correlates of chronic pain subgroups. Journal of Clinical Psychology in Medical Settings, 11 (3), 203-209.


Janet Sonne, Ph.D.


Bio: Janet L. Sonne received her undergraduate degree in psychology from Stanford University, her master’s degree in social and personality psychology research from the University of California, Santa Barbara, and her doctorate in clinical psychology from UCLA.  She has been licensed as a psychologist in California since 1983 and has conducted both a clinical and a forensic private practice.  She is currently the coordinator of psychology training programs at the Loma Linda University Behavioral Medicine Center in Redlands, California where she directs the training of clinical psychology practicum students and predoctoral interns.  Dr. Sonne was a founding psychologist of the graduate clinical psychology programs (Ph.D. and Psy.D.) at Loma Linda University.  She retired from her position there in 2005 as professor of psychology and director of clinical training, but continues to teach Objective Personality Assessment in the department.  Previously, she was a member of the faculty of the Department of Psychiatry at Loma Linda University School of Medicine where she taught psychiatry resident and supervised their psychotherapy training.  In addition, she taught medical students and graduate students in departments of nursing, social work, and marriage and family therapy.

Dr. Sonne is a fellow of the American Psychological Association’s (APA’s) Division 42 (Independent Practice) and a member of the California Psychological Association (CPA).  She is the former chair and member of the CPA Ethics Committee and she served twice as a member of the APA Ethics Committee.  Dr. Sonne has also served as an expert consultant to the California Board of Psychology, and to attorneys, religious organizations, and practitioners regarding professional standards of care, competency issues, and perpetration and sequelae of childhood sexual abuse.

Area of specialty: Adult and adolescent clinical psychology (Objective personality assessment; Individual psychotherapy; Family therapy); Law and ethics in professional mental health practice

Internship activities: Individual supervisor of intern activities at the Behavioral Medicine Center; Group supervisor (Supervision of interns’ supervision of psychology practicum students)

Clinical interests: Personality disorders; Eating disorders; Sexual abuse survivors and perpetrators

Research interests: Ethical and legal standards of mental health practice (Sexual and nonsexual multiple relationships in professional practice; Ethical decision-making); Sequelae of childhood sexual abuse

Selected references:

Sonne, J.L. (2012).  PsycEssentials: A pocket resource for mental health practitioners. Washington, DC:  American Psychological Association.

Sonne, J.L. (2012).  Sexualized relationships.  In Knapp, S.J. (Ed.) APA handbook of ethics and psychology.  Washington, DC:  American Psychological Association.

Haviland, M.G.; Yamagata, H.; Werner, L.S.; Zhang, K.;  Dial, T.H.  & Sonne, J.L. (2011). Student mistreatment in medical school and planning a career in academic

medicine.  Teaching and Learning in Medicine, 23:3, 231-237.

Sonne, J.L.; Gottlieb,M.C.; & Younggren, J.N. (Fall 2009).  The “inherent power differential” is not a myth:  A reply to Zur.  Independent Practitioner, 198-201.

Sonne, J. L.  (2006, Fall).  Nonsexual multiple relationships:  A practical decision-making model for clinicians.  Independent Practitioner, 26 (4), 187-192.

Sonne, J. L. (2006).  Nonsexual multiple relationships:  A practical decision-making model for clinicians.  Retrievable from http://kspope.com/site/multiple-relationships.php.

Pope, K. S., Sonne, J. L., & Greene, B.  (2006). What therapists don’t talk about and why: Understanding taboos that hurt us and our clients.  Washington, D.C.: American Psychological Association.

Haviland, M. G., Sonne, J. L., Anderson, D. A., Nelson, J. C., Sheridan, C., Gardner, J. M., Carlton, E., & Murdoch, W. G. C.  (2006).  Thyroid hormone levels and psychological symptoms in sexually abused girls.  Child Abuse & Neglect, 30, 589-598.

Haviland, M. G., Sonne, J. L., & Woods, L.  (1995). Beyond post-traumatic stress disorder: Object relations and reality testing disturbances in physically and sexually abused adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 34 (8), 1054-1059.

Banks, W. C., McQuater, G. V., & Sonne, J. L. (1995).  A deconstructive look at the myth of race and motivation. Journal of Negro Education, 64, (3), 307-325.

Sonne, J. L. Multiple relationships: Does the new ethics code answer the right questions? (1994). Professional Psychology: Research and Practice, 25 (4), 336-343.

Pope, K. S., Sonne, J. L., & Holroyd, J. C. (1993).   Sexual feelings in psychotherapy: Explorations for therapists and therapists-in-training.  Washington, D.C.: American Psychological Association.

Sonne, J. L. & Pope, K. S.  (1991).  Treating victims of therapist-patient sexual involvement.  Psychotherapy, 28 (1), 174-187.

Sonne, J. L.  (1989).  An example of group therapy for victims of therapist-client sexual intimacy.  In G.O. Gabbard (Ed.)  Sexual exploitation in professional relationships.  Washington, D.C.: American Psychiatric Press.

Borys, D. S., Meyer, C. B., Falke, R. L., & Sonne, J. L.  (1986).  Dynamics of treatment groups for victims of therapist sexual misconduct.  In A.W. Burgess & C. Hartman (Eds.)  Sexual exploitation of clients by health professionals.  New York, NY: Praeger Publishers.

Sonne, J. L., Borys, D., Meyer, C. B., & Marshall, V.  (1985). Clients’ reaction to sexual intimacy in therapy.  American Journal of Orthopsychiatry, 55, 183-189.

Sonne, J. L. & Janoff, D.  (1982).  Attributions and the maintenance of behavior change.  In C. Antaki & C. Brewin (Eds.) Applications of attribution theory to clinical and educational psychology.  London: Academic Press.

Sonne, J. L. & Janoff, D.  (1979).  The effect of treatment attributions on the maintenance of weight reductions: A replication and extension.  Cognitive Therapy and Research, 3, 389-397. (R)

On-Site Supervision Staff

Job Perez, LMFT, Ph.D.

Onsite supervisor for Riverside University Health/Riverside Country Regional Medical Center rotation.

Talolo Lepale, LMFT

Onsite supervisor for Loma Linda Cancer Center rotation.