Monday, October 05, 2009

The Sorry State Of Psychotherapy

The high-status psychologists badmouth their colleagues who got their degrees from second-rate colleges:
Where's The Science? The Sorry State Of Psychotherapy

ScienceDaily (Oct. 3, 2009) — The prevalence of mental health disorders in this country has nearly doubled in the past 20 years. Who is treating all of these patients? Clinical psychologists and therapists are charged with the task, but many are falling short by using methods that are out of date and lack scientific rigor. This is in part because many of the training programs—especially some Doctorate of Psychology (PsyD) programs and for-profit training centers—are not grounded in science. ...

For example, cognitive-behavioral therapy (CBT) has been shown to be the most effective treatment for PTSD and has the fewest side-effects, yet many psychologists do not use this method. Baker and colleagues cite one study in which only 30 percent of psychologists were trained to perform CBT for PTSD and only half of those psychologists elected to use it. ... whereas medications such as Paxil have shown 25 to 50 percent relapse rates.
They also badmouth prescription drugs, as they don't have licenses to prescribe drugs.

Meanwhile, those quacks who can prescribe drugs tell a different story:
According to Nutt, few psychotherapy trials meet the requirements demanded of drug tests, and even those that do frequently show that psychotherapy performs no better -- and often worse -- than pharmacological interventions. What is more, he points out, many psychotherapy trials do not even consider the possibility that their treatment could harm. Yet all therapists should be aware that therapy can have adverse effects on some patients and a major part of psychotherapy training is how to deal with issues such as counter-transference that can mediate these negative effects.
I am not sure about the drugs, but I do agree that the psychologist study is not scientific if it does not even recognize the possibility of a treatment doing harm.

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