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Where’s the Science? The Sorry State of Psychotherapy
Association for Psychological Science ^ | 10/02/09 | Timothy Baker, Richard McFall, Varda Shoham

Posted on 10/04/2009 9:35:34 AM PDT by TennesseeGirl

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 Clinical psychologists and therapists are charged with the task, but many are falling short by using methods that are out of date and lack scientific rigor.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.

A new report in Psychological Science in the Public Interest, a journal of the Association for Psychological Science, by a panel of distinguished clinical scientists—Timothy Baker (University of Wisconsin-Madison), Richard McFall (Indiana University), and Varda Shoham (University of Arizona)—calls for the reform of clinical psychology training programs and appeals for a new accreditation system to ensure that mental health clinicians are trained to use the most effective and current research to treat their patients.

There are multiple practices in clinical psychology that are grounded in science and proven to work, but in the absence of standardized science-based training, those treatments go unused.

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. That means that six of every seven sufferers were not getting the best care available from their clinicians. Furthermore, CBT shows both long-term and immediate benefits as a treatment for PTSD; whereas medications such as Paxil have shown 25 to 50 percent relapse rates.

The report suggests that the escalating cost of mental health care treatment has reduced the use of psychological treatments and shifted care to general health care facilities. The authors also stress the importance of coupling psychosocial interventions with medicine because many behavioral therapies have been shown to reduce costs and provide longer term benefits for the client.

Baker and colleagues conclude that a new accreditation system is the key to reforming training in clinical psychology. This new system is already under development: the Psychological Clinical Science Accreditation System (PCSAS www.pcsas.org).


TOPICS: Chit/Chat; Health/Medicine; Miscellaneous; Science
KEYWORDS: apa; disorders; libertarians; medicalmarijuana; mentalhealth; psychology
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To: Quix
That even a RELIGION based on Love would be unloving to those not members of it. Too often too many “Christians” have spent too much time proving he was right on that IN-GROUP/OUT-GROUP issue.

To be fair, when it comes to Christianity, that is not the fault of the religion and always the fault of the so-called adherent.
21 posted on 10/04/2009 10:33:20 AM PDT by SoConPubbie
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To: Quix

http://www.psychquotes.com/

Psychiatry’s Views on Conservatives

“In August 2003, the National Institute of Mental Health (NIMH) and the National Science Foundation (NSF) announced the results of their $1.2 million taxpayer-funded study. It stated, essentially, that traditionalists are mentally disturbed. Scholars from the Universities of Maryland, California at Berkeley, and Stanford had determined that social conservatives, in particular, suffer from ‘mental rigidity,’ ‘dogmatism,’ and ‘uncertainty avoidance,’ together with associated indicators for mental illness.”

Source: B.K. Eakman, Chronicles, October 2004, pp. 28-29.
“Political conservatism as motivated social cognition” By Jost, John T.; Glaser, Jack; Kruglanski, Arie W.; Sulloway, Frank J. APA Psychological Bulletin, May 2003, Vol 129(3), p 339-375

Any questions on who they want to drug into being silent and obedient?


22 posted on 10/04/2009 10:33:44 AM PDT by To-Whose-Benefit? (It is Error alone which needs the support of Government. The Truth can stand by itself.)
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To: SoConPubbie

Quite so. Quite so.


23 posted on 10/04/2009 10:41:04 AM PDT by Quix (POL Ldrs quotes fm1900 2 presnt: http://www.freerepublic.com/focus/religion/2130557/posts?page=81#81)
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To: To-Whose-Benefit?

My professional opinion of that is . . .

IDIOT RESEARCH DONE BY IDIOTS FOR IDIOT REASONS.

My Dissertation was . . . how to put it without making it searchable . . . enough in the ball park of . . . such issues . . . my assertion above is somewhat founded on certainly a review of the literature.

Rigid bias and permeability of belief systems is an issue for the jerks who did such a study as much as it is for those they studied.


24 posted on 10/04/2009 10:43:41 AM PDT by Quix (POL Ldrs quotes fm1900 2 presnt: http://www.freerepublic.com/focus/religion/2130557/posts?page=81#81)
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To: To-Whose-Benefit?

They don’t plan to drug us into silence.

They plan to exterminate us totally.


25 posted on 10/04/2009 10:44:08 AM PDT by Quix (POL Ldrs quotes fm1900 2 presnt: http://www.freerepublic.com/focus/religion/2130557/posts?page=81#81)
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To: Quix

“They don’t plan to drug us into silence.

They plan to exterminate us totally.”

If you look into the actual damage caused by their drugs, and the unbelievable excuses used to sell them, you’re right on target.

Either Smoking cigarettes, or trying to Quit Smoking them, are Both, Official psychiatric incurable mental illnesses.

The slightest evidence of teenage rebellion gets kids diagnosed as incurable, for life.


26 posted on 10/04/2009 10:50:07 AM PDT by To-Whose-Benefit? (It is Error alone which needs the support of Government. The Truth can stand by itself.)
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To: To-Whose-Benefit?

INDEED.

imho,

Their own rebellions against God

plus

the deceptions and lies of the critters . . . literally from hell

have all convinced the elites of the ruling oligarchy

that DARWINIAN survival of the fittest must guide their reducing the world’s population to 200 million.

Sooooooooooooooooooooo

. . . encourage all the drug abuse, alcohol abuse etc. etc. they can . . . find out all the idiots who succumb . . .

ditto homosexuality etc. though they are quite schizophrenic about that . . . exterminate the serfs and slaves who practice such but not the elites . . .

categorize all the misfits . . . law breakers . . . except, of course, for the elite such . . .

schedule all their extermination . . . after, that is, their usefulness as useful idiots is well past.


27 posted on 10/04/2009 11:05:13 AM PDT by Quix (POL Ldrs quotes fm1900 2 presnt: http://www.freerepublic.com/focus/religion/2130557/posts?page=81#81)
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To: Quix

Ask Your Doctor if Abilify is Right for You.

http://www.youtube.com/watch?v=mmsjBdxDxcM


28 posted on 10/04/2009 11:24:47 AM PDT by To-Whose-Benefit? (It is Error alone which needs the support of Government. The Truth can stand by itself.)
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To: To-Whose-Benefit?

YUCK!

Slick, aren’t they.


29 posted on 10/04/2009 11:27:57 AM PDT by Quix (POL Ldrs quotes fm1900 2 presnt: http://www.freerepublic.com/focus/religion/2130557/posts?page=81#81)
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To: Quix

I got called a Naderite on another post here for noting that the NIH blew $28 Billion with no oversight on the idiot research which got Abilify and more FDA certified.

I was called out as being an Anti-Capitalist because the other poster thought I was overly concerned with the Profits the Drug Companies make, because it was somehow Their money, when it came from the NIH.


30 posted on 10/04/2009 11:30:21 AM PDT by To-Whose-Benefit? (It is Error alone which needs the support of Government. The Truth can stand by itself.)
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To: To-Whose-Benefit?

Yeah . . . there’s folks hereon who think Capitalism is

GOD ALMIGHTY.

I don’t think God like socialism per se . . . at least not forced socialism.

He seems to be quite an advocate of reasonably free choice. Otherwise, no capacity to Love.

However, He’s not in favor of unbounded greed and corruption by any means either.

And then when one gets into the deadly greed of the oligarchily controlled drug conglomerates . . .

super YUCK.

Glad you sound the alarm.

Some may listen.


31 posted on 10/04/2009 11:32:43 AM PDT by Quix (POL Ldrs quotes fm1900 2 presnt: http://www.freerepublic.com/focus/religion/2130557/posts?page=81#81)
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To: Quix
CBT tends to take more mental work and discipline to change one’s brain-wiring from the typical habitual thought patterns than a lot of folks are willing to bother with.

It really is harder than heck!

I've seen a couple of therapists and neither even asked about the "speeding freight train of doom" which are the thoughts in my head. I came across the idea in a book, the title of which I can't remember (it was very thick, and the cover was yellow, if that helps? LOL).

The book irritated me with all it's "happy thought" stuff and I didn't accept the validity of it for years. But it does work. It's just very, very hard.

32 posted on 10/04/2009 11:43:07 AM PDT by Dianna
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To: Quix

Hitler and Mussolini both instituted despotisms which ran on MONEY.

Just because MONEY is in play, doesn’t make the system FREE, or Free Market Capitalism.

Real Free Markets with manufacturers competing against each other, rather than Drug Companies being Monopolies which Own their Regulators, and squeezing their bottom lines out of the public through Govt Redistribution - Obamacare - would bankrupt products like Abilify right off the shelf.

Anytime Govt has to pay for it, underwrite it, research it, the people have Already voted NO on the product, or service.


33 posted on 10/04/2009 11:47:36 AM PDT by To-Whose-Benefit? (It is Error alone which needs the support of Government. The Truth can stand by itself.)
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To: TennesseeGirl

Interesting article. The Psy.D. programs are extremely dubious, especially with their push to prescribe medications with essentially no scientific background or training.


34 posted on 10/04/2009 11:50:44 AM PDT by FormerACLUmember (When the past no longer illuminates the future, the spirit walks in darkness.)
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To: To-Whose-Benefit?

MMMMM ... MMMMM ... MMMMM

You reference psychiatry but then cite work done by psychologists and then claim the latter wish to drug people into silence.

Perhaps you are off your medications or have missed your therapy appointments of late to be so confused and confusing.


35 posted on 10/04/2009 12:19:31 PM PDT by dodger
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To: Dianna

I don’t recall the book.

THE TRUTH OF IT IS IN SCRIPTURE.

TAKE EACH THOUGHT CAPTIVE, THE BIBLE SAYS. That’s the kernal of truth on which COGNITIVE BEHAVIOR THERAPY is based whether they believe it or not.

Give it’s rooted in God’s Word, of course it works.

Does NOT mean it’s easy.

Took me decades to get there, too.

My profs and bosses articulated it this way . . .

imagine a chain of thoughts . . . The first

link = the first hint of a thought in the destructive, negative direction—the FIRST HINT—may not even seem in the ball park but is still a repeatedly used first step on the route to destruction.

then the next link and the next and the next.

By the time one has reached the last dozen or half dozen or so links, IT IS LIKE A RUNAWAY TRAIN TO DESTRUCTION. Very hard to stop.

ALSO, THOUGHT STOPPING—YELLING STOP OUT LOUD OR SILENTLY TO ONE’S SELF to stop the chain of thoughts . . . can be helpful. BUT ONE THEN HAS TO FORCEFULLY TURN ONE’S THOUGHTS TO A CONSTRUCTIVE ALTERNATIVE.

ONE MUST.

IT’s far from automatic—especially the first 30-90 days.

After 60-90 days, it’s tons easier. Actually, it’s significantly easier after the first 4 days; and easier still after the first 7-10 days.


36 posted on 10/04/2009 12:22:03 PM PDT by Quix (POL Ldrs quotes fm1900 2 presnt: http://www.freerepublic.com/focus/religion/2130557/posts?page=81#81)
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To: To-Whose-Benefit?

EXCELLENT POINTS.

THANKS.


37 posted on 10/04/2009 12:22:44 PM PDT by Quix (POL Ldrs quotes fm1900 2 presnt: http://www.freerepublic.com/focus/religion/2130557/posts?page=81#81)
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To: FormerACLUmember

Depends on the program.

My program offered either a PhD or Psy D. I chose the PhD.

We had more training by the UCSD MD who taught psychiatrists their psychoactive drug courses—we had 10 times the hours of instruction BY HIM than he was allowed TO GIVE THE PSYCHIATRISTS! Crazy.

I have no trouble with properly trained psychologists prescribing a limited range of psychoactive drugs in a proper context.

This closed shop/guild turf stuff to rank up the fees is not exactly the greatest benefit to the patients, clients either.


38 posted on 10/04/2009 12:25:42 PM PDT by Quix (POL Ldrs quotes fm1900 2 presnt: http://www.freerepublic.com/focus/religion/2130557/posts?page=81#81)
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To: Quix

Sorry, psychologists and social workers have no business prescribing.

It is de facto medical malpractice.


39 posted on 10/04/2009 12:34:12 PM PDT by FormerACLUmember (When the past no longer illuminates the future, the spirit walks in darkness.)
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To: TennesseeGirl; All
FYI, Health Realization or also known as Psychology of Mind. It takes a while to “figure it out” but once you do, your life changes. Not everyone buys into the theory. I have read that most traditional psychologist do not or have never heard of it. It challenges the conventional thinking on how to treat mental disorders.

http://en.wikipedia.org/wiki/Health_realization

40 posted on 10/04/2009 12:52:27 PM PDT by LuvFreeRepublic (Hey whiners, SEE BRETT THROW!!!)
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