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It looks like psychiatry, especially psychotherapy, is bullshit to a far greater extent than what was discussed in this blog post: --- For real patients, ther
by sophistication 8y ago
It looks like psychiatry, especially psychotherapy, is bullshit to a far greater extent than what was discussed in this blog post:
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For real patients, there is no evidence that the benefits of psychotherapy are greater than those of placebo treatment.
https://www.cambridge.org/core/journals/behavioral-and-brain-sciences/article/an-analysis-of-psychotherapy-versus-placebo-studies/08C6F3704103BE1DE8737138D61BE66B https://www.cambridge.org/core/journals/behavioral-and-brain... (Prioleau 1983)
Meta-analysis shows antidepressants to be more effective than psychotherapy. No significant difference between the studies with and those without a placebo condition.
https://www.ncbi.nlm.nih.gov/pubmed/26169475 https://www.ncbi.nlm.nih.gov/pubmed/26169475 (Cuijpers 2015)
Negative results in phase III trials of complex interventions
https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/negative-results-in-phase-iii-trials-of-complex-interventions-cause-for-concern-or-just-good-science/188FDEFC70880724315045EC8D773AA2 https://www.cambridge.org/core/journals/the-british-journal-... (Crawford 2016)
Therapy experience in naturalistic observational studies is associated with negative changes in personality
https://www.sciencedirect.com/science/article/pii/S0092656616302410 https://www.sciencedirect.com/science/article/pii/S009265661... (Philip 2016)
Does psychotherapy work? An umbrella review of meta‐analyses of randomized controlled trials finds only 7% of studies provided convincing evidence that psychotherapy is effective. These pertained to cognitive behavioural therapy (n = 6), meditation therapy (n = 1), cognitive remediation (n = 1), counselling (n = 1) and mixed types of psychotherapies (n = 7).
https://onlinelibrary.wiley.com/doi/abs/10.1111/acps.12713?campaign=wolearlyview https://onlinelibrary.wiley.com/doi/abs/10.1111/acps.12713?c...
More experience and training do not improve outcome of psychotherapy.
http://psycnet.apa.org/record/2017-46640-006 http://psycnet.apa.org/record/2017-46640-006 (Erekson 2017)
Trauma and victimhood have also been way overstated, overlooking that most people recover from traumatic experiences; that duration and and frequency of trauma are uncorrelated with subsequent disorder.
https://www.sciencedirect.com/science/article/pii/S0272735818300539 https://www.sciencedirect.com/science/article/pii/S027273581... (Küenzlen 2016)
Young children emerge from single potentially traumatic events psychologically unharmed
https://www.tandfonline.com/doi/abs/10.1080/17405629.2016.1150174 https://www.tandfonline.com/doi/abs/10.1080/17405629.2016.11... (Galatzer-Levy 2018)
People with moderate life adversity have the fewest stress symptoms,
are the most satisfied with life and the least affected by recent traumata.
https://econtent.hogrefe.com/doi/abs/10.1027/2512-8442/a000011 https://econtent.hogrefe.com/doi/abs/10.1027/2512-8442/a0000... (Höltge 2018)
How to spot hype in the field of psychotherapy: A 19-item checklist
https://drive.google.com/file/d/1RXZ75sEnpTpqExb_KP0buaL6V2yZagvE/view https://drive.google.com/file/d/1RXZ75sEnpTpqExb_KP0buaL6V2y...
- SEMW 8y agoAFAICT none of the links you give offer any support for the claim that "psychiatry is bullshit". Several, if anything, support the exact opposite (e.g "antidepressants to be more effective than psychotherapy" -- 'psychiatrist' is not a synonym of 'psychotherapist', a psychiatrist is a medical doctor specialising in mental illness, so is licensed to prescribe antidepressants). Most of the others are just not relevant to the claim ("Young children emerge from single potentially traumatic events psychologically unharmed" -- how exactly is that supposed to be evidence that psychiatry is bullshit? By some kind of hidden implication that just because thing X does not cause mental illness, therefore mental illnesses don't exist?)
- sophistication 8y agoYes, I predominately mean psychotherapy. The links I've listed mostly just provide hints of excessive psychologizing and quackery, but it is indeed awkward when >90% of psychotherapy methods do not perform better than placebo. There seems to be quackery in the medical side of psychiatry as well, but to a lesser extent. Here it is straight from the horse's mouth: https://www.youtube.com/watch?v=f0Fi32LbXHA https://www.youtube.com/watch?v=f0Fi32LbXHA
- sophistication 8y agoA bit late, but more on this: https://pocketmags.com/au/skeptical-inquirer-magazine/may-june-2018/articles/343086/trauma-and-taboo https://pocketmags.com/au/skeptical-inquirer-magazine/may-ju...