Welcome Richard.
Thanks for positive contribution.
Have you got any references for the Options project ?
A
-----Original Message-----
From: The UK Community Psychology Discussion List on behalf of richard pemberton
Sent: Sun 14/10/2007 14:28
To: [log in to unmask]
Subject: Re: The CBT announcement - who is g oing to tell them they've been had?
I share the view that the Layard and Clark pitch to government has been over
sold and is in parts surprisingly asocial. It is however not bad news. I
believe there is a lot of flexibility in all this and a real opportunity to
thicken the debate on why so many people are presenting with or being
represented as having, 'anxiety and depression' or in wellbeing/happiness
parlance, are languishing. There is a real public health agenda running
alongside this which we need to influence and promote. Felicia Hupperts work
is very interesting in this regard. In East Sussex we have been actively
developing 'step zero' with progressive voluntary sector groups and
promoting an Options model/service which grooms less people into therapy and
enables them to find other narratives and solutions to problems within their
own communities.We have received some Layard linked funding to support
this. The Doncaster Layard pilot if accurately represented by Richards is
really interesting and innovative. It is much more about guided self help
than therapy as such. Its also reaching into communities and marginalised
populations that traditional services have by and large ignored.
So I would argue for a response that is much more positive, that gets social
capital firmly on the agenda and which links up people who are trying to
shape all this is in productive, social, innovative and even liberating
ways!
I am new to this list so apologise if I seem off another planet.
Richard Pemberton
ps The same week as the Layard announcement the very progressive PSA 16
Agreement was published which couldnt be more social.
http://www.hm-treasury.gov.uk/media/3/9/pbr_csr07_psa16.pdf
On 10/14/07, Mark Burton <[log in to unmask] > wrote:
> The CBT announcement - who is going to tell them they've been had?
>
> So far there has been silence form community/critical/really social
> psychologists about the governments announcement of £170m by 2010 for CBT.
>
> I propose a press release from the CPUK network making something like the
> following key points:
>
> CBT is overrated, its supposed effectiveness being based on the flawed RCT
>
> strategy that under-researches other less treatments less capable of
> reduction to a manual, uses short term timeframes, ignores those who don't
> improve, uses a restricted sample, excluding complex 'cases'. When a
> broader methodology is used, (e.g. as in Seligman's Consumer Reports study
> of treatments in practice see
> http://horan.asu.edu/cpy702readings/seligman/seligman.html ) the evidence
> for specific treament modalities disappears - the key factors seem to be
> treatment duration and competence of the therapist. This is probably not
> to say CBT has no place, but the claims for it are inflated.
>
> We all know that CBT is ineffective and impossible to apply in many of the
> situations that trouble Layard - multiple deprivation and associated
> problems of everyday life (see the work of the W Midlands critical
> psychology group on this).
>
> An approach that individualises social problems and treats the casualties
> does nothing to deal with the underlying causes in our profoundly unwell
> social system.
>
> The problem is I'm not particularly expert in this area so would need
> others to contribute, work up the statement.
> We could also link it to some of the work in the Birmingham /York
> statements.
>
> Quite a good article in Saturday's Guardian:
> http://www.guardian.co.uk/comment/story/0,,2190258,00.html
>
> See also
> http://www.dcu.ie/health4life/conferences/2007/resources/Health4Life2007_Keynote_Paul_Verhaeghe.pdf
>
> for the talk referenced in the Guardian article.
>
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