Thanks - this is a helpful statement of the issues and it would be a good
outline for a statement.
The debate in the other posts has been interesting, but we do need a
reasonably simple message.
Mark
> Four list members have already indicated an interest in a UKCP statement
> contesting the recent bout of CBT-itis. To try to clarify the arguments
> emerging, when the emails are distilled it seems to me that the following
> are the key community critical psychological points made so far:
>
> * CBT is overrated
> * CBT is ineffective
> * CBT is impossible to apply in many situations
> * CBT individualises social problems
> * CBT distracts attention away from the pressing socio-economic causes of
> trouble
>
> I think the following points, maybe implied, are worth making explicitly:
>
> The scale of socially caused distress is so vast and growing so rapidly
> that it is impossible to treat it better by training indviduals to treat
> others one at a time: primary prevention is the only way. But even if we
> could train enough 'treaters' (which we cannot) and even if their
> treatment were effective (which it isn't) and even if it were not
> ideologically objectionable as a form of victim blaming (which it is) and
> even if those successfully treated did not go back into the
> psychologically toxic causal nexuses which had made them distressed in the
> first place (which they will mostly have no alternative to doing), there
> would be a tsunami of newly distressed people coming on stream due to the
> unprevented social causes of distress.
>
> David
>
>
> ________________________________
>
> From: The UK Community Psychology Discussion List on behalf of David Fryer
> Sent: Sun 14/10/2007 13:49
> To: [log in to unmask]
> Subject: Re: The CBT announcement - who is going to tell them they've been
> had?
>
>
> I agree that a brief accessible community critical critique of the CBT
> bandwagon is required and am willing to put some work into that.
>
> David
>
> ________________________________
>
> From: The UK Community Psychology Discussion List on behalf of Mark Burton
> Sent: Sun 14/10/2007 11:08
> To: [log in to unmask]
> Subject: The CBT announcement - who is going to tell them they've been
> had?
>
>
>
> 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.
>
> ___________________________________
> COMMUNITYPSYCHUK - The discussion list for community psychology in the UK.
> To unsubscribe or to change your details visit the website:
> http://www.jiscmail.ac.uk/lists/COMMUNITYPSYCHUK.HTML
> For any problems or queries, contact the list moderator Rebekah Pratt on
> [log in to unmask] or Grant Jeffrey on [log in to unmask]
>
>
> --
>
> The University of Stirling is a university established in Scotland by
> charter at Stirling, FK9 4LA. Privileged/Confidential Information may be
> contained in this message. If you are not the addressee indicated in this
> message (or responsible for delivery of the message to such person), you
> may not disclose, copy or deliver this message to anyone and any action
> taken or omitted to be taken in reliance on it, is prohibited and may be
> unlawful. In such case, you should destroy this message and kindly notify
> the sender by reply email. Please advise immediately if you or your
> employer do not consent to Internet email for messages of this kind.
>
> ___________________________________ COMMUNITYPSYCHUK - The discussion list
> for community psychology in the UK. To unsubscribe or to change your
> details visit the website:
> http://www.jiscmail.ac.uk/lists/COMMUNITYPSYCHUK.HTML For any problems or
> queries, contact the list moderator Rebekah Pratt on
> [log in to unmask] or Grant Jeffrey on [log in to unmask]
>
>
> --
> The University of Stirling is a university established in Scotland by
> charter at Stirling, FK9 4LA. Privileged/Confidential Information may
> be contained in this message. If you are not the addressee indicated
> in this message (or responsible for delivery of the message to such
> person), you may not disclose, copy or deliver this message to anyone
> and any action taken or omitted to be taken in reliance on it, is
> prohibited and may be unlawful. In such case, you should destroy this
> message and kindly notify the sender by reply email. Please advise
> immediately if you or your employer do not consent to Internet email
> for messages of this kind.
>
>
> ___________________________________
> COMMUNITYPSYCHUK - The discussion list for community psychology in the UK.
> To unsubscribe or to change your details visit the website:
> http://www.jiscmail.ac.uk/lists/COMMUNITYPSYCHUK.HTML
> For any problems or queries, contact the list moderator Rebekah Pratt on
> [log in to unmask] or Grant Jeffrey on [log in to unmask]
>
>
>
___________________________________
COMMUNITYPSYCHUK - The discussion list for community psychology in the UK.
To unsubscribe or to change your details visit the website:
http://www.jiscmail.ac.uk/lists/COMMUNITYPSYCHUK.HTML
For any problems or queries, contact the list moderator Rebekah Pratt on [log in to unmask] or Grant Jeffrey on [log in to unmask]
|