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Archive for the ‘Research’ Category

Where is Timbuctoo, I wonder, that opulent city of legend, it’s shaded squares alight with the vivid yellow blossom of a thousand Jacaranda trees? In far away China, I suppose. But how shall I convince you? Perhaps I will take you on a journey of discovery.

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A recent research study that asked CBT therapists to reflect on their own thoughts illustrates unwittingly how poor some CBT training has become.

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This month’s draft guideline from the health quango NICE on the long-term management of self harm provides a revealing perspective on the NHS’s inadequacies, which go beyond failures in the treatment of individual cases to NICE itself and the basis for its existence.

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A recent analysis of patients’ comments about the NHS highlights a widespread problem, but comes to the wrong conclusions about how to fix it.

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Sometimes I can only point.

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It seems strange to think that we are all hurtling through space on this big chunk of rock we call Earth. It’s OK when immersed in a science fiction story and disbelief is suspended, but for real? Weird.

Yet it’s the accepted view of things. Scientists tell us that it is so.

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Much of the information about mental illness promoted to the public over many years tells a story in which mental illness is a lifelong disability, incurable and hopeless. The mentally ill are fundamentally different from everyone else. They act strangely. They can be dangerous.

The fundamental difference, we have been told, is that the mentally ill have brains that are chemically unbalanced. It is just the way they are. When they take special drugs to restore the balance they can appear normal, but they are not really.

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Marketing pioneers, driven by the need to succeed in competitive markets, are years ahead of most psychologists when it comes to understanding some important aspects human behaviour, because all that drives most psychologists is the need to impress other psychologists. As an illustration of this, consider chunky tomato sauce.

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The laws of physics are a conceptual analogy for fundamentals of nature that you cannot get around, even though the laws as we know them are man-made. It is intriguing that some of the laws of physics can be extended, by analogy, to other fields like marketing, psychology and psychotherapy.

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In my analysis of the Improving Access to Psychological Therapies (IAPT) programme’s recent data review, I was strict in my interpretation of the figures, and the final 4% success rate was a dismal result. It does no harm, and it might even do some good, to dream of what might have been.

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