Comments for cbtish

Comment on Off the record by antiSWer

antiSWer — Mon, 02 Nov 2009 19:50:54 +0000

Taping is used a lot in the sessions at my agency, but I avoid them as much as possible. Even if there’s some hesitation from my client that it will interfere with therapy, I won’t press the button. We also have supervisors viewing through the one way mirror.

The only problem is that I have to be evaluated some way, so I’m being pressed to do more taping and being observed more.

Comment on Off the record by Lola Snow

Lola Snow — Mon, 02 Nov 2009 11:36:45 +0000

Thought provoking.

As someone who has had their therapy sessions recorded and found it very intrusive, I have to say it was unhelpful for me. I knew it was part of the deal, but that didn’t make it any easier.

I certainly held back a great deal, ok I wasn’t exactly a open book anyway, but I held back far more when I was conscious of a little dictaphone recording me. It made it very difficult to disclose anything, partially because despite reassurance I didn’t trust where that tape would end up, but also because I was very conscious of what I was saying and how I was saying it. I could visualise it becoming a record set in stone. It stopped being about my thoughts, and started being how an external party might percieve what i was saying, and judge me on it. I felt more like a specimen than a person.

Lola x

Comment on Saturation by Neuroskeptic

Neuroskeptic — Fri, 30 Oct 2009 12:55:38 +0000

So these PWPs are therapists for people who don’t actually need therapy.

I wonder whether that’s the future of treating people who don’t need treatment. At the moment such people generally get SSRIs, 20 years ago it was Valium, but there’s a backlash against antidepressants now – the Scottish National Party, bizarrely, pledged to cut antidepressant prescriptions by 10% by the end of this year.

In 10 years will we be talking about over-use of CBT instead of over-use of Prozac?

Comment on Saturation by cbtish

cbtish — Wed, 28 Oct 2009 21:02:47 +0000

I didn’t spot that. Yes, of course you are completely right. Your joining up of the dots is impressive.

Comment on Twist by Claire

Claire — Wed, 28 Oct 2009 18:47:06 +0000

From what I gathered, it was as you pointed out, they were not aware of the therapists technique. I think they were just happy with what worked, but couldn’t point out what it was that actually worked until a lot further on in their studies.

Comment on Saturation by Lola Snow

Lola Snow — Wed, 28 Oct 2009 18:37:04 +0000

Ah I think I’ve seen this before somewhere?

Right now PWP’s don’t treat anyone, but I wonder if after a year, the powers that be might decide PWP’s should have just a little bit more responsibility, just to cover a conveniently appearing gap in the system. So add a low budget training course, a tiddley pay rise and then maybe, after another year, a little bit more responsibility, and another budget training course, probably on a vastly overpriced CD-ROM. Then all of a sudden, you got yourself half-price therapists! Winner, hey with all those therapists, whatcha need the expensive ones for? That’s costing loads of money. Get rid of them and save tonnes of cash!

The acronym PCSO ring a bell?

Lola x

Comment on Anon. by cbtish

cbtish — Sun, 25 Oct 2009 08:28:34 +0000

Shopping for shoes? I’m wondering where it would go if you took it further. It reminds me of this.

Comment on Anon. by cbtish

cbtish — Sun, 25 Oct 2009 08:14:55 +0000

Yes, long-term / short-term is another way. In CBT that distinction doesn’t work well, because CBT sometimes turns out to be very intense in a short time, effectively treating quite severe mental illness, and it doesn’t seem to make sense to call it counselling just because there were not many sessions.

Comment on Twist by cbtish

cbtish — Sun, 25 Oct 2009 08:10:52 +0000

It’s interesting that people who had experienced therapy themselves did not seem to have picked up skills from it. I wonder if that’s because as a client you focus so much on yourself, and are not aware of your therapist’s technique. You’re right that you don’t experience everything that a client goes through, and the whole point of your training should be that you learn to be effective even when you and your client have little shared experience.

Comment on Anon. by cbtish

cbtish — Sun, 25 Oct 2009 08:03:13 +0000

You’re right — there can be an element of teaching in psychotherapy, but I think of learning through shared discovery as much more important, and certainly all the language of classic CBT is about investigation, discovery, and making-sense-of.