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Posts Tagged ‘CBT’

Far away to the North, in Lapland, some say, Santa’s elves are elving away making Christmas presents ready for good little girls and boys. What would be on a mental health Christmas list, I wonder? Immediate response to every psychiatric crisis? Coordinated team treatment without any referrals or waiting lists? Effective home treatment that keeps people off medication and out of hospital? Perhaps, if you’ve been very, very good…

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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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One of the most important organizing principles of a person’s life, traditionally, was felt to be a clear sense of values — ideas to believe in and to be devoted to, a set of ideals more important than an individual life, which therefore could be relied upon as a way for an individual to make choices. This notion of values comes perilously close to the notion in CBT of beliefs, which have the potential to go wrong occasionally and lead an individual astray into a state of emotional disorder.

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The BABCP recently lent its support to a confused and misleading media campaign about stigma and mental health. Now it has added to the confusion by publishing an embarrassing case study showcasing the worst kind of failed CBT.

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A couple of articles promoting CBT at the Huffington Post recently made some good points, but failed to take into account the wider context in which psychotherapy operates.

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There was a psychiatrist (now retired) whose referrals for psychotherapy would include helpful advice about how CBT treatment should proceed. Alas, this psychiatrist had only the vaguest idea about how CBT works, and the advice invariably missed the point.

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In a feeble and distasteful attempt at (I can only suppose) satire, the impressionist Jon Culshaw, portraying the TV presenter Gok Wan, was shown on BBC 1 this week fondling a woman’s breasts in public, causing her evident distress. What’s to be done? Perhaps vigilante groups are the answer.

Well, no.

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You’ll enjoy this. No, really. Let me be clear: you will enjoy this. Otherwise there could be unpleasant consequences.

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As the warm weather here continues, I naturally have thoughts of chilly places — cold storage for example. We put things in cold storage so that they will still be fresh when we retrieve them.

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Health Secretary Andrew Lansley was in Berkshire today. He made a speech promising that psychological therapies (the IAPT programme) would continue to be developed in the NHS.

That’s good news, isn’t it?

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