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Posts Tagged ‘evidence’

In Fear of coffee I mentioned the renowned American CBT therapist, Christine Padesky. One of the recurring themes in her work has been to counter the notion that CBT is just about providing helpless patients with techniques for solving their problems, by emphasizing that patients always come to therapy with capabilities and strengths of their very own.

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Patients and bloggers often complain about their GPs’ lack of understanding of mental health, so I was interested to come across an article recently that suggests some ways in which the work of GPs (primary care) could be better aligned with mental health care.

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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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booksThe wilful narrowness of much academic training for mental health professionals never ceases to astonish me.

Its worst effect is that those professionals who have the most impressive qualifications and titles can turn out to be be the least skilled treatment providers, which makes it very difficult for patients who are serious about recovery to find a competent therapist.

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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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Mary had a little…

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