Woolie
Senior Member
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Why CBT is falling out of favour
http://www.theguardian.com/lifeands...ut-of-favour-oliver-burkeman?CMP=share_btn_tw
More likely in my view:
* Most (if not all) of the placebo effect is just measurement noise, it doesn't reflect real improvement
* CBT is getting less effective because studies of its effectiveness have to be better designed now than 40 years ago. So its harder to get away with the dramatic results you could show in the 70s with a pretty dodgy design.
Have we finally got to the point where current studies are telling us the "truth" about the effectiveness of CBT? I'd say far from it. Designs are still not that great, and when they improve, effects will drop down again.
It might turn out that only some complaints benefit (maybe phobias? bedwetting?). Others not at all.
http://www.theguardian.com/lifeands...ut-of-favour-oliver-burkeman?CMP=share_btn_tw
The article really misses the point, I think. It considers that our measures of the effectiveness of CBT - both past and present - are valid. That is, they are good at measuring effectiveness. There's a bit about the placebo effect, but they dismiss that as an explanation for CBT's demise because the placebo effect is about heightening a person's expectations and that's a valid treatment outcome in itself.Researchers have found that CBT is roughly half as effective in treating depression as it used to be
More likely in my view:
* Most (if not all) of the placebo effect is just measurement noise, it doesn't reflect real improvement
* CBT is getting less effective because studies of its effectiveness have to be better designed now than 40 years ago. So its harder to get away with the dramatic results you could show in the 70s with a pretty dodgy design.
Have we finally got to the point where current studies are telling us the "truth" about the effectiveness of CBT? I'd say far from it. Designs are still not that great, and when they improve, effects will drop down again.
It might turn out that only some complaints benefit (maybe phobias? bedwetting?). Others not at all.
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