1. Patients launch $1.27 million crowdfunding campaign for ME/CFS gut microbiome study.
    Check out the website, Facebook and Twitter. Join in donate and spread the word!
The Pathway to Prevention (P2P) for ME/CFS: A Dangerous Process
Gabby Klein gives an overview of the P2P process, shedding light on the pitfalls with advice as to what we can do in protest ...
Discuss the article on the Forums.

Launch of the Council for Evidence-Based Psychiatry

Discussion in 'General ME/CFS News' started by Simon, Mar 23, 2014.

  1. Simon

    Simon

    Messages:
    1,526
    Likes:
    4,887
    Monmouth, UK
    This looks quite interesting, though I have no idea how sound the people behind it are:

    Launch of the Council for Evidence-Based Psychiatry


    James Davies, Ph.D.
    March 22, 2014

    When I started working in the NHS in Britain I pretty much accepted the mainstream view – that psychiatric drugs work, that the categories of mental disorder have been established via solid scientific research, and that we are now on the cusp of understanding the biology of mental illness. I was wrong.

    I only learnt how totally wrong I was, when I began researching and writing a book on the unhappy truth about psychiatry. This led me to interview many of the founding fathers of the profession. From them I heard many startling confessions about the flimsy and unscientific foundations upon which modern psychiatry rests. The picture that emerged was one of a profession in serious crisis; a profession that is, and as I state in the book’s title, seriously, disconcertingly, in both senses of the term, Cracked.

    After its publication I had the opportunity to help set up a new critical psychiatry organization.
    ...

    The aim of our new organization, then, is to help to fill this gap. The organization – the Council for Evidence Based Psychiatry (CEP) – was informally launched in London this week. CEP will fight to bring to the heart of the political and medical establishment evidence that clearly exposes areas where psychiatry is doing more harm than good.

    The official launch of CEP will take place on 30th April 2014 in the Houses of Parliament, London. And to mark the occasion two eminent critics will address the invited audience of journalists, MPs, policy makers, practitioners and survivor advocates

    full article
     
  2. Sasha

    Sasha Fine, thank you

    Messages:
    8,751
    Likes:
    8,112
    UK
    That could be GREAT. Or it could go horribly wrong. But it could be GREAT.
     
    Valentijn, alex3619, golden and 3 others like this.
  3. Bob

    Bob

    Messages:
    8,841
    Likes:
    12,362
    South of England
    It seems quite high profile. We'll have to look out for that. It might be placed on video.

    Wouldn't it be perverse if these two 'critics' happened to be Wessely and Sharpe!
    As @Sasha says, it could all go horribly wrong!

    Interesting term! We can probably all relate to that!
     
    Last edited: Mar 23, 2014
    golden and Esther12 like this.
  4. A.B.

    A.B. Senior Member

    Messages:
    760
    Likes:
    2,247
    Sounds interesting, but psychiatrists like to interpret reality in funny ways, so "evidence based psychiatry" could mean just about anything.
     
    Iquitos, Valentijn, Min and 4 others like this.
  5. Bob

    Bob

    Messages:
    8,841
    Likes:
    12,362
    South of England
    This is their website. I haven't looked closely at it yet.
    It includes a list of their supporters.

    Council for Evidence-Based Psychiatry
    http://cepuk.org/
     
  6. SOC

    SOC Senior Member

    Messages:
    5,364
    Likes:
    6,445
    USA
    Yes, don't the Wessleyites claim that their CBT/GET is the only evidence-based treatment for ME/CFS? If that's what evidence-based means in psychiatry, I'm not sure the Council for Evidence-Based Psychiatry is a good thing.

    The right people involved, however, could start to turn things around in psychiatry. We'll just have to wait and see, I suppose.
     
    A.B. and Bob like this.
  7. peggy-sue

    peggy-sue

    Messages:
    2,494
    Likes:
    2,875
    Scotland
    I'm going to have to investigate this further.

    My suspicions so far are that it might just be a shift to get folk off drugs - and give them a few sessions with the great god CBT...
     
    Min, Esther12 and SilverbladeTE like this.
  8. daisybell

    daisybell Senior Member

    Messages:
    262
    Likes:
    522
    New Zealand
    I just watched one of the videos on their website - Paul's story.... It could be a story of ME.
     
    Bob likes this.
  9. A.B.

    A.B. Senior Member

    Messages:
    760
    Likes:
    2,247
    In my opinion, their assertion that psychotropic drugs are overprescribed, claimed to be more effective than they really are, and ultimately do more harm than good is correct.

    My concern is the same as yours: that they can use this point as platform from which to subtly promote some other approach, whereas in my opinion the only correct answer is to admit that no good solutions exist, and that a paradigm shift is needed.
     
    Valentijn, beaker, barbc56 and 4 others like this.
  10. SOC

    SOC Senior Member

    Messages:
    5,364
    Likes:
    6,445
    USA
    While I agree that psychotropic drugs are overprescribed, there are people who definitely need them and shouldn't be forced into psychotherapy for a physiological condition (neurochemical imbalance). The problem is that the medications are not prescribed based on objective measures, so medication becomes indiscriminate.

    Yes, indeed, a paradigm shift is most definitely long overdue.
     
  11. Bob

    Bob

    Messages:
    8,841
    Likes:
    12,362
    South of England
    Looking at this more closely they seem to be promoting the use of talking therapies instead of drugs.
     
  12. SOC

    SOC Senior Member

    Messages:
    5,364
    Likes:
    6,445
    USA
    :rolleyes: So probably not our friends.

    I think talk therapy has its place -- where the patient needs to restructure their thinking, say, because they were taught as children they were worthless, or if they need to learn emotional coping skills for grief or chronic illness. I don' think meds should be prescribed in those cases if there's not an organic problem the med corrects. Equally, I don't think psychology should get away with claiming their talk therapy works to cure organic disorders, including neurochemical imbalances.
     
    Valentijn, peggy-sue, Simon and 4 others like this.
  13. Sean

    Sean Senior Member

    Messages:
    1,306
    Likes:
    2,330
    I'll believe it when I see the evidence for it.
     
    SOC, peggy-sue, Bob and 2 others like this.
  14. alex3619

    alex3619 Senior Member

    Messages:
    7,684
    Likes:
    12,500
    Logan, Queensland, Australia
    So far evidence-based medicine has been very bad news for psychiatry. However they are talking about questioning the diagnoses themselves, not just the treatments. Psychiatry needs something like this, but is this it? This could be good, irrelevant or a disaster, as others have said.

    I too think psychiatry needs a paradigm shift, but I am of the view the entire medical profession and its attitudes, methods, teaching and promotion need to change. Psychiatry is embedded within a bigger problem, and protected by that.

    I think if they insisted on an evidence-base, and ripped out the non-evidence stuff, DSM might be reduced to the size of a slim book or thick pamphlet. Its a big task, but it has to start somewhere.

    If the wrong people come to dominate this new organization it will be railroaded into ineffectiveness. I hope the critics voices are loud enough to prevent this.
     
    Iquitos, peggy-sue and Min like this.
  15. Ecoclimber

    Ecoclimber Senior Member

    Messages:
    676
    Likes:
    1,234
    Mercer Island Wa
  16. Valentijn

    Valentijn Activity Level: 3

    Messages:
    6,690
    Likes:
    10,129
    Amersfoort, Netherlands
    A very good reason that all healthcare needs to be treated as a national issue. There should be no gain for dumping patients on someone else - in fact, there should be no "someone else" because they should all be part of the same structure.
     
    peggy-sue and Iquitos like this.

See more popular forum discussions.

Share This Page