Comments on: CBT Patients Want Understanding, Not Homework https://www.madinamerica.com/2024/05/cbt-patients-want-understanding-not-homework/ Science, Psychiatry & Social Justice Wed, 12 Jun 2024 18:06:45 +0000 hourly 1 https://wordpress.org/?v=6.5.3 By: Birdsong https://www.madinamerica.com/2024/05/cbt-patients-want-understanding-not-homework/#comment-283093 Wed, 12 Jun 2024 18:06:45 +0000 https://www.madinamerica.com/?p=256134#comment-283093 In reply to Kevin Smith.

You’re welcome, Kevin.

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By: Birdsong https://www.madinamerica.com/2024/05/cbt-patients-want-understanding-not-homework/#comment-282817 Sun, 09 Jun 2024 17:14:43 +0000 https://www.madinamerica.com/?p=256134#comment-282817 In reply to Kevin Smith.

Most people have the basic need to feel understood before they’re able to adjust their way of thinking.

And oftentimes, as soon as a person feels understood, they find themselves able to adjust their way of thinking to a more helpful state (more insight) on their own.

And who knows? Maybe their way of thinking doesn’t need to be adjusted.

Conventional mental health practitioners get in the way no matter what ‘technique’ they use.

There’s nothing quite as unhelpful as a rehearsed, agenda-laden professional.

IMHO.

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By: Topher https://www.madinamerica.com/2024/05/cbt-patients-want-understanding-not-homework/#comment-282789 Sun, 09 Jun 2024 05:40:21 +0000 https://www.madinamerica.com/?p=256134#comment-282789 All we have are stories – if we’ve been through therapy there are often many reasons why a story of help or hindrance is told and most of these reasons will be out of our awareness, how we slept, what we’ve eaten and when, are we hydrated, in the moment perceptions of the person asking the questions, and the various hormones and electrical chaos moving within and around us and myriad other influences beyond what Smail referred to as our ‘awareness horizon’

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By: Kevin Smith https://www.madinamerica.com/2024/05/cbt-patients-want-understanding-not-homework/#comment-280446 Wed, 08 May 2024 18:08:11 +0000 https://www.madinamerica.com/?p=256134#comment-280446 In reply to Birdsong.

Big thanks Birdsong for the book recommendation, and I totally concur that Gerard’s quote is a gem. FWIW, I think CBT, within the context of critical psychology and other critically informed process, can be pragmatically useful and even leading to long term benefits. But in my estimation, viz personal experience and lost of like stories from others, CBT has a fundamental propensity to suppress critical consciousness, i.e., memory, experiences, power abuses, etc… especially when CBT is facilitated by conventional professional mental health practitioners…

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By: Ryan https://www.madinamerica.com/2024/05/cbt-patients-want-understanding-not-homework/#comment-280283 Mon, 06 May 2024 21:27:16 +0000 https://www.madinamerica.com/?p=256134#comment-280283 In reply to Gerard.

Wow so well put I’ve been struggling to say this for years. CBT is the worst offender by far in this regard. Events cause emotionless automatic thoughts which cause emotions? Ridiculous. And cognition is linear sentence construction, open to the same correction scheme as analytic argument? Insane. I was subjected to infinite CBT and was always recriminated for not benefiting. Now I know a thing or two about philosophy and neuroscience and life and realize how unbelievably stupid and reductive cbt is. It’s literally been repudiated by cognitive science! With all its flaws and shortcomings, cognitive science can’t even be marshaled to support this intervention, which is based on a theory of cognition! I remember reading a cbt therapist defending against this charge saying ‘well, cbt is not meant to be a rigorous or accurate model of the mind.’ WHAT? And now we’re finding out what we always knew: therapy is actually just an instance of human connection that can be successful or unsuccessful based on the same relational qualities that matter across the board when someone is suffering. At this point all my friends, who’s suffering was not quite as destructive as mine, have tried cbt of their own volition and I feel affirmed by the ubiquitous reaction: this is unhelpful and in fact dumb. They simply cut the cord on the therapy because they found it unhelpful, no
One to coerce them into it infinitely because it must be on them if it’s unhelpful. Anyway thanks for this very validating.

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By: Birdsong https://www.madinamerica.com/2024/05/cbt-patients-want-understanding-not-homework/#comment-280171 Sun, 05 May 2024 18:39:42 +0000 https://www.madinamerica.com/?p=256134#comment-280171 In reply to Gerard.

Gerard, as I was looking up “How to Survive Psychotherapy” I came upon a book called “Manufacturing Victims: What the Psychology Industry Is Doing To People”, by Tana Dineen. Both sound like good reads.

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By: Frederick Blum https://www.madinamerica.com/2024/05/cbt-patients-want-understanding-not-homework/#comment-280145 Sun, 05 May 2024 13:39:49 +0000 https://www.madinamerica.com/?p=256134#comment-280145 A likely more comprehensive approach is in Acceptance and Commitment Theray. The problems noted by the author could be true with using any “theoretical model” not taking the unique situation and history of the person who is seeking Therapy.

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By: Birdsong https://www.madinamerica.com/2024/05/cbt-patients-want-understanding-not-homework/#comment-280087 Sun, 05 May 2024 02:20:20 +0000 https://www.madinamerica.com/?p=256134#comment-280087 In reply to Gerard.

Great quote!

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By: Gerard https://www.madinamerica.com/2024/05/cbt-patients-want-understanding-not-homework/#comment-279823 Wed, 01 May 2024 23:19:49 +0000 https://www.madinamerica.com/?p=256134#comment-279823 “the ruling dogmas of clinical psychology, usually referred to loosely as ‘cognitive behaviourism’, embody an, in my view, extraordinarily simplistic collection of ideas about how people come to be the way they are and what they can be expected to be able to do about it. For example, how people learn things, how they form and change ‘attitudes’, whether and how they can control their ‘thoughts’, are often dealt with in psychology according to models that have been constructed from a combination of everyday, common-sense (and occasionally contradictory) assumptions and simplified laboratory experiments which scarcely do justice to the complexity of human experience. Such ideas, acceptable enough perhaps to undergraduate students learning the experimental ropes, ring particularly hollow when they come to be applied in the clinical setting, where people’s difficulties are often complicated and intractable.”

David Smail in his book How to Survive Without Psychotherapy

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