Personally, I think that there are philosophical links to be drawn between Skinner and L Ron Hubbard - they both founded cults based on dogmatic versions of "truth".
Sorry for the history lesson, however it might help place CBT in a comparative and historical framework.
Thanks for these thoughts. I have despised Skinner since first reading his ideas in High School.
I think there is a small but significant difference between Hubbard and Skinner: Hubbard knew that he was running a con. Hubbard's game grew out of his experience as a science fiction writer (as the whole Xenu thing makes abundantly clear). I think Skinner really believed in programmable people while Hubbard believed in none of the swill he was pushing.
That whole Skinnerian line was behind the worst psychiatric abuses of the CIA experiments.
Nevertheless, I think there is some good in look closely at the distorted thoughts that come with deep depression and challenging them and CBT offers a method to do that.
I think the evidence-based claim of CBT will be the undoing of the kind of abuses happening now in the UK. The evidence will show that CBT does not magically create job opertunities in an economy geared toward funnellig wealth to a tiny ruling elite.
I read a bit of William James that was too open to spiritualist nonsense and this probably unfairly colored my whole impression of his work. It is fascinating to me that so long after his explorations of these issues, we are no closer to real understanding of thought, mind and consciousness.
The huge leaps forward in understanding the somatosensory components of the nervous system are encouraging, though.
Actually, this is pretty similar to a more philosophical problem of other minds (in fact, perhaps parts of CBT have their root in this). Are other people as conscious as I am? Or are they literally just robots? The whole "selfie generation" begs that question, to be honest (sound pretentious?).
This is an interesting discussion.
Adamantium, you wrote:
"That whole Skinnerian line was behind the worst psychiatric abuses of the CIA experiments."
The current parallel -psychologists colluding with politics - is the psychologists who are voluntarily working at Guantanomo Bay, colluding with the practices of torture there which are in breach of the Geneva Convention. The American Psychological Association's stated rules for governing practice standards have been specifically breached by this, and they have refused to act on complaints from other members, refuse to discipline or to deregister the culprits, APA have refused to do anything at all. Go figure...
"Nevertheless, I think there is some good in look closely at the distorted thoughts that come with deep depression and challenging them and CBT offers a method to do that".
I can see what you are saying, and yes, the alleviation of deep depression - who would not want that, only the most miserable of Scrooges. The thing is though, that the distorted thoughts are more likely to be an effect rather than a cause, and treating effects as a "cure" in depression worries me. For example: unemployed people who are depressed because they being beaten up by a partner (DV) and believe it's too dangerous to them, their children and pets to speak up about the abuse? I know you personally wouldn't for a moment approve of "curing" their thoughts about their plight in that way - you are far too humane for that - but that's what actually can and does happen when you let poorly/partly trained "practitioners" act out government policy which is not client centred at all, in the service of government policies.
In the past, UK governments were stern critics of the USSR for treating political dissidents as psychiatrically ill and forcing them to have "treatment". From my perspective, there are parallels to what is happening now in the UK, it alarms me.
Adamantium, you wrote:
"That whole Skinnerian line was behind the worst psychiatric abuses of the CIA experiments."
The current parallel -psychologists colluding with politics - is the psychologists who are voluntarily working at Guantanomo Bay, colluding with the practices of torture there which are in breach of the Geneva Convention. The American Psychological Association's stated rules for governing practice standards have been specifically breached by this, and they have refused to act on complaints from other members, refuse to discipline or to deregister the culprits, APA have refused to do anything at all. Go figure...
"Nevertheless, I think there is some good in look closely at the distorted thoughts that come with deep depression and challenging them and CBT offers a method to do that".
I can see what you are saying, and yes, the alleviation of deep depression - who would not want that, only the most miserable of Scrooges. The thing is though, that the distorted thoughts are more likely to be an effect rather than a cause, and treating effects as a "cure" in depression worries me. For example: unemployed people who are depressed because they being beaten up by a partner (DV) and believe it's too dangerous to them, their children and pets to speak up about the abuse? I know you personally wouldn't for a moment approve of "curing" their thoughts about their plight in that way - you are far too humane for that - but that's what actually can and does happen when you let poorly/partly trained "practitioners" act out government policy which is not client centred at all, in the service of government policies.
In the past, UK governments were stern critics of the USSR for treating political dissidents as psychiatrically ill and forcing them to have "treatment". From my perspective, there are parallels to what is happening now in the UK, it alarms me.
People sometimes act as if therapy is, or should be, value free. It isn't. I'm not sure I can see a reasonable way to object to the CBT response to domestic violence which leads to "I was hit because I'm bad, I deserved to be hit because I annoyed my ____". It may not cure the person to challenge the beliefs that she/he is bad and deserved to be hit. But isn't challenging that thought "I'm bad and deserve to be hit" the right thing to do?
The fact that a treatment can be misused and can cause injury doesn't mean it's all bad. So I guess my question is, many times people argue a point more strongly than they fully believe to make that point. Do you actually see CBT as having no value as a tool by capable people with consenting individuals, or are you arguing that it is being pushed unreasonably as a panacea, and that it is incorrect to blame people already suffering for not getting better by saying they are having wrong thoughts as if that is the cause and as if, with a bit of effort, they'd be over it?
Nice metaphor for how both the drug and the optimism to take the drug worked together to help.
I on the other hand have seen no point taking either for my sore throat as I don't think they'd help (humor intended).....
My understanding of depression is that it is not curable. You can reduce the impact and you can go for long stretches of time without it, but it's a bit like having cancer in remission or being an alcoholic "on the wagon" -- the "black dog" can always come back. The best you can do is make it a toy poodle instead of a rottweiler. Claims to "cure" are deceptive and should not be believed without confirmation from longitudinal studies. I don't believe there is evidence on which to base a conclusion that CBT has any ability to "cure" depression.
I agree and this is chilling.
An issue I see with CBT for mild depression due to job hunting woes is that it pathologises a normal emotion. Negative emotions are normal and healthy in response to bad situations. If it's actually challenging thought patterns such as "I'll never find a job" "there's nothing I can do" and "I'm useless", then I can see it being useful, but it will be less useful if the approach taken is "your faulty thought patterns are the only thing stopping you from finding a job".
_________________
Music Theory 101: Cadences.
Authentic cadence: V-I
Plagal cadence: IV-I
Deceptive cadence: V- ANYTHING BUT I ! !! !
Beethoven cadence: V-I-V-I-V-V-V-I-I-I-I-I-I-I-I-I-I-I
-I-I-I-I-I-I-I-I! I! I! I I I
This is true, but.. For a government that has pursued policies that will create tens of thousands of job losses, to push this seems a little cynical, at best.
