Humility and self-doubt are hallmarks of a good therapist | Aeon Ideas – by Helene A Nissen-Lie – Feb 2020
‘The whole problem with the world is that fools and fanatics are always so certain of themselves, and wiser people so full of doubts.’
This phenomenon – observed in the 1930s by the English philosopher Bertrand Russell – has a technical name, the Dunning-Krüger effect. It refers to the tendency for the worst performers to overestimate their performance, whereas the top performers underestimate their own.
That’s because when you truly become an expert in a field, you’ve learned enough to see all the details and complexity and how much else is still unknown. Continue reading
Why depth therapy is more enduring than a quick fix of CBT | Aeon Essays – by Linda Michaels – Mar 2020
Ever since I learned about Cognitive Behavior Therapy years ago, I haven’t been able to believe it’s the solution to anything but immediate, superficial problems.
The grounding belief of Cognitive Behavior Therapy is that it’s our thinking that drives our feelings and that by changing what we think we can change what we feel. Oh, so clever, aren’t we?
But thinking and feeling are interdependent: how we feel affects how we think, which then affects how we feel, which then affects how we think, and so on and on. I find this disregard for the state of organic human feelings a fatal flaw; we are not such simplistic “computing machines”. Continue reading
Management of chronic pain in EDS – Part 3 – Nov 2018
This post continues from the first part & second part, and delves into the varied options for management of pain.
Most cases of chronic pain in EDS are a mix of nociceptive and NP. [Neuropathic Pain]
As symptoms vary based on the diseases phase and in individuals of EDS, broad recommendations in a patient with EDS or JHS include: Continue reading
Chronic pain treatment: Psychotherapy, not opioids, has been proven to work – Vox – By Brian Resnick @B_resnick firstname.lastname@example.org – Aug 16, 2018
When pain settled into Blair Golson’s hands, it didn’t let go.
What started off as light throbbing in one wrist 10 years ago quickly engulfed the other. The discomfort then spread, producing a pain much “like slapping your hands against a concrete wall,” he says. He was constantly stretching them, constantly shaking them, while looking for hot or cold surfaces to lay them on for relief.
But worse was the deep sense of catastrophe that accompanied the pain. Working in tech-related startups, he depended on his hands to type. Continue reading
Unwanted Events and Side Effects in Cognitive Behavior Therapy – Cognitive Therapy and Research – June 2018
Side effects (SEs)are negative reactions to an appropriately delivered treatment, which must be discriminated from unwanted events (UEs) or consequences of inadequate treatment.
One hundred CBT therapists were interviewed for UEs and SEs in one of their current outpatients.
Therapists reported 372 UEs in 98 patients and SEs in 43 patients. Continue reading
Psychotherapy is not harmless: on the side effects of CBT | Aeon Ideas | Christian Jarrett – Oct 2018
The structured nature of cognitive behavioural therapy (CBT) and its clearly defined principles (based on the links between thoughts, feelings and behaviours) make itrelatively easy to train practitioners, ensure standardised delivery and measure outcomes.
Being easy to learn, easy to standardize, and easy to measure nails the trifecta of cheap and widely scaleable medical treatment, making this quick and profitable therapy an instant hit among medical “providers” and insurance companies.
Consequently, CBT has revolutionised mental-health care, allowing psychologists to alchemise therapy from an art into a science.
What it has revolutionized is the impersonal standardization of medical mental healthcare. Continue reading
Here is What Clinicians Should Know About Side Effects of Psychotherapy – Dr Sanil Rege MBBS, MRCPsych, FRANZCP – July 24, 2017
In conditions such as depression and anxiety, the beneficial effects of psychotherapy are often comparable with evidence-based pharmacotherapy options in terms of symptom reduction and protection against relapse.
While discussion about side effects, risks and benefits are an important part of psychotropic medication prescribing, the same cannot be said for psychological treatments.
All pharmacological medications come with relevant or absolute contraindications, and yet the common assumption is that talking therapies are risk-free or come with little risk at all. Continue reading
Learning and Unlearning of Pain – free full-text article /PMC6027134/ – Biomedicines. 2018 Jun
This review provides an overview of learning mechanisms and memory aspects for the development of chronic pain.
Pain can be influenced in important ways by an individual’s personality, by family, and by the sociocultural environment in which they live. Therefore, learning mechanisms can explain why pain experience and pain behavior can increase or decrease.
Linking pain with positive consequences or removing negative consequences can contribute significantly to the chronification of pain.
If pain were linked with positive consequences, we wouldn’t mind having it, but I find it impossible to imagine how to link even moderate pain with anything positive. Continue reading
Nora Volkow on prescription opioids, chronic pain and ‘hype’ – Opioid Watch – Nonprofit News from The Opioid Research Institute – July 2018
Research psychiatrist Nora Volkow, MD—the director of the National Institute on Drug Abuse for the past 15 years—is one of the world’s foremost authorities on addiction. Her pioneering work with brain imaging has changed society’s understanding of the phenomenon.
By showing how addictive drugs alter the brain’s chemistry, she helped prove that addiction was a chronic disease rather than a moral failing.
What follows is part 1 of a two-part interview, which was conducted by email. All links in her answers are to supporting references Volkow provided. Continue reading
CBT for Chronic Pain and Insomnia Needs More Research – by Angie Drakulich – April 2018
The Sleep/No Sleep Pain Cycle
Most are familiar with the vicious cycle of insomnia, depression, and increased pain.
Finding the right mix of CBT—including patient education, self-regulation, behavioral activation, and cognitive reframing—may help to break this circle. Continue reading