In Practice

A practicing doctor's views on psychiatry and contemporary culture.

Debunking CBT, Part 2: What's It Good For?

What's it good for?What is cognitive-behavioral therapy good for? Read More

The shorter the grass the stealthier the snake

With serious depression you can change the actions but not the thoughts or feelings. Perceived change is something that can be detected with a trained eye,which your books so effectively teach. Is not psychotherapy's main purpose to uncover charlatans. these studies show how surreptitious the depressive can be. Welcome back? Sincerely David

Beware meta-analyses

In a CBT practice it's fairly common for patients to remark that they have tried CBT before, and it did not work (or perhaps they dropped out), but that the CBT they had before was nothing like this CBT they are having now. The term "CBT" is not well defined, and no meta-analysis can assume that studies of "CBT" were all studying the same thing.

Researchers often try to standardize CBT by using a manualized subset of CBT techniques delivered by people who are not really psychotherapists. This goes some way towards defining what it is they are studying, but then the results probably do not apply to the work of experienced psychotherapists.

CBT attempts to treat underlying cognitive distortions, not simply to alleviate symptoms. Diagnoses are currently based on symptoms. So any treatment that gives markedly different results depending on diagnosis is probably not CBT.

Kramer back in the day

Just watched Peter on Charlie Rose,quite enjoyed it! Anyone interested, just type in- Peter Kramer on Charlie Rose- It took place in 1994 and as always it's a joy to watch kramer's thoughtful firing synapses.

Psychology, is it effective?

With every article i read i start to believe more that psychology is an incomplete science. The real reasons for most disorders are not known, the methods of treatment doesn't always work and the ones that work are proven to be less effective few years later. i think this filed of science needs a lot more research

Ok so cognitive behavior

Ok so cognitive behavior therapy definitely is one of the top therapies to use for eating disorders. As you have mentioned and I would like to highlight, not all therapists are trained to the extent necessary to follow through with CBT effectively. It is therefore important to understand CBT yourself to determine whether or not the therapist you chose is capable of providing you with the necessary support to effectively use CBT and fight against the symptoms of your eating disorder. I have used a few therapists some better than others, so now I am quite careful. I used some of the work that Dr. Prout has published to give me the necessary insight into cognitive behavior therapy. This gave me the confidence to seek out the right therapist and also support my own therapy. I recommend you visit his website for a full reference into his work on CBT, at http://www.mauriceproutphd.com

Post new comment

The content of this field is kept private and will not be shown publicly.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Allowed HTML tags: <a> <em> <strong> <cite> <code> <ul> <ol> <li> <dl> <dt> <dd>
  • Lines and paragraphs break automatically.
  • You may quote other posts using [quote] tags.

More information about formatting options

Subscribe to In Practice

Peter D. Kramer is a psychiatrist and author. His books include Against Depression and Listening to Prozac.

more...