![]() ![]() ![]() Moreover, the patient must be an active participant in correcting negative distorted thoughts, so they are quite aware of the treatment group they are in. They may be single-blinded, the rater may not know the treatment the patient received, but neither the patients, nor the therapists, can be blinded to the type of therapy given (two out of three of the persons involved in the trial, ie, all of the persons involved in the treatment, are unblinded). ![]() No CBT study (no psychotherapy study) can be a double-blind study. ![]() The statement that CBT clinical trials are “randomized and controlled” obfuscates that the studies are not double-blind (ie, neither subjects nor therapists in psychotherapy studies are blind to the type of treatment). Is that really true? It depends on whether you state that therapy helped asthmatics to feel and function better (true) versus if you state that the therapy is the fundamental treatment of asthma (false).Ģ. If we make a therapy that helps to decrease coughing in asthma, we might conclude the therapy was efficacious in asthma. Negative cognitions as a symptom can also make depression worse, however, asthmatic coughing as a symptom of asthma may also make asthma worse. The diagnosis of MDD includes negative cognitions as a symptom (ie, feeling worthless or excessive or inappropriate guilt 2), and it is known both in clinical practice and in research, that negative cognitions may resolve either with antidepressant medications or with cycling out of the depression. The premise of CBT that negative cognitions are the cause of MDD is the only instance in all of medicine and psychiatry where a symptom of an illness is also construed to be the cause. (“Depression” in this article is defined as DSM-IV major depressive disorder 2).ġ. In this paper, I would like to discuss 4 major problems. ” In this paper, I intend to give this conclusion some good natured trouble.ĬBT has become rooted as a proven dogma in the treatment of depression in spite of large problems remaining in the methods of CBT clinical trials and the logic of how CBT works. Burns 1 on cognitive behavioral therapy (CBT) hit me, “Depression is not an emotional disorder at all! Every bad feeling you have is the result of your negative thinking. The start of Chapter 3 of the famous book Feeling Good by David D. Dedicated to the Amazing Houdini American stunt performer (Ma– October 31, 1926) ![]()
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