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AlanCrowe comments on Open Thread: June 2010 - Less Wrong
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It's not that they're 0% effective, it's that they're not much more effective than placebo therapy (i.e. being put on a waiting list for therapy), or keeping a journal.
CBT is somewhat more effective, but I've also heard that it's not as effective for high-ruminators... i.e., people who already obsess about their thinking.
Scientific medicine is difficult and expensive. I worry that the apparent success of CBT may be because methodological compromises needed to make the research practical happen to flatter CBT more than they flatter other approaches.
I might be worrying about the wrong thing. Do we know anything about the usefulness of Prozac in treating depression? Since we turn a blind eye to the unblinding of all our studies by the sexual side-effects of Prozac, and also refuse to consider the direct impact of those side-effects it could be argued that we don't actually have any scientific knowledge of the effectiveness of the drug.