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Matt_Simpson comments on Need some psychology advice - Less Wrong Discussion

7 Post author: Kenoubi 27 February 2013 05:03PM

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Comment author: Pablo_Stafforini 24 September 2013 11:23:27PM *  1 point [-]

A recent study in the American Journal of Psychiatry found that CBT was no better than psychoanalysis. On the plausible assumption that psychoanalysis doesn't work (better than a placebo), it follows that CBT doesn't work either.

For discussion, see this post by Scott Alexander (Yvain).

Comment author: ciphergoth 27 September 2013 05:34:54PM 3 points [-]

Please edit the above to read "by Scott Alexander" - the blog doesn't carry his name for patient privacy reasons.

Comment author: Pablo_Stafforini 27 September 2013 08:03:55PM 2 points [-]

Sorry about that. I have edited the comment.

Comment author: coffeespoons 26 September 2013 02:17:35PM *  0 points [-]

Also, from Scott's post:

Some versions of CBT for anxiety and DBT for borderline also seem to just be basic coping skills about getting some distance from your emotions. I think it’s likely that these have some small effects (I know a study above found no effect for CBT on anxiety, but it was by a notorious partisan of psychoanalysis and I will temporarily defy the data).

Comment author: Pablo_Stafforini 27 September 2013 01:15:28AM 1 point [-]

Do you still believe that "CBT (Cognitive Behavioural Therapy) has a strong evidence base"?

Comment author: coffeespoons 27 September 2013 08:41:17PM *  -1 points [-]

I'm less confident of that now, but it's still a great deal better than nothing (and I think it's probably better than psychoanalysis at teaching coping skills for this sort of anxiety).

I also think that the technique I suggested can improve the accuracy of your predictions, which is a good thing independently of whether it improves anxiety or not.