Article: Has ‘IAPT’ eaten itself? Jan 2020

https://www.mentalhealthtoday.co.uk/blog/the-inside-story-of-how-iapt-ate-itself

 

So the mental health staff are displaying maladaptive psychobehavioral patterns. It sounds like they need CBT.

 

Or.....given that these people are/were considered exemplary examples of their type, models of correct coping and thinking behaviors so perfect that they were deemed capable of 'teaching' correct thinking to those deemed maladapted, it's possible, that the behavior they are now displaying is not maladaptive behavior, but instead is adaptive and correct for the situation they have found themselves in.

Is a behavior only maladaptive if it is against the perceived interests of a few who define it so, instead of being truly maladaptive as in flawed and harmful to the individual.

 

I see. It's all some sort of Jedi mind trick.

 

If the whole thing doesn't work well then it's good that people are leaving.

A project that's built on flawed evidence would not work well in the real world and what may be happening is that CBT is finally meeting reality and the two are not getting along well.

 

I'm sorry WHAT? That is devastating. Holy hell is this a dumpster fire.

Hate to do it but: we told you so. We (generally speaking), the guinea pigs on which this paradigm failed, with people lying about it, told you it was stupid. Clinical psychology is a baby of a field, not even close to be ready, the tools are mediocre, the knowledge is limited, the efficacy is non-existent, the feedback mechanism broken on purpose, the hubris, oh hell, the HUBRIS.

A tale that channels both Icarus and Sisyphus. Impressive, truly an epic failure.

That's always been the failure at the core of BPS: it is strictly for the physicians' benefits, to discard "difficult" patients away. Patient outcomes are irrelevant to this paradigm, it is by physicians, for physicians.

 

The cynic in me wonders how many of these "retired" senior staff are now doing lucrative work in the private sector as CBT is rolled out as the answer for everything.

 

But it's much more 'efficient' this way.

The number of people 'treated' per pound paid to staff has been increased.

It would of course be much more efficient if they, for example, used rocks as therapists.

It's likely less people would be 'treated', and that some people might die from injuries caused by the rapid application of projectile therapists when people found out and lost it, but a staff cost of zero - you can't get much better than infinite efficiency.

Given that there appears to be absolutely no verification of successful treatment, or even of treatment, then the numbers can just be made up, or not, as they are now.

Possibly quite small rocks, to cut costs, and reduce the risk of death - it's hard to inadvertently injure someone with a grain of sand no matter how incensed and victimized you feel.