CBT for Long-Term Conditions and Medically Unexplained Symptoms by Helen Moya and Philip KINSELLA

Sly Saint

Sly Saint

Senior Member (Voting Rights)
‘CBT for Long-Term Conditions and Medically Unexplained Symptoms’ by Philip Kinsella and Helen Moya (Routledge 2022)


Exaggeratedly Negative Beliefs Perpetuate LTCs and MUS?
This is answered resoundingly in the affirmative and prescriptively in a just published book ‘CBT for Long-Term Conditions and Medically Unexplained Symptoms’ by Philip Kinsella and Helen Moya (Routledge 2022). But the book represents a triumph of ideology over evidence. It carefully avoids any consideration of studies that challenge its modus operandi.
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With evangelistic fervour these authors proclaim on P16 ‘For the typical cognitive behavioural therapists it’s not necessary to be fully understanding of the debates around medically unexplained symptoms it’s more helpful to be aware of what the contributing factors are how to recognise and consider them and how to consider whether they are relevant to current problems’.

The reader is not informed of the details of the debate or the range of opinion.
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Kinsella and Moya (2022) operate with a confirmatory bias, searching out studies that support their position and ignoring those that do not.
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good, detailed write up by Mike Scott
http://www.cbtwatch.com/exaggeratedly-negative-beliefs-perpetuate-ltcs-and-mus/
 
Sly Saint said:
‘CBT for Long-Term Conditions and Medically Unexplained Symptoms’ by Philip Kinsella and Helen Moya (Routledge 2022)


Exaggeratedly Negative Beliefs Perpetuate LTCs and MUS?



good, detailed write up by Mike Scott
http://www.cbtwatch.com/exaggeratedly-negative-beliefs-perpetuate-ltcs-and-mus/
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Mike shared some quotations from this book recently with me. We really are both lost for words really.

I'm pondering how I want to respond. One of the coauthors is a leader on iapt and / or training for iapt, which is appalling.

In the past I have written to multiple iapt services which have advertised in some fashion that they work with MUS. I think I need to update and edit my letter and cc his bosses. I'm making no friends but so what really.

Or post a link to Mike's blog on Amazon
 
Sly Saint said:
good, detailed write up by Mike Scott
http://www.cbtwatch.com/exaggeratedly-negative-beliefs-perpetuate-ltcs-and-mus/
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Very good. :thumbup:

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Serfaty et al [2019] add ‘our results suggest that resources for a relatively costly therapy such as IAPT-delivered CBT should not be considered as a first-line treatment for depression in advanced cancer. Indeed, these findings raise important questions about the need to further evaluate the use of IAPT for people with comorbid severe illness’.

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Kinsella and Moya take no heed of this and write in Chapter 14 identifying and helping patients who are fearful of recovery

page 180-1 ‘If there is a lot of resistance and and hostility and the general sense that the patient will be unable to contemplate a formulation that includes fear of recovery then it would be better to hold back…. If the formulation is not shared it can still be used by the therapist to guide their interventions…. Sometimes however one gets a sense of the reinforces for being nil being so strong or the fear of recovery being so powerful that therapeutic progress can’t be made for example if there’s a very attentive spouse a generous pay benefits payment under strong fear of going back into the old situation that triggered the symptoms then there is little of the therapist can do to overcome this’​
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Short version of K&M: 'It's not our fault.'

"generous benefits payment"

I look forward to it. Only been 38 years waiting, and a wrecked life. But any day now.

FFS, if you were looking to scam for easy generous money then "benefits payments" is about the dumbest choice you could make.

One thing to be said for their book is that they have outed themselves as partisan hacks.
 
"Book Description

CBT for Long-Term Conditions and Medically Unexplained Symptoms　describes how cognitive behavioural therapy (CBT) can be used to treat anxiety and depression with a co-morbid long-term physical health condition (LTC) or medically unexplained symptoms (MUS).

The book teaches cognitive behavioural therapists and other clinicians to help patients deal with the psychological aspects of physical symptoms, whatever their cause. It is divided into three parts, beginning with core skills for working with people with LTC and MUS. This includes assessment, formulation and goal setting. Part II focuses on CBT for LTC and includes chapters on low intensity interventions, working with depression and anxiety using protocols, and a consideration of an identity and strengths-based approach to working with LTC. The final part provides details of a formulation driven approach to working with MUS, broken down into individual chapters on working with behaviours, cognitions and emotions.

With numerous case examples, the book provides accessible and practical guidance for mental health professionals, particularly CBT practitioners, working with anyone with long-term conditions or MUS."

Link to publisher, https://www.routledge.com/CBT-for-L...ctitioners/Kinsella-Moya/p/book/9780367424879


Link to the book on Amazon,
Code: 
https://www.amazon.co.uk/Long-Term-Conditions-Medically-Unexplained-Symptoms-ebook/dp/B09GR3SGGV
where a preview can be seen.
 
Is the language in the book as terrible as the excerpts shared, or is it due to copy and paste errors? That first quoted section has no punctuation and the ones further on just seem incredibly muddled and convoluted.

And I'm being a total snob, I'm aware, but my experience from giving feedback on years of English and creative writing work is that those who write incoherently tend think that way too (excluding language difficulties, such as dyslexia, although those don't preclude clear language -- far from it!).
 
Looks like the book was published 6 months ago in November 2021, but there's only one review on Amazon, clearly from an IAPT CBT practitioner. Even then it's lukewarm:

Was really looking forward to this book and pre ordered it. It offers a nice summary and is a useful reminder but offers nothing new. Maybe my expectations were too high and I set myself up for a fall. I’m glad I’ve read it but it doesn’t offer anything the IAPT LTC course doesn’t. Also, there are a lot of typos and grammatical mistakes!
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So it looks like it's not exactly a best seller! More a turning of an IAPT training course for treating people with long term conditions and MUS into a book, and done pretty badly. Their market is likely to be IAPT therapists and private therapists, and I guess the word will get around that it's not worth spending over £20 on a book that just goes over what they have been told anyway in their training.

The main use of the book for us is it puts into the public domain the prejudices about pwMUS/LTC being perpetuated by the IAPT machine - so a warning to steer well clear of IAPT. And evidence for anyone campaigning against the expansion of IAPT to MUS of just how awful it is.
 
Indeed. The book says a lot of rubbish about MUS, from the bits I read on Amazon.
It claims to be about treating anxiety or depression in people with MUS, but if you delve into it, it's actually about changing what they think are false illness beliefs about physical symptoms. Basically they lie to patients about their intentions.
 
I genuinely have no idea what "fear of recovery" can even possibly mean, it's so incoherent and foolish. I see delusional nonsense all the time on the Internet, I love following the ins and outs of propaganda and Internet disinformation.

This garbage fits right in with the rest of the dumpster. Zero difference between such weak claims and alluding to demons and evil spirits. This is systemic dysfunction, medicine has lost the damn plot.
 
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