Evidence-Based Practice and Psychological Treatments: The Imperatives of Informed Consent 2016

[Sly Saint]

This article although not about ME/CFS has been cited in a number of papers:

Citations of:
Evidence-Based Practice and Psychological Treatments: The Imperatives of Informed Consent

https://philarchive.org/citations/BLEEPA

Conclusions
Therapists should decisively disavow the pervasive assumption that psychotherapies—although generally effective—carry no risk of harm, and that disclosure (or its omission) somehow carries a different moral valence for psychotherapy than for biomedical treatments.

Legally and morally, licensed clinical and counseling psychologists, psychiatrists, and other psychotherapists are duty-bound to eschew healthcare paternalism. Patients deserve to be fully informed if they are to make autonomous choices regarding psychological treatment modalities

https://www.frontiersin.org/articles/10.3389/fpsyg.2016.01170/full

 

[alktipping]

i wonder how gps will react when educated patients tell their doctor to read the bloody papers that show this so called evidence. i don't think those conversations will end well .

 

[Sly Saint]

NHS Talking Therapies – Doublethink Without Informed Consent

In practise clients begin their journey through NHS Talking Therapies at the promptings of the least qualified clinicians, Psychological Wellbeing Practitioners (PWPs). They are not trained therapists. I am not aware of this NHS service formally seeking any informed consent, it is likely unique in this regard. But the public have a right to know what they are letting themselves in for and the effectiveness of the said interventions. If pushed most PWPs would probably reiterate the mantra of its employer that 50% of people recover. But there has been no independent verification of this claim. Rather the best independent evidence suggests that the tip of the iceberg recover.

It would not be a sufficient justification for a PWPs action to claim that he/she was only doing/saying what most colleagues are doing. How can there even be an ‘informal’ informed consent if the PWP does not make it clear that they are not a trained therapist, there is an absence of transparency. Further it is doubtful that they have the expertise to advise clients of the sequelae of different pathways.

http://www.cbtwatch.com/nhs-talking-therapies-doublethink-without-informed-consent/