Trial By Error: Trio of Trials Shows Limits of CBT for Medically Unexplained Symptoms

MSEsperanza

MSEsperanza

Senior Member (Voting Rights)
David Tuller: Trio of Trials Shows Limits of CBT for Medically Unexplained Symptoms

Lancet Psychiatry recently published the results of a high-profile trial of cognitive behavior therapy as a treatment for so-called dissociative seizures, also known as psychogenic non-epileptic seizures. The trial, nicknamed CODES, found that CBT had no impact on seizure frequency–the primary outcome. The average number of seizures per month dropped in both the treatment and comparison groups, with no statistically significant difference between them.
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With this study, British investigators from the so-called biopsychosocial (BPS) camp have completed an impressive trifecta of major, presumably definitive trials of CBT as a treatment for so-called “medically unexplained symptoms” (MUS). The others include the PACE trial for cognitive fatigue syndrome, with key results published in 2011 and 2013, and a trial for irritable bowel syndrome, with results published last year.
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https://www.virology.ws/2020/06/17/...ts-of-cbt-for-medically-unexplained-symptoms/
 
So confirmed failure on all three of the IAPT MUS concepts. All presented as success. Despite obvious failure on all relevant features.

All with the same process: promise for years that only X will matter then when X fails make stuff up about how X is actually not that important. All the features of blatant fraud. All causing harm. All celebrated, awarded and rewarded.

What a massive scam. The very worst that medicine has ever had to offer. And all to save money.

Kinda puts into perspective how we consider societies that performed human sacrifices as primitive. Modern societies are so much more effective at doing the same thing. They sacrificed people to imaginary gods. Modern societies do it for money. Advanced barbarism.
 
With this study, British investigators from the so-called biopsychosocial (BPS) camp have completed an impressive trifecta of major, presumably definitive trials of CBT as a treatment for so-called “medically unexplained symptoms” (MUS).
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Perhaps what would be even more definitive would be if international researchers with no particular connection to the biopsychosocial model were to try to validate these theories. The therapists could practice all the BPS theory they wanted, but the people organizing the study and evaluating the results would be agnostic about the expected outcomes. Not that I'm suggesting conscious bias on anyone's part, but, as psychologists, I'm sure that the people who have focused their careers on the BPS approach would, more than most, realize the importance of eliminating any possible unconscious bias.


Wouldn't they?
 
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