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The Skeptic, Part 2
Psychotherapy is a questionable cure for depression
by Richard A. Peterson, Natural Health Doctor
 
Last month I wrote about an article by Tana Dineen, a licensed psychologist who no longer practices, that appeared in the magazine, The Skeptic. Dineen is now championing the role of curbing the pervasive influences of her chosen profession because of the harm she sees it doing. She writes, “What I see being done under the name of psychology is so seriously contaminated by errors in logic, popular notions, and personal beliefs, and it is doing so much harm to people.” A few years ago Dineen asked Sam Keen, the former editor of Psychology Today, if he thought that psychologists might one day begin to question the lie about the benefits of psychological services. Keen answered, “Not a chance. There’s too much money in it.” It’s a sad fact that much of what we mistakenly take as a concern for others is driven more by the chance to make a buck. In November 1994, Consumer Reports published the results of what they called a “candid, in-depth survey.” The psychologist Martin Seligman, consultant on the project, later became the President of the APA. Originally, 180,000 individuals were sent surveys to which 7,000 people responded. Of those 7,000, the study focused upon 4000 respondents, and 2900 in particular who had claimed to have visited a mental health professional. Seligman admitted that the response rate was very small at 13 percent. In reality, with the focus upon 4,000 respondents the study sample was only 2.2 percent, far lower than his very low rate. Even with this extremely low rate of response, Seligman was able to draw sweeping conclusions to prove his hypothesis. Although 60 percent of the respondents said that they either felt “so-so,” “quite good,” or “very good,” before treatment, Seligman claimed that they were “sick,” “subclinical in their problem,” and “one symptom short of a full-blown disorder.” Seligman also came to the conclusion that 64 percent of those people receiving six months or less of treatment reported having their problems resolved while his illustrative graph showed that only about 30 percent made that claim. The study further claimed that if short term therapy was useful, long term care was even more useful. Of this, Seligman stated, “Long-term therapy produced more improvement than short-term therapy. This result was very robust.” To illustrate that point, a graph was depicted that, on a casual glance, seemed to prove that point. The graph had an upward growth pattern that seemed to show that improvement was definitely greater depending upon the length of therapy. This was achieved by starting the vertical axis of the graph at 190 rather than 0. If the graph was started at 0, it would have illustrated the fact that the greatest improvement in mental well-being occurred within the first month of treatment. In reality, 80 percent of improvement occurred within the first month of treatment, with very little improvement over the next two years. Most studies that portray psychotherapy as effective, such as the one I’ve just described, have come into question. Dineen says that there is “no firm proof that psychotherapy works. And psychotherapy continues to be promoted despite the many well-conducted studies which find little evidence of its effectiveness, and even data that suggest that is could be harmful.” A 1986 study by M.J. Lambert found that 40 percent of individuals improved without any treatment, 30 percent from factors within a relationship such as love, trust, and empathy, and 15 percent from placebo effect (often, placebo effect can account for 25 percent of improvement). This shows that 70–95 percent of individuals will improve without any psychological intervention. A couple of years before Seligman conducted the study above he stated, “Making up your mind about self-improvement courses, psychotherapy, and medication is difficult because the industries that champion them are enormous and profitable and try to sell themselves with highly persuasive means: testimonials, case histories, word of mouth, endorsements all slick forms of advertising.” It is very telling that he eventually became president of the APA. These studies tend to show that psychotherapy is quite ineffective in treating “diseases” of the mind. On a positive side it can be asserted that psychotherapy is far safer than drug therapy. The effectiveness of drugs in treating depression is difficult to ascertain. Yet I believe that the evidence proves that they are not only ineffective but extremely dangerous. It has been found that about 25 percent of those suffering from depression will greatly improve within one month and almost 50 percent within a few months without any psychiatric involvement (Lambert claims it is much higher at 70–90 percent). Even those suffering from severe depression have a very high rate of recovery. Seymour Fisher and Roger Greenberg in “The Limits of Biological Treatments for Psychological Distress” have concluded that drug treatment for depression is unjustified. They claim that almost 40 percent of the most positive reviews by drug advocates will show no positive difference between drugs and placebo. In fact, the most controlled studies of the newer antidepressants show no difference in benefit of drugs over placebo. The authors state, “although drugs may help patients with their sleep disturbances, research shows they are often less efficient than psychotherapy in helping patients with depression and apathy and frequently ineffective in aiding patients in their social adjustment, interpersonal relationships, or work performance.” Biopsychiatrists often make very extraordinary claims about the use of antidepressant drugs, totally rejecting the psychotherapeutic approach of caring — which we have already seen is somewhat suspect. Antidepressants are prescribed by biopsychiatrists and family doctors alike. In fact, the majority of antidepressant prescriptions are written by non-psychiatric doctors, (this is scary since these doctors are certainly not trained in the understanding and treatment of mental illness). Recently Colorado passed a law making it illegal for teachers to pressure parents into putting their child on such drugs as Ritalin or other amphetamines. But why was that necessary? As I see it, by pushing parents to get their kids on Ritalin, these teachers were already guilty of practicing medicine without a license. And there are stiff penalties for that action which the American Medical Association could pursue. But they won’t because the teachers are supporters of the very drug therapies pushed by the AMA. As you can see the medical approach to treating depression is quite depressing. The bright side is that there is no reason to be limited by such ineffective treatment. If a person really wants to find relief (and is ready to make the necessary life changes) then he or she can seek the help of someone who has the knowledge to investigate the many causes of the condition. As you have read, this is probably not the medical doctor. Although it may be a difficult path, a cure is only possible through the discovery and elimination of the cause. Richard A. Peterson, N.D., is a Natural Health Doctor, Reiki Master & Healer, specializing in Qigong and Reiki Healing, Nutrition, Herbs, Dreamwork, Shamanic and Spiritual Healing, Possession, and Extractions. Appointments are arranged by phone, 612-724-5324. Visit his website at www.geocities.com/webnd2/index.html
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