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Guest Jackmypie

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CBT is effective and widely used in institutions that require behavioural change, such as the NHS. The majority of successful epidemiological research is based on it. But its effect is measured in terms of changes to behaviour, which tells you little about the person's sense of well being and is a fairly obvious outcome given the nature of behaviourism.

In what way can it be effective to personality disorders if it measures its effectiveness in terms of behavioural change? Behavioural change is a superficial reflection of the psyche.

Edited by feral chile
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Surely the same assessment method is used to assess before and after? So if effectiveness is based on behaviour, then the original assessment is based on behaviour. If the original assessment is based on attitudes and beliefs, then the follow up assessment would also be based on attitudews and beliefs?

Edited by worm
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Not really. Behaviour is assessed initially. This is then interpreted through a rational model, which looks at the process of cognition turning into action from a logical perspective. The outcome would be the adaption in relation to the triggers. The effectiveness of the new process would be judged on the success of behavioural change.

It's based upon rational learning, so results to tests can only ever be observed through behaviour adaptation. That's my point.

If you look at the example of psycho-analysis and person-centred approaches you see that existential reality is used and is not based upon a rational principle. Psycho-analysis is based upon a historical narrative constantly constructing the same existential present from which we impose ourselves on to the environment, while

person-centred approaches are based upon a number of narratives all of which create the existential choices open to the person.

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Good question, but not really relevant. Searle's Chinese Room would be a good example of this though. The logical data input is the thinking pattern, whereas the language that overlays it is the narrative.

In psycho-analysis, the external narrative is to be changed as it is a projection of the internal narrative. Whereas in the person-centred approach, the way in which the person identifies with each external narrative at any particular point in time is looked at. The latter is not dissimilar to CBT and is often used in conjunction with it, in the NHS etc. The main difference is the relationship between client and therapist.

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Are you saying that one model is more empthatic/respectful. Empathy and respect are 2 different conditions for person centred, yet most counsellors will have.

I have only caught this half way. Sorry

Edited by feral chile
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Well I think what culty's saying is that behaviourism and cognitive behaviourism doesn't take the whole person into account, so it's a short term fix. I'm not a counsellor, so I can't speak from experience. But he was talking theoretical approaches, not the attitude of the counsellor.

I'm not sure what he means when he says that they assume rational learning.

You wouldn't be much good as a counsellor if you didn't listen.

Though the same can't be said for some psychologists and psychiatrists, which is where most of my gripes lie, because they're assessing people for whether they're fit/unfit, not trying to necessarily help the person they're assessing. Sometimes the assessment is for another purpose.

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I just find the whole psychiatric classification problematic. To be fair, a lot of psychiatrists are starting to think that labels might not be constructive, as there are a range of symptoms you might experience that won't fit neatly into an oversimplistic classifica\tion.

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this is a nonsense

I know, we've been here before. You never say anything to convince me that is something doesn't exist if it doesn't have a label... i think you had/have the same concept referring to us humans, that if we don't have an identity that we can label, then we as good as don't exsit

which is silly

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