Tumgik
#his brain and training capacities are a part of his implemented behaviour just like how dogs can swim and babies can blink
bitter-sweet-coffee · 2 years
Text
haha no offence but could the person who instigated the horrendously misinformed "shadow the hedgehog is 15" statement pm me? actually i'll just uh, have you over for a tea or something :")
(no but seriously i have made COUNTLESS posts on this shit. shadow is ageless. not 15, not 50, not 20, not 0. he's ageless. treat him as you would a robot if that helps, but labelling him as 15 just because he's a reflection of sonic and so you can ship them is just exhausting and irritating)
100 notes · View notes
eroticcannibal · 5 years
Text
Please stop telling people to “just do CBT”
CBT, like medication, can be valuable and life-changing to an individual. And like medication, it can also be devastating if it’s not the right treatment to you. It seems a lot of people seem to think that because it’s accessible and you can get free PDFs online, that it’s safe to just hop on any post and tell complete strangers to try it.
That is dangerous and irresponsible behavior. 
CBT is suited to those who are having trouble specifically with their thought patterns around things that do not justify those kinds of thought patterns, to the point where it impacts their life. CBT is not suited to just anyone having problems with their mood or anxiety or their thought patterns. And yet it is frequently pushed on people by strangers, by doctors (because it is relatively quick and cheap, thanks capitalism!), even forced on patients who aren’t suited to the treatment, causing worsening situations, even trauma. 
I can’t link to any of the wonderful conversations I’ve witnessed in private groups by those harmed by CBT, unfortunately. To summarise, I have seen fair comparisons to ABA, gaslighting, victim blaming, brainwashing, neglectful parenting that dismisses the feelings of the child (have fun with that one if that’s the source of your problems), grooming the patient to be receptive to coercion and institutional abuses, But from my own perspective as someone who had to stop CBT before I killed myself as a result of it, HERE is some highlights of the more damaging parts of a typical CBT workbook (and there's some great contributions in the notes). For those with issues caused by abuse or oppression or other situational factors, CBT becomes gaslighting. CBT is routinely weaponized against the oppressed and the abused, when our understandable reactions make others uncomfortable. CBT is used to make us into “good victims”, who don’t hurt or cry or complain or blame anyone. CBT is a therapy that can sever the connection between a person and themselves, it can be compassionless and cold. Not to mention that CBT inherently shifts the blame for feelings and behaviors entirely onto the individual rather than acknowledging the true role of triggers. 
In addition to this, CBT and how it is implemented is not only criticized by those harmed directly by it, but by professionals too. 
“this model appears to confuse the symptoms (i.e., negative self concepts) of depression with its cognitive causes...  In many cases, clients' appraisals and reports of their negative or distressful experiences are quite rational, realistic, and accurate. For example, their experiences of sexual or physical abuse at the hands of another or the tragedies of their loved ones have left enormous scars in their life. In such circumstances, cognitive-restructuring exercises, with their emphasis on reframing reality and not on changing it, do not deal with the true problem...  research has shown that positive self-evaluations may be dysfunctional and maladaptive...  the self-focused cognitive model puts a strong emphasis on examining the association between negative thoughts and mental dysfunction, but it has not answered the question of why individuals choose to focus on their negative attributes when the positive evaluation of the self is more accurate. “
“ Opponents have frequently argued that the approach is too mechanistic and fails to address the concerns of the “whole” patient...   the specific cognitive components of CBT often fail to outperform “stripped-down” versions of the treatment that contain only the more basic behavioral strategies... patients with major depression improved just as much following a treatment that contained only the behavioral strategies and explicitly excluded techniques designed to directly modify distorted cognitions... “
“Some critics argue that because CBT only addresses current problems and focuses on specific issues, it does not address the possible underlying causes of mental health conditions, such as an unhappy childhood...  CBT focuses on the individual’s capacity to change themselves (their thoughts, feelings and behaviours), and does not address wider problems in systems or families that often have a significant impact on an individual’s health and wellbeing. “
“ Seek a therapy referral on the NHS today, and you’re much more likely to end up, not in anything resembling psychoanalysis, but in a short series of highly structured meetings with a CBT practitioner, or perhaps learning methods to interrupt your “catastrophising” thinking via a PowerPoint presentation, or online...   CBT doesn’t exactly claim that happiness is easy, but it does imply that it’s relatively simple: your distress is caused by your irrational beliefs, and it’s within your power to seize hold of those beliefs and change them...    Our conscious minds are tiny iceberg-tips on the dark ocean of the unconscious – and you can’t truly explore that ocean by means of CBT’s simple, standardised, science-tested steps...  Examining scores of earlier experimental trials, two researchers from Norway concluded that its effect size – a technical measure of its usefulness – had fallen by half since 1977...  For the most severely depressed, it concluded, 18 months of analysis worked far better – and with much longer-lasting effects – than “treatment as usual” on the NHS, which included some CBT. Two years after the various treatments ended, 44% of analysis patients no longer met the criteria for major depression, compared to one-tenth of the others. Around the same time, the Swedish press reported a finding from government auditors there: that a multimillion pound scheme to reorient mental healthcare towards CBT had proved completely ineffective in meeting its goals...
 A few years ago, after CBT had started to dominate taxpayer-funded therapy in Britain, a woman I’ll call Rachel, from Oxfordshire, sought therapy on the NHS for depression, following the birth of her first child. She was sent first to sit through a group PowerPoint presentation, promising five steps to “improve your mood”; then she received CBT from a therapist and, in between sessions, via computer. “I don’t think anything has ever made me feel as lonely and isolated as having a computer program ask me how I felt on a scale of one to five, and – after I’d clicked the sad emoticon on the screen – telling me it was ‘sorry to hear that’ in a prerecorded voice,” Rachel recalled. Completing CBT worksheets under a human therapist’s guidance wasn’t much better. “With postnatal depression,” she said, “you’ve gone from a situation in which you’ve been working, earning your own money, doing interesting things – and suddenly you’re at home on your own, mostly covered in sick, with no adult to talk to.” What she needed, she sees now, was real connection: that fundamental if hard-to-express sense of being held in the mind of another person, even if only for a short period each week.“I may be mentally ill,” Rachel said, “but I do know that a computer does not feel bad for me.”...    
In the NHS study conducted at the Tavistock clinic last year, chronically depressed patients receiving psychoanalytic therapy stood a 40% better chance of going into partial remission, during every six-month period of the research, than those receiving other treatments...  Alongside this growing body of evidence, scholars have begun to ask pointed questions about the studies that first fuelled CBT’s ascendancy. In a provocative 2004 paper, the Atlanta-based psychologist Drew Westen and his colleagues showed how researchers – motivated by the desire for an experiment with clearly interpretable results – had often excluded up to two-thirds of potential participants, typically because they had multiple psychological problems...  Moreover, some studies have sometimes seemed to unfairly stack the deck, as when CBT has been compared with “psychodynamic therapy” delivered by graduate students who’d received only a few days’ cursory training in it, from other students...  But the most incendiary charge against cognitive approaches, from the torchbearers of psychoanalysis, is that they might actually make things worse: that finding ways to manage your depressed or anxious thoughts, for example, may simply postpone the point at which you’re driven to take the plunge into self-understanding and lasting change. CBT’s implied promise is that there’s a relatively simple, step-by-step way to gain mastery over suffering. But perhaps there’s more to be gained from acknowledging how little control – over our lives, our emotions, and other people’s actions – we really have?...        
Many neuroscience experiments have indicated that the brain processes information much faster than conscious awareness can keep track of it, so that countless mental operations run, in the neuroscientist David Eagleman’s phrase, “under the hood” – unseen by the conscious mind in the driving-seat. For that reason, as Louis Cozolino writes in Why Therapy Works, “by the time we become consciously aware of an experience, it has already been processed many times, activated memories, and initiated complex patterns of behaviour.”...  This doesn’t mesh well with a basic assumption of CBT – that, with training, we can learn to catch most of our unhelpful mental responses in the act. Rather, it seems to confirm the psychoanalytic intuition that the unconscious is huge, and largely in control; and that we live, unavoidably, through lenses created in the past, which we can only hope to modify partially, slowly and with great effort.  “
“ after completing low-intensity CBT, more than one in two service users had relapsed within 12 months.”
“ the overwhelming majority of CBT still operates through Becksian principles of normalisation, fitting a governmental agenda of producing good, quiet, working subjects who contribute to the economy and shut up. “
“To make this analysis, let’s imagine you are a therapist who is given the task of providing therapy for Ariel Castro (the recent accused kidnapper and rapist) to help him deal with suicidal thoughts over being universally hated and most likely condemned to a life sentence or the death penalty. Now think about the absurdity of doing CBT in this situation; that is, analyzing his negative thought patterns to help him deal with his one-sided thinking so he can better adjust himself to his (not so nice) life conditions.
Even better, imagine you’re given the task of providing therapy for Dr. Joseph Biederman (the key promoter of children’s Bipolar diagnoses) who perhaps is dealing with a severe depression related to negative public opinion regarding the enormous damage his work has done to tens of thousands of children (unfortunately his depression is a made-up scenario). Again you have the assigned responsibility to use CBT to help him see beyond the “negatives” in his thought patterns to find the “positives” in his career in order to help relieve his depression so he can get on with his work with great enthusiasm.
And even more controversial, let’s say you have the task of providing therapy using CBT for President George Bush several months after he launched the Iraq war; imagine for a moment that he has become quite depressed related to the growing mass demonstrations and the grief displayed by the parents of dead American soldiers coming home in coffins on a daily basis. Your job is to help him overcome his depression so he can get back to being The Commander In Chief...
CBT, being part of the “idealist” school of thought, tends to sever the relationship between the specific nature of the material conditions in the environment that gives rise to a person’s thoughts, and leaves it up to the interpretation of the listener (often a therapist) to determine whether or not the environmental source of those thoughts was actually traumatic or oppressive or more positive and humane. “
[Let me be clear, this is not me saying that CBT is bad, should never be used, or that it can’t be helpful to you. If it works for you, use it. It is the attitude that damn near everyone has, laypeople and professionals alike, that it’s a magic fix it that works for everyone, that I am challenging here. I’ve had issues with professionals not believing me recently when I expressed that I was unwilling to go through CBT again because it is a danger to me, because “oh it’s just changing how you think, that can’t be dangerous!”. Recommending particular treatments without a complete understanding of someone’s situation and without the proper clinical knowledge is dangerous, and when it comes to CBT it happens all the time. Recommending CBT without considering situational factors is dangerous, and it happens all the time.]
23 notes · View notes