I think about this a lot, really. I feel like our basic model of therapy is entirely wrong, and treating it as a thing that individuals can do to fix themselves both ignores most of its benefits and limits the ability of the individual to actually change.https://twitter.com/GeniesLoki/status/1300736048432140291 …
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Group therapy with friends has its own accessibility problems, certainly, but it's significantly cheaper and more robust against therapist/patient fit because the therapist is there much more to facilitate in the context of an existing genuine relationship.
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It seems to me like all of those except money are also requirements in the group therapy with friends scenario, but that's in part me being sceptic about "therapist/patient" fit. A mesh of fitting relationships seems harder to find to me. But I see how that'd improve robustness.
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on whether therapy helps at the individual level at all - I think it's much more useful to have a whole bunch of therapy skills in the water in a community than therapy is for individuals themselves.