The state has a process for scooping up ne'er-do-wells, condemning them, and institutionalizing them. It can't stop, but it can change the wording. So treatment instead of prison, therapy instead of probation.
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The state _needs_ that sweet flow of condemned bodies to keep the correctional jobs, funding, surveillance operations going. They can't just quit cold turkey.
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or krokodil. ppl do plead NGRI hoping it'll be a milder deal than prison and find the plan backfiring spectaculalrly: for one the term of a psych commitment can be indefinite. no such thing as a prison term of "until we damn well feel like letting you out"
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Yeah. I know people who'd rather die than go to a psych ward again.
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I can think of suicides on psych hospital grounds that I'm completely convinced were people acting on a decision that they'd rather die than have another extended stay there. horrible but not at all unreasonable, either.
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I love interventions with dropout rates of 30-60% and effectiveness error bars like thispic.twitter.com/ppmOQ4oyMb
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this is specifically w.r.t addictions right? not about effectiveness of CBT in general?
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yes if the outcome you care about is one out of four patients checking a few fewer boxes on the depression inventory
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was just asking about effect size vs. confidence interval. it's somewhat less pathetic for other use cases, is my understanding. that it's still pathetic compared to things we have actually good treatments for is a separate issue.
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the outcome (for depression) I care about more is reduce suicide rates. how does CBT perform there?
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no evidence for that, but there’s no evidence for much of anything reducing completed suicides
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the few studies that exist are about attempts or ideation, attempters are very different from completers
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. Banned in Sweden. SubGenius, Zhuangist, white-hat troll. Defrocked mathematician. Brain problems.