Seems to work for some people. I think a lot of stuff is "a good enough therapist can make it work if it's suitable for the client".
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This is literally all that any therapeutic discipline has achieved. CBT is completely overhyped, for example. Results are... literally placebo.
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Well, when you put in the drug trial results that were witheld it turns out that a lot of drugs are in the nocebo side too.
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Non-drug therapeutic options, too, if you factor in early behaviourism. That was some shitshow.
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No wonder, either. John B. Watson was a complete sadist and essentially a hack.
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It says something that the guy was stupid enough to write a tract positing that internal phenomena don't exist.
Presumably he developed it from, y'know, his thoughts.
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Sorry for the rant. Skinner and other behaviourists had some very good findings, but as a movement it seriously pisses me off.
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Like every major movement, it's was more of a personality cult than any actual theory or set of postulates based in actual research.