Thinking more abt the whole CBT as glorified gaslighting issue & how one of the supposed “thought distortions” is “catastrophizing” but I haven’t seen the reverse “minimizing” labeled as a “thought distortion”. Why is that? 1/
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It makes me think of conditional probability methods ex Bayes theorem. A patient is aware of their priors but a therapist may not be. Their observation of a patient’s probabilistic risk assessment as flawed may be based on their own priors. 4/
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A probabilistic risk assessment of the same situation by diff ppl will be influenced by their priors. My issue w CBT is the therapist seems to assume that they are fully aware of events in the patient’s past & that their probabilistic model of these events is more accurate 5/
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than the patients because they’re an objective observer I.e. their priors do not matter & they have an unencumbered vantage pt of the patient’s history. Unfortunately neither of these things is true. 6/
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But therapists seem to act like it is. A lot of folks are now aware of this kind of thing in the context of medical misogyny/racism/bigotry but I think the process itself fails to acknowledge this as a fundamental issue w the therapy modality. 7/
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Tl;dr Has someone written a paper abt CBT in terms of probabilistic risk assessment models using conditional probability methods?
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End of conversation
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This is why I really appreciated how my therapist would *ask me* if I thought what I was afraid of was a genuine possibility or catastrophizing & she'd believe me when I gave my answer.
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This is the fault of the therapist for not listening & learning about your history. I’m not arguing for CBT but right here, the therapist screwed up.
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It shouldn't be like that. That is a bad therapist. I'm a psychologist and I use cbt with some people. I'm sadly not shocked about your experiences. You can train for a year and say that you're delivering cbt. It's no wonder its badly done
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