With all this well-intentioned exhortation to seek mental health help, I sometimes wonder if the reason people don’t is that mental health is a market of lemons. I personally suspect a randomly picked mental health pro out of the phone book is more likely to harm then help.https://twitter.com/epsilontheory/status/1005143891551584257 …
-
-
Replying to @vgr
a lot of therapy outcomes research out there. a small amount (5%) of ppl "deteriorate," but nobody asking anymore IF therapy works--evidence of efficacy is overwhelming. the right Qs are WHY does it work and why outcomes haven't improved in the last 30 yrs.
1 reply 0 retweets 9 likes -
Replying to @davedayton
Do these studies control for self-selection, survivorship bias, and most importantly, variance in provider quality? I’m sure therapy works — under lab trial conditions holding provider quality at a high standard. Not so sure about Podunk U. strip-mall therapy world.
2 replies 0 retweets 6 likes -
Replying to @vgr @davedayton
Interesting you chose “where you received your credential” to be a proxy for “how good a mental health professional you are”. Points imo to a deeper problem in US society beyond just healthcare.
1 reply 0 retweets 3 likes -
-
Replying to @vgr @humanleon
Outcomes research suggests that 1) level of training, 2) school where training occurred, and 3) years of experience have little to no effect on outcomes. Best predictor of good outcome: quality of therapeutic relationship.
1 reply 0 retweets 2 likes
So the matching problem is the key?
-
Show additional replies, including those that may contain offensive content
Loading seems to be taking a while.
Twitter may be over capacity or experiencing a momentary hiccup. Try again or visit Twitter Status for more information.