12/3/2023 0 Comments Ispeak pr![]() A 2017 review of how research evidence has been summarised found that only a few of them met the highest standards of unbiased analysis. Glenys Parry, emeritus professor of psychological services research at the University of Sheffield, says there is an “allegiance bias”, where psychotherapists conducting research trials tend to find results that favour their own brand of treatment. There are problems with evidence all round. But this wouldn’t show up in assessments the idea of measuring or effects that go beyond the client has yet to take much hold in the profession. It might be possible for a treatment to make patients feel better, researchers speculated, but which increases the rates of false accusations against family members. There is less research into the harms that therapy might do to friends or relatives of clients, as may have been the case with Hill and his former girlfriend. Yet one recent review of mindfulness lessons in secondary schools found it prompted no change in the mental health of students other than to make those with existing symptoms slightly worse. Mindfulness is billed as an innocuous sort of therapy. There is also the problem of matching treatment to patient, a matter on which there seems to be few established guidelines. It’s not just the quality of the therapist, though. A profusion of new therapy apps may have added to the problem, exposing more people to unfit therapists It is easy to see how a cackhanded attempt to transform the thinking patterns of someone suffering from depression, say, could tip them in the wrong direction. Vulnerable people require careful handling. Jobs that deal with vulnerable people, such as social care and nursing, can attract predators as well as saints. Incompetent practitioners might be one part of the problem (botching a process in which a client relives unpleasant memories, for example, could harm them). Some 5-7% of clients deteriorate after treatment: old symptoms get worse, new ones appear and people become dependent on their therapists. ![]() We seldom hear about therapy that leaves patients, or those around them, worse off than where they started. But was the therapy the right treatment for Hill, or was it merely equipping a controlling man with ways to emotionally abuse his partner? Hill has been open about his experiences of therapy (he even made a Netflix documentary about his shrink). His supposed list of unreasonable demands were rebranded, in the texts, as “boundaries”, a word typical of therapy-speak. What particularly caught the eye, though, was the language he seemed to use. While dating a former girlfriend, he allegedly sent her a string of texts asking that she remove bikini pictures from social media, stop “surfing with men”, and avoid female friends “in unstable places” who had not been first approved of by Hill. Last week, psychotherapy came in for a rare bit of scrutiny after a media furore surrounding Jonah Hill, the Hollywood actor-producer.
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