mistermack wrote:Mr. samsa, I wish I knew more about the subject. I did make it crystal clear in my OP that I know fuck all, except what the average man gleans from the media. So my question is in that context.
Don't worry, I saw that bit in your OP.
Given your responses though, I think your question is really: "Is clinical psychology a science?", and the answer is obviously "No, because it's not meant to be".
mistermack wrote:Can you clear up what exactly is the difference between psychologists and clinical psychologists? You said that there is a huge difference, but didn't say what it was. ( and the wiki article makes no distinction at all ! ).
Sorry, I thought I had made the distinction clear. Psychology is the study of behavior; a science. Clinical psychology is the application of this science in order to treat mental disorders; it is an evidence-based practice. The distinction is the same as biology vs medicine (i.e. medicine is not a science).
Does that make sense?
mistermack wrote:And why do we need psychiatrists, psychologists and clinical psychologists?
Surely there should be a mental health qualification that covers all of it?
Well psychologists don't deal with mental health, so even if there was a 'mental health qualification' they wouldn't be included in it. Psychologists are generally scientists in white lab coats studying how rats respond to flashing lights or something (obviously over-simplified, but hopefully the point is clear). Their work can sometimes be used to help people with mental health issues, but that's not their concern at all, they're simply trying to learn what causes behavior.
The distinction between psychiatrists and clinical psychologists is arguably a bit more controversial, but the easiest way to explain it is that they approach similar problems from different perspectives. The problem with an issue like mental health is that the brain is an organ of the body, so mental disorders can either be a product of physical malfunctions, or they can be purely mental (or, to confuse matters, a bit of both). This means that we need professionals with degrees in medicine and a specialisation in psychiatry in order to study the brain and how drugs can help certain problems. Clinical psychologists, on the other hand, largely deal with the 'mental' causes of disorders. Generally, clinical psychologists have more tools to deal with mental disorders (e.g. cognitive behavioral therapy, systematic desensitisation, etc).
To summarise:
Psychologists - scientists who study what makes organisms tick
Clinical psychologists - apply the science of psychologists to understanding mental disorders
Psychiatrists - medical doctors who treat mental disorders as if they are physical diseases.
mistermack wrote:The average man like me never gets to hear about the successful treatments. The "cures".
Someone gets a new heart, or cleared of cancer, or a stent, or a baby survives that should have died, and we hear about it.
All we hear about psychology is that some absolute assehole is "suffering from" a personality disorder, or some innocent women have spent time in jail for harming their own children, on the trusted opinion of a now discredited psychologist. This has happened in England.
Perhaps there should be a site dedicated to their successes. Otherwise, we might be paying big salaries for no benefit, or even harmful treatments.
I'm not sure if there are any websites dedicated to it because 1) it would be a massive task, and 2) anything that is used by psychologists in their practice is evidence-based. I'm not sure why you've never heard of the successful treatments, haven't you ever heard of cognitive-behavioral therapy? It has been all over the news for the last decade because it has been so overwhelmingly successful, even beating out anti-depressant drugs in a number of studies.
mistermack wrote:And lastly, can you tell me what is humour? I still want to know.
I don't really know what the dominant theory is, to be honest. There's a list of some at wikipedia:
Theory of Humour.
A theory of language and communication (with a vast amount of supporting evidence) has also made vague claims to be able to study and understanding humour:
Relational Frame Theory.
The common element among most theories seem to be the idea of incongruity and resolution.
apophenia wrote:This is likely compounded by an irrational preference for common sense explanations, aka "folk psychology", which isn't scientific, is wildly unreliable, and makes up nonsensical mechanisms at the drop of a hat (when it isn't bastardizing real science, ala "the God center"). No doubt
The Backfire Effect as well as a whole host of cognitive errors are involved in maintaining the popularity of folk psychology. I think there's also a strong element of
The Introspective Illusion and
The Bias Blind Spot1 at work here -- all of which, again, we know about due to research in psychology. And, all of which has a tendency to reinforce a peculiar brand of cynicism towards psychology (the folk equivalent of healthy scientific skepticism perhaps?).
1 "Since biases operate unconsciously ... introspections are not informative..."
:nod: I'm sure I've read a study where people who said "psychology is just common sense" were tested on basic findings in psychology, and most of them failed horribly.
Cunt wrote:Mr.Samsa wrote:No, they say they're not a "professional treatment".
But I do agree, AA is ridiculous and any "effectiveness" that studies find supporting it are simply people who were going to quit anyway. The fact that an organisation partially supports it is not evidence of psychology or medicine being flawed, but simply a reflection of the fact that there are very few evidence-based treatments for addiction.
Why then, does the organisation not support the demonic possession theory of mental health?
Because demonic possession has no evidence to support it. Aspects of AA do seem to work, it's just that research is having some difficulty recreating those advantageous aspects without the extraneous features. Arguably, things like CBT are the embodiment of this.
Cunt wrote:AA was created decades ago, has many cult characteristics, and consider the effect that the usual meeting would have on a person.
They 'drunk-a-logue' a lot, and tell themselves and everyone else over and over again - 'Drink a little, you will drink a lot and end up dying drunk in the gutter'.
I wonder what a psychologist would think of that kind of 'treatment' for other ailments...
I'm not sure what you mean?
Cunt wrote:Mr.Samsa wrote:I'm not sure what you mean by 'what you're going to do'? You can do whatever you like - if you don't want to go to AA, then the psychologist will recommend something like cognitive-behavioral therapy.
I like drinking occasionally, and don't seem to be developing any problems staying away from it when I want to (drink currently maybe once a week, and can't remember the last time I felt intoxicated...)
I am asking because many of my clients report alcoholism as their disability. I am supposed to help someone develop accommodations to work with their disability, or to refer them for help if they are not 'employment ready'. I tell them (currently) that I think AA has an overall negative effect, that they should ask their doctor for help.
Mostly, doctors refer folks to AA. I know that in at least two cases (here in a VERY small town) those doctors are members of AA.
Why not refer them on to psychologists who specialise in CBT then?
Cunt wrote:Mr.Samsa wrote:And unfortunately those two options are not mutually exclusive. It is both problematic, and the most effective treatment that we currently know of. It just so happens that being better than nothing is not really a good treatment option at all.
Are you honestly saying that AA as an intervention is better than no intervention? Is there reasonable data to back that up?
Most of the research on AA backs up the idea that people who stay in AA will be successful.
Cunt wrote:As it stands, one of the reasons I won't refer to AA is the way they repeat certain messages which seem to increase binge drinking, but not move that locus of control any closer to the individual.
How does it increase binge drinking?
And the locus of control shouldn't be placed on the individual, it should be placed on changing the environmental variables which cause the behavior in the first place. My main beef with AA is precisely that it places the locus of control on the individual - it assumes that "will" alone is enough to change behavior.
Cunt wrote:Mr.Samsa wrote:Potentially this is part of it. But this is a problem with politics, not science. I'm not sure how it's a bad reason to favour AA over other intervention options though? If it is the option with the most evidence behind it, what else could they do?
They could make it change with new knowledge. The rest of 'medicine' tends to grow and even flourish by integrating new knowledge. AA is static, stagnant and ridiculous.
And they do. AA might stay the same, but it's not a psychological treatment. The psychological treatments are the ones that are developed by looking at what works in AA and recreating it - like CBT.
Cunt wrote:Mr.Samsa wrote:Not necessarily. Obviously the idea that alcoholism is a biological problem is debatable, but even assuming it is, they wouldn't be short changed by being recommended a form of talk-therapy (which is kind of what AA is). This is because, if it is a biological problem, it's a brain problem. This would be comparable to autism, which can only be treated through behavioral therapy (i.e. there is no pharmaceutical or surgical intervention available, or perhaps even possible).
I thought you had said earlier that there was a cure for autism. I don't think there could be, and I know a few folks who would be appalled at the notion.
They can be appalled all they like but their being offended doesn't change reality.
Behavioral therapy is universally recognised as being the only, and the most, successful treatment for autism. It is so successful, that a child diagnosed with autism at one point can sometimes, after treatment, no longer meet the criteria for autism (and this is statistically different from people who naturally 'grow out' of their diagnosis). Since they no longer have a diagnosis of autism, then they aren't autistic. This is generally referred to as a 'cure'. Obviously there is some variation of the effect of the treatment, but at the very least there is always significant improvement in their symptoms.
Cunt wrote:Mr.Samsa wrote:I made a mistake, I confused "spirituality" with the term "transcendence". They are used a bit interchangeably in the literature, but the term used is usually 'transcendence'. This is the label given to a number of traits which are statistically correlated to improvements in mental health, and strictly defined it is: "Strengths that forge connections to the larger universe and provide meaning". In more simple terms, it means finding meaning to your life and being interested in making your world a better place.
Funny, I think I am a nihilist and still have a VERY strong interest in making my world a better place.
That doesn't negate anything. As I mentioned, 'transcendence' is a label given to a subset of specific responses, so very few people would match every single example of transcendence. What matters is your score - so if you're a nihilist, but otherwise happy with yourself, and you have a strong interest in making the world a better place, then you will likely score very highly on the transcendence/spirituality scale. And this means you'll be more likely to have good mental health.
Cunt wrote:Mr.Samsa wrote:
I know, I hate the wooey connotations to the terms too, but the science behind it is sound.
I still don't understand it. People may be happier with it, but most drunks are happier drunk than sober...doesn't mean it's the best way to live.
Well psychology isn't a political or moral tool. All they do is look at the evidence for what improves mental health and report the results. (But obviously being spiritual doesn't necessitate being religious, or "drunk" as you compare it to, as demonstrated by the fact that you would score highly on the spirituality scale).
Cunt wrote:Mr.Samsa wrote:Oh trust me, I don't accept AA at all. The problem is simply that valid therapies in the field of addiction are few and far between. (And most psych research into AA looks at taking apart all the steps to see which are useful and which aren't).
Research all they want, but when you go to AA's head office and ask them to make the changes which science has found will reduce suffering due to alcohol, you will find two things.
1. It is located in the Interchurch Centre in New York.
2. Nothing can be changed just because of 'facts' or 'science'.
Does that remind you of anything?
But AA isn't a psychological treatment. Whether it changes or not is irrelevant to the question of whether psychology is a science. Psychologists will find the aspects that work, and create AA Mark II or whatever they want to call it. In my opinion, this is what CBT has become for alcoholism.
Cunt wrote:Mr.Samsa wrote:I'm confused - so you believed it was bullshit before reading scientific studies demonstrating it was bullshit?
Absolutely. When I read the stuff with a critical eye, it fell apart on its own.
All one has to do is read the material with a critical eye and it shows itself bad. I wish there was more scientific studies refuting their bullshit. I would gladly share it around.
I'm not sure if a "critical eye" is good enough to reject it.. I don't agree with it as a valid treatment option, but it's a hugely complex issue that requires a fair amount of reading to understand the evidence on it.
Cunt wrote:I was wondering...why would you think that major corporations would not integrate what is currently known about human psychology into their marketing? I would expect that whoever (in the competitive business world) had the best marketing information would be the most successful at marketing their products and services...
The same reason newspapers don't hire journalists with science degrees to report science. They think they know better. And they do try to apply psychological theories to their work, the problem is that they are businessmen reading through "Psychology Today" and making guesses about how to apply it to marketing..
“The real question is not whether machines think but whether men do. The mystery which surrounds a thinking machine already surrounds a thinking man.” - B. F. Skinner.