(I am looking for a cartoon by Sidney Harris on Hippocratic where the readers of the documents want to return medicine back to a mystic art because a professional would be require to actually learn and study to continue to improve and become a lot more effective and safe health to their patients.
This blog is based in
This problems seem to have occurred because United States general public has lag behind in science and so many European countries have taken their own scientific lead and is leaving the United States fairly behind in technical know how. More on this on other later posts, but for now I want to establish that what we call substance use and a substantial part of mental health treatment does not meet standards of the medical science but rather something that has been developed independent with little if any evidence of it's efficacy and safety. In fact, the practitioners are ignorant to the possibility they are harming their patients, they make the presupposition that their techniques are bening, kindly, compassionate to all patients with out the possibility of malignant effect. Not many professionals have question the wisdom under which substance use treatment is being performed. (Robert Westermeyer, Ph.D. Addiction Treatment: What On Earth Are We Doing?) Quote from this scientific based article; "However, the field of substance abuse treatment is lagging significantly. The field of addiction has been dominated by a model that has not changed much since its beginning. I am referring to the disease model and the 12-step model of recovery." I personally think that the 12 Step program is religious indoctrinations and it was never designed to be a treatment protocol. Even tradition 6th, 8th, and 11th clearly give us the understanding that it was designed to be a Fellowship or a Society of man and women with a common interest to assist each other reach goal of alcohol or substance abstinence. It clearly states that they should never lend their name to any related facility (like a treatment center), will never be professional (like the counselors in those programs) and that the 12Step program is based on attraction not promotion. Once it is made to go to meeting their is no attraction but demand
I do not expect the general public to fully understand medical science, but my task is to write with the intention of you becoming an educated consumer. What I CAN EXPECT is that you are rational enough to understand the fairly simple explanations am about to provide you in this blog. I do believe in full interaction with the readers, so if I am insulting your intelligence or you feel I am talking down at you please let me know. I like nothing better than writing at a level where the words I use will be a lot more accurate than an extensive explanation. I like to explain to you that while these are widely held concerns of mine not much of it is my own opinion. I am not that original. And I am not too sure these concerns maybe opinions I think that they are a lot closer to facts that are based on scientific consensus. The credit goes to a number of professionals that will be introducing in later post. I will give a some explanation about my concern and link you with the appropriate article that may go with the post. These professionals have been expressing my interest and worries for a lot longer than I and they have the background in science I am now only learning.
We as patients have a long history with the field of medicine. When we do not feel well the first people we usually approach is our family physician. This is a profession we literary trust with our lives. From past experiences we have counted on these professionals for all our health needs. Most physicians keep up with the latest medical development, and if your illness is beyond their expertise they refer you to a specialist. Today we enjoy the highest standard of health and life expectancy ever. No doubt greater than our grandparents ever did. As a group, the human race lives up to ripe old age.
If you are like me when we go to our physician for say an infection (for example), we can almost take for granted that the medicine the doctor prescribe us has been rigorously pharmaceutics empirically quantitative study before the FDA allows for the medication be marketed. I can give assurance with high degree of certainty that not such research exist for most medical care in substance and mental health treatment. That is of no surprise when we note that the professionals do not read scientific articles such as those of their own professional journals (see "Purpose of the Blog" Beutler, William & Wakefield,(1993)). Psychotherapies (appear to be worldwide,but the research surveies were done in USA and Canada
When anyone speak to them it becomes clear that these professionals are not readily prepared and are terribly unknowable of the science required to produce the quality of treatment patients deserved and take their time and attention to receive. There have been a call among the professions that clinicians should first be scientist and then practitioners. Why is it that patients for all other medical condition receive the best and latest scientific findings and substance use and mental health patients does not receive the same courtesy?
Those who have ever been in treatment for substance use and mental health would realize that we are doing the same and the same and the same without the benefit of development and scientific improvement. Substance use and mental health have basically made no improvement in the past 30 years because is not based on the same science and the continuity of improvement that is required to maintain a system call TREATMENT. What we call treatment in substance use and mental health is basically treatment by declaration as it has very little if any basis in science. In reality what we call treatment is no more than the professionals personal indoctrination of what they think the patient should do. When the patient does not respond appropriately, the patients are blamed and it is said to be resisting treatment enough reason to discharge any one from treatment (in their mind but not legally, specially when they require treatment exist patients have the human rights to receive science-evidence based treatment rather than much of the counterfeit therapy or remedies that is currently dispence by substantial number of mental health practitioners.
I encourage your participation by not believeing any of the claims I make on this blog. I welcome your studing and your skepticism you may have in any of
The Research-Practice Gap: Clinical Scientists and Independent Practitioners Speak
outcome research on AA alone has been rare, and when examinedexperimentally, its efficacy has not been well supported compared with other treatment interventions. However, some have suggested that such studies may not truly reflect the efficacy of AA (see Emrick, 1987; McCrady & Delaney, 1995), as they have relied on"coerced" samples (e.g., DUI offenders).
Stanovich, Keith S. "How to Think Straight About Psychology" 1998 Longman
Barry L. Beyerstein, Ph.D. Why Bogus Therapies Often Seem to Work
short version: http://www.quackwatch.com/01QuackeryRelatedTopics/altbelief.html
Longer explanation: http://www.csicop.org/SI/show/why_bogus_therapies_seem_to_work/
Stephen Barrett, M.D. William T. Jarvis, Ph.D How Quackery Sells
Quack Watch. Com
Is an organization of science based professionals