Psychotherapy: Needs Reboot? or Just Boot?

first_imgThe word “reboot” assumes a prior boot.  You can’t reboot something that never booted up in the first place.  The American Psychological Association is calling for “rebooting psychotherapy.”  Is it even booted up?  The press release begins with an admission that questions whether psychotherapy ever got powered on. The damaging quote from the American Psychological Association is right in the first paragraph: Psychotherapy has come a long way since the days of Freudian psychoanalysis – today, rigorous scientific studies are providing evidence for the kinds of psychotherapies that effectively treat various psychiatric disorders. But Alan Kazdin, the John M. Musser Professor of Psychology at Yale University, believes that we must acknowledge a basic truth – all of our progress and development in evidence-based psychotherapy has failed to solve the rather serious problem of mental illness in the United States. If a reboot would simply get the solution software running again, all would be well.  But this statement calls it a “basic truth,” one that must be acknowledged, that “all of our progress” has failed to solve mental illness.  Was that not ostensibly its goal, its mission? To be sure, the remainder of the press release focuses on problems with getting the goods to the patients that need help, but nine months after Kazdin dropped his bombshell, he is challenging his colleagues “to rethink the current mental health system in order to make adequate treatment available and accessible to all who need it.”  This is followed by three bullet points on improving the delivery of psychotherapy.  But nowhere is there affirmation that the treatments actually cure anyone, even if “rigorous scientific studies are providing evidence for the kinds of psychotherapies that effectively treat various psychiatric disorders.”  It would seem that if the rigorous studies are such a good mousetrap, the world would beat a path to psychotherapy’s door.  Indeed, just before the bullet points, another damaging admission was made: “Now, in the latest issue of Perspectives on Psychological Science, several eminent scientists have come forth in response to Kazdin and Blase’s article, highlighting important points that will need to be addressed before the mental health care system can be overhauled….” The last sentence is a distraction: “United States Department of Veterans Affairs has already developed and implemented new and innovative programs to address the mental health of its veterans.”  Innovative is nice, and addressing a problem is praiseworthy, but no evidence was provided the VA has any better a track record at solving mental illness. This makes psychotherapy sound like a government project gone wrong, a bridge to nowhere, a design plan that never produced a working prototype.  If serious points must be addressed before the mental health care system can be overhauled, the software isn’t up and running, and there is no way to reboot it. See also “Psychotherapy Struggles to Demonstrate Scientific Validity” from 11/13/2005 and three prior articles about psychotherapists struggling to define what mental illness is (2/17/2010, 2/28/2010, 4/21/2011).  Did the brain evolve?  See 11/09/2007 and 10/22/2010. Did you notice the oblique slam at Freud?  He was the king of the hill in his day; now he is a joke (4/27/2011).  Psychotherapy has undergone so many revolutions in its brief history it is unrecognizable.  Now they tell us that in 2011 it has still ”failed to solve the rather serious problem of mental illness in the United States.” But they want to improve the delivery of this failure!  The chaotic history of psychotherapy, from couch talk to mythical unconscious divination to electric shock to drugs to non-directive counseling to whatever is the fad today, is enough to warn the wary to keep away from the charlatan industry with its self-admitted failure to achieve its own goals. The human mind is too complex an entity to submit to the pseudoscience of psychology, and the mixed bag of psychotherapy.  A psychotherapist can never get into a patient’s mind, or understand all the complexities of causes and effects that produce outward symptoms.  The best that can be done is external observation: such-and-such a drug makes Joe less violent, an electric shock makes him forget his paranoid delusion, a horror movie makes Joe (but not Sam) sleepless, calm music relieves manic depression.  Some things might work in some patients as far as improving outward symptoms, but they can never prove that the psychotherapist has addressed the root cause. A lot of treatment reduces to common sense (2/21/2010), without the need for a shrink to tell you the obvious. What if sin is real? What if sin produces real guilt, not just feelings of guilt?  Giving the patient a drug or calm music will only put a band-aid on the surface.  By ignoring the spiritual and moral dimensions of human beings, secular psychotherapists are limiting themselves to partial toolkits at best.  What if the necessary therapy for the “mentally ill” patient is forgiveness of sin that gets at the root cause?  Pastors have numerous true accounts of transformed lives, criminals turned into saints, addicts into missionaries, wolves into lambs, when they faced their true guilt and kneeled at the foot of the cross of Jesus Christ.  Talk about empirical evidence! What if “mental illness” is an oxymoron?  There is physical illness, and everyone acknowledges that brain damage can lead to bizarre behavior.  These can be treated as physical illnesses, not “mental illness.”  In many Christian churches, there is a whole movement called Biblical counseling that, in contrast to psychotherapy, treats the root cause of behavioral problems (the ones lacking a physical cause) as sin.  Their patients often reach a profound sense of relief when they get straight talk about their sin problems, instead of the runaround about “mental illness” the shrinks offer with their pseudoscientific band-aid solutions. Psychotherapist, heal thyself.  Show the goods, or you don’t get a reboot.  You just get the boot.(Visited 22 times, 1 visits today)FacebookTwitterPinterestSave分享0last_img read more

Ankle arthroscopy

first_imgDefinitionAnkle arthroscopy is surgery that uses a tiny camera and surgical tools to examine or repair the tissues inside or around your ankle. The camera is called an arthroscope. The procedure allows the doctor to detect problems and make repairs to your ankle without making larger cuts in the skin and tissue. This means that you may have less pain and recover more quickly.Alternative NamesAnkle surgeryDescriptionYou will likely receive general anesthesia before this surgery. This means you will be asleep and unable to feel pain. Or, you may have regional anesthesia. Your leg and ankle area will be numbed so that you do not feel any pain. If you receive regional anesthesia, you will also be given medicine to make you very sleepy during the operation.During the procedure, the surgeon does the following:Inserts the arthroscope into your ankle through a small incision. The scope is connected to a video monitor in the operating room. This allows the surgeon to view the inside of your ankle.Inspects all the tissues of your ankle. These tissues include cartilage, bones, tendons, and ligaments.Repairs any damaged tissues. To do this, your surgeon makes 1 to 3 more small incisions and inserts other instruments through them. A tear in a muscle, tendon, or cartilage is fixed. Any damaged tissue is removed.At the end of the surgery, the incisions will be closed with stitches and covered with a dressing (bandage). Most surgeons take pictures from the video monitor during the procedure to show you what they found and what repairs they made.advertisementYour surgeon may need to do open surgery if there is a lot of damage. Open surgery means you will have a large incision so that the surgeon can get directly to your bones and tissues.Why the Procedure Is DoneArthroscopy may be recommended for these ankle problems:Ankle pain: Arthroscopy allows the surgeon to explore what is causing your ankle pain.Ligament tears: A ligament is a band of tissue that connects bone to bone. Several ligaments in the ankle help keep it stable and allow it to move. Torn ligaments can be repaired with this type of surgery.Ankle impingement: Tissues in your ankle can become swollen and sore from overuse. This makes it hard to move the joint. Arthroscopy can remove the tissue so you can move your joint.Scar tissue:This can form after an injury to the ankle. This surgery can remove scar tissue.Arthritis: Arthroscopy can be used to help reduce pain and improve movement.Cartilage injuries: This surgery can be used to diagnose or repair cartilage and bone injuries.Risks Risks of general anesthesia are:Allergic reactions to medicinesBreathing problemsRisks of ankle arthroscopy are:BleedingInfectionBlood clotFailure of surgery to relieve symptomsFailure of repair to healWeakness of the ankleInjury to tendon, blood vessel, or nerveBefore the ProcedureTell your health care provider what medicines you are taking. This includes medicines, supplements, or herbs you bought without a prescription.During the 2 weeks before your surgery:You may be asked to stop taking medicines that make it harder for your blood to clot. These include aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), and other medicines.Ask your health care provider which medicines you should still take on the day of your surgery.If you have diabetes, heart disease, or other medical conditions, your surgeon will ask you to see your doctor who treats you for these conditions.Tell your health care provider if you have been drinking a lot of alcohol, more than 1 or 2 drinks a day.If you smoke, try to stop. Ask your health care provider or nurse for help. Smoking can slow wound and bone healing.Tell your doctor about any cold, flu, fever, herpes breakout, or other illness you may have before your surgery.On the day of surgery:You will likely be asked not to drink or eat anything for 6 to 12 hours before the procedure.Take the medicines your health care provider told you to take with a small sip of water.Your health care provider will tell you when to arrive at the hospital. Be sure to arrive on time.After the ProcedureYou can usually go home the same day after you recover from the anesthesia. You should have someone drive you home.Keep your ankle elevated above your heart for two to three days to help reduce swelling and pain. You can also apply cold packs to reduce swelling.Keep your bandage clean and dry. Your health care provider can show you how to change the dressing.You can take pain relievers, if needed, as long as your doctor says its safe to do so.Youll need to use a walker or crutches and keep weight off your foot.Outlook (Prognosis)advertisementArthroscopy uses small cuts in the skin. Compared to regular surgery, you may have:Less pain and stiffnessFewer complicationsFaster recoveryThe small cuts will heal quickly, and you may be able to resume your normal activities in a few days. However, if your doctor had to repair a lot of tissue in your ankle, it may take several weeks to heal. How quickly you heal depends on how complicated the surgery was.You may be shown how to do gentle exercises as you heal. Or, your doctor may recommend that you see a physical therapist to help you regain the full use of your ankle.ReferencesIshikawa S. Arthroscopy of the Foot and Ankle. In: Canale ST, Beaty JH, eds. Campbells Operative Orthopaedics. 12th ed. Philadelphia, PA: Elsevier Mosby; 2012:chap 50.Miller M, Hart J. Surgical Principles. In DeLee, JC, Drez D Jr, Miller MD, eds. DeLee and Drezs Orthopaedic Sports Medicine. 3rd ed. Philadelphia, PA: Elsevier Saunders; 2009:chap 2.Review Date:5/15/2013Reviewed By:C. Benjamin Ma, MD, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery. Also reviewed by David Zieve, MD, MHA, Bethanne Black, and the A.D.A.M. Editorial team.last_img read more

Mourinho concedes title to Man CIty

first_imgManchester United ‘We have to finish second’ – Mourinho concedes title to Man City Harry Sherlock Last updated 1 year ago 21:40 2/2/18 FacebookTwitterRedditcopy Comments(5) Jose Mourinho Getty Images Manchester United José Mourinho Manchester City Premier League Manchester United sit 15 points behind the Blues and the Portuguese has given up hope of overhauling Pep Guardiola’s side Jose Mourinho has admitted that Manchester United cannot win the Premier League title, insisting that they must now focus on finishing second.Manchester City currently lead the Premier League by 15 points, with 13 games of the season remaining.City have lost just once in 2017-18 – to Liverpool – and have drawn just twice, while United have suffered four defeats and recorded five draws. Article continues below Editors’ Picks Lyon treble & England heartbreak: The full story behind Lucy Bronze’s dramatic 2019 Liverpool v Man City is now the league’s biggest rivalry and the bitterness is growing Megan Rapinoe: Born & brilliant in the U.S.A. A Liverpool legend in the making: Behind Virgil van Dijk’s remarkable rise to world’s best player United face Huddersfield Town this weekend, while City take on Burnley, but Mourinho has now given up hope of overhauling Pep Guardiola’s side.”We need points to be the first of the last,” he told reporters.”We have to try to finish second, we are in this position all season, we were first for a few weeks and then we were always second.”The fight is open for second, third, fourth, fifth and sixth but is practically closed for the first.”Indeed, United have only a three-point lead over both Liverpool and Chelsea, in third and fourth, and are just five ahead of fifth-placed Tottenham.However, Mourinho says United have improved since the end of last season, and maintains that they are focused on silverware.”We’re doing better than last season and it’s very important for us to do better than last season,” he added.”We are trying to win something this season, and if not, we will try to be stronger for next season.”last_img read more

PennWell Acquires Oil and Gas Event

first_imgPennWell already has a group of assets serving the oil and gas market, including its Oil & Gas and Offshore titles, and plans to align the PNEC event with these brands.”We were impressed by the quality of PNEC and the loyal following among major operators, independents, national oil and gas companies and technology companies which the Crouses have nurtured,” says PennWell president and CEO Robert Biolchini in a statement. “We intend to leverage PennWell’s publishing assets and the event expertise of our editorial staff of the Oil & Gas Journal, Offshore and Oil & Gas Financial Journal to preserve the standard of quality in conference content established by PNEC over the last 17 years.”PNEC’s May event this year attracted 580 attendees and included 30 exhibitors and 23 sponsors, says the company.The event will be managed by Mark Peters, vice president and group publishing director of PennWell’s oil and gas titles and events.PennWell has been making a series of targeted acquisitions over the last year. It acquired the public safety group from Elsevier last September, and early this year it bought two brands from Energy Central. B-to-b media company PennWell has acquired the Petroleum Network Education Conference from Philip P. Crouse & Associates, a Dallas-based company serving the oil and gas industry.Sale details were not released, but under terms of the deal PennWell will hire Cindy Crouse on a consulting basis to continue to run the event.PNEC serves the data and information management aspects of oil and gas production and exploration.last_img read more

Military Families Are Facing Financial Hardships In Houston And Across The Nation

first_imgListen To embed this piece of audio in your site, please use this code: Share 00:00 /03:31 X Florian MartinReda Hicks is an attorney and advisory board member at the Military Family Advisory Network.The 2017 Military Family Support Programming Survey by the Military Family Advisory Network finds that most American military families, 92.5 percent, are in debt.Sixty percent said they don’t have enough savings to cover three months of living expenses; 15 percent said they have experienced food insecurity.Reda Hicks, a Houston area attorney and advisory board member of the Military Family Advisory Network, says a lot of it has to do with having to move frequently.Click on the play button above to listen to the interview.last_img read more

Hope in colours and canvas

first_imgSome extra faith can never be a bad thing. The core theme of Ekta Jain’s paintings is  ‘Hope and never to despair’. The illuminated niches , rays of sun lighting up the dark crevices, beams of radiance dispelling the gloom are subtle statements occupying the focal point in her creations.Jain’s artwork is autobiographical and bears a close resemblance to her ‘never say die’ spirit and cheerful demeanor, finding vivid translation in her  formations and fabrications on the canvas. Her abstracts are reflective of hope and faith; of assurance and conviction of trust and optimism. Also Read – ‘Playing Jojo was emotionally exhausting’There is a symmetrical oneness in her apparently diversified expressions like her name ‘Ekta’ which implies unity, uniformity, solidarity and homogeneity. Her play with colours started at a tender age till it metamorphosed into emphatic narrations. Her journey to urban spaces is punctuated by her desire to discover layers upon layers of soul’s responses to civility or lack of it. The innate desire led her to formulate and execute her concept without any formal exercise in art.Her paintings are like palimpsest. Elusive at times and evasive but at the end of it the works come across as strokes of hope and happiness.last_img read more

Two arrested in Bagdogra murder case

first_imgSiliguri: Two persons have been arrested in connection with the murder of a couple at Bagdogra near here, a senior police officer said. The two persons were identified as Sanjay Tamang and Bhumika Sheva and the latter was an employee of the victim, Ajay Kushwah, who used to supply staff for catering service. Both of them were arrested from the couple’s house at Sukantanagar locality yesterday, DCP Tarun Haldar said. Old enmity and greed for money had led to the killing of the couple — Ajay Kushwah and Meena Kushwah, DCP Tarun Haldar said. Also Read – Rain batters Kolkata, cripples normal life Ajay Kushwah had received payment from a customer on that day and Bhumika Sheva, who used to stay in the third floor of his house, had seen him keeping the money, the DCP said. She had told Sanjay Tamang, with whom she was in a relationship, about it and Tamang decamped with the money. Bhumika’s room was found locked from outside on that day while the rooms of other tenants were not locked from outside, the DCP said. During inquiry, the police came to know that Bhumika Sheva was present in the third floor of the house and she was awake when the incident had occurred. Money kept in the house was also found to have been stolen. This made the police suspicious and they started questioning her following which the duo were arrested. When the employees had come to the couple’s house after completing their work on Saturday, they had found the bodies lying in a pool of blood.last_img read more

State to raise issue with NIOS over DEIEd exams new dates

first_imgKolkata: State Education minister Partha Chatterjee on Monday expressed his displeasure over the National Institute of Open Schooling (NIOS)’s decision in cancelling the D.El. Ed examination in Bengal, citing leakage.”The test has been cancelled only in Bengal but not in any other state where the examination was held. When an examination is cancelled for alleged leakage, it should be done in all the states where the examinations are supposed to be held. Why only in Bengal? Is the NIOS regulated by the Centre,” Chatterjee questioned. Also Read – Speeding Jaguar crashes into Mercedes car in Kolkata, 2 pedestrians killedThe rescheduling of the examination on February 3 in which candidates have to appear for two subjects each of three hours’ duration has also been an area of concern for those who have already sat for the examination held on December 20 and 21 respectively. The state Education secretary has already written a letter to the concerned authorities either to revoke its decision of cancellation or reconsider the rescheduled date. “The teachers have submitted a deputation to me citing their difficulty to appear for two papers on a single day. So we have decided to raise the issue with the NIOS,” Chatterjee said. Also Read – Bose & Gandhi: More similar than apart, says Sugata BoseThe teachers who have been already teaching in institutions but do not have B.Ed degree can clear D.El. Ed examination and accordingly meet the requisite criteria for teaching as mandated by the National Council of Teacher Education (NCTE). Meanwhile, the state Education department has decided to raise the salary of Siksha Bandhus from Rs 5,994 to Rs 8,392 a month. There are presently 3,925 Siksha Bandhus working at the grass-root level of Sarba Siksha Abhiyan (SSA). “The salary of those associated with project management related work under the SSA will also be enhanced by 40 percent on an average,” Chatterjee said. The minister expressed his optimism that induction of Class V in primary education will be completed by 2020 with some areas to be worked upon.last_img read more

Tesla Nabs Apple Hardware Exec to Lead Vehicle Development

first_img Free Webinar | Sept 5: Tips and Tools for Making Progress Toward Important Goals October 25, 2013 Opinions expressed by Entrepreneur contributors are their own. 1 min read Just a week after eBay lured Apple e-commerce executive RJ Pittman to join its ranks, Apple has lost another member of its executive team.Tesla Motors announced Thursday that it has hired Doug Field, who led Mac hardware development at Apple, to lead the company’s development of new vehicles.In his five years at Apple, Field led development of many new products including the latest MacBook Air, MacBook Pro and iMac. He launched his career as an engineer at Ford and was also chief technology officer at Segway.Field said his background in the automotive industry and his “dream of creating the best cars in the world” led him away from the consumer-electronics giant. “Until Tesla came along, I had never seriously considered leaving Apple,” he said in a statement.The electric car company is at the forefront of technology. Tesla’s latest car, the Model S, received the highest safety rating of any car ever tested by the National Highway Traffic Safety Administration (NHTSA).Related: Elon Musk’s Tesla Continues Awards Tear for Model S Electric Car Attend this free webinar and learn how you can maximize efficiency while getting the most critical things done right. Register Now »last_img read more