I try to write responsibly and limit the use of contempt, but I’ve decided to go with what feels right – much like our president would do – and do so anyhow (i). I’m sure some will say the title is not news while others will be appalled that this perception exists.
This is an intro into the malpractice that an industry consistently engages in because they have us fooled that they actually know what they are talking about cloaked in their confident responses and professionalism. Psychotherapy, not the science that they ignore but the practice, in many ways is still quackery (ii).
I attribute this to therapists being largely unaccountable entities, having a profit motive, and a failure to define problems and use metrics to evaluate outcomes (iii). Therapists also show a lack of rigor in their problem solving skills, inability to view problems at the system level, and although they share themes, their guesses on the causes of problems are all over the map.
i) Contempt allows us to express our indignation on an issue in a big way but at the risk of a processing error. When the recipient’s defenses get engaged, then they will not be fairly evaluating the content as it falls to the wayside of our need to be right.
ii) The following conclusions could certainly be an overgeneralization as the sample size of twelve that I have assessed may not be representative of all therapists.
iii) Although the industry boasts an effect size of 0.8, which means that most of the time patients that were treated compared to untreated were better off, the meta-analyses used are handpicked and other meta-analyses paint the opposite picture.