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Re: Question for gg. alexandra_k

Posted by Dinah on February 5, 2004, at 17:24:52

In reply to Re: Question for gg., posted by alexandra_k on February 5, 2004, at 16:57:55

I think they are doing outcome studies. For example, CBT works better for Axis I disorders with no personality disorders, next best for a single personality disorder accompanied by an Axis I disorder, next for a single personality disorder, and not so very well at all for comorbid personality disorders.

Actually, it works ok for those who stick with it, but the dropout rate is high. Of course, I think combining the personality disorders as if they were a homogeneous group is ridiculous. I'm guessing that a bit of obsessive compulsive personality disorder helps a bit with CBT, in fact I think I saw it in one of the Grand Rounds presentations linked on this site. While borderline personality disorder probably isn't as good a fit with CBT, and I think there's a pretty high dropout rate.

For myself, I like CBT for teaching useful tools. But sometimes when I see CBT therapists write or talk among themselves I get so angry, and understand why I don't *do* CBT very well with pure CBT therapists. I saw a consensus the other day that if a client is "venting" during a CBT session, then they're showing disrespect for the therapist and the therapy by deviating from the agreed upon goals and procedures. Geez. What are these people doing in the helping profession?

CBT therapists seem to see themselves primarily as educators, which is great unless you need a therapist.




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