Posted by alexandra_k on August 5, 2021, at 17:08:43
In reply to Re: ... jump, posted by alexandra_k on August 5, 2021, at 16:59:10
they focus on the narrow narrow narrow narrow narrow...
jeepers... what was it? 2006? 2007? where it was very fashionable, in Australia, to have conferences on... to write papers on... to give talks on... the present supposed 'gold standard' in medicine. to be highly critical of it. people were presenting all the problems with it. all the 'wrong answers' that came out of employing it. all the things it failed to take into account. they were working out all the things that had been neglected... to try and incorporate those things, too, for better clinical decision making.
for better patient decision-making, too. with respect to clinicians getting better at presenting patients with information in a way that meant they would be more likely to make high quality genuine choices rather than fall victim or prey to known cognitive biases. because the goal is (despite what nz will have you believe) informed consent. not forced compliance by exploiting known problems with decision making.
but i think the leaders of nz missed out on those... else they decided to use the information they learned to exploit and further control rather than to help and assist...
they are saying, now, that the reason why nz is so backwards with respect to access to medicines etc is the stupidly outdated way in which it goes about making decisions. focusing very narrowly on very specific criterion that... miss the point. often enough. falling victim to perverse incentives. almost intentionally... there's that. the level of psychopathy...
apparently they won't fund counsellors because they don't have randomised double blind controlled trials or it being effective. they would need to invest in a pilot study, at least, and if you don't get customer satisfacation of... or whatever... well... there is no randomised double blind control trial of why we should listen to the people and you can't make us hahhahahhahahahahhahhahahah' says administration.
it was the thing of how cbt ONLY JUST out-performed psychodynamic psychotherapy on some study or other. so cbt was rolled out as the ONLY style of psychotherapy to be employed by clinical psychologists in nz. there was nothing about how one style might be more suited to some patients. there was nothing about patient choice. there was nothing about fit. about the fit being important. yet nz runs so very much on trying to force the wrong fit. on finding the wrong fit and investing, particularly, on trying to force that.
things cannot be any other way. our leaders are determined to show us all that things cannot be any other way. not on their watch.
poster:alexandra_k
thread:1116125
URL: http://www.dr-bob.org/babble/psycho/20200305/msgs/1116263.html