Interesting idea, great to see such initiatives! My main attempt to contribute something is that I think I disagree about the way you seem to assume that this potentially would 'revolutionise the psychology evidence base'.
Questionable evidence base for underlying therapeutic approach
This bot has departed from many other mental health apps by not using CBT (CBT is commonly used in the mental health app space). Instead it’s based on the approach used by Samaritans. While Samaritans is well-established, the evidence base for the Samaritans a...
Sorry for my late response, Michael. I agree that being plugged into these networks helps, but I think academics (at least in psychology) are very open to this idea but lack the time (and maybe skills) to organize such an event. I think that if a local EA group (or student group) would approach some professors in psychology (or health economics) with the suggestion to organize an event about IAPT for the general public and policymakers in their name, a lot of these professors would love to support that. I bet we can find those professors in each country, and I am of course willing to help find them.
Great, thanks!
To broaden the analysis I think correcting for an implementation bias is useful. Fidelity to the protocol by psychotherapists is often way lower in real life than in research studies. This could make the average numbers more pessimistic, but the added value of a psychotherapist being aware of those cognitive impediments way higher, and possibly a more interesting career option (training and supervising younger therapists, lobbying for evidence based psychotherapy). But that just might be a self-serving bias speaking, the recent meta-analysis...
Great that mental health is getting more attention. Three random remarks that might be of interest:
(1) psychological treatments will probably evolve to become more transdiagnostic / process-based. For example Unified Protocol from Barlow, core principles in Acceptance and Commitment Therapy, the way the UCLA Depression Grand Challenge is taking shape, or the Research Domain Criteria. So most interventions described in this article are being dismantled which in combination with things like network analysis of symptoms (for example the things Eiko Fried is d...
Great post. I'll try to make a useful contribution. Maybe this can be of help as well: the APA list of evidence based treatments:
Maybe one sentence that can use some more context:
They also listed their most important needs during periods of crisis: Getting rid of voices and paranoia
There is nothing that you ...
By the way, I e-mailed this before to CEA after attending the ABCT-conference in New York. ABCT= Association for Behavioral and Cognitive Therapies (US). Maybe interesting for some of you:
*Given the fact I heard a lot of ambitious attempts to reduce human suffering the last couple of days, I realized I haven’t encountered these voices in the EA movement yet. Maybe these suggestions have been made before, but I’ll give it a try anyhow.
I make these suggestions as speakers, because I think none of these CBT-interventions are ready to compete with the most ...
Some random thoughts on psychology and EA. We need to make some distinctions.
On the one hand you have a theory about suffering. CBT doesn't have a clear fixed theory, it updates given the evidence. Most refer to these evolutions as first wave (behaviorism) vs second wave (revolution of cognitions, Beck, 'typical' CBT) and third wave (mindfulness-based (MBCT) & value-based (Acceptance and Commitment Therapy, ACT, a contextual behavioral science). The discussion continues.
Psychoanalytical and psychodynamisch therapies have different theories about suff...
I was in contact with Michael before, and let me first say I'm happy he promotes the focus on IHI vs EHI in the EA community.
However, I disagree on how to think of IHI's. I've been struggling with how to think of human suffering since I learned about EA, and it seems to be caused by different views on human suffering between philosophers and what I've learned from clinical psychology, mainly by more pragmatic contextual behavioral sciences (not as an authority argument, but FYI I'm a clinical psychologist/CBT-therapist/PhD-student).
My argument boils dow...
Thanks for your reply, I hope I'm not wasting your time.
But appendix 2 also seems to imply that the evidence base for CBT is for it as an approach in its entirety. What we think that works in a CBT protocol for depression is different than what we think that works in a CBT protocol for panic disorder (or OCD, or ...). And there is data for which groups none of those protocols work.
In CBT that is mainly based on a functional analysis (or assumed processes), and that functional analysis would create the context in which specific things one would or w... (read more)