Showing posts with label Mental Health. Show all posts
Showing posts with label Mental Health. Show all posts

Sunday, July 03, 2011

Mental Health Economics - Why Has The Sun Gone Square?

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Mental Health Economics UK

Finally it happened : with all the rest of world economy going insane, the Sun squared up and started to get letters going across its face . We discovered "Sun Text" ... It was all too predictable though ... Shine on brightly ? Nah.... Whine on brightly squarely we say ..

At UserWatch we had cosmic warnings long ago of this from "One-bar" the alien from the planet Electric, who told us bullshit particles were massing on Earth more than anywhere in the universe . We also have a pet wolf and polar bear in the UserWatch office who act as "instinct compasses" that have sniffed the human air and vomited often ...

"Everyone in the Galaxy comes to study Earth because of the colliding forces which create so many virtual bullshit particles that have a nature to spin about and lie in one direction or another or another or another " - stated "One Bar" the alien . "Its a question of Rantum Physics (a planet Electric discovery) .... "

"Its fascinating" said "Switch Off" (from the same planet) - " Earth's bullshit particles are so vigorous and wiggly, you could mistake them for snakes - is this why you had a Garden of Eden with a skin shedding character in the original tale ? "

At UserWatch we agree with the true-aliens - take the new snake-soap therapies in the UK designed to get everyone back to work when there is no prospect of competing with the China syndrome and the hungry migrators whose own blasted out countries have enough death-in-life particles so you have to run away from them.

Iain Duncan Smith (UK Dept of Work & Pensions Secretary Of State ) - him of the: "kill the disabily fekkers club" - with work massing gassing camps, which also produce work for a company who employ a post SS tribe of Doctor Clipboardmen, whose corporate name looks like "HATE-US" , has stated in the Daily Flail that immigration to Britain has soaked up a lot of the available jobs that no-one who is kicked off disability benefits can get because the "migs" have them ..

HSJ Mogger And The Death Of Disability xxx

Picture Courtesy : Silvis Rivers July 2011



Can you blame the "migs" (migrators) ?

Who wants to live in cratered existentialism in fucking useless economic countries where lower-end but high-volume production has emigrated to a factory in Wing Wang where the Wangsters live ..... ?

Logically in the mental health economy UK - you get CBT Cog-native tribe therapy to recover from depression from being out of work, only to become more realistically depressed about your death in life because a Wangster has got a job you might have had ..... Unless you just married a royal or live with £20 notes defecating from your arse like a banker who really needs stuffing with two barrels of high velocity shotgun pellets ..

Can we save the Sun from going square ? Is there a physics to protect us ?

No ...

No more than we can control our global social economies to produce for real needs and not half a world of bullshit. Remember, economics is dominated by the cheapest unit-price and the cheapest cost of labour and then you'll remember our own demands create hell sooner or later for someone. You clever recallers - you have defeated the fashion of amnesia.

Who needs balance ? Contradictions are maintained and we make the politico-economic particle winds we are pushed along by .

Take the "new" now mainly failing mental health services in the "recovery" sectors - where under Labour (2000 - 2010) so many false bureacracies propped up a kind of false service economy in mental health which some of the fitter mental health "recovered" Users traded off. In that diversionary costly economy (£3 - 400 million est.) - front line delivery never saw patient choices in mental health , and though some "patient choice" budgets were piloted - they were minimal - designed right at the end of a Labour Govt that prefered system economics and mass delivery as though everyone exists as clonal Cog-native types .

We can never forget a web post by a well known "Mental Nurse" who claimed Cognitive Behavioural Therapy was just another "tool in the kit" .. Yeah ... To tighten the loose nuts no doubt ... Who needs individuality when you can have state-top-down mechanics with their engineered contradictions and threads which do not fit individuals .

Put the Car-gnitive workers back to work producing invisible cars ?

The reforming Carbon Dioxide company "CO2" - does not need more car workers but rather eco-workers to harness a simpler economics after the hyper wave of burned out over production. We all need a gentler existence that is not dealing with the post trauma of post industrial family life and its mass class alienations but that might mean making the Sun round again .

See-ing the circularities of nature and mass particle build up of contradictions is way way overdue . Will the Sun give us time ?

Will we ?

Lets say a prayer in purple ....

Bunnetary Policy And King Stick xxx


Wednesday, April 07, 2010

Mental Health CBT 117 Trial Study Shows Only 18% Effectiveness

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Save Coggy Now He's Only 18% Resolved

He's one of the 1.8 in 10


Oh dear, no sooner some of the Improvement to Access for Psychological Therapies (IAPT) Cognitive Behaviour Therapy national roll out almost gets underway, er, here and there, but not via your GP Surgery according to a GP study, so it also gets hammered by strong implication by a study published in the

British Journal Of Psychiatry.

The study done by Professor Pim Cuijpers and others were trying to answer a question :

"It is not clear whether the effects of cognitive–behavioural therapy and other psychotherapies have been overestimated because of publication bias."


The study reviewed 117 trials against 175 comparisons and discovered a considerable overestimation of effectiveness of the therapies on depression .

Jeremy Laurence (Independent Health Editor) probed it well in his March 23rd report :

"Does Cognitive Behaviour Therapy Work And Should The NHS Provide More Of It For Depression"

He states :

"But how effective is it?

Less so than its supporters think. Although approved by Nice, a review of 175 trials in the British Journal of Psychiatry published this month concluded that the effects had been exaggerated. Two-thirds of people (67 per cent) improved with therapy, which sounds impressive. However, 40 per cent improved without therapy. So the treatment delivered an extra 27 percentage-point "effect".

How has this been exaggerated?

By "publication bias". Publication bias occurs when publishers of medical journals choose to accept trials that show positive results and reject those that show zero or negative results. This skews the published literature to show a larger effect of the treatment than is true in reality. Pim Cuijpers from Vrije University, Amsterdam, who led the review, said that when publication bias is taken into account, it reduces the effect of CBT by "about one-third, to 18 per cent".

We at UserWatch note the British Journal of Psychiatry abstract of the study did seem to use interchangeable terms : "cognitive behaviour therapy , psychotherapy , psychological therapies" rather too much because it is State prescribed CBT that has been very promoted over the last few years and appears to be taught very stricturedly behind the scenes and is under the spotlight . Never mind the study is free in one year's time after yer cogs have only been 18% oiled .....

We thought some time ago that CBT will give useful deeper empathic therapies - genuinely trying to help people's damaged emotional lives, a really bad name by being lumped together as "psychotherapy" but then that's part of a bigger problem which might have been moving towards clearer resolution if patients had real choices and they as a genuine market drove quality over time .

We also note the social engineering tendency of the Guardian and BBC have hardly touched the efficacy of deeper therapy appropriate for people's life damages. And the need for greater supply of it to support people into better emotionally realistic navigation of themselves. What's wrong with hearing out people's pain , hurt, into witness ?

But then who needs cultures of depth of feeling and thought, other than those of the established status quo of State control and almost subtle social engineering colonial leanings ?

Try asking the 500 Afro Caribbeans who were wrongly diagnosed with onset psychosis and whose backgrounds of parental poor attachments and cultures of instability created their pain and behavior .. Strange isn't it how a large study with 500 Afro Caribbeans gets buried because basically it blows the myth of bio-medical standpoints into the winds of the social streets and their felt and experienced effects .. Yeahhhh lets ignore depth .... Its dangerous for class interests..

Mind you the Guardian did report the study, that's something ...

Dec 9th 2009 Guardian


"The worrying figures emerged from a large study carried out by psychiatrists and epidemiologists at the social psychiatry unit of the Institute of Psychiatry at the Maudsley hospital in south London. Named Aesop (Aetiology and Ethnicity in Schizophrenia and other Psychoses), the study involved 500 patients with mental health problems from various ethnic groups, comparing them with a control group of 350 healthy subjects.
The researchers ruled out genetic issues as the cause, and the previously held suspicions that psychiatrists were more inclined to diagnose schizophrenia when dealing with black males in particular. They concluded instead that the root causes lay in a whole range of social factors that lead to severe social isolation – people living alone, unemployment, and the vexed issue of separation from parents due to family breakdowns in the African Caribbean community amounting to a kind of "sensory deprivation" "


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