This poem also owes its existence to W.H.R. Rivers. He was a notable individual. His early research was in anthropology and neurology. He was a key figure in the early treatment of what is now called PTSD, and a lead medical officer at Craiglockhart.
Another poem from Craiglockhart is Sassoon's "Repression of War Experience." It is one of the relatively uncommon works, both as literature and clinically, that depicts the sensory experience associated with PTSD. https://www.poetryfoundation.org/poems/57267/repression-of-w...
Incidentally, Rivers himself also wrote a paper titled "The Repression of War Experience." It was published in The Lancet around the same time. https://archive.is/EZerl
A century later, I believe the poet's attempt was more successful than the scientist's in sharing the data.
I agree my reply would be improved if reframed to be less cross-examining, particularly given I was responding to two different comments at once. That said, the substance I raised is around services that were shared, and something a business owner in the mental health field can be fairly expected to receive feedback on.
I have benefited from psychedelics. I have also spent a lot of time with many survivors of severe domestic abuse / IPV / coercive control. Inducing psychedelic states in a workplace context in general would give me pause, but particularly so since it is likely to involve this population. The lifetime prevalence for US women is about 25%[1], and 10% for men[2], so this is a live issue in a workplace of any size.
I disagree that it's reasonable to expect readers to fully assess these service offerings. Issues around informed consent when doing psychological/spiritual work are complex and benefit from many perspectives. This is one of the reasons mental health is a regulated industry, with strict rules around client relationships, and ongoing ethics classes required to maintain licensure. If this were a piece of software impacting human health and I saw such potential technical issues, I would raise those as well.
I don’t believe this person is a fraud, and did not intend to give the impression I did. They are navigating a difficult and undeveloped regulatory landscape. There may be some social nuance I am missing, and I'm hoping this context improves the discussion.
I may be misreading, but it sounds like you’re offering this to people that work together? I have trouble seeing how someone, particularly a vulnerable individual, can freely consent given the combination of group dynamics and their livelihood being involved.
I find it concerning you list experience providing psychotherapy in clinical practice on your CV. These terms are strongly associated with someone who has specific training, a license, and is answerable to an ethics board. It may give a mistaken impression to someone who is considering working with you.
The article you reference paints a distorted picture. The survey it’s reporting on is specifically limited to properties purchased to be flipped, not the entire market. It also lumps BlackRock with family owned LLCs. Quoting the original article:
“When combining closings between both larger, private equity and smaller, independent operations, investors accounted for 44% of the purchases of flips during the third quarter, the data reveals.”
https://www.businessinsider.com/big-investors-purchasing-mor...
I found the original submission worthwhile because it moves beyond these sorts of discussions. I didn't view it as focusing on zoning, but on highlighting how our local democratic structures themselves contribute to these issues. It has implications that go beyond just housing.
You could do a lot of good therapy around your boundaries of disclosing vulnerable information with a stranger. A good therapist, and the right therapist for you, would support you in not disclosing more than you’re comfortable with.
The cargo cult science part was and is a big concern of mine as well. In practice it hasn’t been much of an issue. Yoga or music is another analogy for this — the theory isn’t nearly as important as the experience, and a lot of this eventually comes down to something more like practice and intuition rather than theoretical models.
I used to have the same opinion and found my model has shifted quite a bit. There are a surprising lack of high quality studies on a lot of this. However, there’s really good data on a couple points: Therapy is likely to create significant, lasting improvements compared to placebo, and the more significant factor is therapeutic relationship, not modality.
There’s a lot of evidence for CBT because it’s a modality that is relatively easy to study, and so it’s studied a lot. It’s very structured and designed to produce results quickly. This doesn’t mean it’s superior in general.
Chronic psychological disorders are strongly correlated with early attachment issues and adverse childhood experiences. There are many ways to address this, but I would view a successful long term therapy as reprogramming a nervous system rather than talking to a friend or building new habits. In my experience, even many therapists fail to understand this distinction. Like hiring any skilled professional, finding the right match can be a time consuming process.
This study was immediately critiqued for distorted results due to the way the researchers interpreted the data.
"We used three different approaches to recode their data. Using Shaw and Porter's approach, we replicated their 70%. Using alternative approaches that distinguish between false beliefs and memories, we found 26-30% of subjects met the criteria for false memories. Moreover, we showed that laypeople’s understanding of remembering better aligns with the alternative coding approaches than with Shaw and Porter’s."
This is covered in the actual studies, which are quite readable if you're curious. The metric of concern is suicide attempts, and the rate is about the same between placebo and control groups. Long term followup data will be informative, particularly as they attempt to scale up the treatment.
Depressive effects aren't typically the greatest concern with this population. The risk to manage is traumatic material and sensations coming on more strongly afterward and overwhelming the person's capacity to regulate. This is one of the reasons the trauma informed psychotherapy aspect of the treatment is important.
DID in particular is sampled at about 1%. I’ve included an excerpt from the previous link that states this. That paper seems to align with clinical perspective, as it’s the same number that McLean Hospital uses in their public communication. McLean is a psychiatric teaching hospital as part of Harvard Medical. It is one of the few organizations in the country that specializes in treating severe trauma disorders.
“Random samples of the general population in Canada and Turkey (female sample, 50% of whom were illiterate) found a life-time prevalence of DD of 12.2% and 18.3% respectively. A general population study in New York State found a 1-year prevalence of 9.1% for the DD.2,32,39 In Canada and New York, prevalence of DID was 1.3% and 1.5% of the population. In Turkey, the lifetime prevalence of DID was 1.1%”
Another poem from Craiglockhart is Sassoon's "Repression of War Experience." It is one of the relatively uncommon works, both as literature and clinically, that depicts the sensory experience associated with PTSD. https://www.poetryfoundation.org/poems/57267/repression-of-w...
Incidentally, Rivers himself also wrote a paper titled "The Repression of War Experience." It was published in The Lancet around the same time. https://archive.is/EZerl
A century later, I believe the poet's attempt was more successful than the scientist's in sharing the data.