Cochrane Database Syst Review - Psychosocial interventions for conversion and dissociative disorders in adults (2020) Ganslv et al.

Discussion in 'Other psychosomatic news and research' started by Cheshire, Jul 19, 2020.

  1. Cheshire

    Cheshire Moderator Staff Member

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    The abstract is very long (see below) so I will highlight the conclusion:
    Abstract
    https://pubmed.ncbi.nlm.nih.gov/32681745/

    Am I wrong, or are scandinavian psychologists more and more critical of the doxa?

    Edit: paragraph breaks are mine.
     
    Last edited: Jul 20, 2020
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  2. Hoopoe

    Hoopoe Senior Member (Voting Rights)

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    Next step would be admitting that no one has ever observed a "conversion" of emotions into a chronic illness, that this is a not scientific idea.
     
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  3. InitialConditions

    InitialConditions Senior Member (Voting Rights)

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    A psychological stressor or trauma is present in most people's lives if you consider their whole history since birth/childhood. You can always find something if you are looking for it. Why do some develop so-called conversion disorder?
     
  4. rvallee

    rvallee Senior Member (Voting Rights)

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    I can feel a presence. I think it's a man, older. Maybe someone with an M, or a P. Is there a Michael or maybe a Peter? Does anyone have a relative maybe with an M in their name, anywhere in their name? Maybe someone from the distant past? No? Anyone? Bueller?

    This junk is indistinguishable from psychics and mentalists. They just take super vague things that people latch on to and worm their way trying to manipulate.

    This soon after CODES was published, the largest experiment of its kind on whatever "dissociative" means. Maybe people are getting tired of defending indefensible quackery? The very concepts should have been retired decades ago, an aberration in modern medicine that would be equivalent to NASA having a billion-dollar astrology department. Grow up, people, this is barbaric nonsense.
     
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  5. Snow Leopard

    Snow Leopard Senior Member (Voting Rights)

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    Wait, I got it: Magic! Someone must have cast a hex on them!
    No wait that's not it how about: They displeased the gods!
    Perhaps they were nasty people in a past life and have to atone in this one?
     
  6. Sean

    Sean Moderator Staff Member

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    Karma is a bitch.
     
  7. Sly Saint

    Sly Saint Senior Member (Voting Rights)

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  8. Kalliope

    Kalliope Senior Member (Voting Rights)

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    Trial By Error by David Tuller - No Evidence for CBT and Other "Conversion Disorder" Therapies

    The new review is an update of a 2005 version. Its stated objective was “to assess the beneficial and harmful effects” of the psychosocial interventions in question, several of which were forms of CBT. The review included 17 studies published up until last year, with a total of 894 participants. The 2010 pilot study for CODES was included, although CODES itself was published too late. The Cochrane review found that the studies were generally of poor quality and produced little or no evidence of benefits from a range of psychosocial interventions.
     
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  9. rvallee

    rvallee Senior Member (Voting Rights)

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    Can they be more vague? I don't think so. That's exactly the same thing as all the other things other than not being an acronym, for a change. Just the latest rebranding in a long line of psychosocial, biopsychosocial, psychogenic, conversion, affective, functional, medically unexplained. They all mean the exact same damn thing and these charlatans pretend otherwise. All style no substance.
    No idea how something like that passes peer review. Cochrane is such a disaster. This is an opinion presented as fact. There is no evidence whatsoever to support that other than being the arbitrary definition of this fictitious category.

    Evidence-based medicine, where facts don't matter and everything is made-up. Let's just throw all the books and go with our guts! YEEEHAAA!!
     
  10. dave30th

    dave30th Senior Member (Voting Rights)

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    True, they're operating within their own solipsistic bubble. but even in their own terms, the interventions didn't work.
     
  11. Sean

    Sean Moderator Staff Member

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    An unkind person might even suspect this to be corruption of the peer-review process.

    Good thing we are all kind here. :inlove:
     
  12. Sly Saint

    Sly Saint Senior Member (Voting Rights)

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  13. Trish

    Trish Moderator Staff Member

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    Is this the first Cochrane review of psychological treatments that specifies as its primary outcome measure: reduction in physical signs? In other words it foregrounds objective measures that can be recorded by clinicians, such as reduction in frequency of seizures - 'signs' rather than patients' subjective reports of symptoms.

    Does this set a precedent for the new Cochrane review of exercise for ME? Can it be insisted that this should also give primary outcome status to objective measures?
     
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  14. dave30th

    dave30th Senior Member (Voting Rights)

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    bullshit. The study had three questionnaires measuring health related quality of life. They had results on one but null results on the other two. So they're claiming benefits in health-related quality of life. it's all gibberish.
     
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  15. Cheshire

    Cheshire Moderator Staff Member

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    Make the patients fill endless questionnaires, statistically, you'll get some positive results.

    Ladies and gentlemen *Science*
     
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  16. chrisb

    chrisb Senior Member (Voting Rights)

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    just not as Popper knew it.
     
  17. rvallee

    rvallee Senior Member (Voting Rights)

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    Totally normal to forget what the acronym of your own large trial actually means. The competence on display and attention to details are mesmerizing.
     
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  18. Sean

    Sean Moderator Staff Member

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    I am starting to warm to the idea of banning acronyms for trial names.
     
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  19. NelliePledge

    NelliePledge Moderator Staff Member

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    Yet more evidence it truly is a template model of ‘research’ if you churn out ‘study’ after ‘study’ and there’s barely any difference not surprising you can’t even remember the titles - they all blur and you can’t tell them apart. In practice you’re just making the same points whatever the ostensible subject is.
     
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  20. Peter Trewhitt

    Peter Trewhitt Senior Member (Voting Rights)

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    I wonder if the use of these acronyms reflect an underlying process that is not aimed [at] advancing understanding or knowledge but rather at developing marketable products. So many of these trials take the superficial form of experimental science, but are in reality PR and marketing exercises.

    Science ideally consists of a clearly specified theory that generates concrete hypotheses that are then tested experimentally, whereas these studies seem to start from a mutable assertion that these symptom groupings are somehow psychogenic and a researcher belief that psychological/behavioural interventions (ie CBT) are wonderful, then ‘research’ is designed not to test falsifiable hypotheses, but to ideally confirm the wonderfulness of the intervention(s).

    [edits]
     
    Last edited: Jul 22, 2020
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