The HOME study - Michael Sharpe s CBT for the elderly

But to get a bit philosophical, whatever 'reality' might be, all we can ever have is our perception of it, no matter how we might wish to dress that up. In a way, reality is an illusion.

 

I know what your saying but denying reality doen't make it not exist it just means one is pretending fantasy is real.

 

https://twitter.com/user/status/967415439809753089

 

The only benefit of this is when people wake up and realise this trial is an abomination that should be cleansed with fire. It'll then hopefully lead them to the authors' other (similarly immoral) work, including PACE. This may work in our favour yet.

I just feel sorry for all those people with dementia...

 

Sharpe's pointless tweet on this study :

https://twitter.com/user/status/1010837959455670273


What I find strange is that he doesn't even link to any details of the study, he just posts a photograph of a door.

 

It's a celebration - can't you see the baloons?

Excuse me while I move Michael Sharpe to the bottom of my list of people I'd ask to help organise a surprise party.

 

I didn't even notice them, to be honest.

 

That was the surprise element.

 

I am not defending this study, but there is still a place for uncontrolled studies. However you cannot conclude anything about intervention effectiveness in such studies, I think. Uncontrolled studies give you data, and later you can design a better and controlled study based on that data. To put it another way, uncontrolled studies indicate association, not causation.

Case series studies come to mind in this. However there is no doubt controlled case series are better.

Now in a study of 3500 patients it would be better to divide the cohort in half, with half as controls. That would even be cheaper than the study as it is, so there is no reason to not do it.

 

There is a saying, an observation by Clauswitz, that diplomacy is war by other means. I think politics is just an extension of diplomacy. Its about factions in society fighting other factions on how to spend limited resources. This is not much different from states wanting to influence affairs by diplomacy, with the main exception being that politics is often better regulated, such as via constitutions.

There is another saying: “Reality is that which, when you stop believing in it, doesn't go away.”
https://www.goodreads.com/quotes/646-reality-is-that-which-when-you-stop-believing-in-it

Its a lot like CBT-brainwashing and ME. You might be convinced you do not have ME but reality does not care.

 

On top of that old people dont use the internet so the BPS crowd can bully the fuck out of them and they wont know how to hit back.

Watch this space for a big bunch of bullshit study claiming to be a successful treatment using CBT on the old promoted by the SMC.

 

well, not leaving them in corridors for hours when they arrive might help, and then (as has been plastered all over the news for ages) having the adequate social care in place so they can be discharged.
No amount of psycho therapy will help with either.

eta: apart from using the money to actually help with both instead of wasting it.

 

Is how quickly they can get them to go home a good measure of whether they needed to go home or not.

 

just throw in a few 'trick-cyclists'......

 

How will this improve social care in the home and the appropriate care or make more provision and money available for care homes for the elderly.

The BPS crowd wont care they will just do some liaison CBT to get granny to answer their questions the way they want so they can tip her into a wheelbarrow and march her of the hospital premises. Will politicians wake up to this one after last weeks debate, I think they should have one eye one this.

 

Reminds me of Stephen Kings' "It", where the clown lured the children with baloons...