Get Shrunk
at Your Own Risk
Few of us will need therapy for multiple-personality disorder. But
everyone will experience grief\u2014and counseling for normal bereavement
may not always be benign. A 2000 study found that four in 10 people who
lost a loved one would have been better off without grief counseling
(based on a comparison with people who were randomly assigned to a
no-therapy group). That was especially so for those who experienced normal
grief. In that case, counseling sometimes prolonged and deepened grief,
leaving more depression and anxiety than in those who worked through their
loss on their own.
...
That 40 percent figure is likely inflated, argues psychologist Dale Larson
of Santa Clara University. But he agrees with Lilienfeld's estimate that
10 to 20 percent of people who receive psychotherapy are harmed by
it. Even the American Psychological Association acknowledges that too many
clinicians practice "psychoquackery," as psychologist John Norcross of
Scranton University puts it. If we had FDA-style regulation of
psychotherapies -- difficult though that would be to do, especially
since the effects of psychotherapy depend on the therapist -- "fringe
therapies would not be on the market."
How fringe is "fringe"? In percentage terms, very. But the number of
people undergoing potentially risky therapies reaches into the tens of
thousands. Vioxx was yanked from the market for less. To be sure, even
risky psychotherapies don't harm everyone, just as most people who took
Vioxx will never have a heart attack. What is remarkable about
psychotherapies, though, is that few patients have any idea that "just
talking" can be dangerous to their mental health.
(From
kayshapero.) Nevertheless, some kinds of talk therapy
have been proven to work, and on the average you're probably less likely
to be harmed by a shrink than by psychoactive drugs. Especially since
there are fewer side effects and it's less dangerous to back out if it's
not working. As always, your mileage may vary.
My one brush with "grief counseling" was totally useless, but I'm OK with
that.