CBT: The Cognitive Behavioural Tsunami: Managerialism, Politics and the Corruptions of Science

Author(s) : Farhad Dalal

CBT: The Cognitive Behavioural Tsunami: Managerialism, Politics and the Corruptions of Science

Book Details

  • Publisher : Routledge
  • Published : September 2018
  • Cover : Paperback
  • Pages : 214
  • Category :
    Cognitive-Behavioural Therapies
  • Catalogue No : 93746
  • ISBN 13 : 9781782206644
  • ISBN 10 : 1782206647
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Is CBT all it claims to be? The Cognitive Behavioural Tsunami: Managerialism, Politics, and the Corruptions of Science provides a powerful critique of CBT’s understanding of human suffering, as well as the apparent scientific basis underlying it. The book argues that CBT psychology has fetishized measurement to such a degree that it has come to believe that only the countable counts. It suggests that the so-called science of CBT is not just "bad science" but "corrupt science".

The rise of CBT has been fostered by neoliberalism and the phenomenon of New Public Management. The book not only critiques the science, psychology and philosophy of CBT, but also challenges the managerialist mentality and its hyper-rational understanding of "efficiency", both of which are commonplace in organizational life today. The book suggests that these are perverse forms of thought, which have been institutionalised by NICE and IAPT and used by them to generate narratives of CBT’s prowess. It claims that CBT is an exercise in symptom reduction which vastly exaggerates the degree to which symptoms are reduced, the durability of the improvement, as well as the numbers of people it helps.

Arguing that CBT is neither the cure nor the scientific treatment it claims to be, the book also serves as a broader cultural critique of the times we live in; a critique which draws on philosophy and politics, on economics and psychology, on sociology and history, and ultimately, on the idea of science itself. It will be of immense interest to psychotherapists, policymakers and those concerned about the excesses of managerialism.

Reviews and Endorsements

'Under the sway of neoliberalism, the ‘happiness industry’ is in full flow and cognitive behaviour therapy is the technology of treatment for those who fall by the wayside. In this combative and passionate book, Farhad Dalal draws on his expertise in psychotherapy and critical thinking to reveal the corruptions of argument and evidence on which the dominance of CBT is based. The book is a much-needed and timely reminder of the dangers inhabiting simplistic responses to complex social and personal conditions.'
Prof. Stephen Frosh Professor of Psychosocial Studies, Birbeck, University of London

'With devastating irony and a poetic turn of phrase, this tightly argued yet wide ranging essay about politicised behaviourism in psychotherapy today is both highly instructive and entirely persuasive. ….. Farhad Dalal redeems the possibilities of Group Analysis from the corrosions and dilutions of neo-liberal economists and administrators. It is good to have him on our side!'
Earl Hopper, Ph.D., Mem.Inst.GA, CGP, DFAGPA. Psychoanalyst, group analyst and organisational consultant in private practice in London

'This book is an analysis of the triumph of CBT as a method of ‘treating’ ‘depression’ but its argument also offers an urgent critique of the dysfunctions of our hyper-rational culture. By splitting nature from humankind, and then splitting emotion and ethics from reason in the latter, Dalal notes we have ended up with a perversion of Enlightenment values where the only things that count are the things that can be counted.'
Paul Hoggett, Emeritus Professor of Social Policy and Chair of the Climate Psychology Alliance

'Dalal gives us a devastatingly forensic critique of the weaknesses of CBT and the supposed ‘science’ that backs it up, and of the ruthless professional politics that have led its proponents to win the battle for the nation’s souls. His term ‘cognitivist delusion’ says it all. But in addition, as with his previous books, he lays bare the deeper intellectual and cultural histories that have conspiratorially allowed the ‘mental health professions’ to short-change citizens in the service of materialist capitalism and a society dominated by elites.'
Professor Andrew Samuels, Department of Psychosocial and Psychoanalytic Studies, University Of Essex

'This is an absolute masterpiece and should be read by anyone interested in anything to do with mental health or psychotherapy or economics or neoliberalism. Farhad has a wonderfully clear, engaging, intellectually rigorous, at times witty, style; but with a great talent for making complex phenomena easy to understand.'
Sami Timimi, Director of Medical Education Lincolnshire Partnership Foundation NHS Trust

'A powerful and courageous book chartering, among other things, the deep inefficiencies and failings of our IAPT-based CBT services.'
James Davies, Reader in Social Anthropology & Mental Health University of Roehampton, author of Cracked: Why Psychiatry is Doing More Harm Than Good

'In this most timely contribution, Dalal forensically lays bare the limitations of CBT as a response to human distress and the grandiosity of many of its claims and shows how the systematic adoption of CBT causes injury to our image of ourselves. An invaluable resource for those wanting to understand and to stand against the absurdities of hyper-rationalism.'
David Glyn, President, Group Analytic Society International

'A timely and crushing debunking of dominant mental health paradigms, opening up possibilities for a more humane approach to human suffering, rooted in rigorous socio-political analysis.'
Graham Music, Author of Nurturing Natures

'This book raises fundamental questions of the ethics and human essence of our psychotherapeutic endeavours that speak urgently to the future of psychotherapy.'
William F. Cornell, Author of Somatic Experience in Psychoanalysis and Psychotherapy

'An important book for those worried about the clinical value of CBT. Dalal presents a rich and fundamental critique of CBT as well as the systems that support it. Dalal is an independent thinker who courageously challenges the DSM and the power politics of psycho-therapy.'
Dr. Robi Friedman, Past President of the International Group Analytic Society

Table of Contents

1. Introduction: Hyper-rationality

Part I – The Tsunami
2. The Tsunami Begins…
3. The Merchants of Happiness

Part II – Politics of Identity Formation
4. Master-Myths and Identity Formation
5. The ‘Psy' Wars

Part III – Cognitivism
6. Homo Economicus
7. Managerialism

Part IV – Dispensing CBT
8. NICE: naughty, but not nice
9. CBT Treatment
10. 10 IAPT: Managerialism and the Privatization of ‘Mental Health’

Part V - CBT Research
11. Good Science
12. The Corruptions of Science
13. Statistical Spin; Linguistic Obfuscation
14. The Cognitivist Delusion

References

About the Author(s)

Farhad Dalal works as a psychotherapist and group analyst in private practice, and has done so for about twenty-five years. Now living and working in Devon, he is a training group analyst for the Institute of Group Analysis, London. He also works with teams and organizations as a facilitator and consultant. Until recently, he was an Associate Fellow at the University of Hertfordshire's Business School. He has published numerous papers on the subjects of psychoanalysis, group analysis, policy, organizations, and racism.

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