Monday, July 15, 2013
Monday, June 17, 2013
People can get better over time, either because 'time heals all wounds,' or due to other things occurring in their lives during the course of the study. The authors performed a statistical test for this, but still, a control group would have helped to tease out how much improvement is due to the program itself, and how much due just to life going on. And since some study participants were receiving other treatments at the same time, there's no telling exactly what improvements are due exclusively to REACH. It is well known that when people invest a lot of time and energy in something, there's a psychological bias towards finding it worthwhile. This is true for researchers and participants, and is bound, in this kind of study, to influence the reporting and interpreting of results.
Of course, there's no reason to believe that it wouldn't work for a wider range of folk, since groups in general have been studied for over half a century now and the results are consistent. It works for nearly everybody, for nearly every problem. It's just that with this study, the authors could not claim with any certainty that this particular protocol would work for other than adult, straight, white males of a certain age.
The authors note that in a study of this sort, while you can say you're pretty sure the program helps, it's hard to say exactly what components of the program are most -- or least -- effective. That makes it a bit of a crapshoot whether you can replicate the results elsewhere. What if, for example, one of the only four psychologists running the study is just especially talented, and no matter what she did, her people would get better? On the other hand, if the standard curative factors of all effective groups were in operation here, you could do REACH or any other variation of multifamily group and get the same results anywhere. This is why we like to see multi-center studies, or studies replicated elsewhere producing similar results. However, when you are running only 4-6 vets and their families through at a time, and the whole process takes nine months, as this one does, we'd be waiting a minimum of four more years for the next study -- and that's not counting the time to organize and fund a study, write it up, and get it into print! So I think you will see a lot of psychologists running with this one, and soon.
participation in the REACH multifamily group program for veterans with PTSD and
their families. Professional Psychology: Research and Practice (44), 127-134.
Monday, June 10, 2013
Monday, May 6, 2013
Monday, April 1, 2013
Monday, March 25, 2013
|English: Wood mouse (Apodemus sylvaticus) – (Photo credit: Wikipedia)|
- The best laid schemes o' Mice an' Men,
Gang aft agley,
An' lea'e us nought but grief an' pain,
For promis'd joy!
- Robert Burns, To a Mouse (Poem, November, 1785)
Scottish national poet (1759 - 1796)
Monday, March 18, 2013
|Jimmy Carter, former President of the United States. (Photo credit: Wikipedia)|
When he said that, I was young enough and naïve enough to expect that life should be fair, and so to be appalled at his comment. I loved Mr. Jimmy, but he broke my heart with that line.
" There are many things in life that are not fair."
In the intervening years, though, I have learned that life is, indeed, manifestly not fair and that when we persist in demanding that it should be (there's that word again), we set ourselves up for all sorts of misery.
I am not saying that we should not be willing to step up to address inequities when it is in our power to do so, only that in expecting the universe to operate along some sort of moral lines we add to the unhappiness that is already there. And sometimes we create the unhappiness.
I have come to believe that the sooner and more fully we can embrace the notion that we need to be able to accept life on life's terms in order to live happily, the better off we'll be. Harsh as it may sound, then, the real question becomes not "Why is this happening?" but "What do I intend to do about it?"
I suspect that when bad things happen, this is nobody's instant response. We all need a little time to wrap our heads around the new state of affairs, to take stock of things and begin to see where we stand now. But then we need to dust our butts off and get back up on that horse and ride it. Wise old horsemen would tell you that if you don't, the horse understands that he just got the better of you, and he'll remember that next time. In life, the message is the same except that you're the one getting it. Be sure the message you send your self is that you can cope, you can deal.