Do not think about, write about or deal with human behavior without determining the effects of incentives. It’s not their money, of course they’ll waste it.
Wherein we see a new trend in treatment of “mental health” problems, avoidance of drugs because of ineffectiveness. Not avoidance because of nasty side effects, but avoidance because of ineffectiveness.
A new report by the Institut National d’Excellence en Santé et en Services Sociaux (INESSS), an independent health research organization created to advise the Quebec provincial government on best-evidence guidelines, has called for psychotherapy to become the "front-line treatment choice in the mental-health system," reported The Globe and Mail.
INESSS "has concluded that psychotherapy is as effective as medication and does a better job at preventing relapse, for the most common – and costly – mental illnesses, depression and anxiety," stated the Globe. "What’s more, the report found that in countries with more public coverage, psychotherapy is cheaper in the long run than treating moderate depression and anxiety with drugs, the treatment offered most often in Canada’s health-care system."
The INESSS report stated that, "Compared with pharmacological treatment, psychological interventions have a better incremental cost-effectiveness ratio and greater profitability in the long term," in part because “the benefits of psychotherapy last longer after the end of treatment than those of medication."
No side effects and more effective. Hard choice. I’m guessing the medical profession will prevail until made to stop by lawsuits. This will take a couple of decades unless there is a landmark case so clear cut and with so much publicity that it makes the dispensers of psychopharmaceuticals afraid to use them. It will happen, it’s only a question of when.
Government Job or Respect–Which’ll It Be?
Cheerio and ttfn,
Grant Coulson, Ph.D.
Author, “Days of Songs and Mirrors: A Jacobite in the ‘45.”
Cui Bono–Cherchez les Contingencies