How to relate Mental Illness to The Nature of Consciouses But aren't depression and anxiety treated as beliefs produced by cognitive distortions in CBT? — sime
Yes, they are. But, even in the book that got me into CBT, called Feeling Good: The New Mood Therapy by David D. Burns, the author highlights that cognitive distortions in the most extreme forms manifesting in delusions of control, grandeur, reference, and paranoid or persecutory types, they need to be addressed through medication.
Couldn't the falling success rate of talk therapy for treating neurosis possibly be an indication that the placebo effect and behavioural conditioning are the main causal agents responsible for talk therapy's success in treating neurosis, as opposed to talk therapy working due to reasoned argument? — sime
I don't know the directionality of the placebo effect and rational/dialectical/logotherapeutic talk therapy. I'm also unaware if neurosis is not something that can be addressed through talk therapy. I would think that neurosis is best treated through CBT and some SSRI.
In many cases, the depressive's beliefs about himself and the world are probably more rational than his therapist's in the sense of being evidence based. Perhaps CBT works mostly as a rhetorical device whose success has more in common with religious propaganda than with rational and honest epistemology of the self. — sime
Not really. CBT has some hard evidence showing it to be a successful type of self-therapy. The whole point with CBT is to be "prepared" when you fall into a slump.
In my own case I frequently have bouts of depression in which I will give lengthy evidence based justifications for my negative life expectations, yet my expectations often change instantly positive the moment the sun comes out... This seems to suggest that negative rationalisation is an epiphenomenal symptom of depression rather than a cause of it. — sime
That's an interesting way to phrase the question. A sort of chicken-egg thing. I'm not aware of structural abnormalities in the brain of a depressive, and the data pointing that depression is hereditary is somewhat iffy or I'm not really well acquainted with it. But, I suppose to some degree your "mental filter" can be hardwired a certain way and in a dialectical manner you build rationalization (cognitive distortions) about how you perceive the world, which then manifests into some mood. Keep in mind that "rationality" is a pretty novel thing in the evolution of humanity, so I often wonder how cavemen dealt with depression, and why does it still persist to this day.
And knowing all of this doesn't help me avoid negative beliefs during a future depressive episode... — sime
Well, there's no permanent solution to depression, apart from suicide. One just learns to cope with it. Sometimes the CBT comes handy when you're in a rut, and can serve as a band-aid before engaging in more nuanced solutions, like changing one's behavior. Keep in mind that when I talk about CBT, it's not in the normal fashion. I tend to place a focus on the cognitive component of CBT, and less of an emphasis on the behavioral component.
So while there are clearly phenomenological and neurological differences between psychosis and neurosis, I am tempted to think that they should be pushed closer together. — sime
So, you're saying that neurosis is endogenous, much like psychosis is due to genetic abnormalities? I don't quite think that's right.