There are effective treatments for trauma.

One of the good things about the Cochrane review is that it is available to the public, and the summaries are written in fairly plain English.

This review of psychological treatments for PTSD — which is the rubric under many people are treated by ACC has this summary.

Psychological treatment of post traumatic stress disorder (PTSD)

This review concerns the efficacy of psychological treatment in the treatment of PTSD. There is evidence that individual trauma focused cognitive-behavioural therapy (TFCBT), eye movement desensitisation and reprocessing (EMDR), stress management and group TFCBT are effective in the treatment of PTSD. Other non-trauma focused psychological treatments did not reduce PTSD symptoms as significantly. There is some evidence that individual TFCBT and EMDR are superior to stress management in the treatment of PTSD at between 2 and 5 months following treatment, and also that TFCBT, EMDR and stress management are more effective than other therapies. There is insufficient evidence to show whether or not psychological treatment is harmful. Trauma focused cognitive behavioural therapy or eye movement desensitisation and reprocessing should be considered in individuals with PTSD. Psychological treatments can reduce symptoms of post traumatic stress disorder (PTSD). Trauma focused treatments are more effective than non-trauma focused treatments.

via Psychological treatment of chronic post-traumatic stress disorder (PTSD).

Now, this is much more specific than counselling. There are treatments that add more than the effect empathic listening has.

Pity ACC does not insist on them.

The storm is a coming…

The Key government has an agenda. They want to move New Zealand towards a small government — less intervention — lower tax position. However, their party (the gNATs) was scarred by the backlash to Ruth Richardson in the aftermath of the last economic downturn (in the mid 1980s).

She cut benefits, increased transparency and decreased the power of the civil bureaucracy. And Wellington has never forgiven her. Helen got in at the end of that period…. and over the next decade increased the role of the state and the civil service.

She is still loved in Wellington… and by the elite. Key is trying to move “reasonably” towards fiscal responsibility. With the left resisting all the way.

The problem is that we are still running up a tab — to the tune of 250 million a week, at a time when the world is losing patience with profligate governments. Most of the EU and the USA are technically bankrupt.

New Zealand is not. But our loans are being under-subscribed. We are being dragged into the morass.

We are now considered a PIIG.

We are spendiing more that we take in. The government is trying to balance debt in a neo-Keynesian manner. It did not work for Muldoon. It will not work now.

Today’s tender of Treasury bills by the Debt Management Office could hardly be characterised as a resounding success. $350 million was being offered in 3, 6 and 12 month bills and the DMO only filled $305 million and only got that much by accepting more than it was looking for in the 6 months, resulting in a relatively wide range of 7 bp on successful bids in that maturity.

via Latest Treasury bill tender not fully subscribed | interest.co.nz.

The Tea Party speaks for the workers.

Half Sigma uses a class analysis on the tea party. He argues that it is indeed a Marxist movement responding to the proletariat or workers. I have quoted almost the entire post, but it is good. go read it.

The Tea Party movement is accused of being right-wing, and people are accustomed to associating Marxism with the left, so some will be surprised, even shocked, that the Tea Party is a Marxist movement.

We should be clear that the Tea Party is not promoting Communism (an idea which turned out to be really bad), but rather that the Tea Party movement represents the rising class consciousness of the Proletariat, as predicted by Marx.

The modern left doesn’t promote the interests of the Proletariat; it’s the Lumpenproletariat that the left is most concerned about. The Democratic Party relies upon the Lumpenproletariat to win elections, and once elected uses the power of government to advance its own moral agenda which is adverse to the interests of the Proletariat.

The people who write columns in newspapers opining how much they hate the Tea Party movement come from the class most closely analogous to what Marx called the Petit-Bourgeoisie

via Half Sigma: The Tea Party is a Marxist movement.

What half Sigma does not say is that an alliance of the underclasses with the elite and intellectual class will not be able to sustain a revolt by the workers and peasants. The workers and peasants are normally quite conservative on social issues. They do not like interference in their work and traditions. But… they won the US revolution, the French revolution (and then supported Napoleon to end it) the Soviet revolution (because they thought they would get the land) and both the Chinese revolutions (because they thought they would get their land).

Beck and Palin speak to these people in the US: Paul Henry speaks for them in NZ. Chris Trotter describes them — and states that the current progressive parties are seen by them as the enemy.  And I think Chris Trotter is correct in this assessment.

This is what a therapy for abuse looks like.

The SST has a long article about how the eevilll doctors are stopping them working. Now, the problem is, that they don’t say how they work.

And this is not how therapy research works. You describe your methods, including the talking therapy interventions. This is taken from a trial of internet based therapy for people who have post traumatic stress disorder: — and yes, the paper is publically available.

First Phase: self confrontation

At the beginning of the treatment, participants received psycho-education about the mechanisms of exposure. In the first phase, the therapists helped the patients to focus on the most painful images and thoughts and encouraged the patient to write about them. The patients were instructed to describe the traumatic event thoroughly including their intimate fears and thoughts concerning the traumatic experience. To increase the effect of the exposure, patients were asked to write in the first person and in present tense and to give detailed descriptions of all sensory details they had experienced during the traumatic event including olfactory, visual and auditory stimuli. Participants were explicitly asked not to concentrate on style, grammar, spelling, or the chronological order of their essays. The therapists checked whether patients explicitly addressed the traumatic event as described above. If needed the therapist supported the patient to address the avoided features more forcefully. The following is an example of a writing assignment for essays 3 and 4:

“For the next two texts, I would like to ask you to choose one moment of your traumatic event. One moment that you can hardly bear to think about, but that keeps intruding on your thoughts. Write down the most painful memories and emotions you have when you think about it and describe everything that you experience – every feeling, every thought and physical reaction.”

Second phase: Cognitive restructuring

During the second phase, patients received psycho-education about the principles of cognitive restructuring. The goal of this phase was to form a new perspective on the traumatic event and to regain a sense of control. Participants wrote a supportive letter to an imaginary friend who had been through the same experience. In this letter, the patient was instructed to reflect on the addressee’s feelings of guilt and shame, challenge dysfunctional automatic thinking and behaviour patterns, and correct unrealistic assumptions. Furthermore, patients were encouraged to consider potentially positive consequences of the traumatic event for that person’s life and the lessons to be learned from it. An example of an instruction for the first two essays in the second phase is as follows:

“Imagine you are writing a supportive letter to your friend Hanna, who experienced the same situation as you. Could she have foreseen what happened? Do you think she was responsible for this?”

Third Phase: Social sharing and farewell ritual

During the third phase, patients received psycho-education about the positive effects of social sharing. In a final letter, they then took symbolic leave of the traumatic event. Patients summarize what has happened to them, reflect on the therapeutic process and describe how they are going to cope now and in the future. Patients could address the letter either to themselves, to a close friend, or another significant person involved in the traumatic event. The letter did not ultimately have to be sent.

“You wrote that you would like to address the letter to your mother. First, I would like to ask you to describe the circumstances of what happened. Which moments were so important that you would like to tell her about them? What meaning does this experience have in your life. What plans do you have for the future? Who is important in your life and who can support you in the future? It is important to give the past, the present and the future the same weight in this letter.”

At the beginning of each writing phase, patients proposed individual timetables as to when they planned to write. Halfway through and at the end of each treatment phase, patients received feedback and further writing instructions, which were based on the treatment manual but tailored to patients’ specific needs. Important aspects of this feedback were recognition and reinforcement of the patients’ independent work, positive feedback and motivation, as well as frequent summaries and encouraging patients to voice questions and doubts.

via BioMed Central | Full text | Internet-based treatment for PTSD reduces distress and facilitates the development of a strong therapeutic alliance: a randomized controlled trial.

And… as the researchers measured their effect they found a significant improvement with this. Over the internet. Without as much 1:1 time.

This is part of the dataset that ACC should be looking for

The precious petals…

Today the ethos is let’s break the rules of logic. Firstly, the SST has an article about Felicity Goodyear-Smith, who has a 20 year research career on abuse invalidated because (thirty years ago) her husband was a member of a commune.

Sorry guys. She did not do this work alone. She had supervisors. Her research has been critiqued internally at the University of Auckland, and externally… and because her past was known, she had to deal with quite a bit of suspicion along the way. This ain’t a scandal. The ACC approach to trauma — requiring that you disclose, and using counsellors of variable (highly variable) quality is a scandal.

The second is a precious petal who is offended that the orca said about men who have sex with men. The Orca is a muckraker. He is abrasive, and at times scabrously funny. He also has problems that he is open about. To disavow what he says because of is problem is… illogical (nihil ad hominem) and bad tactics. Orcas bite.

Anyway, in the Sermon of the Mount there is this teaching.

Matthew 5.

11″Blessed are you when people revile you and persecute you and utter all kinds of evil against you falsely on my account. 12Rejoice and be glad, for your reward is great in heaven, for in the same way they persecuted the prophets who were before you.

via Daily Lectionary Readings — Devotions and Readings — Ministries & Programs — GAMC.

We should thus be happy when people call us names. We have won the argument, and our reward awaits.

Katy is on form today.

Topic is someone subvocalising comments: it is deemed impolite to say the truth out loud in Canukstan.

Some of us “mutter under our breath” because they want to be spared the fate of those like me who refuse to “mutter” and are thus singled out for castigation by our betters.

The thing is:

* Those “betters” are fewer in number and less powerful than you think. Their power is shrinking every moment of every day.

* Being “singled out for castigation” feels weird for about a minute and a half, but ultimately makes no actual difference to your quality of life — and in some cases, enhances it

* We almost always turn out to be right

The only thing we’re doing wrong is the muttering part.

via five feet of fury..

Very true

This applies to any capital in the Anglosphere. The political elite are acting to preserve their power.

One of my favorite quotes is from Joseph Schumpeter who said “everyone has elites the important thing is to change them from time to time.” Of course, this is what happens in a well functioning democracy. The problem today and the reason why the United States is on the verge of some sort of revolution (I believe it will manifest as a revolution of ideas and not an armed one) is that the election of Obama has proven to everyone watching with an unbiased eye that no matter who the President is they continue to prop up an elite at the top that has been running things into the ground for years. The appointment of Larry Summers and Tiny Turbo-Tax Timmy Geithner provided the most obvious sign that something was seriously not kosher. Then there was the reappointment of Ben Bernanke. While the Republicans like to simplify him as merely a socialist he represents something far worse.

Of course it is not just Obama. He is at the end of a long line of Presidents that think they have some sort of divine right of kings to rule. Think about the Presidency of the United States since 1988. Bush, Clinton, Bush…If Obama had not won the Democratic primary we would have ended up with President Hilary Clinton. Catch my drift? Something is not right here. This is the United States not some sort of petty monarchy. There is no divine right of any family or group of families to rule. When this starts to happen you get the disaster we are now faced with. That said, the bigger point is this. What Obama has attempted to do is to wipe a complete economic collapse under the rug and maintain the status quo so that the current elite class in the United States remains in control. The “people” see this ploy and are furious. Those that screwed up the United States economy should never make another important decision about it yet they remain firmly in control of policy. The important thing in any functioning democracy is the turnover of the elite class every now and again. Yet, EVERY single government policy has been geared to keeping that class in power and to pass legislation that gives the Federal government more power to then buttresses this power structure down the road. This is why Obama is so unpopular. Everything else is just noise to keep people divided and distracted.

via The Elites Have Lost The Right to Rule | zero hedge.

On despair.

Job castigated by his wife -- Duere

One of the problems with our civil religion is that it is far, far too positive. We preach prosperity and blessings. We preach about the power oif God to heal. We do not wrestle with the evil of this world.

Yesterday I was reading the Gabriel Method. The author — who has lost a lot of weight, spends a lot of time on trying to get one to change the reality around them by thinking positive.  Gabriel had hit a truth –there is  evil in this world and in our life because we allow it and become enslaved by it. But at times the world is unjust.

And depressives often speak the truth.

Job 9:1, 10:1-9, 16-22

1Then Job answered:

1″I loathe my life; I will give free utterance to my complaint; I will speak in the bitterness of my soul. 2I will say to God, Do not condemn me; let me know why you contend against me. 3Does it seem good to you to oppress, to despise the work of your hands and favor the schemes of the wicked? 4Do you have eyes of flesh? Do you see as humans see? 5Are your days like the days of mortals, or your years like human years, 6that you seek out my iniquity and search for my sin, 7although you know that I am not guilty, and there is no one to deliver out of your hand? 8Your hands fashioned and made me; and now you turn and destroy me. 9Remember that you fashioned me like clay; and will you turn me to dust again?

16″Bold as a lion you hunt me; you repeat your exploits against me. 17You renew your witnesses against me, and increase your vexation toward me; you bring fresh troops against me.

18″Why did you bring me forth from the womb? Would that I had died before any eye had seen me, 19and were as though I had not been, carried from the womb to the grave. 20Are not the days of my life few? Let me alone, that I may find a little comfort 21before I go, never to return, to the land of gloom and deep darkness, 22the land of gloom and chaos, where light is like darkness.”

You can see his friends saying — “You cannot think this. You must not think this. In that way lies madness. This is evil speech”. But Job is poor because his land was invaded and his famiklly and property destroyed, and in his poverty he now has a painful skin disease. This reflects reality. Often bad things happen on in threes, but in dozens. And there is apoint when we are left without and comforts.

Job was asking God to judge as a man.God stated that he would not do that. The closest we have to understanding the mind of God is the teachings of Jesus. and he refused to do that either…

John 8:12-20

12Again Jesus spoke to them, saying, “I am the light of the world. Whoever follows me will never walk in darkness but will have the light of life.” 13Then the Pharisees said to him, “You are testifying on your own behalf; your testimony is not valid.” 14Jesus answered, “Even if I testify on my own behalf, my testimony is valid because I know where I have come from and where I am going, but you do not know where I come from or where I am going. 15You judge by human standards; I judge no one. 16Yet even if I do judge, my judgment is valid; for it is not I alone who judge, but I and the Father who sent me. 17In your law it is written that the testimony of two witnesses is valid. 18I testify on my own behalf, and the Father who sent me testifies on my behalf.” 19Then they said to him, “Where is your Father?” Jesus answered, “You know neither me nor my Father. If you knew me, you would know my Father also.” 20He spoke these words while he was teaching in the treasury of the temple, but no one arrested him, because his hour had not yet come.

via Daily Lectionary Readings — Devotions and Readings — Ministries & Programs — GAMC.

What shall we do?

  • We cannot understand, but we can comfort.
  • We need to audit ourselves around the habits we have that encourage evil.
  • We need to acknowledge that we are not rigtheous. We are not asking for justice. We are asking for mercy — from God and from each other.

For only then can we truly sing this.

Psalm 100

1Make a joyful noise to the LORD, all the earth. 2Worship the LORD with gladness; come into his presence with singing.

3Know that the LORD is God. It is he that made us, and we are his;we are his people, and the sheep of his pasture.

4Enter his gates with thanksgiving, and his courts with praise. Give thanks to him, bless his name.

5For the LORD is good;his steadfast love endures for ever,and his faithfulness to all generations.