In each analysis, CBT has been found to be effective for a wide range of disorders. Eighty percent of depressed people are impaired in their daily functioning (Pratt & Brody, 2008). In any 30 day period, depressed workers have 1.5 to 3.2 more short-term disability days (Druss, Schlesinger, & Allen, 2001).These are not simply studies by true-believers—they are well-controlled, the data are analyzed sufficiently, and the results (repeatedly) speak for themselves. If psychiatry or psychotherapy is to be taken seriously it must rely on empirical research. Fifty percent of the loss of work productivity is due to absenteeism and short-term disability (R. People with symptoms of depression are 2.17 times more likely to take sick days (Adler, et al., 2006; Greener & Guest, 2007).Allen then goes on to provide some anecdotes which are intended to demonstrate his skill as a therapist, finishing his diatribe with the following: "Therapists who challenge these ideas without understanding how central they are to a person's psychology do so at their own risk.Patients will fight them tooth and nail, and they will get absolutely nowhere.The fact that we have empirically supported treatments is a considerable advance in psychotherapy and one that should be lauded and advanced further. It is remarkable to me that a commentator on the leading approach in psychotherapy (CBT) could be so ill-informed. Indeed, in Beck's earlier books in the 1970s—Cognitive Therapy and the Emotional Disorders and Cognitive Therapy of Depression—Beck describes the formation of early schemas (during childhood) that then direct selective attention and maladaptive coping.Moreover, in both the first edition and second edition of Cognitive Therapy of Personality Disorders Beck and colleagues describe the formation, persistence, and maladaptive coping of early schemas.
If you go to their website and look up depression you can download a document that clearly recommends CBT.
He discounts the "evidence-based" model underpinning CBT and claims that there is a conspiracy in the National Institute of Mental Health (which he calls "the cognitive behavioral mafia") that appears reluctant to fund psychoanalytic research.
Allen, a psychoanalytic psychiatrist, attacks cognitive-behavioral therapy (CBT), claiming that it is a simplistic approach that only addresses simple problems.
In one study the costs of absenteeism were directly related to actually taking antidepressant medication (Birnbaum, et al., 2010; Dewa, Hoch, Lin, Paterson, & Goering, 2003).
Those who took the prescribed medication had a 20 percent lower cost of absenteeism.