Friday, March 27, 2015

Forced CBT: The power of positive thinking is really political gaslighting

The power of positive thinking.
The government invests a lot of time and money in making people accept the unacceptable.

George Osborne announced in the budget that the government will be funding a “package of measures” to improve “employment outcomes” which will entail putting Cognitive Behaviour therapists in more than 350 job centres to provide “support” to those with “common mental health conditions” who are claiming employment support allowance (ESA) and job seekers allowance (JSA).

The government have put up an online contract notice which specifically states: “This provision is designed to support people with common mental health conditions to prepare for and move into work, with intervention at the earliest possible point in a claim to benefit or access to the Fit for Work service.”

We really must question the ethics of linking receipt of welfare with “state therapy,” which, upon closer scrutiny, is not therapy at all. Linked to such a narrow outcome – getting a job – this is nothing more than a blunt behaviour modification programme. The fact that the Conservatives plan to make receipt of benefits contingent on participation in “treatment” worryingly takes away the fundamental right of consent.

Cognitive Behaviour Therapy (CBT) is used to change how you think (“Cognitive”) and what you do (“Behaviour”). It bypasses emotions, personal history and narrative, to a large extent, and tends to focus on the “here and now.”

CBT is an approach that facilitates the identification of “negative thinking patterns” and associated “problematic behaviours” and challenges them. This approach is at first glance a problem-solving approach, however, it is of course premised on the assumption that interpreting situations “negatively” is a bad thing, and that thinking positively about bad events is beneficial.

The onus is on the individual to adapt by perceiving their circumstances in a stoical and purely rational way.
So we need to ask what are the circumstances that the government are expecting people claiming benefits to accept stoically. Sanctions? Work fare? Being forced to accept very poorly paid work, abysmal working conditions and no security? The loss of social support, public services and essential safety nets ? Starvation and destitution?