YES Doc M! - you have to be mad to do this work!
Gordanus I don't want to get into fisticuffs and semantical high-wire trapeeze work! An e-mail is an e-mail is an e-mail and I don't sit around pondering or editing. I meant - of course - that Clinical Psychology is a post-graduate training. Yourself and Andrewa both know this - so does Purple and Mrs. P but the other 2,000 folk who read the thread may not so (ahem!) accuracy.
Now on to the remarks in your last post on evidence-base. There are major issues and a major debate on this and it does not belong or fit in a forum such as AAM. In passing it is instructive that the basic postgraduate Clinical Psychology 3-year training (which incidentally was recently upgraded to doctorate level here in the UK) has changed dramatically in the past 15 - 20 years away from the 'objective science' which it unsuccessfully aspired to be during my training to a more balanced qualitative-quantitative fifty-fifty approach with more space for the pastoral relationship based on the psychoanalytic, or the cognitive-behavioural, or the systemic approaches. Recommendations from government and Department of Health here for best practice in mental health advocates that different approaches based on different models be available to patients. Cognitive-behavioural approaches ('CBT') is currently popular because it is the approach which can be most easily assessed and manualised. However it might be important to point out that psychoanalytically-based therapists frequently find themselves working with clients whose symptoms have been addressed by CBT who then spring completely different difficulties or who - though the original phobia or depression etc. no longer troubles them, when this surface manifestation of underlying distress is gone, find they are in deepest merde and come to work with the likes of me for a couple of years! CBT and more cognitively-based methods are also not accessible to a wide range of individuals (for various reasons too complicated to go into here). The criteria for 'evidence base' itself is a subject of academic and clinical debate.
Individuals have been and will be in the future 'conned' by charlatans and chancers who read a few books or do a weekend course and over-enthusiastically offer to magic away all suffering and psychological distress. However it is not accurate to apply the criticism of charlatanism to psychoanalysis and psychoanalytically-based therapies offered by state-registered well-trained responsible practitioners. Suicide rates, self-destructive behaviour and drug-addiction increase year on year, especially among young men, this group having perhaps the biggest struggle of adjustment and sense-making in a rapidly-changing culture. This is a group which finds it very difficult to articulate its problems and has extreme difficulty asking for help (as indeed do immigrants and individuals from ethnic minorities). Help for these groups entails a great deal more than twelve CBT sessions focussing on agrophobia, or learning strategies to cope with depression. It entails a profound engagement with the persons existential being including his unconscious pain and terror. Disparaging the few psychoanalytically-trained practitioners who can do and are prepared to do this work, attitudes of contempt in the public domain towards these deeper explorations and sense-making, risk cutting these individuals off from a vital chance.........as well as reducing the richness of the culture in closing down diversity and complexity.
Different people need different approaches, its "horses for courses".