Annette, This seems to me to be the result of how the HMO's have been cutting costs in the behavioral/health psychology fields. They have been paying for less qualified practitioners (MA's, etc.) and only at that lower rate even if one has higher credentials, claiming that the lower paid "professionals" are equivalent to the higher charging Ph.D.'s in these programs. You get what you pay for, except someone else is deciding what to pay for, and they want to pay the least.
Even if evidence based criteria are used, this is what happens when we use a moronic application of null hypothesis statistical testing regarding techniques that have a minimal effect size. The "treatments" in these trials probably use a more powerful placebo than the "controls" to which they are compared. Your description of your treatment experience seems like they are trying to maximize the placebo effect. Even so, studies seem to come up with more negative comparisons against controls than positive for these procedures. The negative comparisons are neglected. The people engaged in your treatment play it both ways. In the case of comparing Ph.D.'s to M.A. practitioners, the small effect size, although statistically significant, is seen as meaning equivalency, but the even smaller but perhaps statistically significant effect size for EMDR or other treatments over a "control" is taken as justification for performing and charging for it. I hope you get the weight loss you are hoping for. If you do, share your secret with me. Bill Scott >>> <[EMAIL PROTECTED]> 03/12/08 8:15 PM >>> Well, Bill, here is more than you ever wanted to know and more than I should probably put on a "public" list serve. But, I have not disclosed any names. Rant ... --- To make changes to your subscription contact: Bill Southerly ([EMAIL PROTECTED])
