The Invisible Casualties of CBT

This article just below reads like a companion piece to my earlier post on my late wife’s Alison’s struggles with chronic pain.

How CBT Harmed Me: The Interview That the New York Times Erased

I agree almost entirely with Alana Saltz, the author of the article, and am saddened that Alison isn’t here to read it (in fact, I had to fight my initial impulse to send it to her). Saltz lays out many of the criticisms of CBT that Alison had made to me over the years, both as a therapist herself, and as someone with chronic pain. Before hearing those criticisms, I’d always had some vague unease about CBT that I wasn’t quite able to pinpoint. It wasn’t until Alison started expressing her criticisms of CBT in the direct, concrete, and vehement way characteristic of her that I was able to re-focus my own vague, nebbish doubts about it. I wrote some of those criticisms up for grad seminars in CBT back when I was a grad student in counseling, but never did anything with what I wrote. Saltz’s piece reinforces my confidence in my criticisms; maybe I ought to take the time to write them up. Here, in any case, is a quick summary.

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The Invisible Casualties of the “Opioid Epidemic”

My wife Alison was one of the casualties of the tragedy described in the article just below. She took her life this past March by overdosing (I surmise) on the medications she’d been prescribed for chronic pain. She explicitly told me over the years that she kept a stash with her at all times in case things got bad enough for her to have to take her own life. “I have no intention of living past 70,” she’d often say. She was 57.

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Halal Hart: H.L.A. Hart and Divine Law

I’m about to run another crazy H.L.A. Hart-inspired idea by you. It runs along the same lines as my last post, so let me just quote the first few paragraphs of that post as a preface to the thought itself:

According to H.L.A. Hart, law is a union of primary and secondary rules. A rule is a codified directive to someone. Primary rules are primary because they give directives directly to, or impose obligations directly on, those governed by the rule. Secondary rules are rules about the primary ones, specifying “the ways in which the primary rules may be conclusively ascertained, introduced, eliminated, varied, and the fact of their violation conclusively determined” (Hart, Concept of Law,  p. 94). Among the secondary rules is a “rule of recognition,” which specifies “some feature or features possession of which by a suggested rule is taken as a conclusive affirmative indication that it is a rule of the group to be supported by the social pressure it exerts” (Hart, Concept of Law, p. 94).

The rules of recognition are both ultimate and supreme with respect to a legal system. They’re ultimate in the sense that they (collectively) provide the most fundamental criterion for determining the validity of any given rule within the system. They’re supreme in the sense that they override any competing norms apparently eligible for validity within the system. On Hart’s view, it’s a necessary and sufficient condition of law that within any putative legal system, the primary and secondary rules so conceived are generally obeyed by those governed by them, and the rules of recognition are “effectively accepted as common public standards of official behaviour” by the officials in charge of the system (Hart, Concept of Law, p. 116).

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I Am the Law: Hart and Self-Legislation

According to H.L.A. Hart, law is a union of primary and secondary rules. A rule is a codified directive to someone. Primary rules are primary because they give directives directly to, or impose obligations directly on, those governed by the rule. Secondary rules are rules about the primary ones, specifying “the ways in which the primary rules may be conclusively ascertained, introduced, eliminated, varied, and the fact of their violation conclusively determined” (Hart, Concept of Law,  p. 94). Among the secondary rules is a “rule of recognition,” which specifies “some feature or features possession of which by a suggested rule is taken as a conclusive affirmative indication that it is a rule of the group to be supported by the social pressure it exerts” (Hart, Concept of Law, p. 94). Continue reading

Ayaan Hirsi Ali, Avatar of Liberalism and Academic Freedom

The new proposed University of Austin is being founded to promote liberalism and academic freedom:

There is a gaping chasm between the promise and the reality of higher education. Yale’s motto is Lux et Veritas, light and truth. Harvard proclaims: Veritas. Young men and women of Stanford are told Die Luft der Freiheit weht: The wind of freedom blows.

These are soaring words. But in these top schools, and in so many others, can we actually claim that the pursuit of truth—once the central purpose of a university—remains the highest virtue? Do we honestly believe that the crucial means to that end—freedom of inquiry and civil discourse—prevail when illiberalism has become a pervasive feature of campus life?

The numbers tell the story as well as any anecdote you’ve read in the headlines or heard within your own circles. Nearly a quarter of American academics in the social sciences or humanities endorse ousting a colleague for having a wrong opinion about hot-button issues such as immigration or gender differences. Over a third of conservative academics and PhD students say they had been threatened with disciplinary action for their views. Four out of five American PhD students are willing to discriminate against right-leaning scholars, according to a report by the Center for the Study of Partisanship and Ideology.

They’ve decided to hire Ayaan Hirsi Ali to teach there. Here is Hirsi Ali’s view of academic freedom, as captured in a famous 2007 interview with Reason magazine. I encourage you to read the whole thing. But this bit strikes me as particularly relevant. Continue reading

You Tell Me It’s the Institution

Well, here come the latest saviors of higher education, ready to save it from itself:

A group of scholars and activists are planning to establish a new university dedicated to free speech, alarmed, they said, “by the illiberalism and censoriousness prevalent in America’s most prestigious universities.”

The university, to be known as the University of Austin, or UATX for short, will have a soft start next summer with “Forbidden Courses,” a noncredit program that its founders say will offer a “spirited discussion about the most provocative questions that often lead to censorship or self-censorship in many universities.”

I have a single one-eyed question for these people: Will they allow BDS to operate freely on campus, or will they restrict it from doing so by taking a public stand against it, or defaming it as anti-Semitic? (See this and this as well.)  

That’s my litmus test; I have no other. So which will it be, Freethinkers?

Desert and Merit (4)

In a previous post, I criticized George Sher’s view that merit-based desert is based on (the recognition of) existing conventions of merit. In these cases, the existing rules are already fashioned to reward merit in a justified way, so that justice (in the sense of rewarding desert) consists simply in acknowledging that a given person satisfies the criteria of merit, and acknowledging that in accepting the convention, we accept the further implication that the person deserves what the rules say they deserve. Continue reading

Attention Must Be Paid: The Joys of Third-Party Voting

Conventional wisdom has it that voting is a waste of time, and third-party voting, even worse. Voting is a waste of time because a single vote can’t change the outcome of an election, and third-party voting is worse because third parties have no chance of winning elections in the US.

Well. From The New York Times, Wednesday, November 3rd around 8:40 pm.

results.2021

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A Vote for Curtis Sliwa

Here’s an article from The New York Times on the mixed bag that is Curtis Sliwa.

It’s hard for me to be impartial because we’re friends (distant friends, but still friends). I freely confess to being prone to dismissing his wrongdoing as venial shenanigans and dumb, regrettable shit of the kind everybody does. He just did a lot of it, over and over again, in the public eye. But hey. Nobody’s perfect. Continue reading