Yup, this is a common problem with coaches, therapists, doctors, pharmacology, etc.. It is often why the effect size of all psychological and pharmaceutical interventions seem to decrease over time. Not just regression to the mean, but because a flaky breakthrough gives a sense of improvement and optimism shows up in all the standard and coarse psychological or clinical instruments. Most studies only study 10-12 weeks and don't track long term results. It is a bit hard to distinguish this phenomenon from the more positive hypothesis that the intervention created a temporary period of plasticity that faded.
Such an important point — long-term sustained breakthroughs where it’s such that the client (perhaps on a below-conscious level) persistently self-integrates.
I imagine one-shotting is tough bc decades of ingrained nervous system pattern.
This is my favorite insight of yours. Your other writing to me is a cool exciting new flavor of emotional work. This feels like a piece that is missing essentially everywhere else that could benefit many if not most other modalities. Thanks for your work
I feel called to reach out and say that this post resonates deeply with me. There have been so many therapy and mindfulness modalities I have been loathe to give myself to specifically because I don't see evidence of long term efficacy. Same with physical therapy, supplements and medicines (to my eventual detriment in some cases!). Generally, I'm of the sort where I'd rather not work up the hope and put out the money for interventions with no demonstrated ability to work. In this vein, I've started through "After the Ecstasy the Laundry" to try to answer the question - does enlightenment have positive long term consequences? I feel like if you haven't checked out that book yet, you may find it relevant to your quest. As somebody who's flirting with spending 3 months later this year on the yogic path, knowing that people who have committed to it for far longer actually experienced long term good is *incredibly* important to informing my choice.
Also, the way Joe Hudson handled that thread is pretty sus! You gave him a lot of grace by not taking an angrier tone with your summary.
Yup, this is a common problem with coaches, therapists, doctors, pharmacology, etc.. It is often why the effect size of all psychological and pharmaceutical interventions seem to decrease over time. Not just regression to the mean, but because a flaky breakthrough gives a sense of improvement and optimism shows up in all the standard and coarse psychological or clinical instruments. Most studies only study 10-12 weeks and don't track long term results. It is a bit hard to distinguish this phenomenon from the more positive hypothesis that the intervention created a temporary period of plasticity that faded.
LessWrong version: https://www.lesswrong.com/posts/bqPY63oKb8KZ4x4YX
Such an important point — long-term sustained breakthroughs where it’s such that the client (perhaps on a below-conscious level) persistently self-integrates.
I imagine one-shotting is tough bc decades of ingrained nervous system pattern.
Thank you for surfacing this, Chris!
This is my favorite insight of yours. Your other writing to me is a cool exciting new flavor of emotional work. This feels like a piece that is missing essentially everywhere else that could benefit many if not most other modalities. Thanks for your work
I feel called to reach out and say that this post resonates deeply with me. There have been so many therapy and mindfulness modalities I have been loathe to give myself to specifically because I don't see evidence of long term efficacy. Same with physical therapy, supplements and medicines (to my eventual detriment in some cases!). Generally, I'm of the sort where I'd rather not work up the hope and put out the money for interventions with no demonstrated ability to work. In this vein, I've started through "After the Ecstasy the Laundry" to try to answer the question - does enlightenment have positive long term consequences? I feel like if you haven't checked out that book yet, you may find it relevant to your quest. As somebody who's flirting with spending 3 months later this year on the yogic path, knowing that people who have committed to it for far longer actually experienced long term good is *incredibly* important to informing my choice.
Also, the way Joe Hudson handled that thread is pretty sus! You gave him a lot of grace by not taking an angrier tone with your summary.
Much love