I am even starting to doubt the actual effect sizes of therapies. Whilst I do think they are somewhat effective. But when you pair that with dubious disease mongering syndromic diagnostic criteria from the DSM5, I. E. Most diagnostic criteria only became broader and more inclusive over the years, which means they also become vague and ambiguous, I am not talking about all diagnoses, as I think there are more than enough valid ones in the DSM, but the concept creep is quite severe, and the amount of syndrome only increases, and does not become clearer, more accurate or more sensitive over time. Pretty much all that the DSM has done over the years is include more diagnoses, make it more possible that more people get diagnosed, but no actual move towards sensitivity, accuracy and reliability like you see with many medical diagnosis. Even those that are very controversial among the scientific community or even those that no longer are seen as valid still are in the DSM5. So the scientific usefulness of the DSM5 has been criticized a lot over the years. So I think that the problems with the DSM5 also play a role in why therapies show dubious effectiveness in many cases outside the strictly therapeutical environments.
I am even starting to doubt the actual effect sizes of therapies. Whilst I do think they are somewhat effective. But when you pair that with dubious disease mongering syndromic diagnostic criteria from the DSM5, I. E. Most diagnostic criteria only became broader and more inclusive over the years, which means they also become vague and ambiguous, I am not talking about all diagnoses, as I think there are more than enough valid ones in the DSM, but the concept creep is quite severe, and the amount of syndrome only increases, and does not become clearer, more accurate or more sensitive over time. Pretty much all that the DSM has done over the years is include more diagnoses, make it more possible that more people get diagnosed, but no actual move towards sensitivity, accuracy and reliability like you see with many medical diagnosis. Even those that are very controversial among the scientific community or even those that no longer are seen as valid still are in the DSM5. So the scientific usefulness of the DSM5 has been criticized a lot over the years. So I think that the problems with the DSM5 also play a role in why therapies show dubious effectiveness in many cases outside the strictly therapeutical environments.