2/x the argument: Just because we don't have demonstrated efficacy for a specific sociodemographic group we should not abandon what should be considered proven science.

My gripe: The assumption is we value specific scientific information over others.

So an RCT w/o attn to SGM
3/x
status should be valued above consultations with colleagues with particular expertise in working with SGM clientele.

If we follow older CBT protocols stringently, an SGM patient with social anxiety dx, we run the risk of invalidating realistic safety behaviors necessary to
4/x
survive life as a minoritized person.

Assumption 2: we should gleefully use an evidence base that has actively excluded minoritized persons while at the same time advocate for only the use of interventions w sufficient evidence (contradiction).

I.e. continued denigration
5/x
of minoritized experiences and inclusive focus within the science of clinical psychology.

Assumption 3: It would be hard to find resources to conduct studies attending to several forms of diversity.

Having worked on RCT for SGM-affirmative tx the resources needed to ...
6/x
justify such intervention focus are astounding. Yet tx is literally developed based on expert feedback and consensus (eg ESTEEM tx).

What I find difficult is how certain types of evidence are considered sub-scientific (e.g. RCT vs consultation w practice experts).
7/x

I don't claim to have answers here.

I am having trouble with forceful directions to emphasize efficacy derived from assumed scientific rigor presented with simultaneous contradictions about groups for whom it is ok to relax such rigor:

TYPICALLY THE MINORITIZED.
8/x

As I finalize my syllabus for the Introduction to Psychotherapy for UM PhD students these are the thoughts swirling through my mind. I, as yet, feel unsatisfied with my syllabus.

I'll be striving to pepper each topic with critical discussion of (lack of) diversity focus.
9/x

What I need is some systematized approach to addressing the lack of diversity focus in most ESTs, explicit naming of assumptions based on research, & similar fervor afforded to this, instead of treating it as trivial w/in my Clinical Science.
X/x

Thoughts, potential readings to add to an intervention course designed to expose to different evidence based tx & critically review the evidence welcomed!

Again, these are rambling thoughts w little filter. If wrong do let me know!

Time for bed twitter fam.
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