> Its possible that therapy improves the subjective quality of the patient's life at the expense of some external qualities (or pretense thereof.)
That's not the case-- they were measuring for subjective quality, and it was subjective quality that declined. I posted the PDF of the paper in my top-level comment, but the Psychological measurements they were looking at in the German cohort were self-esteem, life satisfaction, and depression. The US cohort was measured for self-esteem, chronic stressors, and depression.
That's not the case-- they were measuring for subjective quality, and it was subjective quality that declined. I posted the PDF of the paper in my top-level comment, but the Psychological measurements they were looking at in the German cohort were self-esteem, life satisfaction, and depression. The US cohort was measured for self-esteem, chronic stressors, and depression.