The problem is that it's not just about the patient. None of those studies address what happens to the people around you if you start blaming them for your scr

The problem is that it's not just about the patient. None of those studies address what happens to the people around you if you start blaming them for your screw ups. This is the problem with evidence-based treatment: you end up with treatments optimized for whatever outcome you are measuring and not addressing the actual problem. This is the difference I've personally seen between CBT and other forms of therapy that don't focus on evidence-free self-talk (including DBT and EMDR). I know CBT reduces depression; I have yet to see any evidence that it makes one a better, more empathic person or more pleasant to be around. It doesn't teach skills that are useful in interpersonal relationships. The problem with insight-oriented therapy is that you have to actually find a therapist with insight. The job just doesn't seem to pay enough to often attract the level of intellect that it requires. It also tends to make symptoms worse for a bit while one gives up denial and avoidance. On the other hand, it doesn't require rejecting the idea of truth or lying one's self better.