Our new preregistered paper on trigger warnings in trauma survivors was just released as a preprint! We find that no matter how you slice it, trigger warnings just don't help. osf.io/axn6z (1/8)
How do they affect trauma survivors' anxiety? No effect. People who reported a PTSD diagnosis? Still no effect. People who met the clinical threshold for PTSD? Anxiety actually *increased* a bit. (2/8)
Well, what if we look at only the passages that actually matched the content of people's trauma? That, is the passages that were actually triggering? Again, trigger warnings don't help. It didn't matter what type of trauma participants had experienced -- still no effect. (3/8)
If you've been paying attention to research on trigger warnings, this shouldn't be too surprising. Across all groups, trigger warnings seem to *increase* anticipatory anxiety, and have trivial/null effects on anxiety once participants actually see the upsetting material. (4/8)
Finally, a preregistered test found that trigger warnings increased survivor's view of their trauma as integral to their identity (this is known as "event centrality"). That's...not good. (5/8)
Higher event centrality prospectively predicts worse PTSD symptoms. One study even found that decreasing event centrality mediated treatment outcomes. This indicates that trigger warnings could be directly *countertherapeutic* (this effect was pretty small though) (6/8)
The idea that trigger warnings make trauma seem more central seems to parallel the effect found by our previous study (increase in perceived vulnerability). That said, the perceived vulnerability effect did NOT replicate in this sample (7/8) sciencedirect.com/science/articl…
The takeaway: do trigger warnings harm? Maybe-- it's not totally clear. Do they help? Almost certainly not. Should you use them? The evidence pretty firmly suggests they don't work. So unless you also use horoscopes -- probably not. (8/8)
@GadSaad -- here is the paper on trigger warnings that this table comes from!

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More from @paytonjjones

Jan 29
As the world becomes safer around us, are we shifting our standards to be tuned in to smaller and smaller provocations?

That's the question we tested in a new paper just published in the Journal of Experimental Psychology: Applied. psycnet.apa.org/record/2022-20… (open link @ end)
In a world of ambiguous signals and noise, we constantly shift our standards to preserve optimal detection.

Psychologists and rationalists have studied these effects for years under the umbrellas of range-frequency theory, signal detection, Bayesian reasoning, etc.
But what about cases where there is no clear "true" distribution we can lean on? Ambiguous, human-made concepts such as "rudeness", "morality", "threat", "trauma", or "the color blue"?
Read 15 tweets
Sep 30, 2020
A truly tragic loss for science and a great personal loss for many.

If you are unfamiliar with Scott's absolutely stellar research, I will link some of it in the thread below (open access where possible).
On psychological treatments that can cause harm:

users.pfw.edu/young/350-Abno…
On common confusing and misleading phrases that are overused in psychology and psychiatry:

frontiersin.org/articles/10.33…
Read 10 tweets
Sep 29, 2020
What's your favorite weird story in the history of psychology?
Mine has to be the history of EMDR (Eye Movement Desensitization and Reprocessing)...
It all started one day when Francine Shapiro, an PhD-dropout in English literature, was walking through the park. As her eyes went back and forth looking at the beautiful scenery, she noticed her thoughts calm down and become more pleasant.

So what's her conclusion?
Read 12 tweets
Sep 16, 2020
Exposure therapy should always be voluntary because humans have dignity and should have choices over how they live their lives. Forcing involuntary exposure irreparably damages the therapeutic relationship.

But that doesn't mean that involuntary exposure doesn't *work*
In fact, all the evidence suggests that it *does* work (in terms of reducing fear regarding the target stimulus).

All of our foundational research on fear learning comes from rats, and we never exactly gave them a choice about whether they wanted to be in the experiments.
Imagine you are an evil villain who locked a spider phobic in some kind of nightmare prison and forced them to have many close encounters with tarantulas.

Eventually, it's almost certain this person would lose their fear of tarantulas.
Read 7 tweets
Jun 8, 2020
Do you care about protecting survivors of trauma?

You may want to reconsider your use of trigger warnings. Our new paper, just appearing in Clinical Psychological Science, suggests they may do more harm than good.

journals.sagepub.com/doi/10.1177/21…
The link above is for the published, peer-reviewed version of the paper.

As a note, I previously threaded about the preprint () and postprint () versions of this paper, before the published version was available.
To start, let's review what being "triggered" means. Far from the slang that generally refers to an overly sensitive person who becomes angry when their values are challenged, being "triggered" has a quite different meaning for those with PTSD.
Read 23 tweets
Apr 23, 2020
The field of clinical psychology naturally provides a perfect little petri dish for pseudoscience. Why?

1) Common factors do the heavy lifting in psychotherapy, meaning almost any type of therapy will work at least decently well
2) Client expectancy matters a lot. So if you can convince clients you know what you're doing, you'll boost your effect! This rewards scientists & therapists who are overconfident and overstate their knowledge of how their psychotherapy model works
3) Therapist expectancy also boosts psychotherapy effects. Again, this rewards "true believers" & overconfidence in knowledge of how therapy works
Read 10 tweets

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