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Jonathan Shedler Profile picture
@JonathanShedler
Feb 8, 2020 • 3 tweets • 2 min read • Read on X
1/ JAMA: "High nonresponse & dropout rates suggest mismatch between complex clinical reality of military-related PTSD and one size-fits-all treatment approaches in VA"
"...do not effectively manage PTSD in large % of patients" #cbtworks #somepsych #psysci
jamanetwork.com/journals/jama/…
2/ Talking point emailed from VA central office: "Disseminating [same one-size treatments] through national training initiatives is appropriate given that these treatments have the most robust evidence of effectiveness."

Someone invested in "alternative facts."
JAMA or VA?
3/ Therapies in question were NEVER tested against relationship-based talk therapy as practiced by most psychotherapists.

How can a treatment have "most robust evidence" when never compared to psychotherapy as practiced in real world by most psychotherapists?

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More from @JonathanShedler

Jonathan Shedler Profile picture
Jul 22
1/ This quotation needs more psychological nuance. In fact, it’s in our human nature to take pleasure in others’ downfall, for many reasons—often unconscious

It’s not so much that we “make monsters of ourselves,” because the monster is already within. In the words of Aleksandr
2/ Solzhenitsyn, “The line dividing good and evil cuts through the heart of every human being”

It is that *acting* on these impulses—publicly reveling in sadistic glee, joining in the pile-on, inciting others to pile on—feeds that inner monster. It grows larger and uglier, and
3/ the rest of us is diminished. In time, we become an empty husk of the person we could have become

We can’t reason away our feelings and impulses (sorry, cognitive therapists). We may feel that twinge of pleasure in another’s ruination, we may feel feel that inner impulse to
Read 4 tweets
Jonathan Shedler Profile picture
Jun 16
Your grad school professors likely had no idea what “neutrality” means. Most never learned and just parrot the misinformation they were taught

It means *ultimate respect for client’s autonomy and self-determination*

You are in favor of that, aren’t you? In Freud’s own words👇
2/ In historic usage, it referred to taking a position (as a matter of *technique,* aimed at self-knowledge) equidistant from id, ego, & superego—terms that no longer hold currency in contemporary psychoanalytic theory, and that are now meaningless to most

So here’s an update:
3/ The term is a recognition that we humans are of many minds about many things, there is inner contradiction, and the contradictions can be at any level of conscious awareness

“Neutrality” means helping the person become aware of all of the inner facets and contraductions,
Read 4 tweets
Jonathan Shedler Profile picture
Jun 5
My first major research article showed it’s impossible to measure mental health by self-report data (eg, a survey). Data are uninterpretable

If people *report* good mental health, it MAY mean good MH. But it’s at least as likely to mean defensiveness and self-deception

source👇
2/ This is called “Illusory Mental Health”

Published in American Psychologist (premier/flagship journal of the American Psychological Association) jonathanshedler.com/PDFs/Shedler%2…Image
/3 Did I mention that illusory mental health is linked to objective physiological measures of stress and increased risk of medical illness and death?
Read 4 tweets
Jonathan Shedler Profile picture
May 12
1/ Depressive Personality Style
“Despite its omission from the DSM, depressive personality is the most common personality syndrome seen in clinical practice. It is a personality syndrome in every sense of the term: an enduring pattern of psychological functioning evident byImage
2/ adolescence and encompassing the full spectrum of personality processes.

People with depressive personalities are chronically vulnerable to painful affect, especially feelings of inadequacy, sadness, guilt, and shame. They have difficulty recognizing their needs, and when
3/ they do recognize them, they have difficulty expressing them. They are often conflicted about allowing themselves pleasure. They may seem driven by an unconscious wish to punish themselves, either by getting into situations destined to cause pain or depriving themselves of
Read 16 tweets
Jonathan Shedler Profile picture
May 8
1/6 The goal of psychotherapy is to insert spaces for noticing and reflecting where space has not previously existed—and thereby create opportunities to know ourselves more fully, connect with others more deeply, and live our lives more congruentlyImage
2/6 Psychotherapy is about slowing things down—so we can begin to see and understand patterns and responses that otherwise happen quickly, automatically, without awareness or understanding
3/6 Talk about “optimizing” psychotherapy or making it more “efficient” betrays a fundamental misunderstanding

We find ourselves in difficulties specifically because we *cannot* slow down to notice and reflect. The rush to optimize every facet of life is the disease—not the cure
Read 6 tweets
Jonathan Shedler Profile picture
Apr 28
1/ This post is misleading. The research does NOT show people who get these CBT treatments get well—what people take “effective” to mean. Overwhelming majority do NOT. They do better than a control group, which is a totally different issue

People go to therapy to get well, or
2/ at least meaningfully better

Not to do better than a control group which gets no treatment that’s meant to help (or no treatment at all)

This is why people have become so skeptical of “experts.” What they get isn’t what they’re led to expect
3/ It’s really important to understand WHAT GOES WRONG when findings from therapy outcome research get reported to the public

The research yields quantitative findings. Tons and tons of them. No one without a serious (professional level) understanding of statistic AND knowledge
Read 41 tweets

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