Helping siblings of brothers or sisters of disabled children know who they can talk to can make a big difference. Visit this month’s Spotlight blog to find out more💜 #talkinghelps www.sibs.org.uk/youngsibs/sp...
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#TalkingHelps
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John Cornelius raises an important question that many outcome studies overlook: instead of focusing on who shows improvement at the 6-month mark, he asks who remains better years later. Real change isn't something you can find in a manual. #TalkingHelps #Psyc4666 @drwilliamsharp.bsky.social
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I didn't realize these so-called evidence-based therapies (ie, manualised) were actually based on studies that didn't even have statistically significant results. What's the point of these methods if they don't ultimately help people in the long-term? @drwilliamsharp.bsky.social #TalkingHelps
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Manualized treatment might work for some people, but it typically doesn’t help most patients in real-life situations. When therapy sticks to a script, it overlooks personal differences, which can lead to unsuccessful outcomes. #TalkingHelps #Psyc4666 @drwilliamsharp.bsky.social
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As someone who's education in research has focused on evidence and results, Shedler (2015) made me rethink what we think by "evidence". Are we measuring effectiveness or just what's easiest to manualize? #TalkingHelps @drwilliamsharp.bsky.social
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The claims for the benefits of CBT were based on the fact that CBT was “statistically significantly” more effective than a placebo control group, but this really only means that a research finding probably did not occur by chance. @drwilliamsharp.bsky.social #Talkinghelps
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Evidence-based therapy was supposed to represent the convergence of relevant scientific evidence, patient values and preferences, the experience, and clinical judgement of the practitioner. Now it's often reduced to a prescripted, manualized therapy. @drwilliamsharp.bsky.social #Talkinghelps
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Psychoanalysis shows a large pre–post effect size (1.23) at 23 months post-treatment, while evidence suggests the short-term benefits of CBT and antidepressants may erode over time. Does this make psychoanalysis the most effective therapy? @drwilliamsharp.bsky.social #Talkinghelps
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In Where Is the Evidence for ‘Evidence-Based’ Therapy?, Shedler emphasizes that evidence must be critically examined, since statistical significance alone does not guarantee meaningful or durable outcomes. #TalkingHelps @drwilliamsharp.bsky.social
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John Cornelius contrasts symptom-focused therapies with depth-oriented approaches, raising an interesting discussion about relapse and lasting change rather than offering a one size fits all answer #TalkingHelps @drwilliamsharp.bsky.social
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Shedler(2015) emphasizes that symptom relief isn’t the whole story- psychodynamic therapy aims for deeper personality change and better functioning over time. These larger outcomes deserve more recognition within evidence-based practice. @drwilliamsharp.bsky.social #TalkingHelps
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The Case for Psychoanalysis emphasized how unconscious processes and the therapeutic relationship play a major role in healing- things that are hard to calculate but deeply impactful. It made me question whether RCTs alone capture real clinical change. @drwilliamsharp.bsky.social #TalkingHelps
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Shedler (2015) strongly challenges what we mean by “evidence-based.” Focusing only on short-term symptom reduction overlooks bigger, lasting change. Psychodynamic therapy showing strong long-term outcomes made me rethink how effectiveness is measured. @drwilliamsharp.bsky.social #TalkingHelps
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Shedler’s paper highlights how manualized, evidence-based therapies often fall short in real-world practice. Patients’ lived experiences and the complexity of therapy cannot be easily standardized and placed into a manual that works for all. @drwilliamsharp.bsky.social #TalkingHelps #Psyc4666
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Also, regarding "Where is the Evidence for 'Evidence-Based' Therapy“, if 75% of patients don’t get well and benefits don’t last, calling a treatment the "gold standard" is very misleading and should be investigated. @drwilliamsharp.bsky.social #psyc4666 #TalkingHelps
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I found it interesting that CBT and other manualized therapies are considered evidence based, but instead we learn evidence that demonstrates long-term improvement years after psychodynamic treatment concludes, unlike after CBT treatment concludes. #TalkingHelps #Psych4666
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I found Dr. Shedler’s critique of “evidence-based” therapy very compelling. Given the ubiquity of CBT and drug regimens in popular media, policy proposals, and psychology classrooms, I think a critical look at these therapies is necessary @drwilliamsharp.bsky.social #TalkingHelps #Psyc4666
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Shedler’s article, Where Is the Evidence for Evidence-Based Therapy?, dives into how many clinical trials eliminate participants due to outside factors, ultimately excluding real-world clients who could benefit from the treatment at hand. @drwilliamsharp.bsky.social #talkinghelps
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Shedler's article, Where Is the Evidence for Evidence-Based Therapy?, was shocking. He shows how many control groups are essentially shams, often designed to fail. It made me realize how much the researcher matters. @drwilliamsharp.bsky.social #talkinghelps
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Meta analyses often demonstrate more robust data. Especially when studying therapy efficacy (a more abstract concept) it is important to view a large sum of datapoints in order to analyze the success of a specific kind of therapy.
@drwilliamsharp.bsky.social #TalkingHelps #Psyc4666
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Shedler's 2015 paper highlights the importance of looking deeper into research studies. In an NIMH study, the CBT treatment group only saw improvement 24% of participants. Manualized treatments are not always the most effective option. @drwilliamsharp.bsky.social #TalkingHelps #Psyc4666
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Oftentimes, the term "evidence-based" can be laden with bias. Evidence-based treatment plans are not always the most effective. Psychotherapy can be just as beneficial compared to CBT, when looking deeper into research comparing the two. @drwilliamsharp.bsky.social #psych4666 #TalkingHelps
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Mental health is a vital aspect of wellbeing, and seeking help or acknowledging struggles is a sign of strength, not weakness, and there is nothing to be ashamed of. There is support available you can contact your GP, or a charity like @sane.org.uk #talkinghelps #itsokaynottobeokay #mentalhealth 💜
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During class yesterday, we went over presentations on therapy methods I found really interesting -- primarily as introductions/overviews of existential therapy and play therapy (very different from each other, which I found funny yet fitting).
@drwilliamsharp.bsky.social #TalkingHelps #Psyc4666
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Not an activist? Not a problem. The Climate Café is for anyone aged 18+ who feels uneasy about the future of the planet. £7 per ticket including drink and cake. Join the conversation, sign up here: www.thecfc.org.uk/cl... #climatecafe #talkinghelps #safespace #wellbeing #nature
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Fancy a slice of cake with your climate chat? That’s exactly what’s on the menu at our first Climate Café. Saturday 4 October, 3–4:30pm at Café in the Park, Altrincham. £7 includes your drink and cake.#climatecafe #climate #talkinghelps #safespace #wellbeing #nature
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When tasked with the mental health of an individual, these assumptions about their behavior can be significantly detrimental. @DrWilliamSharp #TalkingHelps
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Neither of these studies disprove the effectiveness of psychotherapy...but they prompt us to look further at how evidence is produced, who it serves best, and what we might be missing.
Curious what others think.
@drwilliamsharp.bsky.social
#PSYC4666 #TalkingHelps
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I was interested to learn in the Shedler article about the narrative surrounding Psychodynamic therapy being untested and "anti-science", which I wasn't previously aware of. He emphasized the importance of investigating what the research is really telling us.@drwilliamsharp.bsky.social #talkinghelps
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It was interesting to read Jonathan Shedler's article, "Where is the Evidence for 'Evidence-Based' Therapy?" and Wright's "Computerised cognitive–behavioural therapy for depression in adolescents: feasibility results..." back-to-back this week.
@drwilliamsharp.bsky.social #TalkingHelps #Psyc4666
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