Jonathan Shedler, Discover and Read the Best of Twitter Threads by @JonathanShedler

Jonathan Shedler

JonathanShedler

1/ Every day, I see therapy trainees trying to provide a substitute relationship for patients who have no meaningful relationships in their lives.That is not psychotherapy. That is a perversion

It's a common wish that therapist can provide perfect/all-caring relationship that will solve all patient's problems. It's called the golden fantasy—& can be major obstacle to getting well.Some therapists have

The most basic precondition for meaningful psychotherapy is privacy. Absolute, total privacy. During, after, and forever. It is non-negotiable. A patient may or may not understand why this is necessary.

1/ I get asked this all the time so thought I'd put it in a tweet for whoever needs it. In 2010, I published "The efficacy of psychodynamic psychotherapy," which

1/ Meaningful psychotherapy is a unique, absolutely private, intensely personal relationship between two individuals—one of whom is in need of help and one of whom has committed to trying to

What does it mean...-when only requirement for calling therapy "evidence-based" is a significant p-value?-and a researcher can nearly always get a significant p-value just by using a control group that

1/ Fifteen psychoanalytic concepts for our time A thread Splitting: Perceiving others in black-or-white categories; seeing them as one-dimensional, as purely good or purely evil Denial: refusal to acknowledge or

1/ One of most important things I've learned:Severe personality problems find *camouflage.* No one thinks "I'm a sadist" or "I'm a malignant narcissist."They find a belief system/social group that validates

1/ If there was "evidence-based" sex, researchers who get no sex themselves would write manuals w/ standardized instructions, do studies showing instruction-manual sex better than no sex, then refer to

1/ Key sentence: "Clinicians would know which interventions had evidence-based efficacy for treating specific conditions."The basic assumption underlying these recommendations in @TheLancetPsych is false. A DSM diagnosis does not

1/ We are the "authors" of all our thoughts and actions. We claim ownership of some of our thoughts and actions and disclaim ownership of others. When we claim ownership,

1/ Social psychologists long ago proved something utterly terrifying: *People will literally DISREGARD WHAT THEY SEE WITH THEIR OWN EYES to conform to what others around them say.* In classic