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If for some unfathomable reason, you don't want to read my ~80,000 word thesis (what do you mean, the pubs are open?), then please enjoy this Twitter thread version instead... 
Chp1: Intro. #Dissociation is routinely overlooked because of its bumpy history in clinical circles & significant confusion about what it *is*. It's especially common in #psychosis where there is reason to believe it might actively contribute to psychotic symptoms (e.g. paranoia)
Thesis aims:
1) Decide a working definition of #dissociation
2) Test idea that it might contribute to psychotic experiences
3) Start the process of identifying psychological factors that might underlie dissociation (crucial for developing future psychological treatments)
GO!
1) Decide a working definition of #dissociation
2) Test idea that it might contribute to psychotic experiences
3) Start the process of identifying psychological factors that might underlie dissociation (crucial for developing future psychological treatments)
GO!
Chp2: 12 people tell me what #dissociation was like for them.
It is distressing, disruptive, and difficult to describe. Reports of 'strangeness' and feeling 'odd' are common. Interviewees want clinicians to understand it better.
Published here: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0229091
It is distressing, disruptive, and difficult to describe. Reports of 'strangeness' and feeling 'odd' are common. Interviewees want clinicians to understand it better.
Published here: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0229091
Chp3: Systematic review of existing research suggests the strangeness people described before may be 
The chapter outlines a working definition: dissociative experiences involving a #FeltSenseofAnomaly & develops a shiny questionnaire to measure it!
https://journals.plos.org/plosone/article/authors?id=10.1371/journal.pone.0247037
The chapter outlines a working definition: dissociative experiences involving a #FeltSenseofAnomaly & develops a shiny questionnaire to measure it!
https://journals.plos.org/plosone/article/authors?id=10.1371/journal.pone.0247037
Chp4: This chapter explored the thoughts people have when experiencing #FeltSenseofAnomaly (FSA) #dissociation (crucial for therapy in #CBT) and... made another shiny questionnaire!
Common thoughts were fears of being in danger or out of control. https://www.cambridge.org/core/journals/behavioural-and-cognitive-psychotherapy/article/cognitive-appraisals-of-dissociation-in-psychosis-a-new-brief-measure/11DE22F984FAEF0DA7FDFF0806B0A6EB
Common thoughts were fears of being in danger or out of control. https://www.cambridge.org/core/journals/behavioural-and-cognitive-psychotherapy/article/cognitive-appraisals-of-dissociation-in-psychosis-a-new-brief-measure/11DE22F984FAEF0DA7FDFF0806B0A6EB
Chp5: Time to start thesis aim 2.
Network analyses of data from ~6900 online survey participants suggests that (FSA) #dissociation does have a direct relationship to #psychosis, & likely in the way we expected.
Confusing result for #sleep though
https://www.sciencedirect.com/science/article/pii/S0022395620309341?via%3Dihub
Network analyses of data from ~6900 online survey participants suggests that (FSA) #dissociation does have a direct relationship to #psychosis, & likely in the way we expected.
Confusing result for #sleep though
https://www.sciencedirect.com/science/article/pii/S0022395620309341?via%3Dihub
Chp 6: Time to start thesis aim 3.
Network analyses of data from ~6000 (different!) survey participants suggests emotion tolerance factors might be involved in dissociation (less so factors to do with attention). Our old friend 'cognitive appraisals' looks key.
Paper in prep!
Network analyses of data from ~6000 (different!) survey participants suggests emotion tolerance factors might be involved in dissociation (less so factors to do with attention). Our old friend 'cognitive appraisals' looks key.
Paper in prep!
Chp 7: Putting it all together.
Network analyses of data from ~900 NHS patients with # psychosis diagnoses largely confirms the findings in the previous two chapters (especially wrt hallucinations).
(FSA) dissociation was common in this group, too.
Paper in prep
Network analyses of data from ~900 NHS patients with # psychosis diagnoses largely confirms the findings in the previous two chapters (especially wrt hallucinations).
(FSA) dissociation was common in this group, too.
Paper in prep
Chp8 (still with me?)
Conclusions: a lot still to do, but maybe this way of approaching the complicated problem of dissociation could be helpful? Epecially in psychosis?
Plus summaries, theory-practice links, future research suggestions & all that good stuff.
The End!
Conclusions: a lot still to do, but maybe this way of approaching the complicated problem of dissociation could be helpful? Epecially in psychosis?
Plus summaries, theory-practice links, future research suggestions & all that good stuff.
The End!
With thanks again to:
@EBeierl, @ItsAStatLife & @DrJCBird for stats brilliance
@Andrewmolodyns1 & many others for CRN excellence
@ProfDFreeman & Anke Ehlers for superb academic supervision
@drlouisecjohns & @AmybHardy for clinical supervision wizardry
& MANY more!
@EBeierl, @ItsAStatLife & @DrJCBird for stats brilliance @Andrewmolodyns1 & many others for CRN excellence @ProfDFreeman & Anke Ehlers for superb academic supervision @drlouisecjohns & @AmybHardy for clinical supervision wizardry& MANY more!
Emma out.
(If you were paying attention, you'll get this joke)
(If you were paying attention, you'll get this joke
)
Whoops. One more tweet.
As the kids say these days: not me forgetting to thank my funder(!)
This work was all funded by a @wellcometrust Clinical Doctoral Fellowship, via @UniofOxford. Specifically @OxPsychiatry.
So, hooray! all the papers are open access
As the kids say these days: not me forgetting to thank my funder(!)
This work was all funded by a @wellcometrust Clinical Doctoral Fellowship, via @UniofOxford. Specifically @OxPsychiatry.
So, hooray! all the papers are open access
