#Psyc4666
My biggest takeaway was that “evidence-based” doesn’t automatically mean “best.” Dr Shedler’s approach is to look at the actual study, read the methods, and decide whether the evidence really supports the claim. @drwilliamsharp.bsky.social #Psyc4666
September 28, 2026 at 5:44 PM
Another takeaway for me was how much study design matters, especially who is included, who is excluded, and what the treatment is compared against. #TalkingHelps #Psyc4666
September 29, 2026 at 8:40 PM
Another thing that stuck with me from the article was how so many patients are left out of therapy studies because they have multiple diagnoses or more complicated symptoms. It makes you wonder how well the results apply to real patients. 🥼 @drwilliamsharp.bsky.social #Psyc4666
September 28, 2026 at 5:40 PM
@drwilliamsharp.bsky.social The question of drugs versus psychotherapy is a long and complex one. It also is not a question that can be looked at on principle alone; money continues to drive what we, as a society, value and deem important.

#PSYC4666 #TalkingHelps
September 21, 2026 at 4:51 PM
After watching “The Case for Psychoanalysis,” one thing that stood out to me was that good short-term results don’t always mean a treatment will work long term. Looking at follow-up data seems just as important as looking at how patients feel when a study ends. @drwilliamsharp.bsky.social #Psyc4666
September 28, 2026 at 6:09 PM
I just read "What the Therapist Thinks About You" by Jan Hoffman and I found the information presented to be very interesting. (1/3)

@drwilliamsharp.bsky.social
#PSYC4666 #TalkingHelps
September 10, 2025 at 2:55 AM
Ok Psyc4666- almost as if planned… x.com/jonathanshed...
Popular press vs the research
May 18, 2025 at 12:07 PM
One thing I wish I had learned earlier is that knowing how to read research matters just as much as reading the conclusion. Understanding terms like statistical significance and publication bias completely changes how I (we) evaluate findings. #TalkingHelps #Psyc4666
September 29, 2026 at 8:34 PM
Another thing I took away from the video was the distinction between having a lot of studies and having a large effect. A treatment can be researched a lot without necessarily producing a huge difference for patients. @drwilliamsharp.bsky.social #Psyc4666
September 28, 2026 at 6:12 PM
@drwilliamsharp.bsky.social

The article, “What the Therapist Thinks About You,” was compelling. I found hearing about David Baldwin’s story and perspective through his therapist’s words to be heartwarming.

#PSYC4666 #TalkingHelps
September 9, 2025 at 7:03 PM
Shedler’s advice stuck with me: don’t just trust the claims, ask for the study + read it yourself. Significance does not equal real-world impact. #Psyc4666 @DrWilliamSharp
September 24, 2025 at 2:15 AM
It is very interesting how heavily influenced opinions on therapy types are by popularity. The reputation of psychoanalysis having no evidentiary support is not supported by the academic literature, and in fact, it has better correlations than the renowned CBT. #Psyc4666 @DrWilliamSharp
11 Different Types of Autism Therapy and Their Focus Areas
We cover 11 different types of autism therapy, and explain what each one focuses on. Discover how approaches like ABA support communication, behavior, daily…
ravenhealth.com
September 29, 2026 at 7:34 PM
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
January 28, 2026 at 12:32 AM
Just watched 'The Case for Psychoanalysis (v4)' by Dr. John Thor Cornelius. He provides a clear evidence-focused case that psychodynamic/analytic therapy can produce deep, durable change that often continues after treatment ends. Great video! @drwilliamsharp.bsky.social #TalkingHelps #Psyc4666
September 24, 2025 at 12:25 AM
@drwilliamsharp.bsky.social I find the separation between broad acceptance of CBT vs. Psychodynamic Therapies to be confounding. Although CBT is easier to be tested using traditional research methods, many of these studies have small sample sizes and exclude patients w/ comorbidities. #Psyc4666
September 23, 2025 at 11:09 PM
I found the article "What the Therapist Thinks About You" by Jan Hoffman interesting, but not compelling enough. While I recognize the benefits for certain patients, I think sharing access creates a standard where the notes become performative!

@drwilliamsharp.bsky.social

#PSYC4666 #TalkingHelps
September 10, 2025 at 6:25 PM
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
November 20, 2025 at 7:14 AM
In today’s discussion following the existential therapy presentations, we briefly mentioned the emerging use of AI to simulate deceased loved ones, also known as “griefbots”. This generative Ai raises many complex ethical and philosophical questions. #griefbots #Psyc4666 @drwilliamsharp.bsky.social
November 19, 2025 at 5:35 PM
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
January 25, 2026 at 7:56 PM
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
January 28, 2026 at 5:34 AM
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
September 24, 2025 at 1:46 AM
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
January 28, 2026 at 12:37 PM
When you take a closer look at what the data is actually saying, "evidence based" therapy is not as revolutionary as it has been marketed to be. It is important to honestly and fairly represent research findings. @drwilliamsharp.bsky.social #PSYC4666
jonathanshedler.com
January 25, 2025 at 5:02 PM
During Dr. Cornelius’s talk on the efficacy of different treatments, he explained that while the effect sizes of CBT, drug, and psychoanalysis are similar for short-term treatments, psychoanalysis outpaces the previous two types in long-term treatment outcomes. @drwilliamsharp.bsky.social #psyc4666
January 28, 2026 at 12:28 PM
The fixation on immediate outcomes often overlooks the importance of long-term wellness. Even though psychoanalysis is typically slower and more intensive, it provides depth of change and lasting impact that makes psychoanalysis invaluable. #TalkingHelps #Psyc4666 @drwilliamsharp.bsky.social
September 23, 2025 at 11:44 PM