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

Wright et al. (2017) looked at computerised CBT for adolescent depression. Some short-term improvement, yes — but the study was small, had high dropout, and excluded more severe cases. Useful data, but also a good example of how limited much of the “evidence” in psychotherapy can be.

Shedler takes a hard look at the evidence behind many common therapies. He argues that short-term, treatments, like CBT, often show modest effects, don’t always last, and don’t apply to a lot of real-world cases...

This could give patients support in between visit without the potential for negative effects. However it is also important to remember to trust that professionals are equipped with the skills to know what their patient needs to hear while withholding information that could be covered later on. (3/3)

Through examples it was made clear that there are many advantages and disadvantages to notes being readily available to patients. I would like to posit the idea of making key session takeaways available for patients to read, instead of exact session notes a therapist might take for themselves. (2/3)

I totally agree! Notes with specific diagnostic language could be so confusing to patients. I can't imagine that if I were in those shoes I wouldn't fall victim to a google rabbit hole!

#PSYC4666 #TalkingHelps