Therapy, argued about
Clinicians and researchers who publish on trauma, attachment and whether psychotherapy works — including the ones who disagree with their own field.
- Jonathan Shedler Follow
- Scott D. Miller Follow
- Arielle Schwartz Follow
- Gabor Maté Follow
- Awais Aftab Follow
- Wendy Behary Follow
- Julie Menanno Follow
- Terry Real Follow
- Bessel van der Kolk Follow
Filter & sortAll sources · condensed
- Arielle Schwartz 📖 Norton Mental Health 📖 is pleased to offer 20% OFF & FREE SHIPPING* on two essential clinical resources from Dr. Arielle Schwartz: 1) APPLIED POLYVAGAL THEORY IN YOGA 2) EMDR THERAPY AND SOMATIC PSYCHOLOGY 🔗 https://t.co/m1eT6EUAnr *US customers only; offer ends 9/30/26
- Awais Aftab “Psychiatric treatment is often enough a frustrating affair, for the patient, for the clinician, for the caregivers, basically for everyone involved…” On imperfect tools psychiatrymargins.com
- Awais Aftab Maybe Don’t Ask Your Doctor if Zoloft Is Right for You On imperfect tools
- Arielle Schwartz Instead of asking for something from the earth, I asked it to help me listen. How could I give to the earth? What then transpired was the receiving of endless beauty. It was as if the earth said, there is nothing you need to do…there is already so much “doing." Simply be.
- Arielle Schwartz My article featured in Psychotherapy Networker has been nominated for a Best of 2026 Psychotherapy Networker Story in the “Self of the Therapist” category! Get a short preview of the article: https://t.co/ToJ2RNlN8N & vote for your favorites here:
- Arielle Schwartz Check out my latest yoga class on YouTube - Vagus Nerve Yoga: Own Your Story At a Physical level, this class invites some challenging balance postures that are both grounding and an invitation to celebrate your aliveness.
- Jonathan Shedler 23 Markers of Psychological Health Experts agree. We know what psychological health looks like.
- Arielle Schwartz Innovations in Psychotherapy Conference Recommends
- Arielle Schwartz As a friend called with protective wishes, I looked outside to see an owl in our tree, peacefully unbothered by a brave resident squirrel. Sitting below them, my fears dissolved. What do you make of animal encounters? Does animal medicine come to help us through tough moments?
- Arielle Schwartz If you’re on the fence…there is still time to sign up and join me at the Art of Living Retreat Center for my signature Beyond Trauma event. September 24-27 💓 Learn more & register: https://t.co/Y8oJfwxUth #beyondtrauma #healingretreat
- Awais Aftab The Lawsuit That Came to Symbolize the Fall of Psychoanalytic Psychiatry: Eric Caplan on Osheroff v. Chestnut Lodge psychiatrymargins.com
- Awais Aftab The Lawsuit That Came to Symbolize the Fall of Psychoanalytic Psychiatry: Eric Caplan on Osheroff v. Chestnut Lodge Eric Caplan is a historian of American psychiatry and the author of "When Healing Harms"
- Arielle Schwartz Join me and 4 other leading experts for the 30-Hour Applied Neuroscience for Trauma Healing Certificate with @TheEmbodyLab! Oct 24 – Nov 22 | 30-Hr Cert | 12 CEs 🔗
- Jonathan Shedler The 7 Principles of Psychoanalytic Psychotherapy A video introduction to in-depth psychotherapy.
- Awais Aftab Depression & anxiety seem common & familiar but few can appreciate the psychopathological depths possible. Once in a while I come across an Omega level neurosis in the clinic, & it is like witnessing something alien & ancient, a horror & dread with the gravity of a neutron star…
- Awais Aftab Defending the Mechanistic Plausibility of Protracted and Delayed Antidepressant Withdrawal Guest post by Daniel Cohrs ( @DanielCohrsMD ) psychiatrymargins.com
- Awais Aftab Postpartum Psychosis and Diagnostic Sclerosis The DSM needs postpartum psychosis more than postpartum psychosis needs the DSM psychiatrymargins.com
- Awais Aftab Postpartum Psychosis and Diagnostic Sclerosis The DSM needs postpartum psychosis more than postpartum psychosis needs the DSM
- Arielle Schwartz Therapeutic Yoga for Trauma Recovery: A Clinical Summit for Mind-Body Healing Recommendstheir own
- Jonathan Shedler When the Therapy Relationship Is the Problem The therapy relationship reveals what patients cannot tell us.
- Awais Aftab Lindsay Clancy and the Dream of a World Beyond the Insanity Defense The absurdity of mad versus bad psychiatrymargins.com
- Awais Aftab Lindsay Clancy and the Dream of a World Beyond the Insanity Defense The absurdity of mad versus bad
- Awais Aftab Under the Borderline: Rensin and the Delano Confusion On reality and the rejection of the medical gaze psychiatrymargins.com
- Awais Aftab Under the Borderline: Rensin and the Delano Confusion On reality and the rejection of the medical gaze
- Arielle Schwartz The Complex PTSD Treatment Manual Recommendstheir own
- Arielle Schwartz Vagus Nerve and Polyvagal Practices retreat, Cancun Recommendstheir own
- Awais Aftab But sometimes the house is already uninhabitable and haunted by mysterious entities that seem to come from nowhere, and it makes sense in a situation like that to shine a light on dark corners… Quoting@ClipperRenwerner herzog on why he will never go to therapy "i'd rather die than go to an analyst" "if you harshly light every last corner of a house the house will be uninhabitable it's like that with your soul" he just dropped the coldest take on therapy ive ever heard and somehow made it sound completely n…
- Arielle Schwartz "The body keeps the score" is only half the story, and the missing half matters: a body described only as a harbinger of the past is a body people learn to avoid.
- Arielle Schwartz The body is not an archive of trauma: what feels like a memory stored in the hips or the jaw is a mind-body feedback loop, and the loop is what therapy interrupts.
- Jonathan Shedler Why “Just Talking” Helps The power of giving sorrow words.
- Jonathan Shedler What Skilled Psychotherapists Sound Like The language of skilled psychotherapy is the language of curiosity.
- Awais Aftab Notes on Freud and Cocaine Sometimes cocaine use is just cocaine use, and sometimes it is a prelude to the development of psychoanalysis...
- Terry Real Feeling Lonely in a Relationship? Why It Happens and How to Reconnect You can share a home, a bed, a family, and a whole life with someone and still feel terribly alone. Terry Real on why connection goes quiet, the five types of intimacy, and ten steps back toward each other.
- Jonathan Shedler Real Psychotherapists Don’t Act Like Therapists on the Internet Why psychotherapy happens in a professional relationship, not on social media.
- Awais Aftab Psychiatric Deprescribing as a Wicked Problem Problems that resist definitive articulation
- Scott D. Miller Fans “I don’t think she will.”
- Jonathan Shedler Why We Act Like Some of Our Thoughts Aren’t Ours The mind is divided. This is the core insight of psychoanalysis.
- Awais Aftab Adiposity by Self-Report If obesity were like ADHD
- Awais Aftab Clinical guidelines addressing complex and ‘wicked’ problems Clinical guidelines aid decision-making, but their simplifying strength becomes a limitation in complex, value-laden situations. Once meant to summarise evidence, they now function as prescriptive standards used in qual…
- Jonathan Shedler When institutions can only offer compromised care they end up calling it best practice, and the patients who do not get better conclude that they themselves are beyond help.
- Awais Aftab The Rumpelstiltskin effect claims only that the act of being diagnosed can itself help, not that a diagnosis is a net good for the patient.
- Arielle Schwartz Unlocking the Past: A Yogic Perspective on Healing Intergenerational Trauma Recommendstheir own
- Awais Aftab A prescriber cannot outsource containment to the therapy hour: the emotional and relational dynamics are part of prescribing, not an intrusion on it.
- Scott D. Miller Walmart “I’m not sure how …,” the man in front of me mumbled.
- Jonathan Shedler Telling a patient "your feelings are valid" is not therapy: it is the mirror image of "get a grip", and it makes the therapist a judge of feelings instead of a companion in them.
- Scott D. Miller The Fish “Do we really have to wait 30 minutes?” my brother Marc and I whined in unison.
- Julie Menanno Confused About Your Attachment Style? Keep the 4 C’s in Mind When you stop looking at attachment as a label and start looking at it through context, connection, comfort, and conflict, things usually get much clearer.
- Scott D. Miller Playboy
- Scott D. Miller Grilled Cheese “Can we have grilled cheese and tomato soup?” I asked, a hopeful smile glued to my face.
- Scott D. Miller The Accidental Therapist “So …,” I asked, “I’m wondering, would you like to schedule another appointment?”
- Julie Menanno Underneath the anger of anxious attachment is unresolved grief about not having been responded to.
- Julie Menanno Getting angry quickly in an anxiously attached person is a threat-detection habit their nervous system learned, not a character flaw.
- Scott D. Miller Dollars & Sense “That’ll be one dollar and forty-five cents” the tall, older man said.
- Scott D. Miller Fragments After tethering our canoe to the ‘nearest cleat, Tom and I walked across the wooden walkway bridging the gap between the dock and navy-grey store.
- Arielle Schwartz Regulation must precede reflection: cognitive insight fails while a nervous system is in defensive dominance.
- Arielle Schwartz Polyvagal theory survives the 2026 "untenable" critique: what the critics contested was mechanism and evolutionary framing, not the clinical proposition.
- Scott D. Miller Outcome Rating Scale (ORS) Recommendstheir own
- Scott D. Miller Session Rating Scale (SRS) Recommendstheir own
- Awais Aftab Self-diagnosis is an attempt to secure the therapeutic effect of a medical intervention patients cannot officially access.
- Awais Aftab Diagnoses that have therapeutic effects are medical interventions and should be treated and researched as such.
- Awais Aftab Clinical diagnosis can have a therapeutic effect independent of any other intervention.
- Arielle Schwartz Let Your Body Hold You Immersive Polyvagal Practices for Trauma Recovery Let Your Body Heal You offers a strengths-based, embodied approach designed to meet the unique needs of anyone recovering from childhood trauma, PTSD, complex PTSD, or d…
- Awais Aftab How Does the Psychiatrist Know?: On the Epistemology of Psychiatric Diagnostic Reasoning Read
- Awais Aftab Conceptual competences in philosophy of psychiatry: A cross-sectional survey OBJECTIVES: The complexity of psychiatry requires an integrated approach that combines empirical practice, experiential insight, and theoretical reflection. This study, integrated within a broader international project,…
- Awais Aftab Unshrunk: A Story of Psychiatric Treatment Resistance Liked
- Arielle Schwartz The Polyvagal Theory Workbook for Trauma Body-Based Activities to Regulate, Rebalance, and Rewire Your Nervous System Without Reliving Your Trauma “In The Polyvagal Theory Workbook for Trauma, Arielle Schwartz gives you practical, embodied tools along with com…
- Awais Aftab Roll Back the World: A Sister’s Memoir Liked
- Awais Aftab Making sense of the literature on antipsychotics and long-term functioning: taking natural history and personalization seriously This review examines the relationship between long-term antipsychotic use and individual functioning, emphasizing clinical implications and the need for personalized care. The initial impression that antipsychotic medic…
- Scott D. Miller A therapy is only shown to be more effective if it is compared against another treatment intended to help, not against a control nobody expected to work.
- Arielle Schwartz Brain and Body Integration for Trauma Recovery A Mind-Body Approach to Care Traumatic events can leave you feeling broken or disconnected. In order to survive, we often disconnect from painful emotions and bodily sensations. Our brain plays a key role in this proces…
- Scott D. Miller Therapists overestimate their own effectiveness by about 65%, and it is not a Western cultural artifact.
- Arielle Schwartz The Post-Traumatic Growth Deck | Dr. Arielle Schwartz Cards to Inspire Growth, Foster Resilience, and Awaken Potential Within the Post-Traumatic Growth Deck, Dr. Arielle Schwartz integrates her love of photography with her passion for healing through 54 images paired with…
- Scott D. Miller What does make a therapist more effective is trainable interpersonal skill, not treatment technology.
- Scott D. Miller Training a therapist in a treatment model does not make them more effective, however well the model performs in a trial.
- Awais Aftab Psychedelic Alpha Liked
- Arielle Schwartz Embodied Self-Compassion Support for your Healing Journey One of the most common barriers to healing that I see as a psychologist and trauma specialist is when we experience feelings of despair and hopelessness. Sometimes it may feel as if noth…
- Scott D. Miller The field should stop attributing benefits to clinical experience, because believing in it is itself what stops therapists improving.
- Scott D. Miller Therapists do not improve with experience: on average they become less effective, and their clients drop out more the longer they have practised.
- Awais Aftab Philosophy of psychiatry: theoretical advances and clinical implications Work at the intersection of philosophy and psychiatry has an extensive and influential history, and has received increased attention recently, with the emergence of professional associations and a growing literature. In…
- Arielle Schwartz Beyond Trauma Retreat: A Guided Journey of Resilience, Hope and Growth In-Person Retreat September 19th – 21st, 2025 Trauma affects the best of us, and its effects can linger, limiting your ability to live with joy and abundance. Whether it occurred during a single event or repeated trauma…
- Awais Aftab Conceptual competence in psychiatric training: building a culture of conceptual inquiry Building a culture of conceptual inquiry in psychiatric training requires the development of conceptual competence: the ability to identify and examine assumptions that constitute the philosophical foundations of clinic…
- Julie Menanno Secure Love Recommendstheir own
- Julie Menanno Attachment Style Quiz Recommendstheir own
- Awais Aftab Principles and procedures for revising the hierarchical taxonomy of psychopathology. Quantitative, empirical approaches to establishing the structure of psychopathology hold promise to improve on traditional psychiatric classification systems. The Hierarchical Taxonomy of Psychopathology (HiTOP) is a fr…
- Awais Aftab What Should Clinicians Know About Palliative Psychopharmacology? The nature and scope of palliative psychiatry and associated ethical implications are debated in the literature. This article examines conceptual limitations of extant accounts of palliative psychiatry, with a focus on…
- Terry Real Opening a fixed relational pattern takes two things: the implicit made explicit, and the person's own recoil from what they see.
- Terry Real Character is not fixed: therapy works because habitual neural pathways can re-form, sometimes within minutes.
- Terry Real [Video] Terry Real in Conversation with Thomas Hübl
- Terry Real Coming Back From Infidelity: How To Heal After An Affair Coming back from an affair can be one of the toughest challenges for a couple. The first video speaks to the partner who has been hurt, the video covers: The second video speaks to the involved partner (the one who had…
- Terry Real [Video] How To Get More Of What You Want From Your Relationship People have long-term relationships for most of their lives and never get exactly what they want. We say that we’re accepting, but really we’re settling. Over time, resentment builds, passion dies, and we become distant…
- Terry Real Black Therapists Rock and RLT: A Partnership for Diversity in Couples Therapy We’re thrilled to announce a new partnership with Black Therapists Rock (BTR). Terry Real, The Relational Life Institute, and The Relational Life Foundation are committed to increasing diversity within Relational Life T…
- Terry Real [Video] Patriarchy Now: Watch the webinar replay Thank you to everyone who has stepped forward to engage in this dynamic topic with me through your emails, questions, and listening in for the live call. We had an excellent discussion today, and I’d like to share the r…
- Terry Real Interview with Carol Gilligan: The Origins of Relational Life Therapy Watch this interview with my dear friend and colleague Carol Gilligan to learn more about the origins of Relational Life Therapy and the history of couples therapy at large.