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Jonathan Shedler Newsletter
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19 September
18 September
17 September
15 September
14 September
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Recommendsrcmnd.app
Innovations in Psychotherapy ConferenceTheir words
Honored to be speaking at the 2026 Innovations in Psychotherapy Conference (Nov 10–13 in Anaheim & Online)! Join us for evidence-based education & practical strategies to enhance your practice. Use code SPEAK26 to save $50:
13 September
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Their words
No software tells me quite as much about your org as the choice of video conferencing software. Meet vs Zoom vs Microsoft Teams vs Citrix vs Jitsi are all picked for very different reasons.
12 September
11 September
10 September
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Recommendsrcmnd.app
Pharmacy FirstTheir words
That's why we're expanding Pharmacy First. The idea is simple: Qualified pharmacists can assess patients, dispense medicines and prescribe treatment for a range of common conditions, helping people get care quickly and close to home.
9 September
7 September
5 September
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Their words
For postmenopausal women—and women with premature estrogen deprivation for other reasons—vaginal estrogen is a safe and highly effective therapy to alleviate the genitourinary syndrome of menopause, prevent recurrent UTIs, and likely to save lives.
3 September
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Recommendstheir ownrcmnd.app
Therapeutic Yoga for Trauma Recovery: A Clinical Summit for Mind-Body HealingTheir words
There’s still time to join me for Therapeutic Yoga for Trauma Recovery: A Clinical Summit for Mind-Body Healing!
2 September
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Their words
If you suffer from amygdala hyperactivity that gives you one of the aforementioned psychiatric disorders, I think that not only should you be offered elective amygdalectomy, but your health insurance should be glad to pay for it (especially if done via ultramodern very safe radiosurgery) one time, rather than for a lifetime supply of more expensive, less effective talk therapies and medications.
Absurd Adventure And Amygdalectomy Advocacyastralcodexten.com
28 August
27 August
25 August
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Their words
It may not be stored there, but what you're tapping into, it's not a repository of the memory, but it's part of this mind-body feedback loop where there's a sensation that your brain has an association to that might have a familiarity to a time in which you felt sad or scared.
If the Body Doesn't Keep the Score, What Does?drarielleschwartz.com
24 August
21 August
17 August
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Their words
So, I thought this was a really cool study because it showed very clearly that there is temporal persistence in emotions and sadness probably has one of the longest time constants as we know from personal experience. But it's separate from just declarative memory.
16 August
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Their words
This is a fascinating topic, and there’s a lot of BS floating around it. This book is one of the good ones.
12 August
10 August
27 July
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Their words
When patients don't get the help they need, they don't come away thinking, I didn't get good treatment. They come away thinking, I am too broken to be helped. They leave more hopeless and demoralized than when they came. That is harm.
When Compromised Care Becomes "Best Practice"jonathanshedler.substack.com
22 July
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Their words
It reveals things that are deeply wrong at the heart of the European economy.
20 July
11 July
9 July
5 July
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Their words
The emotional and relational dynamics are not an intrusion upon the work of prescribing. They are a part of the work itself.
1 July
22 June
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Their words
The phrase "your feelings are valid" does not invite curiosity or deeper self-understanding, which is the point of psychotherapy. It is the mirror image of "stop whining and get a grip." One sounds warm and one sounds harsh, but neither deepens self-awareness.
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Their words
There are many practices that promise to transform and improve us-therapy, meditation, psychedelics-, but that branding doesn't mean that they actually do much for us: it is common to see people use these techniques for years without any obvious progress on their problems.
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Their words
New research reveals that the higher women's IQs, the less they're liked-and the more they're undermined by coworkers.
21 June
10 June
From one piece Manufacturing requirements are killing cell and gene therapy 2 beliefs, in the piece's order there
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korrents.com
Manufacturing and batch-release requirements, not biology, are what kill most promising cell and gene therapies.Their words
Excessive manufacturing requirements are a pervasive problem, especially in the field of cell and gene therapy and they are killing countless of promising medicines before they ever reach patients.
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Their words
Until manufacturing and regulatory risks become easier to underwrite, capital will keep drifting away from one of the most promising technologies of the last century.
8 June
30 May
6 May
3 May
7 April
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Their words
This book is so full of wisdom and insight. I pulled down my copy just now and it's filled with underlines and margin notes.
14 March
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korrents.com
People want to be the person their bookmarks say they are, not the person their feed reveals they are.Their words
People want to be the person their bookmarks reflect, not what their feed reflects.
2 March
28 February
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Their words
Lastly, the duration of a clinical trial does not merely determine how fast an individual therapy reaches patients. It also shapes which diseases attract serious investment and which do not.
29 January
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korrents.com
Transplant patients regularly lose organs that are already on their way to them, purely because of timing.Their words
basically transplant patients today surprisingly frequently miss organs that are on route to them because there's a timing problem. Um, so like you know, organs expire um very quickly after they become available from a donor.
25 January
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Recommendstheir ownrcmnd.app
Outcome Rating Scale (ORS)Their words
The ORS is a brief, 4-item measure designed to assess areas of life functioning known to change as a result of therapeutic intervention. It takes less than one minute to complete and score.
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Recommendstheir ownrcmnd.app
Session Rating Scale (SRS)Their words
The SRS is a brief, 4-item measure designed to assess the therapeutic alliance. It provides immediate feedback on the quality of the relationship and allows for course correction in real time.
18 January
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Recommendsrcmnd.app
The Balancing ActTheir words
The Balancing Act by therapist Nedra Tawwab (February)
29 December 2025
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Lovedrcmnd.app
The NVIDIA WayTheir words
Kim’s portrait reveals a CEO who spends late nights alongside his team, torturing them into greatness.
24 December 2025
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Lovedrcmnd.app
Bad Therapy: Why the Kids Aren’t Growing UpTheir words
Best books I read in 2025: Just a note that these books weren’t all necessarily published this year (though some were). A Story is a Deal: How to use the science of story to motivate and persuade by Will Storr Bringing Up Baby: An Evolutionary View of Pediatrics by Paul Turke Bad Therapy: Why the Kids Aren’t Growing Up by Abigail Shrier
27 October 2025
9 October 2025
27 August 2025
22 August 2025
From one piece The Rumpelstiltskin effect: therapeutic repercussions of clinical diagnosis (with 1 co-authors) 3 beliefs, in the piece's order there
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Their words
Likewise, self-diagnosis should be understood as an attempt to secure the therapeutic effect of a medical intervention to which patients do not have official access.
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korrents.com
Diagnoses that have therapeutic effects are medical interventions and should be treated and researched as such.Their words
If a clinical diagnosis can have a therapeutic effect, then, at least in some instances, diagnoses are medical interventions in themselves and ought to be treated and researched as such, with an eye to both positive effects and potential iatrogenic harms.
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korrents.com
Clinical diagnosis can have a therapeutic effect independent of any other intervention.Their words
Their experiences highlight a striking, neglected and unchristened medical phenomenon: The therapeutic effect of a clinical diagnosis, independent of any other intervention, where clinical diagnosis refers to situating the person's experiences into a clinical category by a clinician or the patient.
11 September 2024
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Their words
If one really wanted to know whether a treatment (e.g., CBT, IPT, ACT, EMDR) was more effective, it had to be directly compared to an approach intended to help - what Wampold and colleagues termed, a "bona fide" treatment. Doing otherwise, they argued, conflated artifacts of research design with actual research results.
21 August 2024
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korrents.com
Therapists overestimate their own effectiveness by about 65%, and it is not a Western cultural artifact.Their words
Since 2012 when the first study appeared in the literature, others have been published documenting the tendency of practitioners to overestimate their effectiveness - on average, by 65% (1, 2).
Alas, it seems everyone comes from Lake Wobegonwritings.scottdmiller.com
2 July 2024
From one piece How to (and not to) become a more effective therapist 2 beliefs · writings.scottdmiller.com
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korrents.com
What does make a therapist more effective is trainable interpersonal skill, not treatment technology.Their words
It turns out that therapists who perform well on the FIS establish stronger relationships and are more effective (2). More to the point, the evidence shows FIS-related skills are trainable and that such training leads to better results (3, 4, 5).
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Their words
Over the last 50 years, treatment methods have proliferated despite a lack of evidence of differential effectiveness between approaches. And even when a randomized controlled trial indicates a particular approach works, none show practitioners become more effective when they are trained in that modality.
21 May 2024
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Their words
Indeed, as I've reported in previous posts, research not only shows therapists do not improve with time and experience in the field, but on average become less effective (1, 2, 3, 4).
9 May 2024
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korrents.com
The human mind functions as an association-forming machine, linking past experiences to present beliefs.Their words
Exposure therapy works because the human mind is an association machine.
7 January 2024
19 December 2023
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Likedrcmnd.app
Cognitive Behavior TherapyTheir words
I recently reviewed Beck's book, which is written as a practical guide for therapists implementing CBT.
11 August 2023
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korrents.com
Character is not fixed: therapy works because habitual neural pathways can re-form, sometimes within minutes.Their words
In my practice, I have seen that opening neural pathways can lead to profound change, to brand-new traits and behavior, sometimes in a matter of minutes.
14 July 2023
1 May 2023
9 March 2023
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Recommendstheir ownrcmnd.app
I Don't Want to Talk About It: Overcoming the Secret Legacy of Male DepressionTheir words
In it, Terry reveals how men can unearth their pain, heal themselves, restore relationships, and break the legacy of abuse.
13 January 2023
16 June 2022
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korrents.com
Somebody with trauma should try a trauma-focused therapy such as EMDR before treating their nightmares directly.Their words
I would recommend that anyone who thinks they're suffering from trauma (eg PTSD) try a trauma-focused therapy like EMDR before trying to address nightmares directly, unless the nightmares are overwhelmingly worse than all their other trauma symptoms.
10 September 2021
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Recommendstheir ownrcmnd.app
Schema Therapy Online CommunityTheir words
This online community is a powerful way to stay in touch with other schema therapists around the globe, on a regular basis; to be part of the ever-growing ST community.
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Recommendstheir ownrcmnd.app
Schema Therapy Training Institute video seriesTheir words
This video series is grounded in an understanding, both conceptually and practically, of the essential value of the therapy relationship in schema therapy
1 August 2021
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Their words
Information revealed about “who sent what” in an E2E system is not the same as metadata.
Thinking about “traceability”blog.cryptographyengineering.com
13 February 2021
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Their words
First, it justifies various psychotherapies - EMDR and coherence therapy seem to come out especially well here - that focus on trying to get the brain to pay unusually precise attention, under unusually safe conditions, to something it usually represses.
8 January 2021
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Likedrcmnd.app
Hamilton: The RevolutionTheir words
It reveals a depth to the show that makes it even stronger than previously believed.
30 July 2020
From one piece ERP 226: How To Understand And Deal With a Narcissist, an Interview With Wendy Behary [Transcript] 3 beliefs · drjessicahiggins.com
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PsychotherapySchema therapyNarcissism
Their words
the approach that I use is called Schema Therapy, and Schema Therapy is designed to work with very complex personality types, personality disorders, and even those that are happening along a spectrum
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Their words
In 30+ years of working with narcissistic men mostly - yes, it is possible for people to change. And even narcissists can change. Now, I don't really believe anyone changes completely, but it is possible to get meaningful change.
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Their words
And no one should feel burdened to become the therapist of the narcissist in their life. It's not your responsibility as a partner, as a child of a narcissist, or even a friend.
1 June 2020
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Recommendsaffiliate linkrcmnd.app
Infinite Powers: How Calculus Reveals the Secrets of the UniverseTheir words
This is another wonderful book aiming to popularize calculus (2019 was a good year for that goal). What I enjoyed about this one is how broad a view Strogatz takes of the origins of calculus, ranging from the clever proofs Archimedes was developing up to Fourier's study of heat.
9 April 2019
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Dislikedrcmnd.app
Method of Levels: How to Do Psychotherapy Without Getting in the WayTheir words
This book isn't just bad, it's dangerous.
16 April 2018
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Likedrcmnd.app
That the Best Physician is Also a PhilosopherTheir words
There's another ancient text I could have mentioned: Galen's That the Best Physician is Also a Philosopher. It's essentially a call to arms for doctors to concentrate on the perfection of their clinical skills and to give up on ideas of attempts to get rich through their art. It shows all the ways in which he doesn't trust those doctors who use their talents for a gain other than the benefit of their patients. It is short and elegant.
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Recommendsrcmnd.app
FrissureTheir words
So it's a book which is utterly original and gets at something very real and valuable about convalescence. Sometimes I find myself recommending it to patients.
19 November 2017
From one piece Selling Bad Therapy to Trauma Victims 2 beliefs · psychologytoday.com
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Their words
It takes more than 20 sessions, or about six months of weekly therapy, before 50 percent of patients show meaningful improvement. It takes more than 40 sessions for 75 percent of patients to show meaningful improvement.
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Their words
The American Psychological Association (APA) just issued guidelines for treating trauma. Patients and therapists would be wise to ignore them.
27 July 2017
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What is a korrent?
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