Shauna Murray

Depth Psychotherapist of the Jungian variety. Seeker. Feminist. Nerd/Geek. Card Slinger. Dream witness. Explorer of the Collective Unconscious. Psychopomp.

[Psychotherapy Action Network @PsiANorg]

What does research actually say about therapy effectiveness? Here's the evidence:

[Edward A. Perin - Psychologist @DoctorPerin]

These are the first two books I invite people to read who are interested in the interaction and interdependence of psychological variables at different levels of awareness.

[Jonathan Shedler @JonathanShedler]

“Feeling Better is Not the Same as Getting Better”

👉free access
https://t.co/ReTG9UJWUH

[Psychotherapy Action Network @PsiANorg]

"Gold standard" therapy. Sounds definitive, right? But the term primarily serves insurance companies—not patients. Here's what research actually shows: (1/7)

[Psychotherapy Action Network @PsiANorg]

Thinking about a therapy app? Before you sign up, here are 6 things worth knowing:

[Jonathan Shedler @JonathanShedler]

“Do not conceal your reservations or negative feelings about therapy from your therapist.

If you feel you are being misunderstood, if you feel the therapist talks too much or not enough, if you feel the therapist’s concerns are placed above your own, if you feel that the therapist imposes theoretical models on you that do not fit, if you feel the therapist is distracted and bored—bring up these concerns and expect to have them taken seriously.

Any therapist who dismisses them is not someone you want to continue seeing.”

—Glen Gabbard

[Shauna Murray @Psychic_Pirate]

@FionaNaylor2 @JonathanShedler Affirmation is not mental health treatment. It’s biased coddling.

[Shauna Murray @Psychic_Pirate]

I am super excited the PDM3 came early this week and it looks pretty juicy!

[Shauna Murray @Psychic_Pirate]

@PapadatosS51972 @DoctorPerin There are short term psychodynamic models.

[Shauna Murray @Psychic_Pirate]

@JonathanShedler When I worked at an agency I had this same argument with my boss when they instituted a pathway that would mean people were contacting my suicidal patient multiple times per week to just give them the Columbia assessment and check in. They all just started lying to us.

[Shauna Murray @Psychic_Pirate]

@RandPaul And it isn't because people don't want to work. It is because we don't pay people enough to pay their bills while their expenses climb higher and higher.

[Shauna Murray @Psychic_Pirate]

@Micha_Siegel @DoctorPerin We are definitely not killing it. 😆

[Gavin Newsom @GavinNewsom]

Donald Trump doesn’t want you to see this picture.

He’s literally destroying the White House.

[Shauna Murray @Psychic_Pirate]

This thread is 🔥.

[Jonathan Shedler @JonathanShedler]

Some factors contributing to dramatic decline of psychotherapy in recent decades

1️⃣Deep intrusion of health insurance agendas into psychotherapy and psychotherapy training

2️⃣Dramatic decline in reimbursement. Psychologists in managed care paid 70% less in inflation-adjusted dollars than 1980s. “Best and brightest” now choose other careers

3️⃣Out-of-control proliferation of for-profit graduate training programs that admit and graduate anyone who can pay

4️⃣Influx into psychotherapy professions of vast numbers of practitioners who lack adequate training and aptitude

5️⃣Pharmaceutical marketing/PR campaigns changed public perceptions, normalized meds as solution for problems in living

6️⃣Pharmaceutical marketing/PR campaigns changed public perceptions, normalized seeking MH care from primary care doctors (“talk to your doctor”). Few have a clue what good psychotherapy is or looks like. Most patients leave with Rx

7️⃣Therapy researchers operate in academic silos with little knowledge of psychotherapy and no contact with real-world psychotherapists. Most “therapy” research irrelevant and useless to clinical practitioners (see next two items)

8️⃣Conflation of psychological problems with DSM diagnoses (by health insurers and academics researchers both)

9️⃣Conflation of psychotherapy “outcome” with DSM symptom lists (driven by health insurers and academics researchers both)

1️⃣0️⃣Rise of social media therapy influencers; inability of public to differentiate knowledge & training from self-promotion/popularity (“the death of expertise”)

1️⃣1️⃣Intense politicization of therapy professions; emergence of a training culture that incentivizes “right” politics & ideology over professional competence

1️⃣2️⃣ Impact of tech companies/private equity. Eg, lowest tier therapists recruited, marketed, paid like Uber drivers. Advertising deliberately erases distinctions between levels of training and experience

1️⃣3️⃣ Low or no barriers to entry; MH field is low hanging fruit for al manner of self-promoters and opportunists

What else is playing a role? What else would you add?

[Shauna Murray @Psychic_Pirate]

@chris_cannida @bitesizetherapy Bleh. We don’t need McTherapy.

[Shauna Murray @Psychic_Pirate]

@TaniaAMarshall @JonathanShedler Yes they can. There is a whole group of them on the therapy first website. They’ve come under a lot of fire for offering actual therapy instead of pandering and been accused of providing conversion therapy. There was a whole news story about it and a viral video.

[Morgan J. Freeman @mjfree]

Why would an American "president" want to dismantle FEMA, Dept of Education, the IRS, the FBI and DEI?

[Andrea Junker @Strandjunker]

“Terrible things are happening outside. Poor helpless people are being dragged out of their homes. Families are torn apart. Men, women, and children are separated. Children come home from school to find that their parents have disappeared.”

Diary of Anne Frank
January 13, 1943

[Jon Cooper 🇺🇸 @joncoopertweets]

Every fucking MAGA cultist who fucking assured me that Trump had no fucking plans whatsoever to implement fucking Project 2025 can go fuck themselves.