Thomas Hesslow

Clinical psychologist. Editor-in-chief of the Journal of Contemporary ISTDP

[Thomas Hesslow @thomashesslow]

@DrLuisACenteno1 I'm optimistic and believe this will change in the coming decades.

There are promising studies, such as this one: https://t.co/9pN9Ud7nEM

[Jack Sapoch @JackSapoch]

NEW: Since October 2023, the IDF Spokesperson's Unit has released dozens of 3D animations illustrating alleged Hamas, Hezbollah, and Iranian sites

The style is unmistakable: satellite zoom-ins, black & white wireframes, and red-textured houses - a new visual language of war

[Thomas Hesslow @thomashesslow]

@EricConk32 @Mark_Solms @henrymnyc @GrantHBrennerMD @neuroPSA Yeah, I have held my hopes up for dismantling designs, but it seems the RCT trial paradigm of 12-20 session treatment for heterogenous conditions ("depression") hasn't been able to find robust mechanisms the way we would've wished for. Supportive therapy is too powerful.

[Thomas Hesslow @thomashesslow]

@EricConk32 @Mark_Solms @henrymnyc @GrantHBrennerMD @neuroPSA – interpretive PA is more effective than supportive PA: https://t.co/FGma3M2wAT (Høglend et al. 2014)

– in-session emotional expression predicts symptomatic improvement https://t.co/RjLDnzXT1l (Town et al., 2022) and https://t.co/RiGZ5mvn3Y (Keefe et al., 2019)

[Thomas Hesslow @thomashesslow]

@EricConk32 @Mark_Solms @henrymnyc @GrantHBrennerMD @neuroPSA These are great questions @ericconk32. I'm not aware of any studies that meet all the criteria you line up above, but here are some studies that might interest you:

– bids to mentalize are linked with immediate anxiety reduction https://t.co/YyBhGKtZ5d (Kivity et al., 2021)

[Thomas Hesslow @thomashesslow]

@awaisaftab Conscious and unconscious denial are internal forces with extreme persistence and pervasiveness. Working as a therapist and teacher of mental health professionals, I'm often struck by my own denial or that of the people I work with.

We're a crazy tribe, us humans.

[Thomas Hesslow @thomashesslow]

Det sker (otroligt nog) just nu flera svenska forskningsprojekt där intensiv psykodynamisk terapi erbjuds för funktionella problem. Igår omskrevs ett av projekten i DN: https://t.co/jBS2nARkjp

[Thomas Hesslow @thomashesslow]

@trpwolff This is interesting, thanks!

[Thomas Hesslow @thomashesslow]

@RCarhartHarris I record sessions with a webcam (like this one https://t.co/XB6o8WcgMz) directly to my hard drive (using OBS software), then move to encrypted disc. I think that would provide you with better quality material than the security cam above.

[Thomas Hesslow @thomashesslow]

@Castalia1981 @MarkLRuffalo Yup. In ISTDP we like to keep the iron hot, but not melting.

[Thomas Hesslow @thomashesslow]

@trpwolff Here's some evidence that calls into question the need for the surgical component, especially in pain trials: https://t.co/zC3GCpH7Xc

[Thomas Hesslow @thomashesslow]

The first issue of the Journal of Contemporary ISTDP has just come from the printing house!

[Thomas Hesslow @thomashesslow]

@christianruck Som jag förstått det så är beslutet inte fattat. Men en expertpanel inom FDA rekommenderar alltså FDA att inte godkänna MDMA som läkemedel.

Jag såg siffror på att ca 1/3 läkemedel ändå blir godkända, trots att intern expertpanel säger nej. Men det ser helt klart mörkt ut.

[Thomas Hesslow @thomashesslow]

@LSharpeUSYD @AllenFrancesMD And their bias is of course that they ran the study that was being criticized. I love schema therapy by the way.

Anyways, I'm happy to disagree! Have a good week.

[Thomas Hesslow @thomashesslow]

@LSharpeUSYD @AllenFrancesMD There are lots of strengths with this trial. But I would consider this training problem a major validity threat.

Here's Frank Yeoman's full comment: https://t.co/oBAUYD2k2d

[Thomas Hesslow @thomashesslow]

@LSharpeUSYD @AllenFrancesMD The "TFP" therapists in the study had ten years of experience with generic psychodynamic therapy, which doesn't necessarily help you develop the skills necessary to do TFP.

This study showed the failure of this one approach to teaching TFP. It is not a good test of TFP proper.

[Thomas Hesslow @thomashesslow]

@LSharpeUSYD @AllenFrancesMD If you're thinking about the Giesen-Bloo study, Frank Yeomans who was one of the TFP consultants on the study, has published a comment where he says the RCT didn't test TFP, as about half of the therapists weren't capable of adhering to the protocol.