The Carlat Psychiatry Podcast cover image

The Carlat Psychiatry Podcast

Evidence for Psychodynamic Psychotherapy

Dec 25, 2023
Dr. Jonathan Shedler, an expert in psychodynamic therapy, discusses the misconceptions and importance of evidence in psychotherapy. Topics include the limitations of evidence-based therapy, therapist flexibility, psychiatric diagnoses, psychological understanding, and misunderstandings of therapy concepts.
52:47

Podcast summary created with Snipd AI

Quick takeaways

  • The term 'evidence-based therapy' has been distorted and should not be limited to a specific treatment modality, promoting a more nuanced and individualized approach to therapy.
  • The therapeutic frame, which includes boundaries, structure, and reliability, plays a crucial role in creating a safe and secure environment for therapy to occur and facilitating meaningful insight-oriented therapy and psychological growth.

Deep dives

The Misconception of Evidence-Based Therapy

The podcast episode explores the misconception surrounding the term 'evidence-based therapy.' It highlights that the term has been distorted and used as a marketing buzzword, deviating from its original meaning in medicine. The episode emphasizes that the term should not be used to refer to a specific treatment modality that is better than others, but rather as a way to promote a particular ideology about how therapy should be conducted. The podcast argues that evidence-based therapy has become associated with a specific type of treatment, usually brief, standardized, manualized CBT sessions. However, research shows that most people who receive these evidence-based treatments do not experience meaningful improvements or relapse quickly. The episode challenges the notion that evidence-based therapy should be the gold standard, and instead advocates for a more nuanced understanding and individualized approach to therapy.

Remember Everything You Learn from Podcasts

Save insights instantly, chat with episodes, and build lasting knowledge - all powered by AI.
App store bannerPlay store banner