Archive
Every issue ever sent, and every one of them still on the record. The generator reads this page before it writes tomorrow’s, so no paper, no pearl, no pharmacology fact ever gets a second run. It has a very long memory and absolutely no sentimentality about it.
100 issues · nothing repeated ·
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November 2026
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No. 100Thu, Nov 5
Instrumental Support Calls vs. Caring Contacts Texts to Prevent Suicide in Adolescents and Adults: The SPARC Randomized Clinical Trial
- Also
- Efficacy of measurement-based care (MBC) in routine child and youth behavioral therapy: A pragmatic randomized controlled trial
- Pearl
- In DBT, when validation stalls, go irreverent - an off-beat response can unstick the session.DBT
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No. 099Wed, Nov 4
Prefrontal Cortical Changes With Mindfulness-Oriented Recovery Enhancement in Opioid Use Disorder: A Randomized Clinical Trial
- Also
- Preoperative Intranasal Oxytocin and Probable Acute Stress Disorder After Traumatic Fracture Surgery: A Randomized Clinical Trial
- Pearl
- Ask for associations to a dream before you offer it a meaning.Psychodynamic
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No. 098Tue, Nov 3
Bilateral Theta-Burst Stimulation of Dorsolateral Prefrontal Cortex Regions for Late-Life Depression: A Randomized, Sham-Controlled Clinical Trial
- Also
- The working alliance predicts session-by-session change in problems and functioning in short-term psychodynamic psychotherapy
- Pearl
- In TFP, the contract exists so the breach can be read.TFP
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No. 097Mon, Nov 2
Clinical and genetic correlates of a circadian subtype of depression in the Australian Genetics of Depression Study
- Also
- QTc-interval abnormalities and psychotropic drug therapy in psychiatric patients
- Pearl
- Containment means handing the feeling back digested, not returned unopened.Psychodynamic
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No. 096Sun, Nov 1
Effect of pharmacological treatment of attention-deficit hyperactivity disorder on academic performance: registry-based population study
- Also
- Timing of Initiation of Methadone Take-Home Dosing
- Pearl
- In TFP, confront the contradiction the patient isn't bothered by.TFP
October 2026
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No. 095Sat, Oct 31
Change in HbA1c and weight after initiation of antipsychotic treatment in people with severe mental illness in England: an individual-level interrupted time-series analysis
- Also
- What happens after being not-on-track? Patterns of change, profiles and prediction of at-risk patients
- Pearl
- When the patient agrees with every interpretation, interpret the agreement.Psychodynamic
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No. 094Fri, Oct 30
GLP-1 Receptor Agonists and Risk of Kidney Replacement Therapy and Health Care Utilization in Bipolar Disorder With Chronic Kidney Disease
- Also
- Comparative Effectiveness of Phenobarbital vs Diazepam for Alcohol Withdrawal Syndrome
- Pearl
- When you prescribe and do therapy, the prescription joins the transference.Psychodynamic
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No. 093Thu, Oct 29
Clinical and Cognitive Outcomes Comparing Right Unilateral Ultrabrief Electroconvulsive Therapy Versus Magnetic Seizure Therapy for Bipolar Depression: The CORRECT-BD Trial
- Also
- Using machine learning to predict long-term treatment outcomes in psychotherapy for personality disorders
- Pearl
- An enactment you have already joined is better material than one you avoided.Psychodynamic
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No. 092Wed, Oct 28
Multimodal Machine Learning–Based Prediction of Relapse in Major Depressive Disorder
- Also
- Smoking Cessation Among Underserved Patients Referred for Lung Cancer Screening: A Randomized Clinical Trial
- Pearl
- Concordant or complementary: name which identification you are in before you interpret.Psychodynamic
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No. 091Tue, Oct 27
Reducing suicidal ideation through protective media content in India: randomised controlled trial
- Also
- Patients' General Versus Personal Expectations About Psychotherapy Change Processes
- Pearl
- In psychic equivalence, don't argue with the feeling - slow down until it can be a feeling again.MBT
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No. 090Mon, Oct 26
Angiotensin-Converting Enzyme in Patients With Early-Stage Psychosis
- Also
- Neonatal Abstinence Syndrome after Methadone or Buprenorphine Exposure (the MOTHER trial)
- Pearl
- When a patient gets worse right after getting better, look at what the improvement cost them.Psychodynamic
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No. 089Sun, Oct 25
Long-term health, criminal justice, and socioeconomic outcomes among people subject to compulsory mental health care in Norway: a nationwide registry cohort study
- Also
- Benzodiazepine Use Early in Pregnancy and Risk for Congenital Malformations
- Pearl
- In MBT, when mentalizing collapses, stop and rewind to the moment before it broke.MBT
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No. 088Sat, Oct 24
Caring Letters and Suicide Mortality Among US Veterans Who Contacted the Veterans Crisis Line: A Prespecified Secondary Analysis
- Also
- Long-Term Psychodynamic Psychotherapy for Depression: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
- Pearl
- The patient's response to an interpretation is the next piece of transference.Psychodynamic
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No. 087Fri, Oct 23
GLP-1 receptor agonist initiation and risk of psychiatric hospitalisation and emergency department presentation in adults with schizophrenia and type 2 diabetes in the USA: an observational cohort study using electronic health records data
- Also
- Earlier Disclosure of Blood-Based Biomarkers, Diagnostic Certainty, and Clinical Management: A Randomized Clinical Trial
- Pearl
- In supportive therapy, leave a defense alone if it is still working.Supportive
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No. 086Thu, Oct 22
Effectiveness of rTMS vs. Pharmacotherapy in Late-Life Treatment-Resistant Depression: An Observational Study of Individual Participant Data From Two Randomized Clinical Trials
- Also
- Dynamic change patterns in suicidal ideation differ in Brief Cognitive Behavioral Therapy (BCBT) and Present-Centered Therapy (PCT)
- Pearl
- When you are the good therapist and the last one was the bad one, you are being cast.TFP
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No. 085Wed, Oct 21
Online Sports Betting Legalization and Behavioral Health Care Use
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- Revascularization of Asymptomatic Carotid Artery Stenosis: Cognitive Results of the CREST-2 Randomized Trials
- Pearl
- Interpret shame from beside the patient, not from above.Psychodynamic
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No. 084Tue, Oct 20
Individualized Connectivity-Guided Versus Conventional Targeting of Accelerated Theta-Burst Stimulation in Depression: A Randomized, Double-Blind, Parallel-Design Trial
- Also
- A randomized controlled trial of regulation-focused psychotherapy for children with externalizing disorders
- Pearl
- With a paranoid patient, make the interpretation about you, not them.Psychodynamic
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No. 083Mon, Oct 19
Impact of Cannabis Use on Time to Psychiatric Rehospitalization in Young Adults With Bipolar and Psychotic Disorders: A Survival Analysis
- Also
- Depressive Symptoms and Health-Related Quality of Life: The Heart and Soul Study
- Pearl
- Identification with the aggressor: the patient may be showing you what was done to them.Psychodynamic
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No. 082Sun, Oct 18
Connectomic Determinants of Subcallosal Cingulate Deep Brain Stimulation for Depression
- Also
- Interventions to Improve Outpatient Follow-up for Hospitalized Patients With Alcohol Use Disorder: A Systematic Review
- Pearl
- Hate in the countertransference has to be owned before it stops leaking.Psychodynamic
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No. 081Sat, Oct 17
Characterizing Artificial Intelligence Psychosis in a Large Medical Setting
- Also
- Shedding light on the efficacy of psychodynamic treatment targeting depression for patients with comorbid narcissistic personality disorder
- Pearl
- A silence has a transference before it has a meaning.Psychodynamic
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No. 080Fri, Oct 16
Psychological Interventions Targeting Auditory Hallucinations in Persons With Psychotic Disorders: A Systematic Review and Meta-Analysis
- Also
- Dexmedetomidine Use and Intensive Care Unit Admissions for Patients With Medetomidine Withdrawal
- Pearl
- Opposite action only works when the emotion doesn't fit the facts.DBT
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No. 079Thu, Oct 15
Incidence of systemic physical multimorbidity among people with schizophrenia-spectrum or bipolar-spectrum disorders compared with age-matched and sex-matched individuals in Queensland, Australia: a statewide, hospital cohort study
- Also
- Clinical Characteristics, Neuroimaging Findings, and Mortality in Korsakoff Syndrome
- Pearl
- Working through: an interpretation that lands once has to be found again.Psychodynamic
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No. 078Wed, Oct 14
Attention-Deficit/Hyperactivity Disorder and Late-Life Cognitive Impairment
- Also
- Mapping negative experiences in psychotherapy: A network analysis
- Pearl
- The doorknob disclosure belongs to the next session, not the next ten minutes.Psychodynamic
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No. 077Tue, Oct 13
Pharmacotherapies for Co-Occurring Stimulant Use Disorder and Attention-Deficit/Hyperactivity Disorder: A Network Meta-Analysis
- Also
- Antiseizure medication use in pregnancy and the risk of poor fetal growth in the EURAP international registry: a prospective cohort study
- Pearl
- When a patient asks about your life, explore the question before you answer it.Psychodynamic
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No. 076Mon, Oct 12
National Trends in Benzodiazepine Dispensing
- Also
- Evaluating Three Treatments for Borderline Personality Disorder: A Multiwave Study
- Pearl
- A patient's gift is an association — receive it before you decide what to do with it.Psychodynamic
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No. 075Sun, Oct 11
Sex differences in the efficacy, acceptability, and tolerability of antipsychotics in people with acute schizophrenia: individual participant data pairwise, dose-response, and network meta-analyses
- Also
- Trust and respect declines and recoveries in psychotherapy: Clinical impact of relational feedback
- Pearl
- Erotic transference is a message to decode, not a feeling to manage away.Psychodynamic
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No. 074Sat, Oct 10
Glucagon-Like Peptide 1 Receptor Agonists, Mortality, and Cardiovascular Outcomes in Serious Mental Illness
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- Hearing Intervention for Older Adults With Mild Cognitive Impairment: The CHOICE Randomized Clinical Trial
- Pearl
- In MBT, move the patient to the pole they're stuck at the opposite end of.MBT
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No. 073Fri, Oct 9
Incidence of clozapine-associated neutropenia in patients with schizophrenia: 20-year population-based study in Hong Kong
- Also
- Predicting patient outcomes from initial in-session interactions within cognitive behavioral therapy and person-centered experiential therapy for severe depression
- Pearl
- The late arrival is a message about the frame, not a scheduling problem.Psychodynamic
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No. 072Thu, Oct 8
A Digital Therapeutic Intervention for Negative Symptoms of Schizophrenia: A Randomized Clinical Trial
- Also
- Prenatal Acetaminophen (Paracetamol) Use and the Risk of Autism and/or Attention-Deficit/Hyperactivity Disorder Among Sibling-Matched Cohorts
- Pearl
- In TFP, the dyad matters less than the moment it flips.TFP
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No. 071Wed, Oct 7
Reducing Ultraprocessed Foods From the Diets of Patients With Depression: A Pilot Crossover Trial
- Also
- Transformative pathways: shame and fear of compassion as potential mechanisms of change in psychotherapy
- Pearl
- In supportive therapy, praise has to be accurate to do any work.Supportive
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No. 070Tue, Oct 6
Structural brain changes and clinical outcomes of patients with NMDA receptor encephalitis in Germany: a cross-sectional study
- Also
- Telehealth Treatment of Anxiety in Patients With Low-Risk Chest Pain in the Emergency Department: The PACER Randomized Clinical Trial
- Pearl
- When the staff start fighting, the patient's inner world has moved onto the unit.Psychodynamic
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No. 069Mon, Oct 5
Changes in Genetic Contributions to ASD and ADHD by Year of Diagnosis
- Also
- Randomized, placebo-controlled trial of exposure and ritual prevention, clomipramine, and their combination in the treatment of obsessive-compulsive disorder
- Pearl
- Termination reopens every earlier separation — set the date early and watch what comes back.Psychodynamic
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No. 068Sun, Oct 4
Comparative effectiveness of mood stabiliser monotherapy versus second-generation antipsychotic monotherapy versus combination therapy for continuation and maintenance treatment after a first episode of psychotic mania in North America, Chile, and Spain: a target trial emulation using data from the BD-CAUSAL Collaboration
- Also
- Toward Personalized Psychotherapy in Anorexia Nervosa: Evidence from Long-Term Moderator Analyses of the ANTOP Study
- Pearl
- In TFP, go to the channel that's carrying the most.TFP
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No. 067Sat, Oct 3
Relapse trajectories and antipsychotic discontinuation in schizophrenia from individual participant data of five trials from the Yale Open Data Access database: a meta-analysis
- Also
- Oveporexton for Narcolepsy Type 1 — Results from Two Phase 3 Trials
- Pearl
- Boredom in the session is a clinical finding, not a mood.Psychodynamic
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No. 066Fri, Oct 2
Comparative efficacy of antipsychotics for reducing aggression in schizophrenia: systematic review and network meta-analysis
- Also
- The efficacy of modified psychodynamic psychotherapy for patients with schizophrenia-spectrum disorders in Germany: a prospective, single-centre, assessor-blinded, parallel-group, randomised controlled trial
- Pearl
- Pretend mode sounds like insight until you notice nothing moves.MBT
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No. 065Thu, Oct 1
Prior Sexual Violence, PTSD Symptoms, and Recovery Trajectories After New Trauma
- Also
- QTc changes and early major adverse cardiovascular events associated with antidepressant treatment for major depressive disorder in adults: individual participant data network meta-regression of double blind randomised trials
- Pearl
- Transference work helps most where it looks riskiest.Psychodynamic
September 2026
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No. 064Wed, Sep 30
Brain lithium temporospatial kinetics in bipolar disorder: a repeated-measures 7Li MRI study of dosing regimens in Germany
- Also
- Treatment dose and reliable change in trauma-focused therapy for comorbid PTSD and MDD
- Pearl
- Interpret in displacement before you interpret in the transference.Psychodynamic
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No. 063Tue, Sep 29
Association between CYP2D6 and CYP2C19 genotypes and venlafaxine treatment failure: a retrospective study on two cohorts from Norway and the UK
- Also
- Exploring high priority potentially inappropriate prescribing cascades in older adults: population level retrospective cohort study
- Pearl
- Analyze the defense before the content it is hiding.Psychodynamic
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No. 062Mon, Sep 28
Structural Brain Correlates of Bulimia Nervosa Diagnosis and Symptom Severity: A Coordinated ENIGMA Eating Disorders Working Group Analysis
- Also
- Treatment of Depression in Patients With Alcohol or Other Drug Dependence: A Meta-Analysis
- Pearl
- A Role Dispute's Stage — Not Its Content — Tells You Which Technique to Use.IPT
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No. 061Sun, Sep 27
A Phase 2 Randomised, Double-Blind, Placebo-Controlled Trial of Emestedastat in Patients With Major Depressive Disorder and Cognitive Impairment (XanaCIDD Trial)
- Also
- Cognitive Mechanisms of Change in OCD: Inferential Confusion, Obsessive Beliefs, and Mindfulness Across Three Randomized Treatments
- Pearl
- Interpersonal Deficits Treats Isolation as the Illness, Not Its Symptom.IPT
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No. 060Sat, Sep 26
Psychotherapy for Impact of Killing During War: A Randomized Clinical Trial
- Also
- Neurological Manifestations in Adult Survivors of Ebola Virus Disease
- Pearl
- Chain Analysis Finds the Vulnerability, Not Just the Trigger.DBT
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No. 059Fri, Sep 25
Convergence of TMS Sites and Lesion Locations Associated With Nicotine Addiction Improvement on a Common Brain Circuit
- Also
- Moderating Factors for the Effectiveness of Brief Psychological Intervention for People With Probable Personality Disorder: Secondary Analysis of Data From the SPS Trial
- Pearl
- Grandiosity Is Load-Bearing, Not Just Obnoxious.Psychodynamic
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No. 058Thu, Sep 24
Convergent Network Localization of Brain Stimulation Targets for Trait Anxiety
- Also
- Impact of Cortisol Circadian Rhythm on Psychological Well-Being in Treated Cushing Syndrome: A Cross-Sectional Study
- Pearl
- Affect Focus Anchors the Session Before Content Does.MBT
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No. 057Wed, Sep 23
Predicting Long-Term Poor Outcomes in Individuals at Clinical High Risk for Psychosis Using Real-World Clinical Data: The OASIS1000 Prospective Study
- Also
- Potential Mechanisms of Change in Virtual Reality-Based CBT and Standard CBT for Schizophrenia-Related Paranoia: A Mediation Analysis From the FaceYourFears Trial
- Pearl
- Renegotiating the Contract Is Itself an Intervention, Not an Administrative Reset.TFP
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No. 056Tue, Sep 22
Comparison of Long-Acting Injectable and Oral Antipsychotics in Bipolar Disorder
- Also
- Takotsubo Syndrome Diagnosis: The Biomarker-Based BioTAK Score
- Pearl
- The Total Situation Is the Interpretation, Not Just What's Said.Psychodynamic
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No. 055Mon, Sep 21
Adolescent Peers' Diagnoses and Genetic Predispositions and Subsequent Risk of Mental Disorders
- Also
- Behavioral and Pharmacological Therapies for Late-Life Insomnia: A Randomized Controlled Trial
- Pearl
- Role Transition Grief Has to Be Mourned Before It Can Be Solved.IPT
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No. 054Sun, Sep 20
Ketamine Infusions and Rapid Reduction of Suicidal and Depressive Symptoms in Major Depressive Episode: A Systematic Review and Meta-Analysis
- Also
- Is More Treatment Truly Better? A Meta-Analysis of the Dose-Response Effect of Individual Psychotherapy for Treatment of Generalized Anxiety Disorder in Adults
- Pearl
- Container-Contained: The Anxiety Has to Land Somewhere Before It Can Be Thought.Psychodynamic
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No. 053Sat, Sep 19
Neurometabolites and Antipsychotic Response in Psychosis: A Mega-Analysis
- Also
- The Effect of Fluvoxamine and Metformin for Fatigue in Patients With Long COVID: An Adaptive Randomized Trial
- Pearl
- Communication Analysis Finds the Gap Insight Alone Can't.IPT
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No. 052Fri, Sep 18
The Reinforcement Effect of Social Media Likes in Depression
- Also
- A Randomized Controlled Trial Testing the Effects of Sequential Psychotherapy in Depression: Changing Therapist, or Both Therapist and Method?
- Pearl
- An Enactment Is Data, Not a Failure of Technique.Psychodynamic
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No. 051Thu, Sep 17
Pharmacological Interventions for Weight Reduction in Patients With Schizophrenia Treated With Antipsychotics: A Systematic Review and Network Meta-Analysis
- Also
- Selective Serotonin Reuptake Inhibitors and Bleeding Risk in Patients Undergoing PCI on Dual Antiplatelet Therapy: A Retrospective Cohort Study
- Pearl
- Therapeutic Neutrality Was Never the Absence of a Relationship.Psychodynamic
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No. 050Wed, Sep 16
Gastrointestinal Interoception and Relapse in Anorexia Nervosa
- Also
- Collaborative Working Models of Alliance Rupture Repair: A Theory-Building Case Study
- Pearl
- TFP's Clarification-Confrontation-Interpretation Sequence Isn't Optional Order.TFP
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No. 049Tue, Sep 15
Trauma-Focused Therapy Integrated With CBT for Psychosis in People With PTSD and Psychosis: The STAR Trial
- Also
- Antipsychotic Exposure and Pharmacologically Treated Type 2 Diabetes in Dutch Youths
- Pearl
- The Negative Therapeutic Reaction: When Getting Better Feels Like a Threat.Psychodynamic
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No. 048Mon, Sep 14
GH001 vs Placebo in Patients With Treatment-Resistant Depression: A Randomized Clinical Trial
- Also
- Does Congruence Between Therapist and Patient in Session-by-Session Bond Ratings Predict Change in Symptoms?
- Pearl
- Safety Behaviors Don't Just Coexist with the Fear — They Manufacture Its Survival.CBT
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No. 047Sun, Sep 13
Dialectical Behavior Therapy Versus Serotonin Reuptake Inhibitor Treatment for Suicidal Behavior in Borderline Personality Disorder: A Randomized Controlled Trial
- Also
- Efficacy and Target Engagement of Dopamine Agonist Pramipexole for Anhedonic Depression: A Randomized Placebo-Controlled Trial
- Pearl
- Missing-Links Analysis: Before Assuming "Won't," Rule Out "Can't".DBT
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No. 046Sat, Sep 12
Efficacy and Safety of the Neuroplastogen TSND-201 for the Treatment of PTSD: A Randomized Clinical Trial
- Also
- Therapeutic Alliance and Suicidal Ideation During Therapy and the Role of Racial/Ethnic Identity
- Pearl
- An Interpretation That Explains Everything Leaves the Patient Nothing to Discover.Psychodynamic
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No. 045Fri, Sep 11
Heart Rate Variability Biofeedback for Substance Use Disorder: A Randomized Clinical Trial
- Also
- Longitudinal Risk for Suicidal Self-Directed Violence Among Veterans With Cancer
- Pearl
- When Mentalizing Breaks Down, Rewind the Tape — Don't Push Forward.MBT
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No. 044Thu, Sep 10
Efficacy and Tolerability of Seven Antipsychotic Drugs in Acutely Ill Patients With Schizophrenia: A Randomized, Multicenter, Assessor-Blinded Trial
- Also
- Supervised Therapist and Supervisor Impact on Client Therapy Outcomes
- Pearl
- Follow the Affectively Dominant Theme, Not the Stated Topic.TFP
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No. 043Wed, Sep 9
Serial Ketamine Infusions for Treatment-Resistant Bipolar Depression: A Randomized Clinical Trial
- Also
- Benzodiazepine Prescriptions to Older Adults in the United States, 2015 to 2024
- Pearl
- Concordant or Complementary — Your Countertransference Is Telling You Which Character You've Been Cast As.Psychodynamic
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No. 042Tue, Sep 8
A Pragmatic SMART Study of Medication and CBT Sequencing in Pediatric Anxiety Disorders: A Randomized Clinical Trial
- Also
- Global Burden of Disease Attributable to Mental and Substance Use Disorders: Findings from the Global Burden of Disease Study 2010
- Pearl
- Projective Identification Is Communication Before It's Defense.Psychodynamic
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No. 041Mon, Sep 7
Trends in the Prevalence and Severity of Alcohol and Cannabis Use Disorders Among US Adults
- Also
- Personalized and Optimal Treatment Estimated by a Value-Search Method in a Randomized Clinical Trial With Psychodynamic Versus Cognitive Behavioral Therapy for Depression
- Pearl
- Introjective and Anaclitic Depression Aren't the Same Illness.Psychodynamic
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