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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September 2026
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No. 040Sun, Sep 6
Impact of Vagus Nerve Stimulation on Suicidal Ideation in Markedly Treatment-Resistant Major Depression: A RECOVER Study Report
- Also
- Acute Effects of Cannabis Inhalation on Cardiac Ectopy, Physical Activity, Sleep, and Glucose
- Pearl
- Not All Validation Is the Same Intervention.DBT
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No. 039Sat, Sep 5
Decades After the NIH Revitalization Act: Persistent Gaps in Diversity of US Antidepressant Trials
- Also
- Therapist Intrapersonal Factors and Rupture Repair: Professional Self-Doubt, Self-Compassion, and Repair Strategies in a Simulated Cultural Rupture Task
- Pearl
- Follow the affect, not the agenda.TFP
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No. 038Fri, Sep 4
Obstetric Risk Associated With Stimulant Versus Nonstimulant Treatment During Pregnancy
- Also
- Evaluation of Interventions for Cognitive Symptoms in Long COVID: A Randomized Clinical Trial
- Pearl
- Negative capability is a discipline, not a delay.Psychodynamic
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No. 037Thu, Sep 3
Open Dialogue versus treatment as usual for adults presenting in crisis to mental health services in England (the ODDESSI Trial): a multisite cluster-randomised trial
- Also
- Prediction in routine care: a naturalistic comparison of clinicians and a machine learning model for patients receiving treatment for generalised anxiety disorder
- Pearl
- Habituation was never the mechanism — expectancy violation is.CBT
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No. 036Wed, Sep 2
The Typology of Common Psychiatric Disorders as Depicted by Genetic Maps: A Study Based on Swedish Population-Based Registers
- Also
- Suicidality at Epilepsy Diagnosis and Future Treatment Resistance in Adults With Focal Epilepsy
- Pearl
- Guided discovery only works if you don't already know the destination.CBT
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No. 035Tue, Sep 1
Brain Morphology Mediators of the Association of Childhood Trauma With Bipolar Disorder: An International ENIGMA Bipolar Disorder Working Group Study
- Also
- Effectiveness of Atypical Antipsychotic Drugs in Patients with Alzheimer's Disease (CATIE-AD)
- Pearl
- The selected fact turns noise into a session.Psychodynamic
August 2026
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No. 034Mon, Aug 31
Life's Essential 8 Cardiovascular Health and Suicide Mortality: Findings From a Nationally Representative Cohort in South Korea
- Also
- Obsessive-Compulsive Personality Disorder in Radically Open Dialectical Behavior Therapy for Treatment-Refractory Depression
- Pearl
- Apparent competence: the DBT skill that fools everyone in the room.DBT
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No. 033Sun, Aug 30
Risk of Presentation for Sexual Abuse After a First Emergency Department Presentation for Self-Harm in Childhood or Adolescence
- Also
- The Effects of Antidepressants on Cardiometabolic and Other Physiological Parameters: A Systematic Review and Network Meta-Analysis
- Pearl
- Identification with the aggressor.Psychodynamic
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No. 032Sat, Aug 29
Time Trends in Maternal Attention-Deficit/Hyperactivity Disorder and Medication Use in Pregnancy
- Also
- Mechanisms of Change in the Treatment of Major Depressive Disorder with Metacognitive Therapy and Behavioral Activation — A Random Intercept Cross-Lagged Panel and Mediation Analyses
- Pearl
- Reverie isn't empathy -- it's digestion.Psychodynamic
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No. 031Fri, Aug 28
Use and Misuse of GLP-1 Receptor Agonists Among People With Eating Disorders
- Also
- Depression and Anxiety Associate With Adverse Cardiovascular Events via Neural, Autonomic, and Inflammatory Pathways
- Pearl
- Symbolic equation: when the metaphor stops being a metaphor.Psychodynamic
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No. 030Thu, Aug 27
Integrated mental health treatment and employment services for refugees with PTSD: randomised controlled trial
- Also
- Integrated therapist and online cognitive behavioural therapy in addition to usual care versus usual care for depression in primary care in England (INTERACT): a two-group, parallel, multicentre, randomised controlled trial
- Pearl
- Optimal frustration is not empathic failure — it's how structure gets built.Psychodynamic
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No. 029Wed, Aug 26
Association of Lithium Use With Suicide and Self-Harm Among Chinese Adolescents and Adults With Bipolar Disorder: A Nationwide Multicenter Retrospective Cohort Study
- Also
- Anticholinergic Drug Burden and Incident Cardiovascular Events: A Population-Based Study
- Pearl
- Splitting doesn't stay in the room — it recruits the whole team.TFP
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No. 028Tue, Aug 25
Psychological and Psychosocial Interventions for People With Schizophrenia and Co-Occurring Substance Use Disorders: A Systematic Review and Meta-Analysis
- Also
- Patients' Perspective on an Optimal Therapeutic Alliance; Facilitating Engagement in Treatment of Antisocial Personality Disorder
- Pearl
- The downward arrow finds the belief the thought record can't touch.CBT
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No. 027Mon, Aug 24
Connectivity- vs Scalp-Based Targeting of Accelerated Transcranial Magnetic Stimulation for Depression: A Randomized Clinical Trial
- Also
- A 14-Month Randomized Clinical Trial of Treatment Strategies for Attention-Deficit/Hyperactivity Disorder. The MTA Cooperative Group. Multimodal Treatment Study of Children with ADHD
- Pearl
- Contract-setting is the intervention before the interpretation.TFP
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No. 026Sun, Aug 23
Pharmacological interventions for ADHD: a systematic review and dose-effect network meta-analysis
- Also
- Assessment of adverse effects attributed to statin therapy in product labels: a meta-analysis of double-blind randomised controlled trials
- Pearl
- Holding is a technique, not the absence of one.Psychodynamic
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No. 025Sat, Aug 22
Electroencephalography Microstate Instability and Clinical Outcomes in Individuals at Clinical High Risk of Psychosis
- Also
- The Significance of Personality Disorder and Traits in Short-Term Psychodynamic and Cognitive Behavioral Therapy for Major Depression
- Pearl
- Hypermentalizing is confident, articulate, and wrong.MBT
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No. 024Fri, Aug 21
Nationwide Transdiagnostic Age and Sex Patterns in Mental Disorder Disease Development
- Also
- Cognitive Rehabilitation and Functional Outcomes in Long COVID–Related Cognitive Impairment: A Randomized Clinical Trial
- Pearl
- Withdrawal ruptures and confrontation ruptures need opposite repairs.Psychodynamic
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No. 023Thu, Aug 20
Effects of Brexpiprazole on Functioning in Patients With Schizophrenia Who Have Hostility and Agitation Symptoms: Post Hoc Analysis of Short- and Long-Term Trials
- Also
- Effects of Perceived Working Alliance Quality and Congruence on Naturalistic Psychotherapy Outcome: A Response Surface Analysis
- Pearl
- Irreverence is a calculated destabilization, not sarcasm.DBT
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No. 022Wed, Aug 19
Adjunctive Antipsychotics in Major Depressive Disorder: A Systematic Review and Network Meta-Analysis
- Also
- Rehospitalization as a Mediator of the Association of Postoperative Delirium With Cognitive Decline in Older Adults
- Pearl
- The therapist's survival is the intervention — not the interpretation of the attack.Psychodynamic
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No. 021Tue, Aug 18
Evaluating Reduced Use and Abstinence as Outcomes in Pharmacotherapy Trials for Stimulant Use Disorder: A Meta-Analysis of 12 Randomized Controlled Trials
- Also
- Predicting Premature Treatment Termination in Inpatient Psychotherapy: A Machine Learning Approach
- Pearl
- Activate the here-and-now before you illuminate it — reversing the order wastes the data.Group
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No. 020Mon, Aug 17
Optimising and Personalising Task-Shared Psychosocial Interventions for Common Mental Disorders: A Bayesian Component Network Meta-Analysis of Individual Participant Data
- Also
- Lithium Plus Valproate Combination Therapy versus Monotherapy for Relapse Prevention in Bipolar I Disorder (BALANCE): A Randomised Open-Label Trial
- Pearl
- Marked mirroring is what builds affect regulation — not validation itself.MBT
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No. 019Sun, Aug 16
Connectivity- vs Scalp-Based Targeting of Accelerated Transcranial Magnetic Stimulation for Depression: A Randomized Clinical Trial
- Also
- Antidepressant Treatment Duration and Risk of Sudden Cardiac Death: A Nationwide Cohort Study
- Pearl
- Epistemic trust is what determines whether insight travels home.MBT
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No. 018Sat, Aug 15
Divergent Patterns of Genetic Overlap Between Severe Mental Disorders and Metabolic Markers
- Also
- Engage & Connect psychotherapy improves social reward responsivity and reduces postpartum depression
- Pearl
- Pretend mode isn't insight — it's mentalizing about nothing.MBT
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No. 017Fri, Aug 14
Cognitive, Electrophysiological, and Behavioral Presentation of First-Episode Psychosis With or Without Cannabis Exposure
- Also
- Implications of the 2026 Dyslipidemia Guideline for Primary Prevention Statin Therapy
- Pearl
- Guilt replacing blame is the signal, not a symptom to fix.Psychodynamic
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No. 016Thu, Aug 13
Mirtazapine for Methamphetamine Use Disorder: A Randomized Clinical Trial
- Also
- Mechanisms of Change in Day Treatment Group Schema Therapy for Severe Personality Disorders: A Multiple Baseline Single-Case Study
- Pearl
- In TFP, naming the dyad is the intervention — not just diagnosing splitting.TFP
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No. 015Wed, Aug 12
Adolescent Mental Health Care and Stigma: The ARTEMIS Randomized Clinical Trial
- Also
- Adjunctive Fecal Microbiota Transplantation for Major Depressive Disorder: A Randomized, Double-Blind, Placebo-Controlled Trial
- Pearl
- Opposite action for shame only works after you've sorted justified from unjustified.DBT
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No. 014Tue, Aug 11
Semaglutide and Effort-Based Decision-Making in Major Depressive Disorder: A Randomized Clinical Trial
- Also
- Testing the Alliance Rupture Repair Model on Two Cases with Successful and Unsuccessful Rupture Repair: A Task Analytic Validation Study
- Pearl
- Your countertransference is either standing with the patient or standing in for someone else.Psychodynamic
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No. 013Mon, Aug 10
Screening-to-Intervention Pathway for Child Anxiety Problems Alongside Usual School Practice Versus Usual School Practice Only (iCATSi2i): A Cluster-Randomised, Controlled Trial in Primary Schools in England
- Also
- Cognitive-Behavioral Therapy, Imipramine, or Their Combination for Panic Disorder: A Randomized Controlled Trial
- Pearl
- Defusion doesn't argue with the thought — it changes what the thought is made of.ACT
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No. 012Sun, Aug 9
Antipsychotic Efficacy and Safety of LB-102 in the Treatment of Adults With Acute Schizophrenia: A Randomized Clinical Trial
- Also
- Neuropsychiatric Outcomes With Tirzepatide, Semaglutide, and Other GLP-1 Receptor Agonists
- Pearl
- Triangulation isn't the problem — it's the map of who's not differentiated.Family
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No. 011Sat, Aug 8
Intermittent Theta Burst Stimulation of the Dorsomedial Prefrontal Cortex and Expectancy-Driven Placebo Mood Effects: A Randomized Clinical Trial
- Also
- Effects of Short-Term Versus Long-Term Mentalization-Based Therapy on Psychiatric Symptoms in Outpatients With Borderline Personality Disorder: Exploratory Results From a Randomized Clinical Trial
- Pearl
- Working through is not an insight — it's tolerating the same person being good and disappointing, over and over.Psychodynamic
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No. 010Fri, Aug 7
Circadian Rhythm Stabilization App to Prevent Mood Episode Recurrence in Patients With Mood Disorders: A Multicenter, Double-Blind, Sham-Controlled, Randomized Clinical Trial
- Also
- Prolonged Short Sleep and Its Effect on Body Weight and Composition: A Pooled Analysis of Randomized Trials
- Pearl
- In IPT, the problem area you choose is the treatment — pick the wrong one and the technique stops working.IPT
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No. 009Thu, Aug 6
Low-Dose Buprenorphine Following Ketamine Treatment for Suicidal Ideation in Major Depressive Disorder: A Randomized, Double-Blind, Placebo-Controlled Trial
- Also
- Dialectical Behavior Therapy vs Schema Therapy for Patients With Borderline Personality Disorder: The BOOTS Multicenter Randomized Clinical Trial
- Pearl
- Analyze the retreat, not the thing retreated from.Psychodynamic
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No. 008Wed, Aug 5
The Efficacy and Safety of Cannabinoids for the Treatment of Mental Disorders and Substance Use Disorders: A Systematic Review and Meta-Analysis
- Also
- Multidomain Lifestyle Intervention for the Prevention of Cognitive Decline in At-Risk Older Adults in Latin America (LatAm-FINGERS): A Single-Blind, Multicentre, Randomised Controlled Trial
- Pearl
- Neutrality is not a flat affect — and the real relationship is not a lapse in technique.Psychodynamic
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No. 007Tue, Aug 4
Interleukin 6 as a Treatment Target for Depression: A Proof-of-Concept Randomized Clinical Trial
- Also
- Baseline Social Inhibition and Age as Moderators of the Within-Patient Alliance-Outcome Link in Treatments for Depression
- Pearl
- A behavioral experiment that cannot fail has not tested anything.CBT
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No. 006Mon, Aug 3
Mapping 2-Year Psychiatric and Neurologic Risks After Infections Across Body Systems and Age Groups
- Also
- Ceperognastat in Early Symptomatic Alzheimer Disease: A Randomized Clinical Trial
- Pearl
- The negative therapeutic reaction: when getting better is the threat.Psychodynamic
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No. 005Sun, Aug 2
Personalized fMRI-Guided TMS Targeting the Threat Neurocircuitry in PTSD: A Randomized Clinical Trial
- Also
- Session-Level Emotional Processing and Subsequent Somatic Symptom Change in Online ISTDP for Treatment-Resistant Somatic Symptom Disorder: A Lagged Within-Person Secondary Analysis
- Pearl
- Psychic equivalence is not a metaphor problem — it is why your reassurance made things worse.MBT
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No. 004Sat, Aug 1
Oral Semaglutide for Alcohol Use Disorder: A Randomized Clinical Trial
- Also
- Patient-Centered Prescription Opioid Tapering Methods: A Randomized Clinical Trial
- Pearl
- Enactments are not mistakes you avoided badly — they are the material arriving in the only form it can take.Psychodynamic
July 2026
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No. 003Fri, Jul 31
Confirmatory Efficacy and Safety Trial of Magnetic Seizure Therapy versus Right Unilateral Ultra-Brief Electroconvulsive Therapy in Depression (CREST-MST): A Randomised, Double-Blind, Non-Inferiority Trial in Canada and the USA
- Also
- Embodied Movement Markers of Alliance Ruptures in Psychotherapy: A Machine Learning Study
- Pearl
- Behavioral chain analysis is not a history — it is a search for the link you can actually change.DBT
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No. 002Thu, Jul 30
Clozapine After 1 Failed Antipsychotic Drug Trial in First-Episode Psychosis: A Randomized Clinical Trial
- Also
- Venous Thromboembolism After Mechanical Restraint in Psychiatric Hospitals: Population Based Cohort and Self-Controlled Case Series Study
- Pearl
- Clarification, confrontation, interpretation — the sequence is the technique.TFP
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No. 001Wed, Jul 29
Efficacy and Safety of Psilocybin in Treatment-Resistant Major Depression: The EPISODE Randomized Clinical Trial
- Also
- Phase 3 Trial of Semaglutide in Metabolic Dysfunction–Associated Steatohepatitis (ESSENCE)
- Pearl
- Projective identification, and what containment actually requires of you.Psychodynamic
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