Clinical myths?

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erg923

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Does anyone know of a good resource (book, article, PP presentation, anything) that addresses some of the things we hear throughout grad school that very well may be myth or lore, rather than facts based on data? Or perhaps was thought to be true at one time but has long since been disproven, but somehow still gets taught in lectures or passed on by uninformed superviors?

For example, one of my research supervisors told me that early morning awakening is most common in MDD, but trouble with sleep initiation is more common in Bipolar. Is there any research on that, or is that just clinical judegment myth? How bout the one that says depressed patients have more "realsitic" views of the world? Or that high scores on the content depression scale (DEP) indicate a more characterlogical problem/depression, as opposed to when only the clinical scale (D) is elevated. Ive been told this by numerous assessment savy supervisors, but have nevers seen the article on this. Lastly, major depressive disorder with psychotic features does not typically have thought insertion/broadcasting delusions. This presentation would almost certainly be indicative of an underlying schizophrenia spectrum, rather than simple psychotic depression. Evidence for this?

I found something similar for research and stats myths:
"Statistical and Methodological Myths and Urban Legends: Doctrine, Verity and Fable in the Organizational and Social Sciences" But so far, nothing for lores and mythsof a clincial nature. Anyone have any leads?
 
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Sounds like we need a clinical psychology version of snopes.com 😀
 
Scott Lilienfeld has a book entitled "50 great myths of popular psychology: shattering widespread misconceptions about human behavior." Additionally, he has published a lot of great research debunking popular but ineffective therapeutic approaches. I'd definitely recommend reading his stuff.
 
This isn't what you were asking for, but the one about depression and realism does have some research (both for and against).

I hear a lot of these in psychiatry in terms of what meds work for what kinds of patients. You'd think doctors would act more like scientists, but when you ask what research they're basing their choices on, they say "oh, everyone who works with [insert population] knows this." Drives me nuts!
 
How bout the one that says depressed patients have more "realsitic" views of the world?

Lauren Alloy at Temple University coined the term "depressive realism" and has written theoretical papers on the topic.
 
Yeah, there is actually a pretty sizable (albeit inconsistent) research base on depressive realism.
 
Scott Lilienfeld has a book entitled "50 great myths of popular psychology: shattering widespread misconceptions about human behavior." Additionally, he has published a lot of great research debunking popular but ineffective therapeutic approaches. I'd definitely recommend reading his stuff.

Make sure you read some of the follow-ups by Lambert though concerning critiques of Lillienfeld's studies. Always more than one side to these stories.
 
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