@ReadReadj @joannamoncrieff Yarp, precisely. It's the operation of a protective belt, in a degenerate Lakatosian research program.
GIF
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Translational neuroscience; psychopharmacology; non-motor functions of the cerebellum : Eukaryotic/eukaryote : orthogonal orientation
Katılım Eylül 2023
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No that is not science. Nor is it how Professor Moncrieff @joannamoncrieff operates. But it IS a perfect description of how biological psychiatrists swallow drug company ideology and stick to it through t their careers.
Tom Fahy@tomfahy
@ProfRobHoward @joannamoncrieff @tylerblack32 My impression is that JM made her mind up from very early days and that her subsequent career has been built on a search for evidence to support these ever widening assumptions. That’s not science.
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@ProfRobHoward @tomfahy @joannamoncrieff @tylerblack32 When did you conclude that, what changed your mind about her?
GIF
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I am not going to respond to Tyler Black who is not interested in genuine debate. His politeness is a matter of opinion. Here is my response to one of Aftab's critiques of my work joannamoncrieff.wordpress.com/2026/05/17/try… and here is another joannamoncrieff.wordpress.com/2025/02/03/wis…
Robert Howard@ProfRobHoward
If you set yourself up as a critical psychiatrist, you can’t really complain if other psychiatrists criticise your ideas and assertions - particularly when they do it politely and with evidence. Thank you @tylerblack32. We all look forward to a response to your specific points.
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@ReadReadj @tylerblack32 @ProfRobHoward @joannamoncrieff Misrepresentation is how they roll. But worth remembering that TB is the one who thinks he got "terrible #akathisia" after a long walk. That is an indication of his level of 'expertise'.
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Neural circuits encode prior knowledge of temporal statistics, revealing how the brain infers external world states despite sensory uncertainty by relying on accumulated experience with environmental regularities.
nature.com/articles/s4159…
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Similar methods were used 20 years ago by the PM group to generate biologically impossible results with cardiac effects with psych drugs. When I objected, I was told I should just shut up and copy and paste like everyone else who were terrified of the "brown shirts".
After I included my own analysis. They made it mandatory that we include the PM analyses and conclusions in our primary eviews. Then, when I included critques. They made it so it was a group review with the division director slso participating and everyone by policy in agreement. Even though reviews are supposed to be the work of the primary reviewer alone. neurosciencenews.com/inflates-alzhe…
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@RLewisTherapy @hereandnowness @Rozewicz @joannamoncrieff Therapists are also trained to manage the countertransference necessary for psychologically coping with, confronting, and correcting for iatrogenic harms when they emerge
Doctors aren't equipped to manage countertransference, particularly of this type (add legal liability, etc)
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@hereandnowness @Rozewicz @joannamoncrieff That’s true but the therapist has to be incompetent. SSRI effects by contrast are from doctor-prescribed doses taken as directed.
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I can understand this is a difficult time for my psychiatry colleagues. I am sure they all have good intentions, but it turns out that the most widely used psychiatric treatment, antidepressants, causes significant iatrogenic effects (e.g. severe withdrawal reactions, PSSD), is not very effective (at best) and does not target an underlying biological abnormality after all. Although many people still seek a psychiatric diagnosis and a medical approach, increasing numbers highlight how misleading and disabling this approach can be. Their voices are starting to be heard, and we need to work with them to provide help for people who have been harmed by psychiatric treatment, and to prevent more harm being done. Trying to shoot the messenger doesn’t help anyone.
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Stuart obliterates Tyler Black's bad faith "concern" for patients here, and his response is essentially "I know you are, but what am I??"
Stuart (SSRI taperer)@FarewellSSRI
@tylerblack32 @ReadReadj @ProfRobHoward @joannamoncrieff It's just remarkable how this "concern for patients" always manifests as personal attacks on people who dare to question psychiatry's sacred cows. If Rob showed actual concern for harmed patients when he encounters them your interpretation could be taken a bit more seriously.
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@Rozewicz @joannamoncrieff Where do you place yourself on Hassan's 'influence continuum', from the BITE Model of Authoritarian Control (2026)?
[Image used without permission]
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This particular messenger is completely wrong.
You do not reflect the experience of my patients over the past 35 years.
You deny a huge body of research or the experience of all competent psychiatrists.
You are motivated by a bizarre ideology.
You are causing a huge amount of human misery by persuading people that antidepressants do not work and are unsafe. Depression is a disorder which kills people and you are trying to deny them treatment. This is not OK.
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@tillytog01 @StigmaB47868 Here's where I specify precisely what I meant, when I called Tyler hysterical:
x.com/i/status/20536…
dysmetric@dysmetric
@Melanie84410075 @tylerblack32 Unhinged! Which is superficially funny if you enjoy irony, but absolutely terrifying at a deeper structural level...
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@StigmaB47868 @dysmetric And using a MH slur to do so no less! Academics isn’t all musty old books they do have personalities and disagreements. It’s in the realms of “hysteria” to label any of these interactions bullying or abusive but I do draw the line at using MH slurs.
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Interesting second paragraph.
What underlying biology would that be? 🤔
Bret Scher, MD@bschermd
And here is a question I find especially compelling: taper to what? If we remove a medication without addressing the underlying biology that contributes to the symptoms, we are not setting patients up for success. This is where metabolic psychiatry and ketogenic therapy potentially become an important part of the conversation.
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@StigmaB47868 This is X, where people communicate with each other. If you want to define X as "high school", and bidirectional communication as "tit for tat", then ok... no argument from me.
It's definitely not the worst analogy for Twitter that I've ever seen.
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@StigmaB47868 Is what?
I'm not privy to the little eureka moment you had there. What object are you defining as high school?
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@StigmaB47868 The initial response that you broadcast on the Internet, as a win, was similar quality. In response to abuse allegations you respond with "they're allowed to ask questions".
Shis public verbal assault from you doesn't surprise me, but in psych pro academic arguments nah bruh
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@dysmetric I haven't seen any bullying 🤷♂️
I mean, if you're looking for strong reactions & language, I'm your man...
Moncrieff is a dangerous, heartless & clueless fool.
How's that?
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@mattbencole Economists must be struggling with the relative increase in rigour of an LLM output
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A lot of scholars don’t understand why publishing LLM hallucinated bullshit is unacceptable because it’s only a degree of kind away from the bullshit already normalized in their fields. This economist just straight up admits it.
James Miller@JimDMiller
I've gotten a lot of comments like this, so forgive me if this isn't very kind, but I'm at my limit. If you're a serious academic, you've spent a lot of time looking at citations, and you know they often contain errors. You know that it's very common for professors just to copy citations they found in other papers and put them into their own papers because they need a lot of citations to look credible. Given that this is going on, it's kind of silly to think that we should have a kind of death penalty for having an LLM, hallucination mistake What you're doing is virtue signaling and pretending that citations are somehow sacred to what academics do, when in fact they're mostly just poorly put up window dressing. You're being dishonest. Perhaps with yourself, perhaps with me.
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Any one individual person's scans are proof of absolutely nothing of any prognostic nor mechanistic value to society at large. It seems my sadly ill-educated friend that you have a very long way to go in your learning about epistemology. Go well...
Simon Campbell@SimonBiohacker
@whitfieldlewis6 @KayBwt I'm happy to hear and entertain any argument anyone wants to make. Just as soon as they've done what I've done. Posted all their artery scans online. Otherwise the world is divided into two camps. Wankers who have no balls, and non-wankers who do.
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@StigmaB47868 Because you're condoning their abuse of her, minimizing it, normalizing it. Their 'high control' tactics aren't acceptable in any professional, medical, or academic setting.
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@DanielCohrsMD @markhoro It is wild to think it is gaslighting to consider symptoms like insomnia, rumination, panic, twitches, pruritus, flushing, GI upset after stopping anxiolytic meds to anxiety. All of those are common anxiety symptoms. Sure work them up for the rash if it’s an actual rash.
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These are the sort of symptoms that get diagnosed as 'relapse' or 'functional neurological disorder' or psychosomatic. But they are consistent across tens of thousands (more?) patients who come off antidepressants. Those who muse complexly about the biopsychosocial model fail to address these facts on the ground.
Jimbo Phisher@JimmyeatPugs
@choratech @markhoro Started with adrenal rushes throughout the night and would wake up in a panic. That led to 8 months insomnia. Very bad gastric issues ,weight loss(20lbs) muscle twitches spasms itchy scalp/skin. Full body rashes - burning red ears - dry eyes & mouth -ruminating anxiety.
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