JP 🍩🏀 @PoetryofAfter Twitter profile

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JP 🍩🏀

2 years

I’m noting keywords or ideas here for psychotherapy that are having greater meaning for me day by day. Will add more as I go. A lot is learning from @JonathanShedler and the community

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JP 🍩🏀

@PoetryofAfter

4 months

Ogden: “The interpretations made by a [therapist] who is to wed to a particular ‘school’ of [psychotherapy] are frequently addressed to the [therapist] himself (to his internal and external objects) and not to the person patient.”

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JP 🍩🏀

@PoetryofAfter

1 year

Being a therapist is hard

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JP 🍩🏀

@PoetryofAfter

1 year

Some lessons of psychoanalysis of being a therapist: Know your love Know your hate Know your sadism Know your (moral) machoism Know you narcissism Know your dependency Know your desire for omnipotence & omniscience Know your depressive tendency and position Know your eroticism

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JP 🍩🏀

@PoetryofAfter

1 year

Our favorite Nancy McWilliams- “If superficial emotional support did anything substantial for a person’s self-esteem, then anyone with friends would not need psychotherapy.”

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JP 🍩🏀

@PoetryofAfter

1 year

Psychotherapy wise, what are your favorite books/articles or the ones that had the most influence on you?

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JP 🍩🏀

@PoetryofAfter

1 year

Winnicott: “the patient’s creativity can only too easily be stolen by a therapist who knows too much.”

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JP 🍩🏀

@PoetryofAfter

2 years

Neat summary of psychoanalytic ideas on depression, from Gabbard

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JP 🍩🏀

@PoetryofAfter

1 year

Rogers to Frankl

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JP 🍩🏀

@PoetryofAfter

9 months

One of my turning points as a therapist I was a strong believer in short-term treatment. Part of it was due to where I worked, where it was (and still is) way too many patients and way too little therapists. The other part was i also believed it was true that

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JP 🍩🏀

@PoetryofAfter

1 year

Just realized Dr. Bergmann passes away in 2014 “When I am meeting new patients for the first time, I try to put them at ease by saying, ‘I know it’s not easy to start talking about yourself to a stranger, but what would be helpful for you to tell me to better understand you?”

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JP 🍩🏀

@PoetryofAfter

10 months

“To be cared for resentfully is very shaming.”

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JP 🍩🏀

@PoetryofAfter

2 years

Not in analytic training myself, but this paper On Becoming a Psychoanalyst by Gabbard and Ogden (2009) 👀 Bion is quoted. “The analyst you become is you and you alone; you have to respect the uniqueness of your personality - that is what you use…”

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JP 🍩🏀

@PoetryofAfter

1 year

Gabbard: “To some degree, then, therapists must ultimately fail their patients.” “Similarly, therapists who are beginning their practices need to mourn the loss of their cherished fantasies of healing others and shielding them from anxieties, stresses, periods

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JP 🍩🏀

@PoetryofAfter

9 days

Ogden: “The analyst, when talking to a patient in his own voice, does not sound "like an analyst"; his voice is that of an ordinary person speaking to another ordinary person in a way that is personal to the other person and to the history of their relationship.”

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JP 🍩🏀

@PoetryofAfter

9 months

Lemma: “If we always pre-empt the patient’s efforts to understand himself, we are like the mother who upon seeing her child reaching out for for an object always leaps in and hands it to him, depriving him of an opportunity to experiment with his own abilities.”

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JP 🍩🏀

@PoetryofAfter

1 year

Gabbard: “In psychotherapy, time is our master. At the end of each hour, the patient is reminded of the limits of the relationship.”

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JP 🍩🏀

@PoetryofAfter

8 months

New Nancy McWilliams podcast! Finally see her being interviewed on here

‎New Books in Psychoanalysis: Nancy McWilliams, "Psychoanalytic Supervision" (Guilford Publicatio...

‎Show New Books in Psychoanalysis, Ep Nancy McWilliams, "Psychoanalytic Supervision" (Guilford Publications, 2021) - Sep 20, 2023

podcasts.apple.com

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JP 🍩🏀

@PoetryofAfter

7 months

Thomas Ogden - “When [therapists] and [patients] are able to think and speak for themselves, they do not use ‘borrowed language,’ e.g. jargons, cliches, and technical terms.”

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JP 🍩🏀

@PoetryofAfter

1 year

“A therapist who has not resolved his or her own conflicts about omnipotence, sadism, or dependency will have difficulty setting preconditions for treatment as part of the initial contract.” That…makes a lot of sense

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JP 🍩🏀

@PoetryofAfter

1 year

Gabbard (2005) - “Indeed, the approach to psychoanalytic treatment has changed dramatically since the time of Freud. It is ironic that many of the attacks on psychoanalysis have critiqued a model of psychoanalysis that resembles 1890’s Freud

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JP 🍩🏀

@PoetryofAfter

1 year

Nancy McWilliams- “It is less important to decide which experts to believe than to try to comprehend what patients experience.”

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JP 🍩🏀

@PoetryofAfter

1 year

Does any one have similar experiences? The more I learn and practice diagnosis from psychoanalytic perspective, the less patients I see who actually meet criteria for DSM disorders.

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JP 🍩🏀

@PoetryofAfter

1 year

Could be wrong but I’m going for it - Saw yet another example where ideas get recycled but presented or received as new The Body Remembers came out in 2000 The Body Keeps The Score in 2014

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JP 🍩🏀

@PoetryofAfter

1 year

David Allen quoted by McWilliams in Psychoanalytic Diagnosis “If we miss opportunities to interpret, they will occur again and again. But if we mishandle the transference, the treatment is in trouble.”

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JP 🍩🏀

@PoetryofAfter

1 year

I find myself again pat the part of reading/learning where nothing makes sense anymore. Just exactly when do I get to know know whether I am helping my patients? I’m starting to think sometimes we don’t get to know. Sometimes doing therapy requires a leap of faith

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JP 🍩🏀

@PoetryofAfter

1 year

Neuroscience is so important and yet I struggle with the feeling of “can we just skip to the part where you tell me how this is relevant to therapy?”😂

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JP 🍩🏀

@PoetryofAfter

10 months

Ogden sharing a story about Bion, who responded to an analyst presenting a case “chastising herself for the inadequacy of her interpretations.” “Bion, nearly 80 at the time, commented: ‘If you had been practising analysis as long as I have, you wouldn’t

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JP 🍩🏀

@PoetryofAfter

1 year

Gabbard’s law “Adjust the treatment to the patient, not the patient to the treatment. Patients supervise us and teach us. We are wise to allow ourselves to learn from their feedback.”

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JP 🍩🏀

@PoetryofAfter

11 months

Curious on your thoughts on Fairbairn. Never read him except through excerpts from Ogden

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JP 🍩🏀

@PoetryofAfter

1 year

Buechler: “Therapists often bear intense loneliness without having the relaxation of being alone.” “Clinicians live with constant uncertainty, paradox, and surprise.”

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JP 🍩🏀

@PoetryofAfter

5 months

“Not everyone can be reached by psychotherapy, not every person who wants help finds psychoanalytic approaches congenial, and not every therapist-patient dyad works out well.”

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JP 🍩🏀

@PoetryofAfter

1 year

Some musing on my experience with Carl Rogers He was my absolute favorite therapist growing up. Still top 3. Read On Becoming a Person and A Way of Being multiple times. Watched his sessions. Read his biography. Deeply resonated with his work. Wanted to carry on his work

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JP 🍩🏀

@PoetryofAfter

1 year

McWilliams in Psychoanalytic Diagnosis “It takes time to internalize the therapist’s presence as a reliable positive inner voice.”

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JP 🍩🏀

@PoetryofAfter

1 year

It’s finally happening, I am becoming more of a therapist that I aspire to be. It’s also getting lonelier though at work

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JP 🍩🏀

@PoetryofAfter

10 months

“The therapist is deprived of the illusion that it is his or her clever formulations that created that change, a frustration that it takes a good deal of training to be able to give up.” McWilliams

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JP 🍩🏀

@PoetryofAfter

1 year

McWilliams was asked what she’s really passionate about - “Appreciating individual differences and not presuming that you know other people’s psychology before you let them teach you about it.”

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JP 🍩🏀

@PoetryofAfter

9 months

New McWilliams interview

Dr Nancy McWilliams: Schizoid Personality Dynamics, Childhood...

Dr Nancy McWilliams shares her views on Schizoid Dynamics and Schizoid Adaptations in an in-depth interview. We cover issues related to personality differenc...

www.youtube.com

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JP 🍩🏀

@PoetryofAfter

2 years

And if y’all are wondering, I just finished the sections are defenses and will begin on the various personality types. Oh boy….

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JP 🍩🏀

@PoetryofAfter

2 years

Started reading Bettelheim’s Freud and Man’s Soul. Key take aways even in the first pages - Freud has been terribly mistranslated - Freud was a humanist, he cared about our souls, what it meant to get to know ourselves deeply, and how terrifying that can be

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JP 🍩🏀

@PoetryofAfter

1 year

Some meta-messages I have encountered in therapy - - I can be understood - Nothing is too frightening or ugly to know - Someone wants to get know me, & what I really think and feel - There’s someone who believes in me and wants me to get the most out of life

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JP 🍩🏀

@PoetryofAfter

7 months

Thomas Ogden - “psychological pain is necessary to the analytic process. Pain marks the path and determines the sequence of the psychological work that needs to be done.”

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JP 🍩🏀

@PoetryofAfter

1 year

From Fifty Shrinks

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JP 🍩🏀

@PoetryofAfter

3 months

@JonathanShedler : “It’s really hard to do therapy once a week…it takes more skill to do that than to do therapy twice a week or three times a week, and the reason is it’s very hard to move beyond the catch-up of the events of the week, and to get to the enduring psychological

David Puder M.D.

@DavidPuder

3 months

New episode! “Beginning Treatment” with @JonathanShedler Big wins: 1. How to find an initial purpose of treatment 2. Role play !! iTunes: Spotify: YouTube:

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JP 🍩🏀

@PoetryofAfter

2 years

More McWilliams: “A primary aim of psychodynamic therapy is the fostering of client’s capacities to solve their own problems. This effort requires an atmosphere of joint exploration rather than the compliance of one party with the expert agenda of the other.”

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JP 🍩🏀

@PoetryofAfter

1 year

“Before every session, I take a moment to remember my humanity. There is no experience that this man has that I cannot share with him, no fear that I cannot understand, no suffering that I cannot care about, because I too am human.

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JP 🍩🏀

@PoetryofAfter

9 months

Martha Stark: “Ever respectful of the patient’s fear of being found, the therapist must nonetheless be also responsive to the patient’s need to be found.” “The patient’s fear is that she will put herself out there and not be found.”

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JP 🍩🏀

@PoetryofAfter

10 months

“Because [therapists] try so hard to be part of the solution, it is very difficult to grasp the subtle but profound ways in which they have, in fact, become part of the problem.” Stephen Mitchell

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JP 🍩🏀

@PoetryofAfter

10 months

‘bother about an inadequate interpretation- I have never given any other kind. That is real life - not psycho-analytic fiction.’”

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JP 🍩🏀

@PoetryofAfter

1 year

Peter Fonagy (2005) - “The making of meaning around a life narrative is funda- mental to human nature. It is therefore inconceivable that psychoanalysis (or a process very much like it) will ever not be part of the range of approaches that

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JP 🍩🏀

@PoetryofAfter

8 months

Glenn inspired me to re-read Rogers again. But this time more carefully. This time to see what has changed, what is a stake in psychotherapy, especially as my own understanding and experience in therapy have deepened over the years. Some quick hits:

Glenn Sullivan

@drglennsullivan

8 months

Intro to Psychotherapy, Session 10 Carl Rogers: “If I let myself really understand another person, I might be changed by that understanding.”

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JP 🍩🏀

@PoetryofAfter

1 year

It’s a disservice to foreclose exploration of such existential concerns - for some it hinges on matter of life and death. In fact I think these issues are some of what is at the heart of therapy.

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JP 🍩🏀

@PoetryofAfter

1 year

Coltart: “psychotherapists are trained from their weaknesses; all other professions build on their strengths.”

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JP 🍩🏀

@PoetryofAfter

2 years

Bit of my intellectual history and rediscovery of psychoanalysis:

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JP 🍩🏀

@PoetryofAfter

1 year

“Difficulty in paying attention or remembering what the patient has said may be the doctor’s first clue to his countertransference” MacKinnon & Mischels

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JP 🍩🏀

@PoetryofAfter

1 year

McWilliams: “There is no reason to leave unclear anything about the practical aspects of the professional contract.” This include informing how long each session typically lasts with the expectation that the therapist ends the session on time. The frame!!

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JP 🍩🏀

@PoetryofAfter

5 months

“The advice I would offer the beginning therapist—all therapists for that matter—is get comfortable being the student and always let the patient be the teacher. If you let the patient teach you who they are, and why they are,

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JP 🍩🏀

@PoetryofAfter

1 year

Existential anxiety is not something you lessen or treat, especially with psychedelics as the article suggests. It is something to be explored and to make some sense of - as Rollo May titled his dissertation and later one of his books - The Meaning of Anxiety.

Psychology Today

@PsychToday

1 year

Existential anxiety—or a chronic state of angst about aging, dying, and what happens afterward—appears to be on the rise. These strategies could help lessen its paralyzing effect.

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JP 🍩🏀

@PoetryofAfter

1 year

Starting to realize that I likely work best as a therapist when I am able to work with a set # of pts for long-term. Helps with attachment. Helps with outcome. Finding that the agency style of getting new patients daily makes attachment w/ pts, therapeutic work. difficult.

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JP 🍩🏀

@PoetryofAfter

1 year

Gabbard: “Treatment that does not match the patients interests and belief system is doomed to failure.”

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JP 🍩🏀

@PoetryofAfter

1 year

No matter how deep his wound, he does not need to be ashamed in front of me. I too am vulnerable. And because of this, I am enough. Whatever his story, he no longer needs to be alone with it. This is what will allow his healing to begin.”

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JP 🍩🏀

@PoetryofAfter

1 year

New Nancy McWilliams interview on vital signs of mental health

C.A.F.E. 229: “Vital Signs of Mental Health”

On this episode, “Vital Signs of Mental Health,” host Dr. Peter Lin will be speaking with Dr. Nancy McWilliams, Professor of Psychology at Rutgers, author, a...

www.youtube.com

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JP 🍩🏀

@PoetryofAfter

2 years

Paraphrasing McWilliams: 1) Part of the goal or psychoanalytic psychotherapy is to help the patient “bear the contradictions.” 2) Want to avoid the patient coming out of therapy saying “My therapist says…”, instead, want them to say something to the effect of “I discovered…”

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JP 🍩🏀

@PoetryofAfter

9 months

I have joined the dark side. Or Darkness?

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JP 🍩🏀

@PoetryofAfter

2 years

Gabbard: “…some depressed patients exploit their illness to justify their veiled expressions of destructive and sadistic impulses toward others.” Example of this is the “help-rejecting complainer”

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JP 🍩🏀

@PoetryofAfter

1 year

Reminder for self: Therapy is not for the faint of heart, and it is not to be conducted lightly

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JP 🍩🏀

@PoetryofAfter

5 months

“There is nothing I would rather do for a living than be a psychotherapist in independent practice.”

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JP 🍩🏀

@PoetryofAfter

1 year

“If a person has had meaningful therapy, he will be able to discuss it in a meaningful way. You can ask the patient, “Tell me about your previous therapy. What was the relationship with your therapist like? What did you learn about yourself?””

Psychodynamic Therapy 101

Sometimes people think they have completed psychotherapy when they never even started.

www.psychologytoday.com

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JP 🍩🏀

@PoetryofAfter

1 year

Ogden: “Winnicott, for the most part, does not use language to arrive at conclusions; rather, he uses language to create experiences in reading that are inseparable from the ideas he is presenting, or more accurately, the ideas he is playing with.”

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JP 🍩🏀

@PoetryofAfter

1 year

Gabbard: “Therapists themselves must eschew an omniscient stance and readily acknowledge that they don’t know for sure what the patient is feeling or thinking.”

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JP 🍩🏀

@PoetryofAfter

2 years

McWilliams: “First, there has never been, and continues to not be, one basic ‘psychodynamic technique.’ The analytic answer to most questions about what one should do in any specific clinical situation is: ‘It all depends.’

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JP 🍩🏀

@PoetryofAfter

1 month

If you are a student, you can get 50% off on books like - psychoanalytic diagnosis (McWilliams) - psychoanalytic psychotherapy (McWilliams) - psychoanalytic supervision (McWilliams) - psychoanalytic case formulation (McWilliams) - psychodynamic diagnostic manual

Guilford Press

@guilfordpress

2 months

Attention students! 📢 Save 50% on these early career resources (plus nearly all of Guilford's catalog) during our Student Sale when you use code STU41T at checkout! 📚🎓 Learn more and order today at .

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JP 🍩🏀

@PoetryofAfter

2 years

If you are a therapist and you are struggling with the work today don’t forget Gabbard’s observation (with a nod to Winnicott) that inherent to our work is our sense of displeasure, hate, with the actual work and its process. After all, it’s complicated 😎

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JP 🍩🏀

@PoetryofAfter

1 year

Wachtel: “what good psychoanalytic [and any] clinicians do is not to dive beneath the surface of the patient’s experience to tell him (‘interpret’) what he is really feeling, but to discover what is being excluded from consciousness by attending in meticulous detail

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JP 🍩🏀

@PoetryofAfter

1 year

Yessssss. Although family just asked “how many books do you need before you know how to do therapy🤣?”

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JP 🍩🏀

@PoetryofAfter

10 months

There are many things in this article. But one thing is clear to me: people have been using the word “holistic” to cover up something that really doesn’t have any proof. I was already suspicious but now I’m running away as far as possible

Revisiting the Origins of EMDR

Journal of Contemporary Psychotherapy - Francine Shapiro, the founder of Eye Movement Desensitization and Reprocessing (EMDR), reported that the therapeutic use of eye movement patterns was...

link.springer.com

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JP 🍩🏀

@PoetryofAfter

11 months

Grotstein on Bion “Abandon memory, desire, understanding, and the use of preconceptions. Each session constitutes the first day—again—of the analysis. Do not remember previous sessions. Let them remember you spontaneously. Do not desire to cure the patient.”

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JP 🍩🏀

@PoetryofAfter

1 year

Freud and Breuer (1895): “Recollection without affect almost invariably produces no result”

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JP 🍩🏀

@PoetryofAfter

1 year

Nancy McWilliams just shared that on 1/7/23 she will be interviewing Otto Kernberg and Tom Kohut (yes. kohut’s son). No official info yet but it’s going be through Austen Riggs

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JP 🍩🏀

@PoetryofAfter

1 year

Though this is in reference to working with BPD, I think this gem from Gabbard applied generally “Surgeons need anesthesia before they can operate. The psychotherapist needs to create a holding environment before offering an interpretation of unconscious dynamics.

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JP 🍩🏀

@PoetryofAfter

2 months

Need more books like Beginnings. Too many therapy books out there that only talk ABOUT therapy (theories, concepts, research evidence), and painfully little books that actually dive into moment-to-moment therapeutic process.

BiteSize Therapy

@bitesizetherapy

2 months

The therapist [can choose] to shift the focus from the content of the story to the 𝑝𝑟𝑜𝑐𝑒𝑠𝑠 of how the patient is telling her story. - Mary Jo Peebles (examples from 𝐵𝑒𝑔𝑖𝑛𝑛𝑖𝑛𝑔𝑠)

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JP 🍩🏀

@PoetryofAfter

2 years

Gabbard: “A psychodynamic therapist would carefully evaluate the nature of the stressor that appeared to trigger a depression. Did the stressor involve humiliation and loss? Did it awaken early childhood losses or traumas? What was the particular meaning of the stressor…?”

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JP 🍩🏀

@PoetryofAfter

1 year

Nancy McWilliams- “We have no business, especially in the name of mental health, hurting someone who has already had more than an ordinary share of injury.”

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JP 🍩🏀

@PoetryofAfter

1 year

From McWilliams’ Case Formulation book. In less than a page she demonstrates differences between supportive/expressive/uncovering approaches that belong on a spectrum. I find them to be so both similar and different in nuanced ways.

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JP 🍩🏀

@PoetryofAfter

2 months

“The [therapist’s] own depressive anxiety and need to make reparations, which undoubtedly drew him into a ‘helping’ profession in the first place, are always on the line.” (Mitchell and Black from Freud and Beyond)

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JP 🍩🏀

@PoetryofAfter

9 months

Lemma: “An interpretation is a hypothesis. It invites the patient to comment on it if he wishes or to ignore it…it is an invitation to consider another perspective that may, or may not, fit.”

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JP 🍩🏀

@PoetryofAfter

10 months

Let’s do this

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JP 🍩🏀

@PoetryofAfter

1 year

Can I get your help here? I’m wondering what alternate ways of responding would be helpful here in this vignette that Gabbard shared? He noted how defensive and the bad object the therapist has become, and I wish he elaborated on what would be helpful to address with the patient

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JP 🍩🏀

@PoetryofAfter

9 months

It seemed such as basic point now but it took a while to sink in: if problematic patterns took years, if not a life time to develop, why the hell did I think I could “help” the patient in 4-8 weeks? If the quality of the relationship was what mattered, then timing, pace

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JP 🍩🏀

@PoetryofAfter

1 year

RD Laing - “The family as a system is internalized…The family is not an introjected object, but an introjected set of relations.”

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JP 🍩🏀

@PoetryofAfter

1 year

Heard a couple of colleagues saying (and telling their pts) that they don’t address questions regarding meaning of life or whether life is worth living, or that therapy doesn’t help with it. While I agree that therapy is not there to provide answers,

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JP 🍩🏀

@PoetryofAfter

1 year

Here it is! Nancy McWilliams + Otto Kernberg + Thomas Kohut

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@PoetryofAfter

1 year

Want to show love to Eagle, since in addition to Wallin he too wrote on attachment and psychotherapy

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@PoetryofAfter

1 year

Alessandra Lemma - “Working analytically involves struggling within oneself and with the patient with periods of time when nothing makes sense and when we are at a loss as to how to intervene.”

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JP 🍩🏀

@PoetryofAfter

1 year

“The findings are consistent with psychoanalytic thought, which recognizes projection as a central dynamic in paranoid patients. (Stated differently, the paranoid patient perceives the world as hostile because he sees his own hostility everywhere he looks.)”

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JP 🍩🏀

@PoetryofAfter

1 year

Meehl: “It amazes me how many psychologists, sociologists, and social workers do not know the data, do not know the mathematics and statistics that are relevant, do not know the philosophy of science, and are not even aware that a controversy exists in the scholarly literature.

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JP 🍩🏀

@PoetryofAfter

1 year

“It is as if an analyst is living not only his own life, but also the lives of countless other people. So I think I am making a bargain with death; I am cheating. I am living more than one life.”

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JP 🍩🏀

@PoetryofAfter

7 months

I needed to read this again today. Thank you.

Jonathan Shedler

@JonathanShedler

1 year

1/ When you're feeling awful about therapy with a particular patient—hopeless, despondent, overwhelmed, incompetent, furious—it may be because they are (unconsciously) communicating something about their inner experience they need you to understand—but cannot communicate in words

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JP 🍩🏀

@PoetryofAfter

1 year

Just read that ambivalence of change (aka heart of MI) can be thought of as projective identification, splitting of the pt - so desire to change is located in the therapist, while the reluctance in the pt. Wow

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JP 🍩🏀

@PoetryofAfter

2 months

Bion; “We may have to upset [patients] in the course of analysis, but that is not what we are trying to do. With this patient it may be very important to show him; when the time comes, that

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