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@nyctherapist

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psychoanalyst | dean of faculty and instructor at | clinical supervisor

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Joined March 2020
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@nyctherapist
Analysand
3 years
When we lose a person, we also lose access to a distinctive part of ourselves that only existed in the presence of that person.
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@nyctherapist
Analysand
2 years
Winnicott essentially said that the disaster you're trying to avoid already happened a long time ago. Under the right relational conditions, you can finally experience it so you don't have to fear it anymore.
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@nyctherapist
Analysand
2 years
The other day a patient told me that he was really missing his mom but that he was still really angry with her. You know what I said? Nothing. Because I made that up. Don't talk about your cases online.
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@nyctherapist
Analysand
2 years
Psychology says, people crave easy answers to complex existential questions
@PsychologyF_
Psychology Facts
2 years
Psychology says, overthinking is the biggest cause of unhappiness.
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@nyctherapist
Analysand
1 year
These days most humans lead lives of quiet dissociation.
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@nyctherapist
Analysand
2 years
Q: What do you do for a living? A: I'm a psychotherapist. Q: What kind of issues do you specialize in? A: Human.
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@nyctherapist
Analysand
2 years
Which psychoanalytic articles, essays, or books do you return to again and again?
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@nyctherapist
Analysand
2 years
At the end of a therapy, the patient knows what the therapist knows, which is what the patient has always known. Anthony Wilden
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@nyctherapist
Analysand
2 years
Dread is just memory in the future tense. Winnicott
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@nyctherapist
Analysand
1 year
Melanie Klein, Anna Freud, and Ernest Jones with a kitten, 1949
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@nyctherapist
Analysand
2 years
Psychotherapists: I'm curious, which theorists or writers of any kind OUTSIDE of the field of psychotherapy or mental health have influenced your work as a therapist the most?
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@nyctherapist
Analysand
2 years
Curiosity is the "gold standard" in psychotherapy.
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@nyctherapist
Analysand
2 years
Reading Essentials for Beginning Dynamic Therapists: Most Original Psychoanalytic Thinkers in Last 40 Years: Seminal (downloadable) Psychoanalytic Texts:
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@nyctherapist
Analysand
2 years
"It's a listening cure, not a talking cure."
@Ghazaleh_s
Ghazaleh. Sh
2 years
What’s Psychotherapy is? #Adam_phillips
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@nyctherapist
Analysand
2 years
Therapist Twitter: Is it okay to work out during session? Nothing crazy, just like 2-3 sets of bicep curls?
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@nyctherapist
Analysand
2 years
We are not in search of wholeness…we are in search of good ways of bearing our incompleteness. Adam Phillips
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@nyctherapist
Analysand
2 years
Here is a list of questions that you are not allowed to ask your psychotherapist:
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@nyctherapist
Analysand
2 years
Clients/patients: You are free to complain to your therapist about whatever the fuck you want to complain about regarding the therapy.
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@nyctherapist
Analysand
2 years
acceptable period of time to spend in psychotherapy: • none • one session • handful of sessions • couple of months • six months • one year • multiple years • decade • multiple decades
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@nyctherapist
Analysand
2 years
Winnicott took the radical position that when it comes to being an effective analyst, playing might be more important than knowing.
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@nyctherapist
Analysand
2 years
Jeremy Holmes:
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@nyctherapist
Analysand
2 years
What are you favorite psychoanalytic podcasts? And/or what psychoanalytic podcast are you working on? Or have you been featured on?
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@nyctherapist
Analysand
2 years
Who is the most original psychoanalytic thinker in the last 40 years?
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@nyctherapist
Analysand
2 years
For your reading pleasure... 𝗔𝗻𝗮𝗹𝘆𝘁𝗶𝗰 𝗧𝗲𝘅𝘁𝘀: 𝗥𝗲𝗺𝗲𝗺𝗯𝗲𝗿𝗶𝗻𝗴 𝗮𝗻𝗱 𝗥𝗲𝗿𝗲𝗮𝗱𝗶𝗻𝗴 •Links to 100+ analytic texts •60+ free downloads •Sorted by author, format, and year •Share freely!
@nyctherapist
Analysand
2 years
Which psychoanalytic articles, essays, or books do you return to again and again?
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@nyctherapist
Analysand
2 years
Change in psychotherapy also involves learning to change the belief that everything about you is capable of being changed.
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@nyctherapist
Analysand
2 years
Were you aware that as a psychotherapist you can say "I don't know" to your patient?
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@nyctherapist
Analysand
2 years
In sum, teaching psychoanalysis is a paradoxical affair: someone who is supposed to know teaches someone who wants to know what it means not to know. Thomas Ogden
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@nyctherapist
Analysand
2 years
In sum, teaching psychoanalysis is a paradoxical affair: someone who is supposed to know teaches someone who wants to know what it means not to know. Thomas Ogden
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@nyctherapist
Analysand
2 years
How do you know your emotional response to a situation is "valid"? It's the one you're having.
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@nyctherapist
Analysand
3 years
You've been hired to help the patient understand how his mind works, not how to run his life. Paul Gray
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@nyctherapist
Analysand
2 years
avoiding advice on self-care is the best form of self-care
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@nyctherapist
Analysand
1 year
If your sister died when you were five, then your brother died when you were 20, then your analyst got ill and died, then your son died in a hiking accident, you'd probably talk a lot about the death instinct too.
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@nyctherapist
Analysand
2 years
the thing you are afraid to say. say that. —advice for people new to therapy
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@nyctherapist
Analysand
2 years
In psychotherapy, you don't become some new utopian version of yourself; you become more yourself with some enhancements. So it's less like buying a new Porsche, and more like giving your Honda Civic a nice upgrade: new tires, new engine, new sound system.
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@nyctherapist
Analysand
2 years
Melanie Klein, aged 17 in 1899.
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@nyctherapist
Analysand
2 years
Bion:
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@nyctherapist
Analysand
7 months
An extremely practical (and underrated) “how to” or “what to say” book for psychodynamic geeks featuring hundreds of commonly encountered clinical issues and obsessively cross-referenced is Nat Kuhn’s ISTDP reference guide.
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@nyctherapist
Analysand
1 year
Looking for a list of psychoanalytic podcasts to listen to? Here you go:
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@nyctherapist
Analysand
3 years
Winnicott took the radical position that when it comes to being an effective therapist, playing might be more important than knowing.
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@nyctherapist
Analysand
2 years
I once met a person who seemed depressed, one who couldn't stop talking, someone who was shy and withdrawn, a perfectionist, and a person who seemed overly accommodating. For a group of therapists, though, everyone was pretty nice.
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@nyctherapist
Analysand
2 years
just listening...
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@nyctherapist
Analysand
2 years
For anyone interested, here's my syllabus for Personality Development and Clinical Assessment I, which I'm teaching to first year analytic candidates in the Fall.
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@nyctherapist
Analysand
2 years
Dear Therapist, My life has improved dramatically. I can live with ambivalence & take actions despite uncertainty. My work life is better. I trust myself more. I have a very close relationship for the first time. And I accept that some things about me may never change.
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@nyctherapist
Analysand
7 months
What is ‘identification with the aggressor’?
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@nyctherapist
Analysand
2 years
Who are the most accessible psychoanalytic writers?
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@nyctherapist
Analysand
2 years
While psychedelic medicine taken within the context of long-term relationship could catalyze sustainable change, there's no such things as "5 years of therapy in just a few sessions". Last time I checked 5 years of therapy takes...5 years of therapy.
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@nyctherapist
Analysand
2 years
It's important for therapists to think twice before tweeting anything remotely related to a particular patient/client/case. "Oh, but I have their permission!" Permission or not, how is it related to the treatment advancing? It's not. And since it's not, why are you doing it?
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@nyctherapist
Analysand
2 years
A significant number of patients don't exactly fit into the clinical theories and models we learn about. Like, 100 percent of them don't.
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@nyctherapist
Analysand
4 months
God save me from a completely sane, normal therapist.
@heyalexfriedman
Alex Friedman 🤠
4 months
Listen, I support therapy. I support people going to therapy. But I will say I have never met a completely sane, normal therapist. Not once. Not ever.
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@nyctherapist
Analysand
2 years
The supervisor is basically the patient's therapeutic grandparent.
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@nyctherapist
Analysand
2 years
Teaching is a rapid, albeit brutal way to learn about your gaps in knowledge.
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@nyctherapist
Analysand
2 years
Prefixes that enhance the patient's reflectiveness toward what you’re about to say: •This may be off… •Tell me what you think about this… •I could be wrong… •Tell me if this resonates at all… •You probably already know this…
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@nyctherapist
Analysand
2 years
The silence of the analyst opens a suspense. It is not a nonresponse or a nonreception; it is an engagement with the nonresolution of an act, an invitation to take further risks, to hold unbearable contradictions within oneself and bring them alive. Anne Dufourmantelle
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@nyctherapist
Analysand
2 years
However, after reviewing the scientific literature, it appears that your methods are not, in fact, evidence based and I regret to inform you that I will have to renounce all of these developments immediately and start over with a more evidence-based treatment. Thank you.
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@nyctherapist
Analysand
2 years
Never sleep. Never eat. Never drink. Don't do anything but push yourself constantly. Ever. Until you drop. Dead. Then keep going. From the grave. Working. Striving. Hustling. Death is no excuse for outworking the competition. Don't stop. Keep going. Faster.
@mindset_168
𝘽𝙞𝙡𝙡𝙞𝙤𝙣𝙖𝙞𝙧𝙚 𝙢𝙞𝙣𝙙𝙨𝙚𝙩
2 years
Never settle. Never get too comfortable. Stay hungry. Stay humble. Stay striving. Stay succeeding.
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@nyctherapist
Analysand
2 years
Developing as a psychoanalytic therapist is developing a repertoire of increasingly more sophisticated grunts.
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@nyctherapist
Analysand
2 years
“Even though psychoanalysis has clearly been discredited, analysts continue to rationalize its efficacy in order to make a living—almost as if they have this inferiority complex from childhood or like they’ll have an identity crisis without it, neither of which they're aware of.”
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@nyctherapist
Analysand
2 years
Resistance can really stall the psychotherapy process. The therapist's resistance.
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@nyctherapist
Analysand
3 years
For every intensely complex personal struggle, there's a formulaic and stupid treatment option.
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@nyctherapist
Analysand
2 years
Ogden:
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@nyctherapist
Analysand
2 years
McDougall:
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@nyctherapist
Analysand
2 years
In the practice of psychoanalysis it is difficult to stick to the rules. For one thing, I do not know what the rules of psychoanalysis are. Bion
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@nyctherapist
Analysand
3 years
If your psychotherapy practice is based solely on other people's theories, that means it's based primarily on other people's clinical observations. This leads to a kind of zombie theoretical approach that negates the aliveness of 𝘆𝗼𝘂𝗿 unique clinical observations.
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@nyctherapist
Analysand
2 years
That the therapist must feel trustworthy to the patient is obvious. What is less self-evident is that the therapist must also learn to trust the patient: to see the growth edge of the defense, the advance predicted by the step back, and the nascent order within the chaos.
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@nyctherapist
Analysand
2 years
Levenson:
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@nyctherapist
Analysand
2 years
Every five years when I look back on the work I was doing five years earlier, I am horrified. How could I have practiced, understanding so little by comparison with what I have come to understand now? Erich Fromm
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@nyctherapist
Analysand
2 years
Psychoanalysis is an unordinary relationship revealing the extraordinary ways we try to avoid our ordinariness.
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@nyctherapist
Analysand
3 years
The aim of each psychoanalytic session is a subtle perceptual shift, not a cinematic breakthrough.
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@nyctherapist
Analysand
3 years
The principle is that it is the patient and only the patient who has the answers. Winnicott
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@nyctherapist
Analysand
2 years
Why do you stay in prison When the door is so wide open? Rumi
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@nyctherapist
Analysand
2 years
Neurosis is the penalty for ambition unprepared for sacrifice. Philip Rieff
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@nyctherapist
Analysand
2 years
A quantitative questionnaire measuring distress and therefore treatment deterioration might not account for how psychotherapy is helping someone access more freedom in their lives precisely *because* they can tolerate more uncomfortable feelings.
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@nyctherapist
Analysand
2 years
No patients share the same therapist.
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@nyctherapist
Analysand
3 years
There are some therapists who never had formal analytic training who are great analysts. And there are some therapists who completed formal analytic training who are terrible.
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@nyctherapist
Analysand
2 years
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@nyctherapist
Analysand
2 years
Ever tried nonsolution-focused therapy?
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@nyctherapist
Analysand
2 years
Psychoanalysis is better suited to explain why patients don’t change than why they do. Lawrence Friedman
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@nyctherapist
Analysand
1 year
I'm reading The Impossible Profession (1980) by Janet Malcom where she writes that 89 percent of people looking for low-cost analytic treatment at New York Psychoanalytic were turned away as unanalyzable. That's nuts!
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@nyctherapist
Analysand
3 years
The brilliant interpretation you formulated in your head about the patient a few minutes ago is now old news compared to what is happening in the room now, which you stopped paying attention to a few minutes ago.
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@nyctherapist
Analysand
3 years
Each patient repeats in each session something of his whole life history. John Klauber
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@nyctherapist
Analysand
2 years
Psychotherapists: Do you know what your "maximum patients seen daily/weekly before efficacy plummets and can barely manage to say more than 'how does that make you feel' and 'sounds hard' because you're basically just phoning it in now" number is?
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@nyctherapist
Analysand
2 years
Freud:
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@nyctherapist
Analysand
2 years
I know other modalities make use of the "rupture and repair concept", but I think psychoanalysis is singular in it's theoretical understanding of inevitability of failing the patient in a significant way and the value of living through that together and making sense of it.
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@nyctherapist
Analysand
2 years
It's natural for the therapist, in varying degrees at various times, to: • be afraid the patient will stay • envy the patient • prefer to not look inward • hate doing therapy • dread getting more deeply involved It's called ambivalence.
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@nyctherapist
Analysand
9 months
I'm teaching Evolution of Technique I this semester at The Psychoanalytic Psychotherapy Study Center and I made a syllabus. If you're curious here it is:
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@nyctherapist
Analysand
1 year
I was reading this immersive, moving and perspective-shifting novel, but then I learned there had been no systematic empirical research done to support its efficacy so I had to stop.
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@nyctherapist
Analysand
3 years
If you think technology will replace psychotherapy, then you don't understand technology and you don't understand psychotherapy.
@MichaelFulwiler
Michael Fulwiler
3 years
No
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@nyctherapist
Analysand
2 years
Winnicott:
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@nyctherapist
Analysand
2 years
What films have had a transformative effect on you? Like, reappraise yourself and your relation to the world-kind of effect.
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@nyctherapist
Analysand
2 years
The most successful cases are those in which one proceeds, as it were, aimlessly, and allows oneself to be overtaken by any surprises, always presenting to them with an open mind, free from any expectations. Freud
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@nyctherapist
Analysand
2 years
The opposite of play is not seriousness but—reality. Freud
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@nyctherapist
Analysand
2 years
It's easy to forget, but interpreting a patient's behavior without referencing (or understanding) its adaptive context is usually received as a criticism.
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@nyctherapist
Analysand
2 years
The conscious conversation in an analytic dyad is always trying to catch up with the unconscious dialogue already happening.
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@nyctherapist
Analysand
2 years
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@nyctherapist
Analysand
2 years
Freud:
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@nyctherapist
Analysand
3 years
Congratulations, you have completed your psychoanalytic training! You have now officially reached the level of beginner.
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@nyctherapist
Analysand
2 years
Subverting myself to master the relationship between the death drive and mastery.
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@nyctherapist
Analysand
9 months
Freud: make the unconscious conscious Bion: make the conscious unconscious
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@nyctherapist
Analysand
2 years
Key therapy ingredients: -linking past & present -generative (but uncomfortable) silence -unglamorous sessions followed by breakthroughs -shift from fixing to accepting -changes in real life -developing self-reflective capacities -knowing when to stop
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