Jeff Fine-Thomas @jefffinethomas
Psychoanalysis 101 - concepts in plain English. fine-thomas.com Oklahoma Joined October 2009-
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Patients want to understand themselves better. They know intuitively that they do things for reasons they don't understand. An important part of therapy is helping them understand what's going on beneath the surface.
These are the people cashing in on people's suffering under the guise of AI progress. Calling something "therapy" knowing full well it's not. Preying on people who can't afford therapy while their Twitter profile is a shrine to the money they've make with these tools.
These are the people cashing in on people's suffering under the guise of AI progress. Calling something "therapy" knowing full well it's not. Preying on people who can't afford therapy while their Twitter profile is a shrine to the money they've make with these tools.
Patients want to understand the root of their problems. They know intuitively that if they don't get to the root of the problem, they probably won't retain short term gains. If the clinician does not have a reasonable understanding of how to discover the roots... yikes!
Patients don't understand and don't care about your theoretical orientation. They just want help with their suffering. This doesn't mean you should use a model - just that it's helpful to hold it lightly.
The basic principles of psychodynamic psychotherapy (From Glen Gabbard’s 𝐿𝑜𝑛𝑔-𝑇𝑒𝑟𝑚 𝑃𝑠𝑦𝑐ℎ𝑜𝑑𝑦𝑛𝑎𝑚𝑖𝑐 𝑃𝑠𝑦𝑐ℎ𝑜𝑡ℎ𝑒𝑟𝑎𝑝𝑦)
What would happen, if when you had your first session with a new patient, you put down your typical diagnostic interview skills and just asked them what they wanted from psychotherapy?
Real problems in life do not have quick fixes.
“W/o fully articulating this to ourselves, we largely aim to buy our way out of the discontent, to garner higher incomes, bigger houses, nicer cars, all while feeling these are simply ‘natural’ desires because all our friends & neighbors are doing the same thing.” -Paul Wachtel
The term "psychotherapy" does not mean now what it once did. Now, it's used as a term to describe services that may or may not be helpful but that water down the "dose" of what really helps people - authentic connection.
The psychotherapy profession is in the midst of "disruption" by big tech, who see the dollars in the market and want to capture them. The only way they can make money is to remove the one-to-one relationship between therapist and patient. Meaningful relationships don't scale.
Psychotherapy is first and foremost a meaningful relationship between a professional, competent therapist and a patient for the purpose of helping the patient.
IMO, most problems related to access to psychotherapy are related to payment for psychotherapy (health insurance limiting payment). In general, therapists are paid less than those with similar education and training. More pay will attract more therapists to the profession.
𝐴𝑛𝑎𝑙𝑦𝑡𝑖𝑐 𝑛𝑒𝑢𝑡𝑟𝑎𝑙𝑖𝑡𝑦 is defined as not taking sides in the patient’s conflicts…Silence, aloofness, and emotional coldness has little or nothing to do with analytic neutrality when that concept is properly understood. - Morris Eagle
I sometimes hear a critique of psychotherapy that therapists just keep patients in therapy forever so they can get paid. If those critics knew what the average therapist gets paid, they would know therapists are not in it for the money.
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2K Followers 387 Following Guilford Press is a leading publisher of books and periodicals in mental health, education, geography, and research methods.𝐶𝑜𝑢𝑛𝑡𝑒𝑟𝑡𝑟𝑎𝑛𝑠𝑓𝑒𝑟𝑒𝑛𝑐𝑒 The subjective reactions of a clinician toward a patient. Clinicians who like a patient might say that they have “no countertransference.” Due to the poor transmission of psychodynamic concepts, they have no idea of the contradiction.
Home with the sniffles and a sick 3 yo. Remedy: homemade chicken noodle soup
“W/o fully articulating this to ourselves, we largely aim to buy our way out of the discontent, to garner higher incomes, bigger houses, nicer cars, all while feeling these are simply ‘natural’ desires because all our friends & neighbors are doing the same thing.” -Paul Wachtel
@jefffinethomas Anytime I feel that imposter syndrome as a therapist, I remember that the relationship is the most important. My clients feel connected, heard, and safe if nothing else.
Coming this September pcpsi.ie/event/personal…
We must always be prepared to drop our provisional assumptions if we think we are in a position to replace them with something else closer to the unknown reality. —Freud
This account conveys the same three messages repeatedly: 1) Graduate training does not fully prepare clinicians for the work of psychotherapy. 2) Acronym therapies are usually a distraction from what therapists really need to learn. 3) Read Glen Gabbard.
Pay attention to the feelings that are implicit in what your partner is communicating. Be sure to acknowledge their feelings, even if you don’t relate to them.
Human relationships can't scale & I don't think that’s what tech cos are trying to do. They’re trying to sell something that’s not therapy & *call* it therapy Soon, people will use word “therapy” and it will have no connection to actual psychotherapy. Not soon. Already happening
AI "therapy" is already here. It will become much more prominent and it will harm people. A real human relationship with a competent therapist cannot be scaled. But tech companies are going to make a lot of money trying.
@slchase @jefffinethomas @psychicsherpa Let’s be honest, it sounds like you have never encountered a capable psychotherapist in your life. You’re not alone and that makes me sad. However—since we’re being so honest here—you’ve made a wildly sweeping generalizations about an entire profession that you don’t understand
Money and sex are both sensitive topics, but they're important to discuss with your partner! If either of them aren't handled well, it can lead to pain in the relationship.
A cherished autograph
“Can we stop trying to shove the round peg of psychology into the square hole of a broken healthcare system? Can psychology define for itself what we treat & how we treat it, instead of forcing ourselves into misshapen slots defined by healthcare systems? psychologytoday.com/us/blog/psycho…
@jefffinethomas @guilfordpress Gaah!!! Fantastic news.
@jefffinethomas @guilfordpress How exciting :)
Shout out to Gabbard and McWilliams for my love of psychoanalysis There are many more, but they planted the seed
If you're interested in learning about psychoanalysis, don't bombard yourself with reading Freud. Start with Nancy McWilliams, Glen Gabbard, Karen Maroda, @JonathanShedler, or Cabaniss (if you want a textbook).
🔥
I'm humbled and ecstatic to share that I signed a contract with @guilfordpress yesterday to co-author a book with Nancy McWilliams! More details to come...
@jefffinethomas @guilfordpress 👏👏👏 🎉👏👏👏
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