Відео

As therapists we give a great deal and, if we are not attending to our own need to be nourished and inspired, can burn out. I am a writer and a painter, as well as a clinician, and particularly in my artwork, I have an outlet that allows me to express what is within while filling myself with creativity and joy. How do you stay filled and inspired?

Passivity and compliance are often heavily reinforced in childhood, as well as in adulthood within asymmetrical relationships. However, it exacts quite a tool. Patients who chronically rely on these defenses abandon self and repress their true desires, as well as anger at those in a dominant position. Catching this pattern in the transference, examining the cost and helping the patient turn on ...

These "regressive" defenses are a manifestation of high and unregulated anxiety. The first step is to recognize that the patient has gone over their threshold for anxiety tolerance so you can lower it. Focusing on the body and waiting for signed of muscle tension and sighing are typically quite effective in reducing anxiety. Then identify the trigger and begin to explore the feelings evoked.

In this video we discuss the phenomenon of instant repression of forbidden impulses and how to address it therapeutically.

In this video we discuss how to understand what is happening when Anxiety and/or Defense emerges in the midst of a portrait. Only once you understand why this is happening at a particular juncture, will you be equipped to respond therapeutically.

Following up on the last video, exploring the factors responsible for a lack of unlocking, with links to the past, I outline signs that you are dragging the patient through the portrait and need to retrace your steps.

Continuing with the topic of understanding and treating patients who self harm, we explore the role of anxiety in the process.

By evaluating the history of the symptom and identifying triggers, the underlying cause of the symptom of self harm is often revealed. Most commonly, self harm is the result of internalization of violent and aggressive impulses to others as well as a punishment for guilt laden feelings, wishes and actions.

In response to a request from a subscriber we discuss how best to begin ongoing sessions of psychotherapy. How you begin has everything to do with what you and the patient have decided to do together and why you intervene as you do. In dynamic psychotherapy the goal is to discover the unconscious source of the patient's difficulties. Consequently we don't want to engage the conscious mind but t...

It is absolutely essential that patients with a tendency to discharge and act out their feelings, rather then experiencing them internally, be helped to identify this defense and turn on it prior to pressure to feeling. Failure to address this fusion of I/F and defense can lead to more acting out. In contrast, spending time helping the patient turn on discharge in order to experience and reflec...

Today we will talk about the all important phase of defense work. This is often given short shrift, with the patient continuing to employ defenses well into treatment. We discuss the 4 phases of defense work, from identification and clarification of function to the cost of these defenses and the ways in which they create and perpetuate suffering. Only once the patient is well acquainted with th...

Therapists often feel anxious and threatened when patients mention suicidal thoughts and impulses, and wonder if they can be treated safely in intensive psychotherapy. In this video we talk about the vital importance of careful inquiry and tracking response to intervention in order to determine suitability for intensive treatment.

In this video we discuss the vital role of timing and pacing for conducting effective psychotherapy, especially ISTDP. The best therapists take charge of timing and pacing and don't simply follow wherever the patient may Rome. This is particularly important in the opening phase of treatment.

In this interview, conducted by Aspasia Karageorge, we discuss the vital role of activating impulse and using fantasy to face it safely, among other topics, such as why ISTDP draws so many men!

pathological vs potential view

working through to resolution

working through to resolution

triangle of person

March 7

back to basics - understanding and working the triangle of conflict

pathways for a breakthrough

mistakes and failures

apology 101

Wrapping up for the year

expressing feelings

understanding resonse to trauma

How to address resistance without contributing to it

the importance of conducting follow up interviews

negative feedback