It's anosogNOSIA....not anosogNOMIA.....I had to do a double take and Google "anosonomia" because I thought it was a word I just hadn't heard before and was massively ignorant of 😂😅😅.
As a patient with bipolar I disorder (psychotic features-delusions, disorganized thinking), dissociative characteristics, and also avoidant/melancholic personality traits, here's what has helped me (in addition to medication): (1) The theories of W.R.D. Fairbairn. There are places in Fairbairn's writings where the depressive state (as opposed to the schizoid state) refers, specifically, to manic-depressive illness. Building on that work, there's a volume called The Legacy of Fairbairn and Sutherland with an essay that theorizes bipolar and schizoaffective disorders in terms of Fairbairn's theories (e.g., the two oral stages, the spectrum of dependency-infantile dependence, quasi-independence, and mature dependency). I feel that when trauma is present, as it often is in bipolar disorders, theories of dissociation can be very apropos. (2) Ego psychology has been useful, such as the notion of a hierarchy of defenses as well as ego functions. Here's a recent paper: www.researchinpsychotherapy.org/index.php/rpsy/article/view/456 (3) Attachment theory, especially understanding the connection between bipolar disorders, (anxious-)avoidant personality traits/syndrome, and disorganized/unresolved attachment. See here: www.frontiersin.org/articles/10.3389/fpsyt.2020.00410/full (4) Theory of the structural dissociation of the personality There are other ideas that have been useful-Klein's paranoid-schizoid position, Winnicott's thinking, etc. And notions from schema therapy have also been important, such as the concept of core beliefs and schemas. Anyways, just wanted to share how long-term, psychodynamic/integrative therapies have helped.
Great episode.
It's anosogNOSIA....not anosogNOMIA.....I had to do a double take and Google "anosonomia" because I thought it was a word I just hadn't heard before and was massively ignorant of 😂😅😅.
7:39 just bookmarking so I can come back
As a patient with bipolar I disorder (psychotic features-delusions, disorganized thinking), dissociative characteristics, and also avoidant/melancholic personality traits, here's what has helped me (in addition to medication):
(1) The theories of W.R.D. Fairbairn. There are places in Fairbairn's writings where the depressive state (as opposed to the schizoid state) refers, specifically, to manic-depressive illness. Building on that work, there's a volume called The Legacy of Fairbairn and Sutherland with an essay that theorizes bipolar and schizoaffective disorders in terms of Fairbairn's theories (e.g., the two oral stages, the spectrum of dependency-infantile dependence, quasi-independence, and mature dependency). I feel that when trauma is present, as it often is in bipolar disorders, theories of dissociation can be very apropos.
(2) Ego psychology has been useful, such as the notion of a hierarchy of defenses as well as ego functions. Here's a recent paper: www.researchinpsychotherapy.org/index.php/rpsy/article/view/456
(3) Attachment theory, especially understanding the connection between bipolar disorders, (anxious-)avoidant personality traits/syndrome, and disorganized/unresolved attachment. See here: www.frontiersin.org/articles/10.3389/fpsyt.2020.00410/full
(4) Theory of the structural dissociation of the personality
There are other ideas that have been useful-Klein's paranoid-schizoid position, Winnicott's thinking, etc. And notions from schema therapy have also been important, such as the concept of core beliefs and schemas. Anyways, just wanted to share how long-term, psychodynamic/integrative therapies have helped.
Replying so I can come back to read this further. Thank you!
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1:05:35
This guys very good and obviously gets it...but would have prefered the Shedster...
Endlessly
#shedlerian