Clinical Roundtable: The Three Faces of Psychotherapy for BPD Clinical Perspectives
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- Опубліковано 26 вер 2012
- Overview & Moderator: Kenneth Silk, MD
Panelists: Alan E. Fruzzetti, PhD, Frank E. Yeomans, MD, Jeffrey E. Young, PhD
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To me, Jeffrey Young seems to be the most authentic and empathetic of the three. He seems to be very in touch with his emotional side. The DBT guy seems to be very cold and rational on the other hand. That's something I always thought about DBT and CBT, that it doesn't deal with emotions and vulnerability enough. It treats symptoms and shows you how to manage emotions in order to function. But if you really want to "cure" BPD on a deeper level, you have to adress and validate the underlying issues: the sadness, the anger, the relationship difficulties.
" But if you really want to "cure" BPD on a deeper level, you have to adress and validate the underlying issues: the sadness, the anger, the relationship difficulties." That's not really the deep level. The deep level would be the conflicts in the psyche that cause these issues. You dont really cure BPD with validation and empathy.
@@Nobody-Nowhere what are the conflicts in the psyche?
@@HASSTYLEPROGRESSVarious.
DBT and CBT aren't supposed to be emotional. They are entirely logic-based and that is what we with BPD require. We're already champions at receiving empathy from people, i don't need it from my therapist too.
Interesting, I was looking for videos of Jeffrey Young because his book was awesome. DBT guy is pretty cold. I really liked Young's book "Reinventing Your Life" but for some reason didn't expect Young to be as empathetic of a person as he is here. Interesting to see how someone (the DBT guy) REALLY can think that its disempowering to be considered to be emotionally a child...IMO that's basically disacknowledging reality, you can only change something once you've accepted it.
This is very valuable to see the three different explanations for whether or not touch is appropriate, if how and when. I accomplished my clinical exam in 2021 and we had similar discussions with our teachers / therapists.
It's super cool to see Jeffrey Young, who once said that he had emotional deprivation as a schema and how it helped him to understand his patients, who feel like they don't get enough warmth etc. He said once that of course a therapist has to figure out their own Schemata, but sometimes an own schema can help the therapist to understand the problem and because the therapist has figured out how to deal with it, can offer better advice.. I believe that is a big part of Youngs empathy for the difference modes a patient is in and how to deal with it..
I still think you need to be careful with that "kick" (nudge). Any physical touch like that should be considered carefully.
Pretty interesting video to see the difference between these three approches. I felt like Fruzetti and Young where in a bit of a conflict at the start of the interview. Okay so I’m editing here listening to the end I can realize that Young may be a bit abrasive in the way he formulates comments e.g : « the worst they where at your approach the better they where rated by clients» (I’m paraphrasing here) is a bit of an insulting way to put it even if it is probably factually correct.
Babies need to be held. Toddlers in a tantrum need understanding & validation. But they're not listening to your voice of reason at the time. So stay quietly with them but better not to pay attention to the actual acting out. Dr Yomans said something about reinforcing desirable behaviour not undesirable behaviour. Encourage the part of us that's learning to manage ourselves better by paying attention to that(away from the tantrum). I reckon a bit of a kick! or nudge is unhelpful & hugging would be also out of line.
It seems to me that the MD has an element of condescension toward his clients. He uses one extreme case such as the woman who checked into the hotel room and then overdosed, and then he generalizes it to all BPD clients.Not all BPDs are the same. Not all have the same intensity of BPD symptoms. And even still not all operate from the same motives. It worries me to see an "expert" on BPD use such generalizations. I think this is harmful.
Sorry but that isn't even close to extreme for BPD...just checking into a hotel room and overdosing? My lord you might be diagnosed improperly if that is extreme to you. The borderlines i know..myself included..are INSANE 24/7...a lot more happens than just suicide attempts...cops, arrests, overdoses, beatings, prostitituion, homelessness, violence, prison, eviction, job loss, domestic charges and so on.
5:50 That is the truth of the matter. Even if you don't like to hear it, it's still the truth. If you want to physically comfort (or be physically comforted), you should provide (or seek) some other form of help. That's not the therapist's role.