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You're wrong about a few things regarding OCPD. Specially about intrusive thoughts. That's incorrect, intrusive thoughts are 100% a symptom. Maybe not for differential diagnosis, but a symptom nonetheless.
I was homeless a decade and a half ago. I stayed in a group home for 13 months. You would think.that with all the notes they were taking that they would figure something out? At the end, they were still zeroing in. I was suffering PTSD, and have Aspergers, neither of which they diagnosed me with. They just want you on meds. I had an adverse reaction to them. The "professionals " aren't always trustworthy.
I have ADHD. I easily forget what I just did after I move on to the next step. I leave my apartment, lock the door and start walking away. Then I think, did I lock the door, and go back to check. I have come home to find the door unlocked. That is why I check 2 or 3 times. That isn't OCD. There are some symptoms that are found in several disorders.
I had a therapist that said I was mean and cruel. Some don't care about understanding why the patient says or does certain things. I am not a cruel person
The most effective skill a therapist can have is the ability to ask the right questions so the patient can discover the answers that they had all along.
Exactly, even if I know they are right unless they helped me come to a conclusion myself and then helped me understand that conclusion, it’s going to be extremely hard to internalize and apply that conclusion
@@KT-dj4iy I'm no therapist, but I've done a lot of personal development work, and they're correct. Asking the right questions forces you to think more about the problem and solutions. Answers that you discover on your own tend to stick a lot better in your mind than answers that are given to you. That's not to say there isn't any time and place where answers should be given directly, but asking targeted questions can be effective
Therapy started to really work for me when I changed my perspective from I need help from someone to I need to help myself, therapy is about learning to be your own therapist
I was afraid of the holes in my memory because the things I remember are bad enough. I always thought I had to dig them out and face them. She told me not to, if my mind is protecting me, let it. I am doing so much better now.
@rickwilliams967 i am happier than I have ever been in my entire life. I have never been so mentally healthy. The last time someone decided I should poke at those holes.I tried to kill myself. No, let me change that. Because I did not try to kill myself. I love my life. I have a great husband great children and wonderful grandchildren, I have everything to live for but when I went looking into those holes that I don't remember the 14-year-old in me, literally took charge and tried to kill herself again.. That's how I ended up with this therapist.Was coming out of the hospital. To this day, I do not remember taking the bottle of pills or putting the gun to my head. I have 3 days. I lost. I remember standing in front of a hospital. Having cops put handcuffs on me to transfer me from a hospital to a psychiatric unit after having lost three days. My therapist, especialized in people like me. I have never had a life that didn't exist before trauma. I was born into it. I am better than I have ever been in my entire life. Do not ever go around telling people what to do like that. You have no idea what kind of things are in those holes?You have no idea of the things that I have to live with that.I do remember. So no, i'm not going to go get another second opinion, and I d*** sure would never listen to you
@@rickwilliams967 You can't make a blanket statement like that from a post of like 50 words lmao. So much context is missing. Is the poster having traumas from their past that is influencing the way they view the world now, and negatively impacting their day to day? If yes - maybe dig a little and see what happened and how to restructure. If no and they are able to handle their life- then why are they meeting at all? Are there other more present or unrelated issues to that past trauma that should be dealt with instead? This is a simplifed answer itself. As much as we want to think we are clever and figuring things out from comments, we are basing our answer on our perception of ehat was written without any additional context and thats assuming the commentor wrote it correctly in the first place.
The irony of Freud is that his most insightful work by modern standards was the early-career work he ended up retracting because it was ruffling too many feathers. Before he went totally off the deep end, he had some genuine insights that were well ahead of their time, but he doesn't get his name attached to those ideas because he chose to distance himself from them.
@@davidllamas2192 I agree. His ideas on the parent/child relationship are disturbing by today's standards. But were those ideas his early or his later theories? He seemed to concentrate on the sexuality of ppl, while disregarding other complex ideas of human nature.
I have OCPD (with a big dash of OCD) and the best quote I’ve ever heard to explain the difference was something like “people who have OCD understand what they are doing is crazy but can’t stop, while people with OCPD feel it’s crazy for anyone not doing the same way they are and needs to be stopped”
@ FYI, it’s not the cleaning that makes it ocd, it when you believe that some very bad will happen if you don’t clean it. So if you don’t do what ever your compulsion is that someone will die, or you will die or there will be a plane crash. It’s that belief in a bad consequence if that action is not done, that makes it ocd and the impact on your life and anxiety that is caused. Cleaning is just one of many different compulsions someone might have. As is washing of the hands, or checking the door or stove five times, counting by threes for three minutes or having all your cup handles facing the same direction.
Freud's collaboration with the surgeon Wilhelm Fliess was so bizarre that it warrants an episode maybe on the Shadows show. In a bizarre combination of bromance, pseudo-science, and intense misogyny, they tried to cure depressed and hysterical women with repeated nose surgeries. If at first you don't succeed, break her nose and try again. Any complaining from the patient was blamed on her poor attitude. They scolded one repeat patient for weeks because she complained of pain and obstructed breathing. When the infection became bad enough that surgery was required, Fliess was surprised to find a piece of bandaging gauze left from the previous surgery. He and Freud were not remorseful and continued to blame the patient for all physical and psychological problems. Wild stuff.
I think in many ways Freud is on par with the guy who won the Nobel Prize for lobotomies. He had some good ideas but was also in many ways a massive quack with way too much praise.
@@arthas640 Egas Moniz was not a quack. He was an accomplished neurosurgeon who also invented: en.wikipedia.org/wiki/Cerebral_angiography IMHO it says a lot about medicine and society that he won the nobel prize for the cerebral leukotomy and not that. Cerebral angiography is still performed today, and is extremely important. There was hardly universal praise for him, either--some people essentially called it quackery then. But those people also didn't have any better ideas about WTF to do, and some of them were probably doing other things that we consider ghastly today. If you consider it in its historical context (this was a LONG time ago) and draw a contrast with the practice of psychiatry today, there are MANY psychiatrists who are WAY more deserving of the label of "quack" than he was. If you want to point to a lobotomizing quack, point to Walter Freeman. He crashed around the country doing lobotomies in his "lobotomobile" (I'm not making this up--that's what he called it). He invented the "transorbital lobotomy", which was basically jamming something sharp in through the orbit of the eye, puncturing the bone, and wiggling it around. He literally used the icepick from his bar. He would operate on two patients at once for show. THAT is quackery. Why don't I call the first lobotomy quackery also? Because antipsychotic drugs at high enough doses have a similar effect, and countless people are compelled to take those today--despite nearly a century's worth of experience. Sure, that effect is reversible (though they can produce irreversible effects, such as tardive dyskinesia), but if people are forcibly drugged (many are), what's the difference, really? Again: you have to consider how much more is known now in drawing a comparison. You can't have it both ways. I'm not promoting lobotomies, lol. What I'm saying is that to determine whether someone is a quack, you have to look at their motives and their practices. And if you call Freud a quack--he mostly just spoke to people--then a lot of what actually happens in psychologists's offices today is quackery also. Oh, and FWIW, this is still performed today--rarely, but it is very much a thing: "Bilateral cingulotomy is a form of psychosurgery, introduced in 1948 as an alternative to lobotomy. Today, it is mainly used in the treatment of depression[1] and obsessive-compulsive disorder." en.wikipedia.org/wiki/Bilateral_cingulotomy Clearly, the work of Egas Moniz contributed to that, wouldn't you say? Some people have called for rescinding his Nobel Prize. I suspect that this is part of the reason why that never happened, and I don't think it should happen. Frankly, if anything I think you've got it backwards: it's unfair to Egas Moniz to say he's on par with Freud (though I personally wouldn't characterize Freud this way).
@@amazinggrapes3045 not that surprising. Freud was kind of weird at the best of times, even for the day he was pretty sexist, and he had an extreme ego making it impossible to admit he was wrong. I sometimes think that's why he went into psychology: his theories were impossible to disprove most of the time and since it was such a new science it allowed him to get tons of attention without tons of scrutiny.
I've been polygraphed more than 10 times in my life for government clearances. I've never been untruthful, but I've been told I've been deceptive in about about half the tests. It's just difficult to sit there attached to a machine with your job on the line. I call BS.
I’m about to undergo my first polygraph, tomorrow actually, hoping to get a dispatcher position. I’m nervous for this exact reason. Plus I have anxiety disorders already. Woo!
@@midnightmuse9829 Try to relax. The polygraphers have a bit of a complex, thinking they can come at you with the results afterward. It's a game. Don't change your answers afterward and you'll be fine.
Polygraphs detect stress, not lying and as you know, there are plenty of reasons why one might be stressed that have nothing to do with being untruthful. This is why polygraphs are basically bullshit. Sorry you have to do such a stupid exercise.
OCD is ego-dystonic, OCPD is ego-syntonic. Ego-syntonic means that it fits the person's sense of self and they embrace it, it is a part of who they are. Ego-dystonic means that it causes them distress and they see it as an affliction that they want to get rid of. All personality disorders are ego-sytonic, that's why they're called personality disorders. The person embraces these characteristics that others dislike. All other psychiatric disorders cause the person distress and the person afflicted wants to be free of it.
This makes sense. I had a roommate who might have had a personality disorder. She was creepily charming when we interviewed her, but she turned out to be completely irrational. She would start screaming if a roommate opened the fridge while she was eating. And she would threaten to have them thrown out. Like the landlady who was desperate to keep tenants is going to throw out long term tenants over nothing. Ridiculous, but her reactions where so extreme that it made you feel like you where in a fight for your life. And her whole life was like that. She used a PO box because she moved so often, had lawsuits going, and mentioned being attacked on a bus like it was an everyday occurrence. Probably someone brushed by her and set her off. It was like she was on the run from her own behavior and didn't know it. I came to the conclusion that her nervous system reacted to annoyance as if she was being physically attacked.
I had to take a polygraph test once because another employee took money from our company. The actual test was easy compared to the 4+ hour interview you have to do with the detectives that are giving the test. They asked the most personal questions., and I passed it. I think going through the whole experience is what's most useful to them. Def one of the most stressful days of my life. The guy who stole the money confessed in the pre-test interview.
This. It's not about the machine. Anyone who has actually had this test never wants to take another. It's a lot worse than typical police questioning and that's saying something.
To add to Freud's theories about mothers... his mother was closer in age to him than his dad and he was raised by a wet nurse, and thus may not have had the Westermarck Effect (what stops us from being attracted to people we grew up with) kick in. There's evidence to suggest that Freud had a crush on his own mother and assumed this was universal as a result, which is terrible science.
I believe it's called "Assumed similarity bias", which means we assume that watever is normal in us applies to all people. Add to that all of the other cognitive biases he suffered from, and it's almost a miracle that there have been salvafgeable things out of his work.
Quibbles: Reinforcement is not the same as "reward" Something might be called a reward if it makes you feel good. Reinforcement is not about "rewarding" any behavior. It's just about whether or not the stimulus leads to an increase in the behavior. Thus the analogies about the teacher giving ice cream or canceling homework ARE rewards. But unless those events actually lead to an increase in the students performing more in the desired way, we can't say if they are reinforcements.
Prefacing that, as with all mental-health issues, these are only 'diagnosable' if they cause 'persistent difficulty' for the person (which is also itself a subjective call, but ya know...) I feel like this video gave a lot of good details, but needed to fill out some screen-time and could maybe be easier to understand in a more distilled contrasting: OCPD has also been called Anankastic personality, i.e. a perfectionist with standards that are WAY too high, both for themselves and others, and so they try to maintain a 'perfect' environment, and they perceive a strong logic connecting the perfect environment with positive outcomes and the avoidance of negative ones (whether or not it proves true). It is often a symptom of C-PTSD (i.e. exposure to repeated, long-term trauma) of children raised in 'zero-tolerance' environments, and Autism Spectrum Disorder often has it comorbid as that is essentially what being an autistic child feels like. OCD is less about maintaining a perfect environment and more about the personal performance of specific rituals which the person feels prevent some negative outcome (whether or not they can name the outcome) but also they're usually aware that they can't provide a connection between the causes and effects that others find logical, and in fact it is often BECAUSE they can't work out what the logical causal connection may be that they feel the need to continue the ritual. It is often (though obviously not always) developed in response to specific trauma events: sometimes media consumed at a young age before it can be properly contextualized, other times domestic or political violence, or natural disasters and accidents, etc.
Although I find some bias in some of your historical topics, your psychological topics are the best I have seen. I really appreciate them as a school teacher. All in all, your staff does very good research and you are always worth viewing
Therapist here. I agree with your description of how it works. I think of it as helping to empower the person to make helpful decisions, usually by helping to reveal what their unconscious might be trying to avoid. Which brings me on to Freud. His useful legacy is bringing to us the concept of the unconscious, defence mechanisms and instincts as well as the three layer model of the mind. I never refer to penis envy or any of those sexual constructs.
There was an episode of cheers where lilith, the actual scientist, absolutely destroys frasier as a hack and ridicules his love for freud. Just mockingly, dismissively, not even pretending to take him seriously. Fucking phenomenal.
I dont care what ppl call or classify this - say what you like. But when my autistic 3 year old, had a habit of running out of our driveway into oncoming traffic, hand up towards the car yelling "dop" (his word for stop) this made me freak out, and nothing but a physical punishment stopped the behavior. I tried everything else. His life was at risk....I soon learned that unlike his older sibling, he needed to be absolutely terrified of a singular response to a singular bevahior, to not do something. I have no problems with the fact I had a few hidings as a child - i remember each one, and each one was only for extreme life threatening behaviors. Well - this worked. Sometimes old fashioned parenting works. Hes now an alive, happy and a well functioning adult. I stand by my results.!!
My grandfather has his PhD in something super esoteric like Curriculum Development for Rual Developmentally Disabled Children and for years beat into me (figuratively) these terms regarding behavior modification, and you are the first person I've heard use positive and negative punishmnet/reward in the correct form. I try to bring these concepts into corporate coaching and the misunderstandings are hard to overcome. Same with "steep learning curve". A steep learning curve is good, because a learning curve is knowledge gained over time so a steep curve would be very good.
I have two comments about lie detectors. At best, a lie detector can only tell if a person is agitated but not why. T subject may have had a fight with their significant other. Lie detectors can be beat. If a subject has been studying relaxation techniques, they can keep their physical responses under control especially for key questions.
The worst advice I ever received from a therapist was while I was experiencing depression and suicidal thoughts and I was given as genuine advice "just think happy thoughts". This struck me as being about as useful as telling someone with cancer "have you tried just not having cancer"?
Well , since it is reasonable to assume that you are in control of your own thoughts , why would “ think happy thoughts “not be good advice ? Your cancer analogy is kind of silly since we aren’t directly in control of biological processes. If however , you take the stance that you can’t control what you think about, then you’d have a point .
Polygraphs are ridiculous. The only thing more ridiculous is that they are still used at all. The biggest reason Polygraphs are unreliable is the fact that it is obvious when you are asked the control questions and when you are asked the "important ones'. How do you think a person will react when asked their eye color or if they are wearing a watch and then they are asked if they stole money from their employer. I'm thinking most people will naturally feel more stress when asked about theft, or whatever. So they will show more stress.
👏👏👏👏 Well done man, accurate and clear. A pleasure for my ears among all those carnival barkers that beset all around the SSMM platforms, thanks. All my respect.
I have a PhD in Psychology. Most of the video was quite good. There were two areas that needed Improvement, the first is that there are different types of psychotherapies, and some are insight based as you were describing, while others are very directive like cognitive behavioral therapy which does specifically advise the patient what to do. Secondly, it would have been helpful to explain that polygraphs are used oftentimes today not to reveal someone's lying, but to intimidate the subject and have them confess to a crime, feeling as though the machine will reveal their innermost thoughts at any moment.
I've been practising meditation since I was 10yo and have proven many times while connected to full ECG monitors that I can reduce my heart rate and blood pressure at will. It scared the bjezuz out of the cardiology nurses monitoring me when all the alarms went off.
One person talks about their feelings and things that happened in the past with a psychologist. Another puts the past behind them and focuses on the future. Guess who is more well adjusted.
@@kryptonianguest1903Not necessarily. For most people, it's entirely possible to rewrite memories by repeating the false thing until it becomes true, or at least until it becomes convincing enough that you can believably say you don't know. It all depends how much time you have to prepare, and it can be even more efficient if someone you trust coaches you through it. You most likely have a bunch of memories that aren't real. Either stuff you made up, or things you've read or were told about that you're convinced you've seen/done yourself. Some of them may even be true, the memory just isn't yours (how many childhood events do we "remember" only because we've heard about them from our parents?)
This is just such a reminder of when teacher's are so horrendous, that they punish they whole class thinking that by punishing an entire class from a single person amazed me at age 12 as to why they thought this would work....they were obviously idiotic. Yet teachers...
Um. The system works pretty well. Especially when the authority can't punish the individual effectively. Would you honestly keep encouraging the class fool to go further is the risk of the entire class is punished? Would you not sort the fool out before they got you in trouble?.
Interesting thing to add as someone with OCD - The need for control can also lead to totally giving up on something. If you get overwhelmed the it feels better to not do anything at all than it does to do it partially
Understanding the postive/negative reinforcment is important for when you want to set up your house to encourage things you want and discourage things that you don't want.
Most people see psychology as an assumption that quickly forgets the last assumption as a method of excuse or inevitability for momentary validation. They’ll know the name but they’ll fall silent when asked to provide anything that the name doesn’t make obvious. Very few people are prepared to face their flaws, the ones diagnosed with the most blatant issues are the ones who are forced to deal with themselves giving them the more advanced answers. The ones never diagnosed see themselves as flawless, the lack of knowledge isn’t aware of its emptiness. It gives them a false sense of confidence in something they’ve had to address. They never know that they never know anything. That’s why you should never run from truth.
Being an expert at deconstruction facial cues 2:49. This lady is saying that this product only hydrates your skin in one area. So it's defective...or really effective.
Late 90s my mother worked at a beer distributor. Well one day it was robbed after closing. No forced had the cops thinking inside job. Every employee (8 people or so) was given a polygraph. My mom was the only person that "passed" the test.
In many cases, the purpose of the polygraph is not to detect lies, but to intimidate the suspect into making a confession. In that sense, it often "works". BTW I had a uncle who worked as a polygraph operator in the 1950s, until he convinced himself that it didn't really work as advertised. He later got a PhD in sociology, specializing in criminology. I remember him saying that "the smart ones don't get caught" (I'm not sure if he was joking or not).
I appreciate the fact that a distinction was made between OCD and OCPD. It does make it that much more frustrating that the opposite decision was made with regard to the diagnosis of Autism. Rather than provide additional distinct categories, decision was made to eliminate the few distinctions that were previously available. Explaining that my autistic child isn't quirky and good at math, but rather he is learning to use a sight board as a means of communication, and his ability to engage with me, and his therapists is an amazing accomplishment that required hard work on his part. In my opinion ASD (autism spectrum disorder), encompasses such a broad range of actual manifestations that's it's basically useless, if not misleading.
I have not seen anybody clarify what the "Give a man a fish" adage is, so I shall: Give a man a fish, and he can eat for the day But teach a man to fish, and he will sit around all day, drinking beer
The OCD story immediately reminded me of a case I saw, it was a video I saw I think during psychology class, where a woman had an obsessive compulsion to tap her teeth, at the very least her top two incisors, with the glass or mug she was drinking out of. As a result of this, she had chipped her teeth more than once, so by the time she was interviewed for the video, she had replaced all the cups and glasses in her house with styrofoam cups to prevent her from chipping her teeth again. Edit: Oh boy, Sigmund Freud... to put it mildly, we are/were taught in University that pretty much everything that came from Freud is bullshit now, but we did study him from a history of psychology perspective. Oh, the confirmation bias! That reminds me of a super funny Freud story. From memory, this might not be 100% accurate, but I know the conclusion is that he believed in dream analysis and that dreams were basically wish fulfilment. He had a patient who told him that she had a dream she was spending time with her mother-in-law, so if dreams are wish fulfilment, then obviously she wanted to spend time with her mother in law, right? Wrong! She didn't like spending time with her mother in law (she might have hated her, I don't remember.) So then Freud must be wrong, dreams can't be wish fulfilment then, right? Wrong again! Freud concluded that the woman's real wish was for him to be wrong, so by having a dream that contradicts his theory, thus seemingly proving him wrong, her wish was fulfilled! He's a genius! And by genius I mean batshit! I'm not joking for a second, his conclusion was genuinely that her wish was for him to be wrong, and therefore her wish was fulfilled, proving him right. But he also completely ignores the paradoxical nature of that with his conclusion, but to be fair, what do you take him for? Someone who actually knows what they're talking about? Honestly no idea if he went on to address the paradox, but if you actually knew what you were talking about, then your conclusion probably wouldn't be a paradox, so...
Research psychologists at the University of New England, Armidale NSW Australia, were doing empirical studies on Freudian theories. As psychology student, I was expected to be involved in volunteering as a study subject, and this is one study that I volunteered for. No, I wasn't told it was testing Freudian theories until AFTER the EEG measurements were taken and I was chatting with the Lead afterwards. From what I understand, no periodical has been able to find colleagues to peer-review let alone go ahead with publication. Cancel culture - as old as socialisation
I’ve been trying to get brain surgery for my OCD for about 5 years now. My doctors just repeatedly tell me it’s too invasive. Which I get but being unable to live properly and barely hold down a minimum wage job is also pretty invasive to my life.
As a therapist, it is a guilty pleasure to correct lay people in person when they self diagnose, especially in public places trying to leverage mental health to get their way. Also, someone's diagnosis isn't an excuse to act however they want or demand to be treated a certain way. Act with respect, request with respect, then receive respect from others. Advice is a double edged sword: if it works they become more dependent on you, the therapist; if wrong they could be frustrated with the advice. Avoid the lose-lose of giving advice.
Well, as a therapist you wouldn't be giving a medical diagnosis either would you? A medical diagnosis requires a doctor, which would be a psychiatrist in this case. Maybe things are different where you practice. How is a medical diagnosis rendered where you practice? There's often some wiggle room around psychiatric nurses, who often run the shop (with good reason), but even then, that's going to be signed off by a doctor... Anything else is just an opinion, well meaning, or otherwise.
Or, to paraphrase Pete Davidson, “Being mentally ill is not an excuse to act like a jackass… or so say my girlfriend, my mom, and my therapist.” I’ve dealt with serious mental health issues since puberty, and I had to learn over the years that the effects it has on those around me is MY responsibility. When I don’t take my meds, follow up once a month with my Primary Care Dr, or miss appointments with my therapist, then that is a choice I’m making that affects other people. I know that it is up to me to make the right choices for myself, my family, and my friends. It’s not always an easy road for everyone involved, but I’m grateful to everyone who have helped me over the years. One of the best ways I can demonstrate that gratitude is by doing everything I possibly can to stay healthy for them. I still mess up once in a while, but learning personal responsibility has afforded me hope and a happier life. It takes hard work to manage any serious health condition of either the body or the mind, but it’s worth every effort both for you and everyone you love.
@@CarnaghSidhe It is a difficult topic for certain. TLDR Want medication get an assessment/diagnosis from a Psychologist, Psychiatric Nurse Practitioner, or MD. Don't want medication a diagnosis from a therapist/counselor will suffice to pay for the sessions, depending on insurance. For all types of physical diagnoses MDs are in charge, for mental health it depends on if you want medication. I know of MDs that prefer to leave more niche mental health diagnoses to the mental health field, or even any that aren't the more common ones such as MDD and GAD. Most diagnoses I, Licensed Professional Counselor (Master's degree), make are billable by insurance, but insurance determines which ones they do or don't accept. They might not accept Adjustment Disorder, and would accept Adjustment Disorder with Anxiety or Adjustment Disorder with Depressed mood for example. For medication an official diagnostic assessments by a Psychologist, Psychiatrist, or Psychiatric Nurse Practitioner have to be given to solidify a diagnosis; unless a MD does one. However, certain assessment take certifications to be verified in and then the appropriate degree. For example, I can't administer a psychologist's level assessment for ADHD as I do not have a doctorate even if I was able to be certified to give it. Some of it depends on state legislature as well, since I'm in the U.S. In truth, it's a lot and can be a bit of nightmare. Wirth the medication side of things, this is from my understanding and I cannot prescribe medication so wouldn't be surprised if I was wrong on some bits.
@@Ms_Nightshade One hundred percent! That is fantastic you are doing what you can! It is unfortunate, that sometimes we have to put in additional effort. However, it comes down to is that effort worth it. That is for you to judge. Wish more people had your outlook. Keep up the work! You got this!
I used to work with a guy who had diagnosed himself with OCD. The first time he told me this, I asked him if he wasn't just making excuses for being an asshole.
I use my OCD as a tool. I've setup over 25,000 computers. I've set them up all the same way. Some of the items have changed based on technology upgrades but the "overall process" is still the same.
Concerning the lie detector, I didn't hear the mention of determining a base line against which to compare the results of the changes of physiological characteristics. They may not be reliable enough in court, but they can be useful in determining patterns of truthfulness and deception. A skillful examiner will use various ways of asking a question, for example, and watch the way the subject responds and tailor follow-up questions to refine the query. This is especially useful when questioning a witness. It can still be a useful tool.
The difficulties with understanding OCD/OCPD are exactly why I've struggled to determine which - if any - of the two I have. Every time it's been brought up by my doctors in relation to my Autism, I've responded that I definitely have both obsessions and compulsions, but can't determine whether they constitute a unique disorder of any kind. It's really not a well discussed or represented topic at the moment.
1) My sister confessed to having 🍆 envy once. For context, she was drunk and didn't want to have to walk all the way to the restroom versus "I could just stick it out the window." (We were in her car at a drive in theater) 2) Lie detectors not enough to convict or aquit someone at trial, but enough to do so on a talk show.
That a person *thinks* a detector works is profoundly powerful. Look at people getting their thetans measured. The argument against lie detectors ignores that some people do have these physiological responses when they lie, and more importantly, that all tests to measure trustworthiness or find dishonesty are inconsistent. The point is to use a range of techniques and not rely on any single one. Sometimes lying to the person and saying you already know the truth so they might as well tell you works too, and this is obviously disprovable and has many of the same problems.
Polygraphs are not to tell if you are lying. It is to get a statement to possibly incriminate you of something. If you don’t take one, the police infer guilt. If you answer the question and you don’t pass, such as being the parent of a murdered child and you are emotional, it gives police in their heads probable cause to hound you.
13:58 An alternative explanation for Freud's theory about little Han's fear of horses could be he was wound as tight as an e string on IV'd pharmaceutical grade cocaine. Dude was snow blind.
Funnily enough, a lot of therapists seem to have the misconception, that they HAVE to talk about your feelings because they shouldn't tell you what to do.
I visited a therapist, twice. Gave him all the breadcrumbs the first visit. He had not bothered reviewing any of that context before the second, and stated clearly that , " it would be immoral" as the material isn't listed in the AMA. So the second meeting starts with gatekeeping theory in applied science. We may have been discussing religion at that point... Then the trite bastard challenged me, overtly stating that, "he can do something I can't." " What? Be subjective? " I ask. " No, I can have an objective opinion of you." That was the moment I lost faith in our societal structure.
Thank you, thank you, thank you. So many people's misconceptions re: OCD vs OCPD. I have pretty severe OCD and my coworker clearly has OCPD. Allegedly. In my opinion. But I can't call it out when discussing my condition with people, because of company policy. And I'm sure he's undiagnosed. Allegedly. In my opinion.
As a therapist, when it comes to decisions - ‘I see you for 50 minutes a week, you have to live with the decision/choice/outcome the rest of your life’. No advice!
Love that attitude. I've been forced into therapy before and I did feel like the therapist tried to at the very least steer me into a certain direction. I do not tolerate infringements on my autonomy well, so I have not seen one in about a decade. Occasionally an acquaintance will recommend therapy, either because I've been venting about something trivial or because they themselves have just found "an amazing therapist who changed their life". While I fully support them in their journey, I am still confused why I should see one and why people keep telling m to do so, especially if the therapist cannot actually give me advice. I am someone who thinks everything though very carefully, I am usually aware of all my options, their pros and cons etc. I also generally know what my prefered course of action would be, but often that is simply not feasibile (financial constraints, what have you, life is complex). So I genuinely do not understand how I could benefit from therapy, if ultimately I will be making my own decision, with or without therapy. The worst thing is when these "nonjudgemental" people with their "unconditional positive regard" who "do not give advice and do not impose their own viewpoints" call me "resistant" or try to diagnose a personality disorder, when I disagree with their assessment of me and my life, which I have the audacity to think I know more about than someone I've talked to a few times. If therapists do not judge and do not give advice, why have this whole system of symptoms and diagnoses and everything to begin with? Clearly there is a normative element in all this, otherwise there would be no need for labels. If therapy were truly mere "exploration" of options, done for a human being, rather than a patient whose very self needs "fixing", I might be able to get behind it. But I don't see why I should pay someone to tell me what I am doing wrong - or worse, how I am wrong as a person and how they think I should live instead. And unfortunately, a lot of therapists do just that. So thank you for living up to the ideal and not giving advice!
@@SchwarzesSchaefle I think you may be discussing the USA version of therapist - as a UK BACP registered therapist some of what you say is at odds with practice. That said, CBT is more directive toward your goals - but if in an NHS setting, may include psychologists who may diagnose disorders. Clinical counsellors are different again (in UK) and are more doctors than therapists, hence will be involved more in forced care. Labels are required for accessing databases of research knowledge and best practice on a set of symptoms, or communicating to others involved in your care the general area of distress/dysfunction. They’re not particularly useful for the client, but some may find a label reassuring - particularly if they’ve never felt they fit society (such as autism). We call those we see ‘clients’ mostly - a therapist (UK) won’t fix you. With mental health, you can only fix yourself, and it is your own work toward your own goal that will achieve it (with varying success). That’s how we view it. People not in distress or difficulty don’t come to therapy. They certainly shouldn’t be forced to. There’s an ethical obligation under all major bodies such as BACP or UKCP that states the client must ‘explicitly consent’ to therapy, and sign a contract to such effect. I cannot work with anyone who doesn’t want a positive change to something in themselves or life. If you want to talk about life, don’t pay me - just speak with your friends. My set of trained and informed skills are to help you explore what thoughts or feelings are troubling you. No advice. We may explore options to find what you want to do, but it should always be directed by your own reality (culture/perspective) and goal. A therapist shouldn’t be telling you you’re wrong unless the way you are living is directly at odds with your desired way of being. It does seem though that your experience is of an American version - which I cannot speak of as it’s very different to UK.
@@aps-pictures9335 What you say makes sense, but where do I go when I run into problems where I actively want people's input and perspectives, on a particular issue?
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You're wrong about a few things regarding OCPD. Specially about intrusive thoughts. That's incorrect, intrusive thoughts are 100% a symptom. Maybe not for differential diagnosis, but a symptom nonetheless.
I was homeless a decade and a half ago. I stayed in a group home for 13 months. You would think.that with all the notes they were taking that they would figure something out? At the end, they were still zeroing in. I was suffering PTSD, and have Aspergers, neither of which they diagnosed me with. They just want you on meds. I had an adverse reaction to them. The "professionals " aren't always trustworthy.
I don't like the way you talk. If you could slow down a bit, so we could catch what you are talking about!
I have ADHD. I easily forget what I just did after I move on to the next step. I leave my apartment, lock the door and start walking away. Then I think, did I lock the door, and go back to check. I have come home to find the door unlocked. That is why I check 2 or 3 times. That isn't OCD. There are some symptoms that are found in several disorders.
I had a therapist that said I was mean and cruel. Some don't care about understanding why the patient says or does certain things. I am not a cruel person
The most effective skill a therapist can have is the ability to ask the right questions so the patient can discover the answers that they had all along.
Exactly, even if I know they are right unless they helped me come to a conclusion myself and then helped me understand that conclusion, it’s going to be extremely hard to internalize and apply that conclusion
Why do you say the most effective skill a therapist can have is the ability to ask the right questions?
@@KT-dj4iy I'm no therapist, but I've done a lot of personal development work, and they're correct. Asking the right questions forces you to think more about the problem and solutions. Answers that you discover on your own tend to stick a lot better in your mind than answers that are given to you.
That's not to say there isn't any time and place where answers should be given directly, but asking targeted questions can be effective
It also means that you're listening and paying attention to what the other people is saying.
Preying on the uneducated and weak
Therapy started to really work for me when I changed my perspective from I need help from someone to I need to help myself, therapy is about learning to be your own therapist
I was afraid of the holes in my memory because the things I remember are bad enough. I always thought I had to dig them out and face them. She told me not to, if my mind is protecting me, let it. I am doing so much better now.
That's literally the textbook version of a bad therapist. Get a second opinion...
@rickwilliams967 i am happier than I have ever been in my entire life. I have never been so mentally healthy. The last time someone decided I should poke at those holes.I tried to kill myself. No, let me change that. Because I did not try to kill myself. I love my life. I have a great husband great children and wonderful grandchildren, I have everything to live for but when I went looking into those holes that I don't remember the 14-year-old in me, literally took charge and tried to kill herself again.. That's how I ended up with this therapist.Was coming out of the hospital. To this day, I do not remember taking the bottle of pills or putting the gun to my head. I have 3 days. I lost. I remember standing in front of a hospital. Having cops put handcuffs on me to transfer me from a hospital to a psychiatric unit after having lost three days. My therapist, especialized in people like me. I have never had a life that didn't exist before trauma.
I was born into it. I am better than I have ever been in my entire life. Do not ever go around telling people what to do like that. You have no idea what kind of things are in those holes?You have no idea of the things that I have to live with that.I do remember. So no, i'm not going to go get another second opinion, and I d*** sure would never listen to you
@@rickwilliams967 You can't make a blanket statement like that from a post of like 50 words lmao. So much context is missing.
Is the poster having traumas from their past that is influencing the way they view the world now, and negatively impacting their day to day?
If yes - maybe dig a little and see what happened and how to restructure.
If no and they are able to handle their life- then why are they meeting at all? Are there other more present or unrelated issues to that past trauma that should be dealt with instead?
This is a simplifed answer itself. As much as we want to think we are clever and figuring things out from comments, we are basing our answer on our perception of ehat was written without any additional context and thats assuming the commentor wrote it correctly in the first place.
The irony of Freud is that his most insightful work by modern standards was the early-career work he ended up retracting because it was ruffling too many feathers. Before he went totally off the deep end, he had some genuine insights that were well ahead of their time, but he doesn't get his name attached to those ideas because he chose to distance himself from them.
Elaborate on this please.
He was a complete idiot.
@@davidllamas2192 I agree.
His ideas on the parent/child relationship are disturbing by today's standards. But were those ideas his early or his later theories? He seemed to concentrate on the sexuality of ppl, while disregarding other complex ideas of human nature.
I have OCPD (with a big dash of OCD) and the best quote I’ve ever heard to explain the difference was something like “people who have OCD understand what they are doing is crazy but can’t stop, while people with OCPD feel it’s crazy for anyone not doing the same way they are and needs to be stopped”
Well done for recognising you're a tad mental, though.
8:07 yes! Finally! I hate how ppl cleaning up say ‘oh I’m having an OCD moment’. When they are just cleaning.
Nah, I'm pretty sure cleaning is a sign of significant mental illness but it's unstudied because nobody wants to be in that study.
@ FYI, it’s not the cleaning that makes it ocd, it when you believe that some very bad will happen if you don’t clean it. So if you don’t do what ever your compulsion is that someone will die, or you will die or there will be a plane crash. It’s that belief in a bad consequence if that action is not done, that makes it ocd and the impact on your life and anxiety that is caused. Cleaning is just one of many different compulsions someone might have. As is washing of the hands, or checking the door or stove five times, counting by threes for three minutes or having all your cup handles facing the same direction.
5 misconceptions you might have about psychology:
-- this little thing
-- that little thing
-- LITERALLY EVERYTHING FREUD HAD EVEN WRITTEN
...
freud was a poster child for insane modern psychiatrists.
Freud's collaboration with the surgeon Wilhelm Fliess was so bizarre that it warrants an episode maybe on the Shadows show. In a bizarre combination of bromance, pseudo-science, and intense misogyny, they tried to cure depressed and hysterical women with repeated nose surgeries. If at first you don't succeed, break her nose and try again. Any complaining from the patient was blamed on her poor attitude. They scolded one repeat patient for weeks because she complained of pain and obstructed breathing. When the infection became bad enough that surgery was required, Fliess was surprised to find a piece of bandaging gauze left from the previous surgery. He and Freud were not remorseful and continued to blame the patient for all physical and psychological problems. Wild stuff.
I think in many ways Freud is on par with the guy who won the Nobel Prize for lobotomies. He had some good ideas but was also in many ways a massive quack with way too much praise.
@@arthas640 Egas Moniz was not a quack. He was an accomplished neurosurgeon who also invented:
en.wikipedia.org/wiki/Cerebral_angiography
IMHO it says a lot about medicine and society that he won the nobel prize for the cerebral leukotomy and not that. Cerebral angiography is still performed today, and is extremely important. There was hardly universal praise for him, either--some people essentially called it quackery then. But those people also didn't have any better ideas about WTF to do, and some of them were probably doing other things that we consider ghastly today.
If you consider it in its historical context (this was a LONG time ago) and draw a contrast with the practice of psychiatry today, there are MANY psychiatrists who are WAY more deserving of the label of "quack" than he was. If you want to point to a lobotomizing quack, point to Walter Freeman. He crashed around the country doing lobotomies in his "lobotomobile" (I'm not making this up--that's what he called it). He invented the "transorbital lobotomy", which was basically jamming something sharp in through the orbit of the eye, puncturing the bone, and wiggling it around. He literally used the icepick from his bar. He would operate on two patients at once for show. THAT is quackery.
Why don't I call the first lobotomy quackery also? Because antipsychotic drugs at high enough doses have a similar effect, and countless people are compelled to take those today--despite nearly a century's worth of experience. Sure, that effect is reversible (though they can produce irreversible effects, such as tardive dyskinesia), but if people are forcibly drugged (many are), what's the difference, really? Again: you have to consider how much more is known now in drawing a comparison.
You can't have it both ways. I'm not promoting lobotomies, lol. What I'm saying is that to determine whether someone is a quack, you have to look at their motives and their practices. And if you call Freud a quack--he mostly just spoke to people--then a lot of what actually happens in psychologists's offices today is quackery also.
Oh, and FWIW, this is still performed today--rarely, but it is very much a thing:
"Bilateral cingulotomy is a form of psychosurgery, introduced in 1948 as an alternative to lobotomy. Today, it is mainly used in the treatment of depression[1] and obsessive-compulsive disorder."
en.wikipedia.org/wiki/Bilateral_cingulotomy
Clearly, the work of Egas Moniz contributed to that, wouldn't you say? Some people have called for rescinding his Nobel Prize. I suspect that this is part of the reason why that never happened, and I don't think it should happen. Frankly, if anything I think you've got it backwards: it's unfair to Egas Moniz to say he's on par with Freud (though I personally wouldn't characterize Freud this way).
@@arthas640 agreed.
what???
@@amazinggrapes3045 not that surprising. Freud was kind of weird at the best of times, even for the day he was pretty sexist, and he had an extreme ego making it impossible to admit he was wrong. I sometimes think that's why he went into psychology: his theories were impossible to disprove most of the time and since it was such a new science it allowed him to get tons of attention without tons of scrutiny.
0:50 - Chapter 1 - Negative reinforcement
2:30 - Mid roll ads
3:45 - Back to the video
5:00 - Chapter 2 - Obsessive compulsive disorder
8:30 - Chapter 3 - Advice from your therapist
11:50 - Chapter 4 - Freud's legacy
15:35 - Chapter 5 - Lie detector tests
Are you the kind with the P or no?
I really appreciate the OCD vs OCPD part. Going on 26 years of living with contamination & disgust OCD.😔
I assume that's a self diagnosis 😂😂😂
I've been polygraphed more than 10 times in my life for government clearances. I've never been untruthful, but I've been told I've been deceptive in about about half the tests. It's just difficult to sit there attached to a machine with your job on the line. I call BS.
I’m about to undergo my first polygraph, tomorrow actually, hoping to get a dispatcher position. I’m nervous for this exact reason. Plus I have anxiety disorders already. Woo!
@@midnightmuse9829 Try to relax. The polygraphers have a bit of a complex, thinking they can come at you with the results afterward. It's a game. Don't change your answers afterward and you'll be fine.
Polygraphs detect stress, not lying and as you know, there are plenty of reasons why one might be stressed that have nothing to do with being untruthful. This is why polygraphs are basically bullshit. Sorry you have to do such a stupid exercise.
Psychology is basically the brain trying to figure itself out...
Got my BA in psychology in ‘82 and did grad work in the field in the early 90s. Knew all of these, well done presentation.
OCD is ego-dystonic, OCPD is ego-syntonic. Ego-syntonic means that it fits the person's sense of self and they embrace it, it is a part of who they are. Ego-dystonic means that it causes them distress and they see it as an affliction that they want to get rid of.
All personality disorders are ego-sytonic, that's why they're called personality disorders. The person embraces these characteristics that others dislike. All other psychiatric disorders cause the person distress and the person afflicted wants to be free of it.
Is that what a personality disorder is? That's...
That sounds like there could be issues with that
This makes sense. I had a roommate who might have had a personality disorder. She was creepily charming when we interviewed her, but she turned out to be completely irrational. She would start screaming if a roommate opened the fridge while she was eating. And she would threaten to have them thrown out. Like the landlady who was desperate to keep tenants is going to throw out long term tenants over nothing. Ridiculous, but her reactions where so extreme that it made you feel like you where in a fight for your life.
And her whole life was like that. She used a PO box because she moved so often, had lawsuits going, and mentioned being attacked on a bus like it was an everyday occurrence. Probably someone brushed by her and set her off. It was like she was on the run from her own behavior and didn't know it. I came to the conclusion that her nervous system reacted to annoyance as if she was being physically attacked.
@@amazinggrapes3045 yeah that's why they are categorized separate from all other disorders
I've never heard negative reinforcement explained so clearly
The human mind is one of the most complex things, governed by mysterious and elusive rules...
I had to take a polygraph test once because another employee took money from our company. The actual test was easy compared to the 4+ hour interview you have to do with the detectives that are giving the test. They asked the most personal questions., and I passed it. I think going through the whole experience is what's most useful to them. Def one of the most stressful days of my life. The guy who stole the money confessed in the pre-test interview.
This. It's not about the machine. Anyone who has actually had this test never wants to take another. It's a lot worse than typical police questioning and that's saying something.
@@curtislindsey1736 what kind of employer requires employees to take a polygraph test!?
@KT-dj4iy police department, for one. And many other state or government level jobs do as well.
@@KT-dj4iy a bank when an employee steals $30,000
The mandatory polygraph is a blessing if you are a psychopath.
To add to Freud's theories about mothers... his mother was closer in age to him than his dad and he was raised by a wet nurse, and thus may not have had the Westermarck Effect (what stops us from being attracted to people we grew up with) kick in.
There's evidence to suggest that Freud had a crush on his own mother and assumed this was universal as a result, which is terrible science.
I believe it's called "Assumed similarity bias", which means we assume that watever is normal in us applies to all people. Add to that all of the other cognitive biases he suffered from, and it's almost a miracle that there have been salvafgeable things out of his work.
@@jorgelotr3752It's also called the universal mind fallacy.
@@kryptonianguest1903 The more you know...
@jorgelotr3752 what about the opposite, where I assume everything I think and feel is abnormal and that I'm a freak? 😅
@@QBCPerdition False uniqueness bias with a heavy dose of self-deprecation.
The only time I received direct advice from a therapist, was when she suggested I get a dog. It was good advice!
I feel like Freud, himself, actually had an Oedipus Complex and couldn't reconcile it, so it came out in his work.
Quibbles: Reinforcement is not the same as "reward" Something might be called a reward if it makes you feel good. Reinforcement is not about "rewarding" any behavior. It's just about whether or not the stimulus leads to an increase in the behavior. Thus the analogies about the teacher giving ice cream or canceling homework ARE rewards. But unless those events actually lead to an increase in the students performing more in the desired way, we can't say if they are reinforcements.
Nice to see someone explain OCD better.
thank you for the bit on OCD vs. OCPD. I have OCPD and am always having to correct people that their stereotypes are often incorrect.
I love your work Simon, as a career mental health nurse you make so much sense
the explanation of OCD and OCPD had the gears turning, glad like most shows I end up binging I stumbled along yours. good stuff.
MONK REFERENCED!
Im so happy. I love that show
Love how you explain the therapeutic process
Prefacing that, as with all mental-health issues, these are only 'diagnosable' if they cause 'persistent difficulty' for the person (which is also itself a subjective call, but ya know...)
I feel like this video gave a lot of good details, but needed to fill out some screen-time and could maybe be easier to understand in a more distilled contrasting:
OCPD has also been called Anankastic personality, i.e. a perfectionist with standards that are WAY too high, both for themselves and others, and so they try to maintain a 'perfect' environment, and they perceive a strong logic connecting the perfect environment with positive outcomes and the avoidance of negative ones (whether or not it proves true).
It is often a symptom of C-PTSD (i.e. exposure to repeated, long-term trauma) of children raised in 'zero-tolerance' environments, and Autism Spectrum Disorder often has it comorbid as that is essentially what being an autistic child feels like.
OCD is less about maintaining a perfect environment and more about the personal performance of specific rituals which the person feels prevent some negative outcome (whether or not they can name the outcome) but also they're usually aware that they can't provide a connection between the causes and effects that others find logical, and in fact it is often BECAUSE they can't work out what the logical causal connection may be that they feel the need to continue the ritual.
It is often (though obviously not always) developed in response to specific trauma events: sometimes media consumed at a young age before it can be properly contextualized, other times domestic or political violence, or natural disasters and accidents, etc.
Although I find some bias in some of your historical topics, your psychological topics are the best I have seen. I really appreciate them as a school teacher. All in all, your staff does very good research and you are always worth viewing
Another great contribution from Simon!
The best you could say about Sigmund is his coke bill was extensive
Therapist here. I agree with your description of how it works. I think of it as helping to empower the person to make helpful decisions, usually by helping to reveal what their unconscious might be trying to avoid. Which brings me on to Freud. His useful legacy is bringing to us the concept of the unconscious, defence mechanisms and instincts as well as the three layer model of the mind. I never refer to penis envy or any of those sexual constructs.
My question is, if his analogy to parents is valid, then shouldn't parents be as diligent about never telling their kids what to do?
Simon et. al. is pumping out the content. We love you all! Thank you...
There was an episode of cheers where lilith, the actual scientist, absolutely destroys frasier as a hack and ridicules his love for freud. Just mockingly, dismissively, not even pretending to take him seriously. Fucking phenomenal.
I dont care what ppl call or classify this - say what you like. But when my autistic 3 year old, had a habit of running out of our driveway into oncoming traffic, hand up towards the car yelling "dop" (his word for stop) this made me freak out, and nothing but a physical punishment stopped the behavior. I tried everything else. His life was at risk....I soon learned that unlike his older sibling, he needed to be absolutely terrified of a singular response to a singular bevahior, to not do something. I have no problems with the fact I had a few hidings as a child - i remember each one, and each one was only for extreme life threatening behaviors. Well - this worked. Sometimes old fashioned parenting works. Hes now an alive, happy and a well functioning adult. I stand by my results.!!
My grandfather has his PhD in something super esoteric like Curriculum Development for Rual Developmentally Disabled Children and for years beat into me (figuratively) these terms regarding behavior modification, and you are the first person I've heard use positive and negative punishmnet/reward in the correct form. I try to bring these concepts into corporate coaching and the misunderstandings are hard to overcome. Same with "steep learning curve". A steep learning curve is good, because a learning curve is knowledge gained over time so a steep curve would be very good.
I think Freud was projecting his own childhood ideas and motivations onto his patients.
Polygraph testing is required for a lot of people on parole. It's absolutely ridiculous.
I have two comments about lie detectors. At best, a lie detector can only tell if a person is agitated but not why. T subject may have had a fight with their significant other. Lie detectors can be beat. If a subject has been studying relaxation techniques, they can keep their physical responses under control especially for key questions.
The worst advice I ever received from a therapist was while I was experiencing depression and suicidal thoughts and I was given as genuine advice "just think happy thoughts". This struck me as being about as useful as telling someone with cancer "have you tried just not having cancer"?
Well , since it is reasonable to assume that you are in control of your own thoughts , why would “ think happy thoughts “not be good advice ? Your cancer analogy is kind of silly since we aren’t directly in control of biological processes. If however , you take the stance that you can’t control what you think about, then you’d have a point .
Polygraphs are ridiculous. The only thing more ridiculous is that they are still used at all. The biggest reason Polygraphs are unreliable is the fact that it is obvious when you are asked the control questions and when you are asked the "important ones'. How do you think a person will react when asked their eye color or if they are wearing a watch and then they are asked if they stole money from their employer. I'm thinking most people will naturally feel more stress when asked about theft, or whatever. So they will show more stress.
👏👏👏👏 Well done man, accurate and clear. A pleasure for my ears among all those carnival barkers that beset all around the SSMM platforms, thanks.
All my respect.
Your closing music is awesome 😎
Thank you this was helpful..
I have a PhD in Psychology. Most of the video was quite good. There were two areas that needed Improvement, the first is that there are different types of psychotherapies, and some are insight based as you were describing, while others are very directive like cognitive behavioral therapy which does specifically advise the patient what to do.
Secondly, it would have been helpful to explain that polygraphs are used oftentimes today not to reveal someone's lying, but to intimidate the subject and have them confess to a crime, feeling as though the machine will reveal their innermost thoughts at any moment.
I've been practising meditation since I was 10yo and have proven many times while connected to full ECG monitors that I can reduce my heart rate and blood pressure at will. It scared the bjezuz out of the cardiology nurses monitoring me when all the alarms went off.
A great deal of Freud's work can be explained by his fondness for the Bolivian Marching Powder.
One person talks about their feelings and things that happened in the past with a psychologist. Another puts the past behind them and focuses on the future. Guess who is more well adjusted.
The psychologist....
Getting paid to listen to you bitch about your problems, tell you to grow up, drive home.
Thank you for explaining OCD, I had it for 10 years and it was hell, I lost all my friends and couldn't leave my house.
Even if a polygraph test actually detected lies, if the person believed it was true it wouldn't register as a lie
Well, yeah. The only way to get around that would be sorcery.
@@kryptonianguest1903Not necessarily. For most people, it's entirely possible to rewrite memories by repeating the false thing until it becomes true, or at least until it becomes convincing enough that you can believably say you don't know. It all depends how much time you have to prepare, and it can be even more efficient if someone you trust coaches you through it.
You most likely have a bunch of memories that aren't real. Either stuff you made up, or things you've read or were told about that you're convinced you've seen/done yourself. Some of them may even be true, the memory just isn't yours (how many childhood events do we "remember" only because we've heard about them from our parents?)
Remember, Jerry. It's not a lie, if you believe it.
@@QBCPerdition Only it's a bit tough to convince you are an architect sometimes.
@@mikitz then go for a marine biologist
This is just such a reminder of when teacher's are so horrendous, that they punish they whole class thinking that by punishing an entire class from a single person amazed me at age 12 as to why they thought this would work....they were obviously idiotic. Yet teachers...
Um. The system works pretty well.
Especially when the authority can't punish the individual effectively.
Would you honestly keep encouraging the class fool to go further is the risk of the entire class is punished?
Would you not sort the fool out before they got you in trouble?.
The other problem with polygraphs is that psychopaths feel very little anxiety, because they feel no guilt.
Interesting thing to add as someone with OCD - The need for control can also lead to totally giving up on something. If you get overwhelmed the it feels better to not do anything at all than it does to do it partially
Understanding the postive/negative reinforcment is important for when you want to set up your house to encourage things you want and discourage things that you don't want.
Most people see psychology as an assumption that quickly forgets the last assumption as a method of excuse or inevitability for momentary validation.
They’ll know the name but they’ll fall silent when asked to provide anything that the name doesn’t make obvious.
Very few people are prepared to face their flaws, the ones diagnosed with the most blatant issues are the ones who are forced to deal with themselves giving them the more advanced answers. The ones never diagnosed see themselves as flawless, the lack of knowledge isn’t aware of its emptiness. It gives them a false sense of confidence in something they’ve had to address.
They never know that they never know anything. That’s why you should never run from truth.
According to *The Crown* ; Prince Phillips mom said Freud was a cruel man.
Penn & Teller have an episode showing how to beat a lie detector
Mac -"Mrs Kelly, why are you doing everything in 3s' "
Mrs Kelly - " So Charlie doesn't die" iasip
It's worked so far.
The single greatest mistake was the brain arrogantly believing that it understood itself.
As a BCBA, I thoroughly applaud this video!
also as a professional nurse, we never gave advice
we just helped people cope with their own decisions
Being an expert at deconstruction facial cues 2:49. This lady is saying that this product only hydrates your skin in one area. So it's defective...or really effective.
Late 90s my mother worked at a beer distributor. Well one day it was robbed after closing. No forced had the cops thinking inside job. Every employee (8 people or so) was given a polygraph. My mom was the only person that "passed" the test.
In many cases, the purpose of the polygraph is not to detect lies, but to intimidate the suspect into making a confession. In that sense, it often "works".
BTW I had a uncle who worked as a polygraph operator in the 1950s, until he convinced himself that it didn't really work as advertised. He later got a PhD in sociology, specializing in criminology. I remember him saying that "the smart ones don't get caught" (I'm not sure if he was joking or not).
I appreciate the fact that a distinction was made between OCD and OCPD. It does make it that much more frustrating that the opposite decision was made with regard to the diagnosis of Autism. Rather than provide additional distinct categories, decision was made to eliminate the few distinctions that were previously available. Explaining that my autistic child isn't quirky and good at math, but rather he is learning to use a sight board as a means of communication, and his ability to engage with me, and his therapists is an amazing accomplishment that required hard work on his part. In my opinion ASD (autism spectrum disorder), encompasses such a broad range of actual manifestations that's it's basically useless, if not misleading.
I have not seen anybody clarify what the "Give a man a fish" adage is, so I shall:
Give a man a fish, and he can eat for the day
But teach a man to fish, and he will sit around all day, drinking beer
The OCD story immediately reminded me of a case I saw, it was a video I saw I think during psychology class, where a woman had an obsessive compulsion to tap her teeth, at the very least her top two incisors, with the glass or mug she was drinking out of. As a result of this, she had chipped her teeth more than once, so by the time she was interviewed for the video, she had replaced all the cups and glasses in her house with styrofoam cups to prevent her from chipping her teeth again.
Edit: Oh boy, Sigmund Freud... to put it mildly, we are/were taught in University that pretty much everything that came from Freud is bullshit now, but we did study him from a history of psychology perspective.
Oh, the confirmation bias! That reminds me of a super funny Freud story. From memory, this might not be 100% accurate, but I know the conclusion is that he believed in dream analysis and that dreams were basically wish fulfilment. He had a patient who told him that she had a dream she was spending time with her mother-in-law, so if dreams are wish fulfilment, then obviously she wanted to spend time with her mother in law, right? Wrong! She didn't like spending time with her mother in law (she might have hated her, I don't remember.) So then Freud must be wrong, dreams can't be wish fulfilment then, right? Wrong again! Freud concluded that the woman's real wish was for him to be wrong, so by having a dream that contradicts his theory, thus seemingly proving him wrong, her wish was fulfilled! He's a genius! And by genius I mean batshit! I'm not joking for a second, his conclusion was genuinely that her wish was for him to be wrong, and therefore her wish was fulfilled, proving him right. But he also completely ignores the paradoxical nature of that with his conclusion, but to be fair, what do you take him for? Someone who actually knows what they're talking about? Honestly no idea if he went on to address the paradox, but if you actually knew what you were talking about, then your conclusion probably wouldn't be a paradox, so...
Research psychologists at the University of New England, Armidale NSW Australia, were doing empirical studies on Freudian theories.
As psychology student, I was expected to be involved in volunteering as a study subject, and this is one study that I volunteered for.
No, I wasn't told it was testing Freudian theories until AFTER the EEG measurements were taken and I was chatting with the Lead afterwards.
From what I understand, no periodical has been able to find colleagues to peer-review let alone go ahead with publication.
Cancel culture - as old as socialisation
Dan Ackroyd as Freud to his daughter, “Sometimes a banana is just a banana.”🍌
I’ve been trying to get brain surgery for my OCD for about 5 years now. My doctors just repeatedly tell me it’s too invasive. Which I get but being unable to live properly and barely hold down a minimum wage job is also pretty invasive to my life.
As a therapist, it is a guilty pleasure to correct lay people in person when they self diagnose, especially in public places trying to leverage mental health to get their way. Also, someone's diagnosis isn't an excuse to act however they want or demand to be treated a certain way. Act with respect, request with respect, then receive respect from others. Advice is a double edged sword: if it works they become more dependent on you, the therapist; if wrong they could be frustrated with the advice. Avoid the lose-lose of giving advice.
Well, as a therapist you wouldn't be giving a medical diagnosis either would you? A medical diagnosis requires a doctor, which would be a psychiatrist in this case. Maybe things are different where you practice. How is a medical diagnosis rendered where you practice? There's often some wiggle room around psychiatric nurses, who often run the shop (with good reason), but even then, that's going to be signed off by a doctor... Anything else is just an opinion, well meaning, or otherwise.
Trenton, you seem like a real asshole knowitall.
Or, to paraphrase Pete Davidson, “Being mentally ill is not an excuse to act like a jackass… or so say my girlfriend, my mom, and my therapist.”
I’ve dealt with serious mental health issues since puberty, and I had to learn over the years that the effects it has on those around me is MY responsibility. When I don’t take my meds, follow up once a month with my Primary Care Dr, or miss appointments with my therapist, then that is a choice I’m making that affects other people. I know that it is up to me to make the right choices for myself, my family, and my friends. It’s not always an easy road for everyone involved, but I’m grateful to everyone who have helped me over the years. One of the best ways I can demonstrate that gratitude is by doing everything I possibly can to stay healthy for them. I still mess up once in a while, but learning personal responsibility has afforded me hope and a happier life. It takes hard work to manage any serious health condition of either the body or the mind, but it’s worth every effort both for you and everyone you love.
@@CarnaghSidhe It is a difficult topic for certain.
TLDR Want medication get an assessment/diagnosis from a Psychologist, Psychiatric Nurse Practitioner, or MD. Don't want medication a diagnosis from a therapist/counselor will suffice to pay for the sessions, depending on insurance.
For all types of physical diagnoses MDs are in charge, for mental health it depends on if you want medication. I know of MDs that prefer to leave more niche mental health diagnoses to the mental health field, or even any that aren't the more common ones such as MDD and GAD. Most diagnoses I, Licensed Professional Counselor (Master's degree), make are billable by insurance, but insurance determines which ones they do or don't accept. They might not accept Adjustment Disorder, and would accept Adjustment Disorder with Anxiety or Adjustment Disorder with Depressed mood for example.
For medication an official diagnostic assessments by a Psychologist, Psychiatrist, or Psychiatric Nurse Practitioner have to be given to solidify a diagnosis; unless a MD does one. However, certain assessment take certifications to be verified in and then the appropriate degree. For example, I can't administer a psychologist's level assessment for ADHD as I do not have a doctorate even if I was able to be certified to give it. Some of it depends on state legislature as well, since I'm in the U.S. In truth, it's a lot and can be a bit of nightmare. Wirth the medication side of things, this is from my understanding and I cannot prescribe medication so wouldn't be surprised if I was wrong on some bits.
@@Ms_Nightshade One hundred percent! That is fantastic you are doing what you can! It is unfortunate, that sometimes we have to put in additional effort. However, it comes down to is that effort worth it. That is for you to judge. Wish more people had your outlook. Keep up the work! You got this!
The best mental health joke I ever heard is “I don’t have OCD, I have CDO……..they have to be in alphabetical order!!!”
Never anxious when i have to lie, get really anxious when i have to confess the truth 😮 "No daddy, it was big brother who drank all your beer"
I used to work with a guy who had diagnosed himself with OCD. The first time he told me this, I asked him if he wasn't just making excuses for being an asshole.
I use my OCD as a tool. I've setup over 25,000 computers. I've set them up all the same way. Some of the items have changed based on technology upgrades but the "overall process" is still the same.
Concerning the lie detector, I didn't hear the mention of determining a base line against which to compare the results of the changes of physiological characteristics. They may not be reliable enough in court, but they can be useful in determining patterns of truthfulness and deception. A skillful examiner will use various ways of asking a question, for example, and watch the way the subject responds and tailor follow-up questions to refine the query. This is especially useful when questioning a witness. It can still be a useful tool.
The difficulties with understanding OCD/OCPD are exactly why I've struggled to determine which - if any - of the two I have.
Every time it's been brought up by my doctors in relation to my Autism, I've responded that I definitely have both obsessions and compulsions, but can't determine whether they constitute a unique disorder of any kind.
It's really not a well discussed or represented topic at the moment.
1) My sister confessed to having 🍆 envy once. For context, she was drunk and didn't want to have to walk all the way to the restroom versus "I could just stick it out the window." (We were in her car at a drive in theater)
2) Lie detectors not enough to convict or aquit someone at trial, but enough to do so on a talk show.
That a person *thinks* a detector works is profoundly powerful. Look at people getting their thetans measured.
The argument against lie detectors ignores that some people do have these physiological responses when they lie, and more importantly, that all tests to measure trustworthiness or find dishonesty are inconsistent. The point is to use a range of techniques and not rely on any single one. Sometimes lying to the person and saying you already know the truth so they might as well tell you works too, and this is obviously disprovable and has many of the same problems.
Polygraphs are not to tell if you are lying. It is to get a statement to possibly incriminate you of something. If you don’t take one, the police infer guilt. If you answer the question and you don’t pass, such as being the parent of a murdered child and you are emotional, it gives police in their heads probable cause to hound you.
Freud was a deeply weird, fuckedup guy...
13:58 An alternative explanation for Freud's theory about little Han's fear of horses could be he was wound as tight as an e string on IV'd pharmaceutical grade cocaine. Dude was snow blind.
Your Mental health is just as important as your physical health. One cannot exist without the other.
Funnily enough, a lot of therapists seem to have the misconception, that they HAVE to talk about your feelings because they shouldn't tell you what to do.
I visited a therapist, twice.
Gave him all the breadcrumbs the first visit.
He had not bothered reviewing any of that context before the second, and stated clearly that , " it would be immoral" as the material isn't listed in the AMA.
So the second meeting starts with gatekeeping theory in applied science. We may have been discussing religion at that point...
Then the trite bastard challenged me, overtly stating that, "he can do something I can't."
" What? Be subjective? " I ask.
" No, I can have an objective opinion of you."
That was the moment I lost faith in our societal structure.
I would argue that detention is a negative punishment because it is the removal of the stimulus of freedom rather than the addition of a stimulus.
We really need to get to a point where we just tell people to get over themselves.
I have ocpd, and honestly it's not bad. Like, I'd rather be in control of my perfectionism than be under the control of some unfightable impulse
Re: Chapter 3 … which is why, when asked my advice, I always say “if you want my advice, it’s don’t take anyone’s advice”.🤔😉✌️
I used to lick ice-cream, now I just bite into and eat it like a sandwich
I’ve always felt like a psychopath for doing that because no one else does that. Guess I found my soulmate, marry me!
Thank you, thank you, thank you. So many people's misconceptions re: OCD vs OCPD. I have pretty severe OCD and my coworker clearly has OCPD. Allegedly. In my opinion. But I can't call it out when discussing my condition with people, because of company policy. And I'm sure he's undiagnosed. Allegedly. In my opinion.
One big misconception about therapists is that they have some incentive to help you 😅
Horses are big, got it 👍
Great work as usual 👏
As a therapist, when it comes to decisions - ‘I see you for 50 minutes a week, you have to live with the decision/choice/outcome the rest of your life’.
No advice!
Love that attitude. I've been forced into therapy before and I did feel like the therapist tried to at the very least steer me into a certain direction. I do not tolerate infringements on my autonomy well, so I have not seen one in about a decade. Occasionally an acquaintance will recommend therapy, either because I've been venting about something trivial or because they themselves have just found "an amazing therapist who changed their life". While I fully support them in their journey, I am still confused why I should see one and why people keep telling m to do so, especially if the therapist cannot actually give me advice.
I am someone who thinks everything though very carefully, I am usually aware of all my options, their pros and cons etc. I also generally know what my prefered course of action would be, but often that is simply not feasibile (financial constraints, what have you, life is complex). So I genuinely do not understand how I could benefit from therapy, if ultimately I will be making my own decision, with or without therapy.
The worst thing is when these "nonjudgemental" people with their "unconditional positive regard" who "do not give advice and do not impose their own viewpoints" call me "resistant" or try to diagnose a personality disorder, when I disagree with their assessment of me and my life, which I have the audacity to think I know more about than someone I've talked to a few times.
If therapists do not judge and do not give advice, why have this whole system of symptoms and diagnoses and everything to begin with? Clearly there is a normative element in all this, otherwise there would be no need for labels. If therapy were truly mere "exploration" of options, done for a human being, rather than a patient whose very self needs "fixing", I might be able to get behind it. But I don't see why I should pay someone to tell me what I am doing wrong - or worse, how I am wrong as a person and how they think I should live instead. And unfortunately, a lot of therapists do just that. So thank you for living up to the ideal and not giving advice!
@@SchwarzesSchaefle I think you may be discussing the USA version of therapist - as a UK BACP registered therapist some of what you say is at odds with practice. That said, CBT is more directive toward your goals - but if in an NHS setting, may include psychologists who may diagnose disorders. Clinical counsellors are different again (in UK) and are more doctors than therapists, hence will be involved more in forced care.
Labels are required for accessing databases of research knowledge and best practice on a set of symptoms, or communicating to others involved in your care the general area of distress/dysfunction. They’re not particularly useful for the client, but some may find a label reassuring - particularly if they’ve never felt they fit society (such as autism).
We call those we see ‘clients’ mostly - a therapist (UK) won’t fix you. With mental health, you can only fix yourself, and it is your own work toward your own goal that will achieve it (with varying success). That’s how we view it.
People not in distress or difficulty don’t come to therapy. They certainly shouldn’t be forced to. There’s an ethical obligation under all major bodies such as BACP or UKCP that states the client must ‘explicitly consent’ to therapy, and sign a contract to such effect. I cannot work with anyone who doesn’t want a positive change to something in themselves or life. If you want to talk about life, don’t pay me - just speak with your friends.
My set of trained and informed skills are to help you explore what thoughts or feelings are troubling you. No advice. We may explore options to find what you want to do, but it should always be directed by your own reality (culture/perspective) and goal.
A therapist shouldn’t be telling you you’re wrong unless the way you are living is directly at odds with your desired way of being.
It does seem though that your experience is of an American version - which I cannot speak of as it’s very different to UK.
@@aps-pictures9335 What you say makes sense, but where do I go when I run into problems where I actively want people's input and perspectives, on a particular issue?
I've got my own theories, ever since I was a kid.
I know even more now because of family members with mental health issues.
Being cursed with a vivid imagination equals impossible to pass a lie detector test. “Did you stab that woman?” Imagery floods in……”well damn”
Freud remains useful re such phenomena as eg ego-defence-mechanisms.
It's not punishment, it's "conditioning"
Likewise, OCD is egodystonic, and OCPD is egosyntonic.
*knock,knock,knock* - "Penny"
*knock,knock,knock* - "Penny"
*knock,knock,knock* - "Penny"
1:55 - incorrect: some students like homework, so this could be a punishment.