Tuesday is for Therapists: Biweekly Essays

TIFT #45 A Window on the Mind tift Feb 15, 2022


How can we observe what goes on outside of consciousness? When we humans do things clearly against our own best interests and even against own free will, we can safely surmise that some other agency in the mind is at work. I call that agency the "nonconscious problem solver." Addictions are one of t...

Continue Reading...
TIFT #44. Good Theory Improves Technique Feb 01, 2022

 

A theory is only a theory, a plausible explanation of reality. But, when a theory grows out of one area of science, then comes full circle and confirms a completely independent set of observations, we gain confidence. In the case of psychotherapy, knowledge coming out of teaching rodents to be af...

Continue Reading...
TIFT #43 The "Dread" in Perspective Jan 18, 2022

 

In TIFT #42, I introduced the idea of dread. It may have seemed dark, but It’s really hopeful. Why? Because at the time, long ago, when the mind first sought to avoid, there didn’t seem to be any alternative. But those bad times are over and now we have a better way. By facing the dread in a cont...

Continue Reading...
TIFT #42 "Following the Dread" Jan 04, 2022

 

 With this post, I’m proposing practical guidance to make psychotherapy more effective. The idea is simple. Giving ourselves and our clients the task of discovering what it is they most dread will turn out to be surprisingly helpful. Here’s why.

Essentially all of the EMPs (Entrenched Maladaptiv...

Continue Reading...
TIFT #41 It's the Love II–Bracing Dec 14, 2021

 

Thanks so much to the readers who commented on “It’s the Love,” Post #36. How often does a therapist get to participate in a genuine dialog with clients outside of a therapeutic relationship? I hope many therapists are taking the time to read the 25 comments on that post. They are incredibly valu...

Continue Reading...
TIFT #40 Overcoming Therapeutic "Overchoice" Dec 07, 2021

 

According to Wikipedia, "Overchoice... is a cognitive impairment in which people have a difficult time making a decision when faced with many options.” As long as therapists have an infinite choice of things they might do next, the result is bound to be distressing and confusing. This post is abo...

Continue Reading...
TIFT #39 Psychotherapy's Near Surrender Nov 30, 2021

 

We've almost given up on theory and it matters

Joseph Priestly, a British clergyman and scientist was a believer in the then-current theory of phlogiston, which explained why putting a jar over a burning candle put out the flame. The flame was believed to produce phlogiston, and when the air ins...

Continue Reading...
TIFT #38 Family Conflicts and Rifts Nov 23, 2021

 

This is a post for holiday time, when heightened needs and expectations so often lead to family conflict. In an update to a post published in 2006, I’m looking at it a bit more from a therapist’s point of view.

Kelly wrote, “In the past few years, having moved back in the vicinity of my family, ...

Continue Reading...
TIFT #37 Changing Thought and Behavior Nov 16, 2021

 

To direct or not to direct change?

Should therapists be invested in a particular target change? Psychodynamic as well as Rogerian Client Centered Therapy have a tradition of holding back opinions and not telling clients what to do. I’m going to argue that our actions should be guided by the same...

Continue Reading...
TIFT #36 "It's The Love" Nov 09, 2021

 

“It’s the love,” that is what a good friend and experienced therapist dared to say some years ago. Let me take a break from the series of posts about therapist objectives to discuss recent comments about healing an intense attachment to one’s therapist.

A reader wrote:

“I guess my hope is that,...

Continue Reading...
TIFT #35 Supporting the Will to Change Nov 02, 2021

 

This post covers two more of ten therapeutic objectives: supporting change in thoughts and change in behavior. Let’s turn the discussion on its head. Most accounts start with why one should change. Instead, let’s ask why not? Change is hard, for a reason. The aim of this TIFT is to get to the hea...

Continue Reading...
TIFT #34 Emotional Regulation and Awareness tift Oct 26, 2021

 

In the last post, the subject was how to awaken emotions. In this one, we discuss what to do when emotions are already active and causing distress. Working with painful, uncomfortable, and overwhelming emotions is a large part of what we do. Sometimes strong emotions are what bring people to trea...

Continue Reading...
1 2 3 4 5 6 7 8 9 10 11

*** Residents and Fellows in Psychiatry Course enrollment ending Sunday***