Month: December 2016

  • Treatment of Masochism and self-punishment

    How do we treat masochism and self-defeating disorder? My patient says: “I am strongly inclined to punish myself and think about this topic all the time. I’m always involved with a conscience. I always blame myself for everything.” How can ISTDP help her? Thanks to one of members for posting this question. To start with,…

  • When do I ask for feelings toward me?

    “When do you process anger toward the therapist? I understand that doing so can be very helpful and lead to breakthroughs, but I have also read that when patients are experiencing projective anger we should not process the anger but  deactivate the projection. Then some patients get angry with us because of misunderstandings. Should we…