Month: November 2017

  • Premature challenge

    “I’ve been hearing a lot of talk about “premature challenge” but I’m having a hard time wrapping my head around this apparent change to ISTDP. I think that part of the problem may stem from the fact that “challenge” means different things depending on who is using it. I was wondering if you might want […]

  • Build capacity before portrayals

    “A patient while experiencing anger towards his father shared memories of abuse, became highly anxious, and was unable to proceed. Were these genuine memories or a defense? The patient has been unfaithful in his marriage. His defenses include identifying with the aggressor ,self attack, identifying with the object of one’s rage, intellectualization, rationalization, acting out, […]