Mindblown: A Blog about Philosophy

Is it weepiness or sadness?

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“A depressed patient starts to weep at the beginning of a therapy before I have even asked about her problem.

Complaining

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Projection of the superego. And why I love complainers. “Does projection of the super-ego always go together with cognitive/perceptual disruption?

Why do Patients Quit Therapy Prematurely

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Several reasons. Let’s go through the main problems in order that can prevent you and the patient from co-creating a

ISTDP and Eating Disorders

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“What if you have an anorexic patient at an eating disorders unit who has no wish to be there, no

“I don’t have any feelings.” Denial

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“Is denial a regressive defense, indicative of a fragile ego? Or is it a tactical defense?” Thanks to Johannes for

ISTDP for Traumatized Patients

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“I meet a lot of patients multi-traumatized, highly dissociative with PTSD. After initial stabilization, could these patients benefit from a

Restructuring Defenses

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Restructuring refers to the ways help the patient learn to observe his defenses in the here and now, see their

Does projection always cause a loss of reality testing?

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“Is cognitive/perceptual disruption always a projection? If we distort the other by devaluing, is that always projection, or can we

Somatization

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“How do we understand somatization on the triangle of conflict?” Patients suffer bodily symptoms in psychotherapy for three reasons: 1)

Dissociation: Defense or Result of Cognitive/Perceptual Disruption?

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The term dissociation has been used to describe so many things it at times appears to mean nothing at all.