Mindblown: A Blog about Philosophy

Realistic guilt?

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“Can I ask about realistic guilt? I have a patient who was married to an abusive woman, and she won

Anger management

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“A man asks for anger management. He can’t control his rage toward his children when they do not obey him.

ISTDP and Islam

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An Iranian student asked me last summer, “What is the relationship between ISTDP and Islam?” I answered, “This kind of

The desire to be liked

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“I have a question about the triangle of conflict. Are feelings always necessary for the formation of a presenting problem?

Guilt or self-punishment?

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“A client separated from his wife, but left his kids with her, and they suffered when she neglected them, often

No wonder the patient gets angry with you! You are irritating!!

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“A colleague said, ‘No wonder the patient gets angry at you. Your constant pressure for feeling can come across as

ISTDP with DID?

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“How would you work within an ISTDP framework with someone who has a diagnosis of dissociative identity disorder and who

How can I keep from being boring by focusing on feelings?

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I am a beginning therapist in ISTDP with a question that is probably due to my lack of experience with

Projection and fragility

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When mildly or moderately fragile patients experience a low rise of mixed feelings, they can still intellectualize and exhibit tiny

Why do ISTDP teachers say different things about projection?

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“In your book you have said we don’t ask for feelings if someone is projecting onto us. But in Allan