Jonathan Shedler
Professor, psychologist, author. Tweets about psychology, psychiatry, psychotherapy. I say the quiet part out loud.
View on 𝕏Threads
1/ Haven't seen Stutz so will comment on one thing only that is unambiguous The moment the therapist agreed to making this film, he embarked on an avoidable “dual relationship”—ex...
1/ Starting to think most relationships fall into 3 categories 1️⃣ Hierarchical. One person's needs/wants take precedence over other's 2️⃣ Transactional. Each gives & gets somethin...
1/ Transference 🧵 "A person starting therapy is entering an unfamiliar situation & a new relationship & necessarily applies their previously formed templates, scripts, or schemas...
1/ Psychological defenses 🧵 Any thought or feeling can be used to defend against any other Angry feelings can defend against feelings of abandonment or rejection, depression can...
1/ When you're feeling awful about therapy with a particular patient—hopeless, despondent, overwhelmed, incompetent, furious—it may be because they are (unconsciously) communicatin...
1/ Here's a two-question test to determine if you're getting meaningful, in-depth psychotherapy (part 1) 1. Think of a time you were upset with your therapist. Did you tell them?...
2/ More specifically: we assume no one fully knows their own heart and mind & there is value in greater self-knowledge ("shadow work"), we understand problems in the context of the...
1/ Poll by @GoldfriedMarvin shows how CBT fails to grasp the role of the therapy relationship in psychodynamic treatment He can't conceive of a 3rd option 🔥The therapy relationsh...
Many times, the work in psychotherapy is about distinguishing between 𝘩𝘢𝘷𝘪𝘯𝘨 feelings and 𝘢𝘤𝘵𝘪𝘯𝘨 on them It's one thing to have feelings and express them in thoughts and worlds. 𝘈...
1/ In Kernberg's object relations model 1️⃣pathological narcissism, 2️⃣malignant narcissism, & 3️⃣psychopathy form a continuum. Here's my "Cliff Notes" Pathological narcissism...
For some people in psychotherapy, the core psychological issue is *they cannot maintain relationships* OF COURSE they will want to end the therapy relationship before real therapy...
Imagine a relationship where the other person will not exploit or take advantage of you in any way, nor let you exploit them. Imagine they say what they mean & mean what they say,...