Jonathan Shedler
Professor, psychologist, author. Tweets about psychology, psychiatry, psychotherapy. I say the quiet part out loud.
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People need to understand this This is why your psychotherapist doesn't take insurance (one reason) This is how health insurers manufacture a shortage of mental health clinicians #...
We often find that depression serves as protection against grief Some will understand the above statement and some will not (two truisms)
1/ The best discussion I've ever seen on pros and cons of different ways of beginning treatment is "Beginnings" by May Jo Peebles-Kleiger (I like 1st edition if you can get it) htt...
1/ Psychotherapy is not a "thing" that exists on its own, independent of complex system comprising therapist, patient & their dynamically changing relationship. In complex systems,...
If you experience a patient as overwhelming, draining, off-putting etc, that's a first-hand window into a) their inner world and b) what's getting in the way of other relationships...
1/ This is a true story. It happened to someone I know. He was mugged at gunpoint. He handed over his wallet. Then the mugger aimed at his head and pulled the trigger. He was shot...
@costsofwar1 1/ I am personally skeptical about prospects of getting good care in a bureaucratic institution. Most therapists, even expensive private ones, reserve a few hours for...
I do not practice a "type" of psychotherapy. The therapy I provide is based on my case formulation for a specific person. I have never provided the same therapy twice. It is thera...
Many patient cannot conceive of a relationship in which problems are acknowledged, and no one has to be put on trial, blamed, or shamed. They’ve never experienced it prior to the t...
Masochism is a key psychoanalytic concept One form is victim entitlement—insistence one is entitled to special compensation in proportion to suffering & victimhood. Thus the need...
1/ “I don’t particularly care about the usual. If you want to get an idea of a friend’s temperament, ethics, and personal elegance you need to look at him under the test of severe...
1/ One reason discussion about terminology is so fraught is because some believe terminology causes stigma—and we can reduce stigma by changing *words.* This is true some of the t...