William Sharp 🇺🇦 @drwilliamsharp
Psychoanalyst, Professor/@Northeastern University Consultant on Social/Emotional Learning & Counselor Education bsky.app/profile/drwill… Boston MA Joined August 2013-
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True & ‘don’t blame the patient for being a patient”
People victim-blame when they believe in a just-world fallacy. “People get what they deserve. People cause their own problems. The world is fair and predictable. Nothing bad will happen to me. Good things happen to good people. Bad outcomes are deserved. Suffering means failure.”
@TweetATherapist @the_mel_jar this made me think of some outpatient clinic rules-”miss 3 sessions & you get dropped”, which also denies the fact that some people come to treatment because they are disorganized. It should be treated- which might mean getting fired- but it might need to be understood
@jesusrglez Welcome back! Viva Mahlerite!
✍️ My Monday post is live. It’s a big one. ❝ Therapist and patient may have the illusion they have completed therapy when real therapy never even started. Read here 👇 jonathanshedler.substack.com/p/this-is-talk…
So much in one screen shot! ❤️ Be wary of answers! Also Kahr’s How to thrive as a psychotherapist & On practicing at 145a are likewise good reads.
— Nina Coltart How to Survive as a Psychotherapist “Paradoxes”
As Otto Kernberg reminds us, “Psychotherapy starts where common sense ends.” 🙏
My thoughts, as promised: Words of condolence can be a mistake. Suppose the patient had expressed rage and bitterness toward the parent and told the therapist they wished for their death. Suppose they felt extremely guilty about those feelings. Saying “I’m so sorry for your
Happy Birthday Ferenczi!
Sándor Ferenczi's birthday. He challenged traditional detachment; advocating instead for a flexible, deeply human relationship between therapist & patient. Freud developed models of the mind- Ferenczi taught us how to treat patients & how they help us become better people.
@JonathanShedler Yes, I imagine “sorry for the loss” feels like a normal thing to say… unless I knew something about the patient that would make that iatrogenic. I am not sure I would be including them as “words of comfort and condolence” but rather acknowledging that there is a real world.
“The neurochemistry of illness exists in a web of temperament, medications carry meaning and emotional significance, treatment response and resistance are relational as well as pharmacodynamic, and the patient-doctor relationship exists in the graveyard of developmental history.”
The Fantasy of Being “Just” a Psychiatric Prescriber The job of containment and metabolism psychiatrymargins.com/p/the-fantasy-…
@jesusrglez I disagree with the transference statement- it’s just as easy to get and study at once a week. In fact it might be better weathered by all parties at once a week.
@jesusrglez Coming from a Modern Psychoanalytic training- Spotnitz- frequency is an important modification of technique and 1-2x/week often is needed with people who are pre-oedipal or if that is the level of character structure your exploring.
“This approach to psychotherapy takes account of unconscious mental life: we do not fully know our own hearts and minds, there are multiple layers of experience, and emotional life is complex and often contradictory.” Great post!
In meaningful psychotherapy, we help patients move from the general to the specific, from the abstract to the personal. We encounter resistance along the way, which itself becomes the focus of our attention and curiosity. 👉Tell me what you mean 👉Can you give me an example
#Haiku Saturday 5/7/5 nature’s looking glass images by reflection mirroring the view Short form looking glass reflections mirroring view Monoku nature’s looking glass mirroring the view
❝ The available evidence indicates that effect sizes for psychodynamic therapies are as large as those reported for other treatments that are actively promoted as ‘empirically supported’ and ‘evidence based.’ It indicates that the (often unacknowledged) active ingredients of other therapies include techniques and processes that have long been core, centrally defining features of psychodynamic treatment. Finally, the evidence indicates that the benefits of psychodynamic treatment are lasting and not just transitory, and extend well beyond symptom remission. ❞ Source: Shedler, J (2010). The Efficacy of Psychodynamic Psychotherapy. American Psychologist, 65, 98-109. jonathanshedler.com/PDFs/Shedler%2…
@JayceLong Why do this work? Only work that promotes growth and ego development in both patient and therapist is worth what costs both to do. - Margaret Little
@SeschipperSusan What is essential is invisible to the eye. -the Little Prince
#HaikuSaturday 5/7/5 sun reaches its peak dance between shadow and light the summer solstice Short Form sun peaks shadow light summer solstice Monoku summer solstice –dance between shadow and light
@IHearSimon I just heard him speak @WilliamJamesEdu in May- He spoke on types of silences including: Structural Silences Unmentalized Silences Defensive Enactive Symbolic (read Sharpe 1940 article) Contemplative Regenerative Blank Could listen to him present for days!
What can silence mean? What meaning can it hold? When does it arise? From Salman Akhtar's Psychoanalytic Listening - Methods, Limits, and Innovations. (2013) Chapter 2, Listening to Silence.
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