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#126
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I tried analysis a couple of times and found it brutally difficult to deal with because the analysts did not offer a direct counterpoint to my views, so all my crappy thinking just hung out there and I had to confront it directly. If either of them had challenged my thinking, I would have had the relief of arguing with them in defense of my unhealthy perceptions and gotten wrapped up in a dynamic that was focused on them and their words/actions. It would have felt satisfying, knowing I could say rotten things about myself and they would disagree, but I would not have had to really see the damage I was causing myself.
That said...I couldn't hack it. My current therapist doesn't directly challenge me when I get down on myself, but she also somehow doesn't facilitate more of it through silence. I don't know what she does, to be honest. I just know it's just shy of the hell that was analysis, but is much more doable. It's easy to be a crappy therapist, which may be why it's hard to find the good ones. |
![]() Lauliza, magicalprince
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#127
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(sorry I didn't catch the edit so I'm just going to leave my reply like this, I do genuinely appreciate your consideration though)
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A handful of therapists have paved my path to hell with good intentions, and fortunately I found my way out, but you know, eventually you realize that when people are just trying to be nice, and they are afraid of all the ways the sky might fall if they say what they really think, in the long run their words are hollow and you'll regret having trusted them. Nuh uh. Don't like it? Don't read it. I'd certainly rather spend my time writing replies to people that actually want to hear what I have to say, so for my sake and for yours, I'm not going to sit here saying whatever you want to hear. And as an aside--if people don't want me to give my opinion of the way their therapy is conducted, then I would assume they wouldn't go to the trouble of telling me the way their therapy is conducted after I posted a list of my opinions. I have opinions of the way therapy should be conducted, and I'm happy to apply my opinions to specific examples if people choose to present those examples to me. |
#128
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![]() justdesserts
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#129
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Again, I am of the opinion that I do know what works for other people, because it's a relational process that all humans universally participate in. It has to be applied uniquely to each person's situation, but the dynamics themselves don't change. |
#130
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As for trust, I don't see how genuine trust can exist when one person has the job of revealing as little of themselves as possible. Most T's I have been to are inscrutable and opaque. They were a professional mask, whereas I am expected to reveal all. I did feel relative safety. But because my T was not being herself, the safety was an illusion. |
#131
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But, your last line gets at some crucially important -- is therapy helpful only as long as it lasts? WIth my main T it felt good for a while, but it was more palliative than corrective. She was medicating me. When she took the medication away, I cracked, and was worse off. Some theorists do assert that therapy can provide a corrective experience, an approximation of reparenting, by leveraging neuroplasticity in the brain. Sounds good and the ideas around this are compelling, but I never hear any empirical info about it actually working. |
#132
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I think just talking endlessly, which I did for years w a very nice woman can be less successful than using worksheets with a top professional, even a psypharmacologist--which can pinpoint your triggers. A group that you feel comfortable
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![]() Permacultural
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#133
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Some of my therapy felt good --temporarily. I believedI was moving mountains and in the presence of people who truly understood me. Only later did I realize how duped I was. The understanding was only a shallow performance, and all my mountain moving was no more than superstitious ritual.
This is not to dismiss anyone who values a temporary comfort from therapy. But my goal was better functionality in the world. If anything, therapy led me backwards. |
![]() PinkFlamingo99
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#134
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My t used to tell me, "i can either be your t or your bf but not both." I used yo think that was a stupid thing to say, because the ship had sailed on the boyfriend part since he was already my t, so why make it sound like he was offering me a choice?? There is no choice! Except that - as a t, he was available to me; as a bf, he was not. Also he asked me, didnt i trust him to know how to do his job? I know he gets impatient with me; heck i get impatient with me! As a couple we would probably kill each other before we walked two blocks. As a therapeutic couple, we make it a safe space. |
![]() BudFox
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#135
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I don't believe in transference though. |
![]() BudFox, magicalprince
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#136
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True safety and trust require mutuality it seems. |
![]() PinkFlamingo99
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#137
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If a therapist asked me if I trusted them to do their job - I would say no I do not. I don't trust them because they can't explain what they do and why.
__________________
Please NO @ Selfishness is not living as one wishes to live, it is asking others to live as one wishes to live. Oscar Wilde Well Behaved Women Seldom Make History - Laurel Thatcher Ulrich Pain is inevitable. Suffering is optional. |
![]() BudFox
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#138
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My T is pretty transparent and open, and doesn't hold any lofty ideals of how therapy is a magical cure-all.
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#139
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Eta - lcsw's are like the paralegals of the mindeffing profession ![]() Last edited by unaluna; Dec 20, 2015 at 05:28 PM. |
#140
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People are universally relational but how they relate varies widely, so a one size fits all type of therapy is not realistic. What it all comes down to is change - if positive change is made, then something worked. If after a temporary improvement things start to falter, something was probably amiss and therapy didn't work as well as one thought. But, if positive change lasts with less therapy or even without it, then something worked. Whether or not it was the therapy is subjective and surely open to interpretation. A person who is quite religious may think it was their faith that helped, another person may say it was the support of their friends, another might say it was therapy and then another might say it was a combination of factors. But really, does it matter if the end result is positive?
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![]() AllHeart, justdesserts
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#141
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Actually I think it does matter. Otherwise then therapy is just an expensive placebo - which may not be untrue but is certainly dishonest in how those guys present themselves in my opinion.
__________________
Please NO @ Selfishness is not living as one wishes to live, it is asking others to live as one wishes to live. Oscar Wilde Well Behaved Women Seldom Make History - Laurel Thatcher Ulrich Pain is inevitable. Suffering is optional. |
![]() missbella, PinkFlamingo99
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#142
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It also matters if it all boils down to no more than a mirage-- a pretty little collusion.
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#143
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I guess what I mean is what the client believes worked is what's most important, much of the time, not what another person thinks. The client who thinks their religion or family or whatever else was the catalyst for change is probably not going to find therapy useful, and people who don't find therapy useful often don't return. It's when therapy is harmful that others should be concerned. I've never had therapy with someone who presented themselves as something that they are not. If that were the case, I would question the methods of therapy.
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#144
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Well, anything is possible and this can be argued a multitude of ways since change can mean so many things. Hopefully ones progress in their life is not an illusion. Sometimes it is, but many times it is the real thing.
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![]() unaluna
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#145
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So one of the signs of a bad therapist is whether therapy works or not. Not necessarily that the therapist caused harm (because that has already been addressed in this thread), but was the therapist competent enough to help the client make the maximum amount of positive change, given all of the unique variables of the client as well as the unique variables of the therapist? How would we quantify or define maximum amount of positive change?
Does a client have to walk out of the therapist's office "cured"? |
#146
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I'd probably have settled for "not worse" or "not more damaged."
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![]() JaneTennison1, PinkFlamingo99, precaryous
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#147
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Im not sure i get the mirage reference. both Western and holistic medicine have been shown to work in part by the "placebo" effect. Maybe better termed mind over matter. In veterinary medicine it's been proven that it I can tell you I gave your horse pain meds and 80% of the time he will appear less painful to you even though the horse has not actually had any medicine and an objective observer would see no difference. The placebo effect is thought of as "fake" but its not. Believing you are being helped has a huge effect on the perception of pain. Of course it won't fix a broken bone but things that are subjective like pain, nausea, fatigue, etc can be powerfully altered. Believing you will get better is a huge part of actually getting better. ( believing you WON'T get better is also very powerful)
If you read the book "deep survival: who lives, who dies, and why" you will find that having a "reason" to survive ( family, a novel you intend to write, someone you need to help) and BELIEVING in yochallenging. to survive matters more than fitness, preparation, etc in true survival situations. In one case in the Amazon jungle, a plane crashed in the middle of nowhere. There were multiple survivorsof the crash, ,some of them adults in prime condition. Only a 14 year old girl with no jungle experience made it back to civilization alive . her parents died on the plane and she believed her brother needed her. The whole reason the placebo effect works is because our minds are powerful and to an extent shape our reality. Someone who can help you believe in something can change your life. Obviously the wrong person can alter your life for the worse too. I can't imagine how you'd objectively measure therapy progress for most people... That would be very challenging. As someone with an eating disorder am I being helped when I am at a stable weight ( been there and was miserable)? When I stop having negative thoughts about my body? When I stop wanting to harm my body? When I no.longer purge ever again? How do you decide? If my weight and eating is normal and free of struggle but I'm miserable is that success or failure? What about my other issues? Its a daunting idea to MEASURE that. If you just ask me I'd say therapy is helping. But that isn't objective. No idea how you'd do that.. |
![]() Lauliza
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#148
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Then one could simply imagine themselves better and be so - the therapist is an expensive dumbo feather. I imagine them sitting in their classrooms doing what - watching films and playing poker for a few years and then handed a degree? It can't take much skill to merely be a placebo. Will penicillin work even if I don't believe in it? Do they make the fake pills with the descriptive numbers on them so that when people like me (I always check the pill numbers out - so if they tell me a pill for my dog is tramadol for example - I can at least see if it comes up as tramadol) search out if the pill is what the prescriber says it is - is the lie perpetrated by the entire industry and they mismark pills as tramadol that are really a sugar pill for the pet?
__________________
Please NO @ Selfishness is not living as one wishes to live, it is asking others to live as one wishes to live. Oscar Wilde Well Behaved Women Seldom Make History - Laurel Thatcher Ulrich Pain is inevitable. Suffering is optional. |
![]() missbella, Permacultural, PinkFlamingo99, precaryous
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#149
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No placebo effect involved in my therapy. I was quite cognizant of what he was doing, helping me do, helping understand/change, etc. He explained quite clearly what I needed to do in my life, my thinking, my behaviors, etc. I needed that direction, those skills, that guidance in order to heal and move forward. Those were things I clearly had not been able to figure out on my own and through the help and support and skill of my therapists, I was finally able to understand myself better and grasp what I needed to do to elicit real growth and change in my life.
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![]() unaluna
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#150
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Benchmarks, you can tell by benchmarks. For example, do you react better this year to something that happens every year than you did before you started therapy? Its not rocket science. But you do have to be observant.
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