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  #126  
Old Dec 20, 2015, 09:51 AM
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ruh roh ruh roh is offline
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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.
Thanks for this!
Lauliza, magicalprince

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  #127  
Old Dec 20, 2015, 10:06 AM
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magicalprince magicalprince is offline
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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)

Quote:
Originally Posted by Lauliza View Post
I don't think you should agree with me and didn't say anything implying you shouldn't have an opinion. I think I said everyone has their own style and preference for therapy and that no one can say what is right or wrong for someone else. Saying someone else's therapy is wrong in absolutes or that one doesn't understand the point of their own therapy may well be your opinion- but the way in which expressed isn't very nice and is not like the exchange describe in tbe previous post.
You don't think it's nice, but actually, it's by far the nicest thing I can do, because this way my words and actions mean exactly what I say they mean, and they will continue to mean that in the future, and I am willing to say what I think and what my intentions are, so you may not trust me, but for people who do trust me, at least they won't end up being betrayed down the road just because I changed my mind, because I was concealing my opinions to try to be nice.

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  
Old Dec 20, 2015, 10:16 AM
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Lauliza Lauliza is offline
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Quote:
Originally Posted by magicalprince View Post
(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)


You don't think it's nice, but actually, it's by far the nicest thing I can do, because this way my words and actions mean exactly what I say they mean, and they will continue to mean that in the future, and I am willing to say what I think and what my intentions are, so you may not trust me, but for people who do trust me, at least they won't end up being betrayed down the road just because I changed my mind, because I was concealing my opinions to try to be nice.

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.
You are misunderstanding me because I'm not saying anyone should hide their feelings. Saying that a certain type of therapy is not for you is pretty honest and very clear. Implying someone doesn't understand what therapy is or doesn't know what they need is quite different. If you are not the person involved, or f you don't know the person well, then it's likely you don't know what they need or if their therapy is being conducted in the "right" way (whatever that is). The only thing you and other people in therapy know is what works for you.
Thanks for this!
justdesserts
  #129  
Old Dec 20, 2015, 10:34 AM
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magicalprince magicalprince is offline
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Quote:
Originally Posted by Lauliza View Post
You are misunderstanding me because I'm not saying anyone should hide their feelings. Saying that a certain type of therapy is not for you is pretty honest and very clear. Implying someone doesn't understand what therapy is or doesn't know what they need is quite different. If you are not the person involved, or f you don't know the person well, then it's likely you don't know what they need or if their therapy is being conducted in the "right" way (whatever that is). The only thing you and other people in therapy know is what works for you.
I have opinions about what works universally, and I'm not chasing people down to tell them about it, but if people present me specific examples that presumably are intended to contradict my opinions, I certainly will explain specifically how I see no contradiction and still do not believe I am wrong.

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  
Old Dec 20, 2015, 11:47 AM
BudFox BudFox is offline
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Originally Posted by unaluna View Post
Per the other current anti-t thread's list of steps, it went from dependence and infantilization to something else that was NOT therapy. There has to be a safe space created there at that point. Even tho there is dependence, there should be trust between "equals".
But the T and C are never equals. That's a core part of the problem. The whole enterprise depends on the presence of a hierarchy. If the T is revealed to be just as screwed up as the C, then the process would grind to a halt. When I have tried to assert myself with a T, by necessity they usually attempted to "right the ship".

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  
Old Dec 20, 2015, 01:14 PM
BudFox BudFox is offline
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Quote:
Originally Posted by magicalprince View Post
Your T clearly means well but in this example, she's encouraging you to acquiesce to her own analysis rather than giving you the space to identify independently for yourself why you have this belief in the first place, what the unconscious motive is.

Actually, this is harmful because she's setting herself up as the good parent that can fix the past. She's rewarding you for testing her with your negative beliefs by proving that she is willing to correct them. This creates dependency because it doesn't change the underlying beliefs, it just meets them in a different way (self-effacement to earn T's affection vs. starving to earn mother's affection)

And then if therapy comes to an unforeseen end, it would end up feeling like maternal abandonment as T has taken responsibility for your dependency needs.
I agree with this in general terms. It does seem to be helping BayBrony though. But maybe that is in spite of the T's methods rather than because of them, and the thing that is helping is just having an empathetic presence.

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  
Old Dec 20, 2015, 01:49 PM
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luvyrself luvyrself is offline
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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 with can also show u a mirror of yr behavior and some possible ways of coping.
Thanks for this!
Permacultural
  #133  
Old Dec 20, 2015, 01:55 PM
missbella missbella is offline
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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.
Thanks for this!
PinkFlamingo99
  #134  
Old Dec 20, 2015, 02:18 PM
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unaluna unaluna is offline
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Quote:
Originally Posted by BudFox View Post
But the T and C are never equals. That's a core part of the problem. The whole enterprise depends on the presence of a hierarchy. If the T is revealed to be just as screwed up as the C, then the process would grind to a halt. When I have tried to assert myself with a T, by necessity they usually attempted to "right the ship".

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.
Youre right, the safety IS an illusion. A t is like being on a respirator after surgery until you can breathe on your own again. A parent isnt really all-powerful, it just seems that way to the infant. Thats why i put "equals" in quotes. I mean you stay in your recognized roles, according yo recognized rules.

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.
Thanks for this!
BudFox
  #135  
Old Dec 20, 2015, 02:29 PM
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PinkFlamingo99 PinkFlamingo99 is offline
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Quote:
Originally Posted by magicalprince View Post
Protecting a client's life is one thing, but when a therapist is genuinely ethical from day one, therapy doesn't drive a client to increasingly harmful behaviors in the first place.

It is not and cannot be a therapist's job to protect (an adult) client from themselves. If a client already wants to die, or starve, or whatever, that doesn't suddenly become the burden of the client's therapist as soon as the client steps foot in their office for the very first time. A legal burden to report, maybe, but not the actual burden of the client's life. It's an unreasonable burden and it's unreasonable for a T to act like they can bear that responsibility--they can't, they aren't god, they aren't the client's parent, it's simply unrealistic, but to the extent that Ts do try to become responsible, they badly damage their clients by creating unhealthy dependencies on a professional who simply cannot and should not have to promise to be there for the long haul. It's a promise that's well intentioned but completely unreliable and irresponsible and comes from forging a half-hearted enmeshment, an identification with the client's transferences instead of offering insight into them.

What I'm saying is this whole dependency principle is wrong and it creates a cycle of abusive therapy and therapy-dependent victims of therapy. A therapist should NOT be in a position of implicit trust or authority, they cannot be accountable for the client's behavior, they cannot guarantee the effectiveness or soundness of their advice, and they should never identify as being able to.

You may think it's appropriate to intervene in this way, but then what happens is the therapist creates the precedent and expectation in the client for the therapist's intervention, the projections of the transference become an actual reality, the client becomes dependent, the therapy is terminated unexpectedly, and suddenly the client is alone with all the life-threatening behaviors, plus has now been abandoned by the person that misguidedly became responsible for their emotional stability.

If a client genuinely wants to harm themselves, they will do it, but if they start to believe that their own wellbeing is a thread they can pull on to regulate the behavior of the therapist, then they ultimately will do it even more and more severely when the therapist can no longer meet the client's needs.

It's difficult enough to work with a vulnerable population, but it's far worse to exploit them by fostering further vulnerability. Not only is it harmful in its own right but it's completely unnecessary and severely hinders or prolongs the actual aims of the treatment.
Trust me, I know the risks of dependency and an unethical therapist suddenly abandoning. I have permanent nerve damage and spasms in my arm because I know so well.

I don't believe in transference though.
Hugs from:
BudFox, magicalprince
  #136  
Old Dec 20, 2015, 02:36 PM
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Quote:
Originally Posted by unaluna View Post
Youre right, the safety IS an illusion. A t is like being on a respirator after surgery until you can breathe on your own again. A parent isnt really all-powerful, it just seems that way to the infant. Thats why i put "equals" in quotes. I mean you stay in your recognized roles, according yo recognized rules. .
But is that healthy, to stay in recognized roles? That is precisely what kept my therapy afloat, and when I tried to circle back and play a different role -- more direct and real, asserting my needs rather than deferring -- I was shut down. So it was all a charade. Two people playing their usual roles while both pretending that something productive was going on.

True safety and trust require mutuality it seems.
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  #137  
Old Dec 20, 2015, 03:41 PM
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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.
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Thanks for this!
BudFox
  #138  
Old Dec 20, 2015, 03:58 PM
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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.
  #139  
Old Dec 20, 2015, 04:36 PM
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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.
The lcsw i saw back when didnt do her job the way current t with his degrees and experience up the yinyang does now. At this point, i could explain where and exactly how she failed and he succeeds.

Eta - lcsw's are like the paralegals of the mindeffing profession .

Last edited by unaluna; Dec 20, 2015 at 05:28 PM.
  #140  
Old Dec 20, 2015, 05:29 PM
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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?
Thanks for this!
AllHeart, justdesserts
  #141  
Old Dec 20, 2015, 05:51 PM
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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.
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Thanks for this!
missbella, PinkFlamingo99
  #142  
Old Dec 20, 2015, 06:11 PM
missbella missbella is offline
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It also matters if it all boils down to no more than a mirage-- a pretty little collusion.
  #143  
Old Dec 20, 2015, 06:14 PM
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Lauliza Lauliza is offline
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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.
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.
  #144  
Old Dec 20, 2015, 06:24 PM
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Lauliza Lauliza is offline
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It also matters if it all boils down to no more than a mirage-- a pretty little collusion.
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.
Thanks for this!
unaluna
  #145  
Old Dec 20, 2015, 06:27 PM
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Permacultural Permacultural is offline
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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  
Old Dec 20, 2015, 06:33 PM
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I'd probably have settled for "not worse" or "not more damaged."
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JaneTennison1, PinkFlamingo99, precaryous
  #147  
Old Dec 20, 2015, 07:08 PM
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BayBrony BayBrony is offline
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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..
Thanks for this!
Lauliza
  #148  
Old Dec 20, 2015, 07:20 PM
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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?
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Selfishness is not living as one wishes to live, it is asking others to live as one wishes to live.
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Well Behaved Women Seldom Make History - Laurel Thatcher Ulrich
Pain is inevitable. Suffering is optional.
Thanks for this!
missbella, Permacultural, PinkFlamingo99, precaryous
  #149  
Old Dec 20, 2015, 07:29 PM
Anonymous50005
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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.
Thanks for this!
unaluna
  #150  
Old Dec 20, 2015, 07:37 PM
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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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