Interesting Psychotherapy Articles

side effects of bad therapy
http://journals.sagepub.com/doi/full...48670903107559

Talking therapies can harm too ? here's what to look out for

https://www.theferentzinstitute.com/...pists-do-harm/

read the comments:
https://www.madinamerica.com/2016/11...ersonal-lives/

Consumers and Therapy | Business coaching for therapists and counselors in private practice

Review of Blue Dreams.

Wow, this book looks like a really interesting read.
Something seems integrated in this authors story, she had to choose her mind over her body. This really stood out for me and made me think so we really have to chose and what would I choose if I had to make that decision. I am not sure if I could choose, surely there is another way.
This article doesn’t mention therapy at all perhaps a combination of medication and therapy would be a more integrated approach.
There is a huge loss that the author has had to struggle with and a betrayal of her body because of the medication. This article has really made me think about what we are asked to do to our minds and bodies by doctors and psychiatrists by taking drugs and not being educated about the consequences.

From "Not Trauma Alone: Therapy for Child Abuse Survivors in Family and Social Context (Series in Trauma and Loss)"

A somewhat more complex manifestation of dissociation is a traumatic flashback. As in simple absorption, a flashback involves some degree of unawareness of and unresponsiveness to external stimuli. However, in this case it is specifically accompanied by the recall of a traumatic event, retrieved so powerfully that it is reexperienced rather than merely cognitively recalled, which obscures contact with the immediate present. In its most extreme forms, flashbacks of trauma may almost entirely eclipse orientation to the present. In the throes of a particularly realistic flashback, the trauma is revivified so intensely that the person consumed by it may compellingly experience actually being back in the time and place, and regressed to the age, at which the event originally took place. Frequently, therefore, observable signs of being disconnected from the here and now associated with dissociative absorption will be accompanied by indicators of immersion in vivid and intensely distressing reverie. In the midst of a flashback, the client may flinch, cower, or curl up in a fetal position. Instead of displaying a dazed or vacant expression, he or she may grimace or wince in terror or pain. Where the revivified trauma is one of interpersonal victimization, such as sexual molestation or physical abuse, the client may talk as if the perpetrator is present (e.g., "No! Stop! Please, don't hurt me! Leave me alone!").
In actuality, when therapy is conducted within a contextual framework, it is much less likely that flashbacks will arise in session than if a trauma-focused approach is used. Alternately stated, the risk of evoking flashbacks is much higher when intervention centers on the review and processing of frankly traumatic material. In most cases in which a family context model is used, therefore, episodes of dissociative absorption are much more likely to be encountered than are intense flashbacks. However, in those rare instances when flashbacks do occur in session, it is imperative that the practitioner be prepared to help the client attenuate and manage them.
It can be appreciably more challenging to reorient a client engulfed in a flashback to than one engrossed in dissociative absorption. In instances in which the client spontaneously verbalizes, furnishing the practitioner with some notion of the nature of the event being experienced (e.g., "No! Don't! He's going to get me!"), these cues can be a valuable tool in the reorienting process. The more compelling the flashback, the less likely immediately speaking to the client from a current-day perspective is to successfully penetrate the dissociative state, although there is usually no harm in attempting this. If, however, this approach is unsuccessful, it may be necessary to "enter into" the event by speaking as if one is "there" with the client. The following dialogue approximates the type of interchange that might ensue between therapist (T) and client (C).
C: No! Don't! He's going to get me!
T: [Matching the sense of urgency in the client's voice, but with a tone of reassurance.] Don't worry! We can get away! Come with me! [It may seem a minor point, but it is generally best to try to emphasize joining with the client rather than taking an explicitly protective stance, using language such as "We can get away" rather than "I'll save you!" and "Come with me!" instead of "Follow me!"]
C: No! He'll get you too!
T: [Purposely remaining vague about particulars such as whether the locale is indoors or outside, to avoid incongruence with the client's experience.] It's okay! Come with me! See over there? Look! We can get away! Can you see? Let's go!
C: [Fearfully.] Are you sure?
T: Yes! Come on! It's okay! Let's go! Are you with me?
C: [Hesitantly.] Yes. . . okay.
T: [Emphatically.] Come on! Here we go! Stay with me now!
C: Okay.
T: Keep up with me! Are you with me?
C: Yes. . .
T: We're almost home free! Can you see?
C: Yes!
T: Come on, come on . . . are you with me?
C: Yes.
T: See? We're safe now.
C: [With a tone of relief.] Yes! Yes!
Throughout this interchange, the therapist should be vigilant for signs of reduction in the client's arousal level, adjusting her or his tone and statements to optimize the probability that the client will feel reassured and perceive her- or himself to be out of danger. At that point, the protocol that has been described for reorientation from dissociative absorption can be initiated. This protocol culminates in transmitting strategies to the client for her or him to use to disrupt dissociative experiences as they arise outside of therapy.

Psychotherapy Clients’ Online Behavior and Opinions Regarding Internet Searches Conducted by Therapists

Therapists and money
https://www.psychotherapynetworker.o...R_warming_noon

ACT and Trauma: https://psychwire.com/harris/act-trauma

Schema Therapy: A Practitioner's Guide

Not a science but a craft
https://www.psychotherapynetworker.o...ttled#Comments

THE DEVELOPMENT OF THE CLIENT–THERAPIST BOND THROUGH THE LENS OF ATTACHMENT THEORY
https://pdfs.semanticscholar.org/d38...1987ab8101.pdf

Best to practice, I guess, “my craft, or sullen art!”

Very good article in the NYTimes about antidepressant withdrawal: https://www.nytimes.com/2018/04/07/h...-cymbalta.html

More on how they train to manipulate
https://www.psychotherapynetworker.o...nto-attunement

I didn't read the whole article, but I find it so interesting that you see this as manipulation, when I see it as how people can connect to each other. Attunement is merely connecting with another person in such a way that they feel "seen" and "heard" for the person they are.

For example, I work with 2 year olds, so I get a lot of practice in trying to do this, especially with language. I have one child who will continue to repeat the same thing over and over, increasingly getting agitated if I don't understand what she is saying. I have learned ways to figure out a child that REALLY wants to be understood (aka: heard/seen), and the moment when I get it, I can see them relax and light up because I heard them.

That is small example of what I see as attunement, and what you see as manipulation.

(I am not judging your opinion at all, SD, I swear)

Because of this:
" For a therapist, it helps to be able to establish a sense of connection quickly with a wary client or gently disarm a hostile one. It’s great to have that just-right timing and sense of playfulness that gets a sullen teenager to crack a smile, or to say “mmm-hmm” with such a sense of deep rapport that it releases a tightly controlled client to finally let go and cry"

They are doing it at a client to get a reaction.

i did read the rest of it last night, and it did get ridiculous. i take it all back.

May be "they" are doing it for some unhealthy purpose -- one more related to their own needs than to the client's.

May be not.

Considering printing out this article for my therapist, highlighting the most relevant parts, and having him read it while I hide behind the chair.
It was scarily accurate. It was like someone knew my deepest most shameful feelings and secrets and wrote an article about them.

Attachment to Therapist: A Primer

"When children carry distressing neediness day in and day out, in order to manage the constant pain, their mind eventually develops a value system that functions to suppress the constant ache. This system discourages conscious neediness by adopting an internal prohibition against it. “You shouldn’t need attention.” This is effective in pushing the yearning out of awareness, but further fuels its intensity."

"Having these three types of values standing against one’s natural feelings and longings intensifies them greatly and leads to huge amounts of shame. Along with the unfulfilled needs, themselves, these internal defenses form significant part of the difficulty patients bring to therapy."

"Transference refers to times in therapy when the patient’s words and actions reflect the child’s perceptions and methods for solving problems. Usually this is (unconsciously) filtered to make it seem reasonable. For example, the patient might think, “I just want help feeling better.” The feelings surrounding that thought would be more consistent with, “I want you to take away my pain.” Hopefully later, the patient might feel safer and more comfortable and might admit that “I want you to hold me and be there all the time.” That would be a more accurate rendition of the inner child’s true wish."

[QUOTE=LabRat27;6097270]It was scarily accurate. It was like someone knew my deepest most shameful feelings and secrets and wrote an article about them.

[QUOTE]

It’s not shameful though. Even if it feels like it.

This article is immensely helpful, thank you so much for posting it!