As a neophyte therapist, these videos are incredibly valuable to me. Practical clinical advice from a master therapist is very hard to come by. Thank you for taking the time to make them and hopefully they continue into the future.
I've only found your videos today, but already have some fantastic tips to take! I currently have a resistant patient, and I'm realising that my response has been to raise awareness to it, but probably in a way that hasn't kept the alliance as open as I could have (perhaps I've not been as available after raising awareness). Thinking about it in that way really gives me something new to try. Thank you!
Patricia! I heard your voice in my session today - particularly about this issue. Just really being honest about the costs, function and positives of the resistance, but never going ahead until the patient gave signals they were ready to give it up. Thanks for all you do.
I know you have a lot on your plate, but your voice is one that is of absolutely incredible value in this field. I was wondering if you had thoughts on: the observing ego, ego deficits, “sighing” as the ultimate goal, crystallization + head on collision. I would just love to hear some of your thoughts on any of these, even just if sprinkled in with another topic. Thanks so much!
Needless to say, I have plenty of thoughts on all the subjects and will make every effort to address them in upcoming videos. Thanks for the suggestions!
Patricia. I know you've said you worked with patients whom have struggles with NPD or that at least have traits. Do you ever have trouble during the initial appointment for the trial therapy getting through the CDS with this population? I know you've emphasize the importance of getting through the CDS to learn about the psychodiagnostic picture but also to have the PT have the experiential outcome/experience. In the case with this population, they can sometimes present as dismissive, detached, and at times can try to dominate/fight for control on the room/session. This can make being a person to the pt and also maintaining focus on CDS tasking. I appreciate any thoughts w/ question above or in general w/ this clinical presentation.
Of course, when it comes to entrenched character pathology, working to turn the patient on defenses in order to access feelings can take quite some time. Patients with narcissistic personality disorder don't let themselves experience genuine feelings, so expecting that to happen in the trial is unrealistic.
It must be frustrating for you to constantly have people ask you for the golden/magic techniques/cures for therapy, when in reality it's more about the therapist's unique personality/characteristics (I.e., things that are inherent/instinctual and cannot be learned - at least not easily). I also strongly second your contention about grad students seeming to only want technique with no theory 😪. Theory is our roadmap when we get lost! 😂🌎🗺
@@patriciacoughlinphd1852 Wrong. WHAT you do IS who you are... some people "turn out" to be more "naturally" inclined toward things like continued learning/deliberate practice, and that will ultimately make them a more effective clinician for it. However this is not something which people can "choose" to do, as people just turn out to be who they are by the shaping forces of Nature Vs Nurture. But nobody controls what genes they inherit (Nature) or what experiences they are exposed to (Nurture), and yet these are the only two forces which make people who they are in every moment. What it means is that people cant blame themselves for their faults, or take credit for their successes, as they had equally as much responsibility for both (zero/none). Yes, I am espousing soft-determinism which posits that free will is illusory, as I believe this is the world in which we live in.
