“Show me the incentive and I will show you the outcome.” - Charlie Munger
“They know they are lying. We know they are lying. They know that we know they are lying. Yet they still lie.” - Alexander Solzhenitsyn
My personal truths as a clinical psychologist:
#282 People reenact what they have not metabolized.
*A lot of people think the past stays in the past. Psychologically, it usually doesn’t. Experiences we never fully processed often keep showing up in our lives in disguised forms. We replay them, react from them, and sometimes rebuild them around us without realizing it.
That is what this credo means.
“Metabolized” is a psychology word for emotionally digesting something. Understanding it. Feeling it. Making sense of it. Learning from it instead of simply carrying it around.
What we do not metabolize, we tend to reenact.
A man who grew up with a critical father may keep finding himself drawn to bosses who are impossible to please. Part of him is still trying to win the approval he never fully received.
A woman who grew up around unpredictability may say she wants peace and stability, but repeatedly finds herself in chaotic relationships because chaos feels emotionally familiar, even when it hurts.
Someone who was betrayed may become controlling in future relationships, checking phones, doubting reassurance, and constantly scanning for signs of abandonment. The old wound keeps entering the room before the new person even has a chance to be themselves.
A person who never processed humiliation from childhood may become unusually reactive to small criticism as an adult. A simple disagreement at work can suddenly feel emotionally enormous because it touches something older and deeper.
You also see it in parenting. Parents often swear they will never act like their own mother or father, yet under stress they hear the same tone come out of their mouth. Not because they are bad people, but because unexamined patterns tend to repeat themselves automatically.
People reenact grief too. Some stay endlessly busy after a painful loss because slowing down would force them to feel what they never allowed themselves to feel. Others keep recreating disappointment because disappointment has become emotionally familiar and strangely predictable.
The mind is always trying to finish unfinished emotional business.
This is one reason insight matters in therapy. The goal is not just to “talk about feelings.” The goal is to recognize patterns that keep repeating themselves so people gain more freedom inside their own lives.
When people begin to metabolize old experiences instead of reenacting them, something important happens.
They stop confusing familiarity with destiny.
They work at making more promising choices.
Bill Maher fires back at Billie Eilish and leftist “kids” who “don’t know what the f*ck” America is about.
“I want to… say something about Western civilization. Kids, you don’t know what the f*ck it is.”
“They think Western means white—and white means bad. First of all, everything bad that white people did, people of color did it, too. The Japanese before World War II and during World War II. And Genghis Khan, and I could go on and on.”
“The left is very down on America, very down on the West. And it’s ironic because the West has also given us everything that makes your life good here. Don’t ask Billie Eilish or Chappell Roan about what the Western values are, because they’ll just say it’s about oppression.”
“But it’s not about oppression. It’s about rule of law. It’s about respect for minorities. It’s about democracy. It’s about scientific inquiry. These are all good things that came from the Western world. I wish that schools would teach that again.”
There are fundamental principles of psychology and psychotherapy. They have been recognized and refined over generations, and they are at the heart of all effective psychotherapy.
There is no incentive to acknowledge them.
The incentive is to pretend to invent something new, brand it with an acronym, and promote it as a something proprietary.
Time and again, the active ingredients are just a subset of the time-honored, fundamental principles— incorporated in the “new” therapy in watered-down, trivialized form.
The proliferation of acronyms and brands erodes knowledge and expertise.
Here's the fundamental truth:
At the heart of all effective therapy is the relationship between clinician and client—and how the clinician uses that relationship in the service of self-understanding and change.
You cannot brand or commodify a relationship.
It therefore takes a backseat. And what gets branded and promoted instead misses the essence of the work.
A hill I will die on: Psychoanalytic psychotherapy and good “plain ol” psychotherapy has its biggest impact for most patients by creating what Ogden, following Winnicott, calls a “holding environment”
The experience of the creation of this environment with the patient in it
1/ People who don’t understand psychotherapy—or use the word “therapy” to promote something else—often use this syllogism:
⒈ Therapy is “healing”
⒉ X is healing
⒊ X is therapy
No, it is not therapy. Therapy is therapy—not a marketing ploy to make whatever you're selling pass for therapy
From the paper: "Several high-quality trials have shown that universal mental health interventions based on mindfulness, cognitive behavioural therapy, dialectical behavioural therapy and general mental health awareness can all have negative outcomes, including an increase in internalizing symptoms."
As critics have been arguing all along, individualised, medicalised and decontextualised models & narratives are not only net ineffective, but even contribute to and exacerbate social & psychological issues and distress.
We dont face a crisis of 'mental disorders' in need of medical or cognitive treatment, we face a socio-psychological crisis and a crisis of medicalisation in need of a societal rethink.
Fauci's right-hand man was just indicted for conspiracy and destruction of federal records. And now we learn Biden officials silenced their own FDA scientist who was finding serious vaccine safety issues, like heart attacks, strokes, and sudden cardiac death. This cover-up goes all the way to the top.
https://t.co/3FbcBGaAJz
The tragedy of the psychotherapy professions:
Serious clinicians do their work in private and focus on developing their clinical skills.
Therapy influencers seek the public spotlight. Their skillset is self-promotion and digital marketing. They are often showmen and profiteers giving a cultural performance of “expert” for a public audience.
Because real psychotherapists work in private while influencers seek the spotlight and consume the oxygen, public perceptions of "therapy" are now shaped by profiteers.
The public is losing the ability to distinguish knowledge from marketing, and so are some in the therapy professions. Many therapy trainees who sincerely want to become skilled psychotherapists and strive for excellence don't know where to turn for quality training or who to trust.
This is the tragedy of the psychotherapy professions. I fear things are only going to get worse.
It’s one thing to recognize that thoughts are not reality. That’s a fundamental premise of psychoanalysis and *all* legit schools of psychotherapy.
It’s another thing to say thoughts are “meaningless,” which is exactly what many therapists and therapy schools now communicate.
“The ultimate lesson is that science isn’t special—at least not anymore. Maybe back when Einstein talked to Niels Bohr, and there were only a few dozen important workers in every field. But there are now three million researchers in America. It’s no longer a calling, it’s a career. Science is as corruptible a human activity as any other. Its practitioners aren’t saints, they’re human beings, and they do what human beings do—lie, cheat, steal from one another, sue, hide data, fake data, overstate their own importance, and denigrate opposing views unfairly. That’s human nature. It isn’t going to change.”
—Michael Crichton, in “Next”
Let nothing disturb you, Let nothing frighten you, All things are passing away: God never changes. Patience obtains all things Whoever has God lacks nothing; God alone suffices.
-St. Teresa of Avila
“More and more people are in individual talk therapy, learning a new vocabulary to apply to their lives.”
—Olga Khazan, The Atlantic
This is exactly what should NOT happen in psychotherapy. If a patient comes out of therapy with a slew of new vocabulary words or speaking in “therapy speak,” something has gone terribly wrong.
Skilled therapists sound like people, not like therapists. People who get good therapy come out of it sounding more like themselves, not more like someone else.