Retired therapist. I aim to empower others to help/save themselves.
Currently mostly tweeting really out of context things that people say to or around me.
📈 All therapy startups chase the same holy grail: a product that can scale.
But psychotherapy requires a human relationship. It cannot scale.
So the startups all converge on the same solution: sell something that is not psychotherapy and *call* it therapy.
They include wiggle words, at least to start. They say the product is not a substitute for therapy. They say it’s meant to supplement, augment, or assist therapy. They say it is meant to “help therapists.”
🐴 But in the history of mental health care, every such product was eventually promoted as a first-line treatment. Health insurers drive it, because their financial interests align. Every patient who accepts it is one less therapy insurance claim.
🤒 It harms the public, because they learn to apply the word “therapy” to all kinds of things that are not therapy. Investors make money by sewing confusion about what psychotherapy is and isn’t.
When people get these non-therapy products and services and they don’t help, they don’t come away saying “I never got psychotherapy.” They come away saying “therapy” doesn’t work.
👉 Real psychotherapy is a human relationship.
Remove it and you remove the psychotherapy.
Labels and categories are useful shortcuts but if you ever want to truly understand something or someone you have to experience them not categorise them.
@drgurner Said so beautifully. When I try to move people away from focusing too much on labels I end up leaning towards focusing on the harm of them. This is a much more elegant way of approaching this idea with people!
Ah! You see, this miserable little document, this so-called date-me doc, is our era’s most honest pornography. It pretends to be romance, but what is it really? It is no longer the trembling hand on paper, the confession of desire. It is a spreadsheet of desire. “I am ready. I am six foot four. I have done the work.” What work? Love is precisely the place where work collapses into failure. You study and then you fail the exam.
And look at this language. “Highly agentic, emotionally warm.” Beautiful nonsense. Freedom, yes, but domesticated. Agency, yes, but pointing politely towards him. For Hegel, love is the risky collision of two freedoms. Here, there is no risk. She must arrive pre-formatted.
Then the farce reaches ecstasy. “If she does not appear, I will pursue single fatherhood.” Magnificent. Chance is canceled. Eros becomes procedure. The miracle of two gazes across a smoky room is replaced by paperwork and a receipt. The objet petit a is now a literal baby routed around the Other.
And of course, the “monogamish” clause. Pure ideology. Fidelity with a footnote. Like Coke Zero: love without sugar, passion without calories. He wants the experience of devotion, but sterilized of danger.
The document offers no asylum from loneliness. It is loneliness, meticulously formatted, hyperlinked, and begging for comments. He does not whisper “I love you.” He says “I am prepared to love you, conditionally, pending review.”
@solarsystern Hm interesting I think I could swim breastroke for longer than I can run. Especially if I do the "breastroke but on my back" style. And swimming doesnt make me nauseaus whereas running for a while often does.
@Aella_Girl Does A deeply respect the selector as well or do they respect us less?
I would select whichever option has highest mutual respect. That's probably the best predictor of long-term relationship success.
@jasonwallerphd@JonathanShedler Have you ever managed to get a person in the pits of a depressive episode agree and manage to adhere to regular exercise? I haven't. Had more success using it as a mood maintenance tool with ppl after the worst of the episode is stabilized, rather than including it in my ideal tp
In high school, I was complaining about how long the school day was and my teacher turned to me and said, "the days are long, but the years are short" and I was like "what the fuck are you talking about you lunatic" and then the bell rang and now I'm in my 30s.
@solarsystern So often I'd have parents come in and be like "theyre doing this this and this thing [that is emotionally driven and is lacking long term thinking]" and id hit them with the "yes, theyre acting in an age appropriate way"
@solarsystern Yeah same. Or how often they look down on teens. They have so much more capacity than the parents can wrap their heads around (even though they were teenagers themselves at one point???). A lot of teens ended up sticking with me for therapy bc I treated them like competent humans
@Zeroxmachina@solarsystern@czykmate Stability within family life/relationships can insulate against outside stuff A LOT. Plus the "average kid" is pretty good at making friends!