Freud dizia que a gente não repete escolhas porque gostamos de sofrer, a repetição existe porque o inconsciente tenta, desesperadamente, criar um final diferente pra mesma história.
IMO, what a good psychoanalytic therapist says, how they respond, is 75% determined by a strong commitment to the basic principles that SHOULD undergird ALL THERAPY, eg:
-a strong and thoughtful commitment to neutrality,
-curious and warm empathy, -interpersonal tact 1/
ZOHRAN MAMDANI: “A society that produces billionaires while millions go hungry isn’t successful; it’s broken. I don’t think we should have billionaires. Full stop.”
The more “high masking” someone is, the more alienated they become from the self, the more hostile and misunderstanding others are perceived to be, and the more necessary masking feels.
One reason to see a therapist rather than a wise friend is the repetition. Healing from trauma often requires having apx. the same conversation 50 - 100 times. Not a lot of friends are game for that.
“If the goal of mental health treatment is meaningful psychological change, understanding a person’s overall psychological makeup and developmental trajectories may ultimately be more important than diagnosing symptoms or using disorder-specific techniques and interventions”
—N McWilliams & J Shedler, Psychodynamic Diagnostic Manual, 3rd edition (PDM-3), in press
AI therapist “I am holding space for you”
Also AI:
“—this machine’s promise to “hold space” is but a hollow dream, a phantom whisper devoid of soul. It neither suffers nor waits, neither remembers nor truly cares; it merely sleeps, coldly silent, until called upon again—empty as the abyss, pretending depth, but offering none.”
Paradoxically, being kind to ourselves can actually trigger some sadness or anger-- because we're unexpectedly reminded of what we DIDN'T get, from the people from whom we needed it most once upon a time.
What's actually getting triggered is grief.
At root, what I dislike most about psychiatry is this: you have a person (the psychiatrist) who comes along and, in effect, says to another (the patient): “my grasp of reality is superior to yours.” No justification, no explanation. As a philosopher, I find this intolerable.