dlp234

[dlp234 @dlp234]

@DrCarlHindy @JonathanShedler @DocHolidayzzz Sorry for the delay.

Your client may be saying "I hurt other people, it's hurting me in the process, and I want help to change". Trying to soften or downplay the possibility that they're have psychopathic traits (whatever good qualities they may also have) may just cause harm.

[dlp234 @dlp234]

@DrCarlHindy @JonathanShedler @DocHolidayzzz Is that a responsible approach?

[dlp234 @dlp234]

@karenmitchell__ @JonathanShedler lol

[Jonathan Shedler @JonathanShedler]

There are therapists who think psychotherapy means working toward psychological change

There are therapists who think psychotherapy means endless validation, affirmation, soothing

They are not the same
Choose wisely

[Jonathan Shedler @JonathanShedler]

Graduate training programs used to be both highly selective and highly demanding. People who lacked the aptitude didn’t get in. People who didn’t develop competence didn’t get out. Now we have for-profit training programs that admit and graduate anyone who can pay.

[Jonathan Shedler @JonathanShedler]

This is false. The “number one” symptom of depression is not rumination. In fact, it’s not part of the diagnostic criteria for depression at all. Be careful where you get your mental health information. 👇

[dlp234 @dlp234]

@sbkaufman There might be more than one mechanism.

[dlp234 @dlp234]

@KerKampfer @JonathanShedler Well, how can you be sure you're not? 😆

[Dr. Nicole LePera @Theholisticpsyc]

A partner who is unfaithful is one of the most painful and difficult experiences.

Why People (actually) Betray Others:

[Jonathan Shedler @JonathanShedler]

In biomedical research, it’s unethical to assign people to a placebo control group when a known effective treatment exists

But in research on CBT and other so-called evidence-based therapy, the control group is nearly always no treatment, or inert/inactive treatment that’s not meant to address the patient’s condition

Is this unethical? Or an accidental acknowledgment that the researchers

1️⃣ Don’t consider CBT a known effective treatment?
2️⃣ Don’t really believe in psychotherapy at all?

Just asking

[Nature is Amazing ☘️ @AMAZlNGNATURE]

What in the Disney is going on here?

[dlp234 @dlp234]

@seepx @JonathanShedler Which matters more: the severity of the cancer or the location of the cancer? 😉

[Jonathan Shedler @JonathanShedler]

“Any personality style can, in principle, exist at any level of personality organization. For example, we may see a person with a narcissistic personality style organized at a healthy, neurotic, borderline, or psychotic level.

A person with a narcissistic style at a high level of personality organization may be a leader or visionary and may achieve extraordinary successes in life. A person with a narcissistic style at a low level of organization may be dysfunctional in many or all life domains.”

—N. McWilliams and J. Shedler, Psychodynamic Diagnostic Manual, 3rd edition (PDM-3), in press

[dlp234 @dlp234]

@biondorama @ADHDForReal Yes to which haha

[dlp234 @dlp234]

@NTFabiano 'treating'

[dlp234 @dlp234]

@ClaudeAvenue @ADHDForReal Since I started Concerta, I keep going with books until finished.

It's an absolutely mind-blowing change and I'm only scratching the surface of what it's going to mean and what I'm going to do with it.

I wish so much I'd had this medication many many years ago.

[Jonathan Shedler @JonathanShedler]

1/ One of most important things I've learned:

Severe personality problems find *camouflage.* No one thinks “I’m a sadist” or “I'm a malignant narcissist.”

They find a belief system/social group that validates their most hateful, destructive impulses & construes them as virtues.