Jonathan Weinstein (jonathanweinstein.bksy.social)

Author of #EmpowerMoves, #2for1teaching, and EMPOWER Your Students. Clinical Psychologist @VA Northport Medical Center. Opinions are my own. He/Him.

[Jonathan Weinstein (jonathanweinstein.bksy.social) @jhweinstein]

My co-authors @ekroska1 and @RobynWalser and I developed an approach to suicide prevention safety planning applying #RFT to promote willingness, acceptance and empowerment. Enjoy! @myACBS @RMIRECC @WestchesterDCMH @SamaritansNYC @AlysColeKing @bpmarx1
https://t.co/pXCpHaF5AN

[Sesame Street @sesamestreet]

Happy #JewishAmericanHeritageMonth! Join us this May as we honor and celebrate our Jewish American friends and neighbors in our communities.💛💚

[Jonathan Weinstein (jonathanweinstein.bksy.social) @jhweinstein]

@DoctorPerin the future likelihood of using a DBT skill to cope is diminished and the sense of agency-- seeing self as someone who can cope-- is lessened. TLDR-- coping goes best with authentic acceptance and willingness to feel feelings.

[Jonathan Weinstein (jonathanweinstein.bksy.social) @jhweinstein]

@DoctorPerin That would be a risky proposition at best b/c folks in crisis often need a bit of support and validation on the way to problem-solving. Also, trad coping in the DBT sense is frequently outcome oriented rather than process focused. When the outcome doesn't deliver...

[Jonathan Weinstein (jonathanweinstein.bksy.social) @jhweinstein]

@DoctorPerin Once the patient is giving language to describe psych content now you can ask about the experience of observing and describing what is otherwise typically avoided.

[Jonathan Weinstein (jonathanweinstein.bksy.social) @jhweinstein]

@DoctorPerin Orient to the present moment. If it's fear ask what's happening now? In you? Where do you feel it in your body? The Physicalizing exercise from ACT is a good guide here.

[Jonathan Weinstein (jonathanweinstein.bksy.social) @jhweinstein]

@DrLuisACenteno1 I vaguely recall an RCT revealing iatrangenic effects relative to the control. I think Dan Kivlahan was on it. Basically an MI-based control was better. AI might be able to track down the reference, but I think those were the headlines if memory serves.

[Steven C. Hayes @StevenCHayes]

This is a technical term from RFT that I think deserves a plain-language explanation, because it describes something that causes a great deal of quiet suffering, especially in people who are high-achieving and outwardly successful.

Pliance is behavior that's controlled by the approval or disapproval of others, rather than by your own values or the direct consequences of what you're doing. In other words, you're doing it because someone important to you expects it, or would be upset if you didn't, not because it actually matters to you. The behavior might look purposeful from the outside; internally, it tends to feel hollow.

A common example: a therapist who chose the profession partly because it was what their family respected, rather than because they genuinely wanted to do it, may find years later that even client breakthroughs don't feel satisfying. The motivation was built on pliance, on doing what earned approval, and that foundation doesn't sustain meaning over time.

[Andrew Coyne 🇺🇦🇮🇱🇬🇪🇲🇩 @acoyne]

NASA is the best of America, what America used to be: professional, science-based, dedicated to excellence, idealistic, and dazzlingly ambitious. May America one day recover its NASA soul.

[Jonathan Weinstein (jonathanweinstein.bksy.social) @jhweinstein]

The first word is supposed to be “Defusion”. Damn autocorrect.

[Jonathan Weinstein (jonathanweinstein.bksy.social) @jhweinstein]

Decision done well works to increase how one flexibly relates to their content (e.g., thoughts, feelings, sensations, memories, images). Metaphors and experiential exercise re-contextualize the content enabling one to observe their process in flight. The true prize is awareness.

[Jonathan Weinstein (jonathanweinstein.bksy.social) @jhweinstein]

Decision done well works to increase how one flexibly relates to their content (e.g., thoughts, feelings, sensations, memories, images). Metaphors and experiential exercise re-contextualize the content enabling one to observe their process in flight. The true prize is awareness.

[Shabnam Sadigova @ShabnamSadigova]

The question isn’t whether ACT “works.”
It’s what kind of mind it assumes. Defusion techniques shift how one relates to thoughts, but they remain largely uninterested in where those thoughts come from, what they’re doing psychically, or whose voice they carry.

Naming your mind may create distance. But distance from what? A thought is never just a thought.
In my understanding, this risks turning conflict into something to manage, rather than something to understand.

[Steven C. Hayes @StevenCHayes]

Something genuinely exciting landed in the Journal of Contextual Behavioral Science.

My colleagues and I put three methods for personalizing treatment head to head, and one finding keeps sticking with me: 61% of participants with trichotillomania showed completely unique combinations of the processes driving their behavior. This is exactly why "one size fits all" keeps falling short.

The method we developed, tsBoruta, identifies which psychological processes are actually relevant for a specific person while minimizing false positives, because chasing irrelevant targets in therapy wastes time neither the clinician nor the client has.

You can check out the full article here: https://t.co/i6G7pjf81H

#psychologicalflexibility
#ACT
#ACTtherapy

[Steven C. Hayes @StevenCHayes]

I developed this theory with colleagues starting in the 1980s, and it became the scientific foundation for ACT. I want to explain it plainly, because it answers a question most people have never thought to ask: why does language create suffering?

Relational Frame Theory is a scientific account of how human language and thinking work. The core finding is that humans, uniquely among animals, learn to relate anything to anything else in an almost infinite number of ways: this is like that, this is better than that, this causes that, this is the opposite of that. This ability is what gives us science, art, and civilization. It also means we can never fully escape painful experiences by changing our environment, because any situation, any word, any sunset can trigger an entire network of connected meanings that brings pain back.

A dog can learn to avoid a hot stove by touching it once. A human being who has been hurt by someone named Michael can feel anxious meeting a new Michael who has done nothing wrong, simply because the name carries the relational network forward. That's RFT in action.

[Steven C. Hayes @StevenCHayes]

When clients understand the concepts but nothing shifts, the work is almost always staying too cognitive. Understanding something and experiencing something are governed by different processes entirely, and change lives in the second one. The exercises, the values work, the willingness practices, they need to happen in the room, not just be talked about. The other thing worth examining is whether there's enough genuine psychological safety for the client to actually make contact with what they've been avoiding, not just describe it from a safe distance. Sometimes the bottleneck isn't the client's understanding. It's the depth of contact happening in the room.

What's your question? Write it below and I may answer it next.

#psychologicalflexibility
#ACT
#ACTtherapy

[Jonathan Weinstein (jonathanweinstein.bksy.social) @jhweinstein]

@DoctorPerin Misogyny across every level of the military and its systemic cover up.

[Ben Durbin @Turbo_Durbo1]

Coach Durbin here.
My response Regarding the accusations of Yonger using HGH.
I can assure you Yonger’s transition from 197 to heavy in one year’s time was in pure form. I expect an apology within 72hrs otherwise there will be more coming your way. @mrfasttwitch

[Jason Hett @Jbooggzz]

@RudisRowley #freeianmiller

[Cornell Kevin @Cornell_Kevins]

There only has been two of them.
Talking about Two 4x Blood rounders. Two great wrestlers who just came up short of the podium on 4 occasions.

Julian Ramirez (Cornell) had a career mark of 96-21. He had wins over 2x NCAA champ David Carr, NCAA champ Shane Griffith, and 2 wins over NCAA finalist Quincy Monday while winning 3 conference titles.

Micky Phillippi (Pitt) had a career mark of 107-23. Phillippi had career wins over 17 different All
Americans, a future NCAA champ
in Byrd, and 5 NCAA finalist including 4x NCAA finalist Daton Fix. His win over Daton Fix was the only time in Daton Fix’s VERY long career that he was defeated in the regular season.

I make this because, well, I love stats like this…I also make this not to shame these two in anyway; but rather celebrate the outstanding careers they had!!

[Ritchie Torres @RitchieTorres]

Second:

Under the Constitution, the separation of powers is clear: Congress has the power to declare war. The President, as Commander in Chief, has the power to command the military in a war that Congress has authorized. With respect to the war in Iran, authorization has neither been sought by the President nor granted by Congress.

The President cannot constitutionally wage war without congressional authorization unless the nation has been attacked, is under attack, or faces an imminent attack. None of those conditions is present here.

For too long, we have operated under a theory of presidential war powers so open-ended that it lacks anything resembling a limiting principle. The issue before us is not Democrat versus Republican, nor progressive versus conservative. It is Congress versus the President. It is Article I versus Article II.

The Founders did not declare independence 250 years ago to replace one king with another. Nor did the Framers intend for the Commander in Chief to wield the unilateral war-making authority of an 18th-century English monarch.

The notion that a President can plunge the United States into a regional war in one of the most volatile places on earth—without even briefing Congress, much less securing its authorization—is irreconcilable with the text, structure, and history of the Constitution.

Instead of playing second fiddle to an imperial presidency, Congress must reclaim its rightful place as the first branch of government—exactly as the Founders intended. We are Article I for a reason. It is time we start acting like it.