The benefits of psychotherapy don’t come from self-disclosure. They come from working through inner obstacles (like shame and fear of judgment) to self-disclosure.
This work must happen in the therapy relationship. Take it outside the relationship and it’s no longer therapy.
Psychotherapy works because there is skin in the game. In all relationships, including psychotherapy, there is vulnerability and risk. You may feel shamed. You may be judged. You may be rejected.
Remove these risks and you remove the therapy. It becomes a meaningless illusion.
It’s the illusion that there is such a thing as connection without vulnerability. There isn’t. It’s the illusion of understanding, without risk of misunderstanding. It’s the illusion of facing emotional risks, without actual bravery.
It’s buying into a comforting lie.
Real psychotherapy is never a game of pretend. It’s never about comforting illusion in place of difficult truth. It’s about facing ourselves honestly, in a real relationship that comes with real risk.
This is how emotional change and growth happen.
The core defining feature of real psychotherapy is facing the truth, and telling the truth, and living the truth. Not living in illusion.
So many want a bypass. There is no bypass.
“Good psychotherapy creates the conditions for its own expiration because the patient will no longer need us. As Winnicott noted, ‘We all hope our patients will finish with us and forget us, and they will find living itself to be the therapy that makes sense.’”
—Nancy McWilliams
Some therapists speak of
trauma work / shadow work / family of origin work / dream work / parts work / attachment work / etc. etc.
as if they were separate things or special skill sets
Psychodynamic therapist don’t use these terms. Frankly, they sound silly to us. They’re the bread and butter of what we do, day in day out
We also have a special term for this kind of work. We call it “psychotherapy”
@gayatri_d@Ahpra I think there should absolutely be scrutiny on prescribers. I had a doctor contact me about my own patient asking if I was “happy with” her proposed dose. She didn’t know he had major mental illness and was just happy to pull the trigger.
https://t.co/VxQZY39U9e
@Ahpra warns against businesses that prioritize profits > patient welfare, particularly those prescribing a single class of drug w/o thorough assessments. A surge (18K users in ‘19 to >1M million by Jan ‘24) raised concerns re: de facto recreational market
@emilysnowau@Mr_Fireside@TopherField The ubiquitous exploiters of the scheme ruin it for the genuinely deserving, who oftentimes have trouble accessing it. Infuriating.
State & territory governments have outlined their measures to address the issue. These include infrastructure upgrades, removal of ligature points & enhanced mental health support. However, concerns persist over the pace & completeness of these efforts.
https://t.co/5nNatDAooN
A Guardian Australia investigation has uncovered that 57 inmates died by suicide using known ligature points in prisons. This negligence spans multiple states and highlights systemic failures in addressing preventable deaths.
#forensicpsychiatry
https://t.co/7wa5opcFcL
@BigRedCeltTT@drruthmitchell Calling it “kidnapping” is absurd. Under international law, states can enforce naval blockades (even in international waters) if properly declared. Boarding a ship attempting to breach that blockade isn’t criminal, it’s lawful enforcement. Humanitarian or not, clearance matters.
@PatMcGorry The Age is right: mental health support is failing. But the Vic Royal Commission isn’t the solution it’s part of the problem. It sidelined clinical judgment, gutted secure care, and deprioritised compulsory treatment. Reform must start with reality, not ideology.
Highly recommend getting this book or audiobook by Nancy McWilliams. Reading each chapter 3-4 times is required to really grasp the depth.
This chapter on depressive personality is articulate, nuanced, and the best I have found written on it.
I just failed a student for submitting an AI-written research paper, and she sent me an obviously AI-written email apologizing, asking if there is anything she can do to improve her grade. We are through the looking-glass, folks.
@SimonKatterl While it’s true that some individuals with lived experience have successfully discontinued antipsychotics, one should acknowledge that outcomes can vary greatly depending on diagnosis, context, support systems, and personal circumstances. I don’t think that was schizophrenia.