The principle that we relate to others as though they were significant others from our past (& that individual differences exist in the extent to which we do & when) is perhaps among the most important research supported contributions #psychoanalysis. Extant research in social… twitter.com/i/web/status/1…
The principle that mental processes occur outside of awareness, I.e., unconsciously, implicitly, and automagically, has found a plethora of scientific support in cognitive psychology. Debate exists as to whether this evidence constitutes support for psychoanalytic theory.
However, any fair minded reading of the research literature and relevant theoretical conceptions would see that a large body of empirical evidence validates the existence of unconscious processing in line with psychodynamic theory.
Emotion stroop, lexical decision, and semantic priming tasks all point to the existence of implicit affective processing, motivation, and learning for instance.
Defense mechanisms - their existence, classification, effects, and role in understanding psychopathology and personality - has also long received empirical support, culminating in the DSM-IV including a Defense Mechanism Rating guide but largely due to work on a self report-DSQ
Psychoanalytic theories of development are probably under appreciated for how much they are taken for granted as being empirically supported albeit labeled differently, stripped of its psychoanalytic etymology. The same can be said re personality & psychoanalytic ego psychology.

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More from @DrWinarick

Mar 9
The adaptive expression of aggression involves (a) confrontation - communicating that you’re angry and why while experiencing, expressing, & regulating the corresponding affect in vivo - and (b) closure. The “good enough” other can withstand this & is not at risk of being lost. twitter.com/i/web/status/1…
This process is fundamental to the rupture-repair dynamic in psychotherapy as well as the development of secure attachment and healthy mental representations of self, other, & relationships from birth onwards.
It seems like there is a cultural zeitgeist operating in direct opposition to this, namely that aggression is so dangerous that any sign of it, regardless of context, requires a warning. A pervasive pattern of expending time & effort to cancel someone undermines the notion of… twitter.com/i/web/status/1…
Read 4 tweets
Mar 7
#Betterhelp evidently warns patients about the signs of #countertransference and instructs them what to say should it come up. What they are instructed to do is to terminate. When I saw this at first, I just thought it was beyond stupid. Upon further reflection, it’s worse. It’s… twitter.com/i/web/status/1…
Research on the therapeutic relationship & alliance has shown that it predicts outcomes of therapy. Recent research has looked more closely at this & found therapy marked by a “V curve” in the therapeutic relationship is what determines therapy outcome. V curve - good outcome. No… twitter.com/i/web/status/1…
The V curve refers to a rupture-repair dynamic, meaning the relationship is strong, there is a rupture (almost by definition involving countertransference and negative transference). Then patient and therapist work through it and repair the relationship and the alliance is back… twitter.com/i/web/status/1…
Read 4 tweets
Mar 7
If you want to know how much or if your insurance will cover your psychotherapy or psychological testing with a licensed psychologist, here are some tips to use when you call your insurance company to find out: 1/
1. You will be asked which CPT codes are going to be used. Here are the answers: If therapy, ask about 90834 and 90837.

2. You will be asked what is dx code for the procedure referred to by said CPT codes (this question is obviously incoherent bc u can’t know the dx

2/
until after meeting with the person). Here is how to answer it:
For therapy, it’s F41.1.

3. CPT codes for testing are 96130 and 96131. Ask how many hours of 96131 are covered? 5? 10? 15? 20?

4. Dx code for testing is F90.0.

(Again the codes mean nothing it’s just to figure 3/
Read 8 tweets
Mar 5
The history of Gordon Allport editorship of the journal during this period is also rather interesting in the context of an apparent power struggle at Harvard or Stanford w famous psychologist Boring who gave the chair job to Allport around the same time he took over editorship.
Boring evidently was not a fan of the Jews which imo explains why AA Roback, whose books on the history of psychology, psychiatry, and personality are by far the most scholarly, comprehensive, detailed & impressive accounts I’ve ever encountered, never became recognized as big.
Which is neither here nor there but telling about the polarity in political inclinations within academic psychology ca ww2 and the good guys won.
Read 5 tweets
Aug 24, 2022
The capacity for guilt, ambivalence, agency, empathy, and being alone are core concepts in psychodynamic theory. These are always the “goals” of #psychodynamic therapy regardless of what DSM symptom profile a patient may display.
Steps:
1. Enhance meaning-making & the capacity to symbolize experience by using techniques aimed at getting someone curious about their own mental life (clarify, paraphrase, validate, explore, interpret) by being curious about their mental life & modeling reflective functioning.
2. Encourage empathic abilities by getting someone interested in the mental lives of people they are in close interpersonal relationships with.
3. Facilitate the expression & analysis of mixed feelings aka in vivo ambivalence tolerance skills training.
Read 5 tweets
Aug 22, 2022
Some controversy over the historical record here. Did Freud get passes for his sisters to leave Nazi Germany?

Word on the street is yes but it was a luke warm effort and too late by the time he did try to get them out.

Maybe Freud hate-scholar @PeterDKramer knows more on this?
A few other questions:

1. What was Freud’s perception of rising authoritarianism-fascism-genocide in Germany and Vienna before he left for London?

2. How did it show up in his writing other than as a mangled concept known as the death instinct?
3. What - if any - antifascist actions did Freud take leading up to or after his fleeing Nazi Germany?

4. Did the Nazis really let him transport his entire office - furniture and all etc?
Read 6 tweets

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