21–30 of 36 posts
As a practicing Psychotherapist for over 25 years, I never came across anyone who practiced DBT. I had heard that some Psychiatric nurses liked it. I always understaood that it was a modern extention of CBT. The go to, cheap as chips, not very good, therapeutic self brainwashing technique. Big claims of curing depression, eating disorders and a raft of other mentally distressing diagnoses in a miraculous 6 weeks, hav…
As a practicing Psychotherapist for over 25 years, I never came across anyone who practiced DBT. I had heard that some Psychiatric nurses liked it. I always understaood that it was a modern extention of CBT. The go to, cheap as chips, not very good, therapeutic self brainwashing technique. Big claims of curing depression, eating disorders and a raft of other mentally distressing diagnoses in a miraculous 6 weeks, hav…
My impression of DBT compared to CBT, based on what my friends told me, is that DBT is much more confrontational. I remember one friend even specifically said that it took her a long time to "unlearn" the therapist's natural response to affirm and validate, but then redirect negative feelings with skills.
Earlier quoted context omitted.
Fisher died by suicide in 2017. https://en.wikipedia.org/wiki/Mark_Fisher
But not before encouraging everyone to blame things on "capitalism" which even Marx would have said would be solved by more capitalism. (Namely cost of living in Anglo countries, which is largely caused by their practically feudalist land usage policies.)
Earlier quoted context omitted.
Fisher died by suicide in 2017. https://en.wikipedia.org/wiki/Mark_Fisher
But not before encouraging everyone to blame things on "capitalism" which even Marx would have said would be solved by more capitalism. (Namely cost of living in Anglo countries, which is largely caused by their practically feudalist land usage policies.)
I found this fun and interesting. It's a bit long, but it felt like there was a lot to build out. Doing that reading while not knowing where things are going is tough, but I found the reward, the synthesis of different sides, to be a surprisingly good conclusion to the piece. And just having the pleasure of this paragraph, I think, will impact me forever: > Most people I spend time with — leftists prone to anxiety an…
Fisher died by suicide in 2017. https://en.wikipedia.org/wiki/Mark_Fisher
There's a pattern to suicide: people don't commit suicide merely because they're miserable, or because they think their situation is hopeless. It is also necessary to believe that you have lots of options, but all of them are unacceptably bad.
Indian sustenance farmers didn't have high rates of suicide, until they got access to microcredit.
Schizophrenics, who often have distorted feelings of agency (e.g. seeing something on the TV, they may feel with deep certainty that they somehow caused that thing to happen), have sky-high suicide rates.
Men, for whatever reasons, have higher feelings of agency than women. And men of course have much, much higher rates of suicide than women - even though in terms of pain, misery etc. it's not clear women have it that much better.
Black Americans and Native Americans in the US both have a history of being subject to racism and oppression. But the former, stereotyped by racism as being basically good for nothing, have low suicide rates. Native Americans, whose racist oppression was historically accompanied by painting them as great noble spirits etc. have sky-high suicide rates. Economic conditions don't explain the disparity well, difference in sense of agency does.
So, blaming things outside yourself, whether correctly or not, may be a defensive psychological reaction to misery. Fisher thought something could be done; if he had had a weak sense of agency, he wouldn't have done all that writing for one thing.
As a practicing Psychotherapist for over 25 years, I never came across anyone who practiced DBT. I had heard that some Psychiatric nurses liked it. I always understaood that it was a modern extention of CBT. The go to, cheap as chips, not very good, therapeutic self brainwashing technique. Big claims of curing depression, eating disorders and a raft of other mentally distressing diagnoses in a miraculous 6 weeks, hav…
I'm trying to find a therapist after about 20 intermittent years of disappointing therapy experiences.
I find CBT trite ( https://slatestarcodex.com/2015/07/16/cbt-in-the-water-suppl... )
But psychodynamic is directionless and in a way that never seems to help either, and hides behind the lack of measurement. It could be amazing with a wise Irvin Yalom figure, but 99% of us aren't interacting with somebody that thoughtful.
How well, generally, do you think therapy works? What works best?
As a practicing Psychotherapist for over 25 years, I never came across anyone who practiced DBT. I had heard that some Psychiatric nurses liked it. I always understaood that it was a modern extention of CBT. The go to, cheap as chips, not very good, therapeutic self brainwashing technique. Big claims of curing depression, eating disorders and a raft of other mentally distressing diagnoses in a miraculous 6 weeks, hav…
The scoring sheets are, pretty much, bullshit. So are the endless worksheets.
I found this fun and interesting. It's a bit long, but it felt like there was a lot to build out. Doing that reading while not knowing where things are going is tough, but I found the reward, the synthesis of different sides, to be a surprisingly good conclusion to the piece. And just having the pleasure of this paragraph, I think, will impact me forever: > Most people I spend time with — leftists prone to anxiety an…
If you do, sally forth, you've probably walked down this road before. You know it well. If you don't, it gracefully folds in to give you a glimpse into how the other side lives and thinks with just enough detail to feel real. Either way is a good time in a sense.
This article situates Dialectical Behavior Therapy relative to Cognitive Behavioral Therapy, dialectical philosophy, Zen/Mindfulness, and social movements. It lays out the limits of DBT, and shows why it is an improvement over (the dominant) CBT (which commenters seem to confuse it with).
Even if you're not interested in any therapy at all, it helps to understand the distinctions and how this therapy works, because it's close to what nurturing kids or friends or colleagues requires - closer than the pretend worlds of CBT or the hand-waving of hope groups.
This article and DBT in particular highlight the key dynamic for nurturing: understanding and sympathizing with one's difficulty, while getting one to take personal responsibility by showing practical ways to actually do that.
A lot sounds like basic socialization that should come from culture, but traditional culture has been generally shredded, and online culture is toxic, so I'm glad some of the wisdom is being captured and conveyed.
STEM/technical people will find the dialectic aspect difficult, since it's embracing conflicting terms/concepts. Just think of it like differentiation and integration: using a delta to identify common features alongside the conflicting ones.
(If I had any criticism of DBT and this article, it's that DBT (and CBT) aim to heal and maintain health, but doesn't actually address or treat the wide variety of injuries; it's nursing, not doctoring.)
Earlier quoted context omitted.
Fisher died by suicide in 2017. https://en.wikipedia.org/wiki/Mark_Fisher
Be careful here. There's a pattern to suicide: people don't commit suicide merely because they're miserable, or because they think their situation is hopeless. It is also necessary to believe that you have lots of options, but all of them are unacceptably bad . Indian sustenance farmers didn't have high rates of suicide, until they got access to microcredit. Schizophrenics, who often have distorted feelings of agency…