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As his hands touched their skin, God’s caring touched their hearts. From there it was only a small step to the insight that every sensuous experience is at heart a spiritual one, a divine revelation. No matter how we repress this intuition, it is there in every human heart just waiting to be triggered.
-The way of silence : engaging the sacred in daily life / Brother David Steindl-Rast
Every Sunday, food trucks surround the lawn at the Presidio, with music and Golden Gate views adding to the scene.
I usually dream of my head getting stuck between two walls and I am trying to push them back. What does this mean? This dream imagery of your head getting stuck between two walls and trying to push them back suggests feelings of being trapped, confined, or constrained in your waking life. The walls may represent obstacles, limitations, or tensions that you are struggling against. The act of trying to push the walls back indicates an effort to overcome or break free from these constraints.
Dreams often use symbolic imagery to represent our inner psychological states and conflicts. In this case, the dream may be reflecting a sense of being hemmed in or unable to fully express yourself. The feeling of being trapped could stem from external pressures, responsibilities, or expectations that are making you feel restricted.
Without knowing more about your personal circumstances, it's difficult to provide a more specific interpretation. However, this type of dream is commonly associated with a need for more freedom, independence, or control over your life and environment. Paying attention to the emotions and sensations you experience in the dream can also provide clues about what the imagery represents for you on a deeper level.
Discussing the dream with a therapist or counselor who can explore it in the context of your life experiences could offer additional insights. Ultimately, the meaning of your dream is personal to you and your subconscious mind.Intensive short-term dynamic psychotherapy (ISTDP), like all psychotherapy models, is a set of ideas and strategies used to form a healing relationship with another human being. Like therapists using other models of therapy, ISTDP therapists strive to create a relationship in which a person in therapy feels safe and secure. Experience shows that people need to feel safe in order to experience the emotions that their symptoms are designed to hide, and that experience of emotions within a secure bond will likely reduce their symptom burden (Davanloo, 1990; Frederickson, 2014; Abbass, 2015).
Sounds simple enough, no?
How ISTDP Therapists Use Attachment to Create Safety
All psychotherapy models are ways of connecting and creating safety, but many assume a willing, motivated person will show up to the first session, which is not always the case. Some people arrive terrified of emotional contact with the therapist. They may come in and, intentionally or unintentionally, do things that interrupt their therapy goals without knowing why. Many therapists get stumped by these situations.
I love learning, teaching, and practicing ISTDP because the model offers an elegant system for reaching out to and supporting people to overcome the automatically deployed avoidance mechanisms that can defeat therapy. In ISTDP, we create safety by inviting a secure attachment, and then help people overcome the automatic thoughts, feelings, and behaviors that would otherwise create an insecure attachment.
Why People Create Walls and How We Can Invite Them Out to Play Again
Those of us who set out to create healing relationships, in therapy and elsewhere, quickly become aware of the many barriers people erect to keep love and concern from others out. We learn about the many rationalizations and self-recriminations that buttress people’s interpersonal walls. We understand that for many people the wall was once a survival mechanism, but we also see how it hurts them now. This presents a challenge: How do we create safety and security with someone who won’t let us in? How can we heal a heart if we can’t get close enough to see it?
We understand that for many people the wall was once a survival mechanism, but we also see how it hurts them now. This presents a challenge: How do we create safety and security with someone who won’t let us in? How can we heal a heart if we can’t get close enough to see it?When we reach out to meet a person and instead we meet a wall, therapists and non-therapists alike have a variety of reactions. We might feel angry toward the person we reached out to so lovingly. We might act out that anger and turn it into efforts to control or cajole. We might pretend the walls are not there and carry on a chronically disappointing pseudo-relationship with whatever parts of the person are not walled off. Often, we transiently forget our love, feel only our anger, and become harsh. We might even respond with our own walls.
In psychoanalytic thinking, we call the above reactions “enactments” (Sandler, 1976; Chused, 1991). In other words, we start acting out the relationship that the wall invites us to have, rather than the healing relationship that the person behind the wall needs from us. We end up relating to the character armor (Reich, 1945) or “resistance” rather than the wounded person who is stuck underneath. For therapists, the trick is learning how to step out of or around the enactment and reach out to the person behind the walls.
ISTDP therapists are trained to try to channel our mixed feelings of love and anger into communication. In this case, we talk about the wall with phrases like:
“Do you notice how when I asked how you were feeling, you started to avoid my eyes and withdraw into your thoughts?”
“Do you notice how as I was inviting you to celebrate the successes you shared, you minimized your progress and started to put yourself down?”
“Do you notice that whereas just a minute ago you were fully on board to face these feelings, now you are digging in your heels and saying you can’t or won’t?”
For ISTDP therapists, our first step in connecting with someone who is pushing us away is to describe the behaviors that make up the wall so they can be seen, considered, and discussed. Like any survival mechanism, our walls are built automatically and often unconsciously. To overcome these automatic barriers to connectedness, people often need help slowing down, self-reflecting, and noticing what is happening.
First, help the person see the wall. Let him or her know you see it too. Only then can you start talking about why it’s there and how it’s hurting the person, which may help him or her begin the work of overcoming the wall so you can create a safe, healing space together.
The wall, Davanloo’s (1990) vivid metaphor for the psychoanalyst’s “transference resistance,” will push many friends away, and often deflect any otherwise helpful therapeutic intervention. The wall is often a major driver of symptoms and presenting problems. By talking about the wall in ISTDP, we can sidestep the “enactment” and its destructive potential, and make a safe space where a new kind of relationship—a healing relationship—can take root.
References:
Abbass, A. (2015). Reaching through resistance: Advanced psychotherapy techniques. Kansas City, MO: Seven Leaves Press.
Chused, J. (1991). The evocative power of enactments. Journal of the American Psychoanalytic Association, 39, 615-640.
Davanloo, H. (1990). Unlocking the unconscious: Selected papers of Habib Davanloo, M.D. Hoboken, NJ: Wiley.
Frederickson, J. (2014). Co-creating change: Effective dynamic therapy techniques. Kansas City, MO: Seven Leaves Press.
Reich, W. (1945). Character analysis. New York: Noonday Press.
Sandler, J. (1976). Countertransference and role-responsiveness. International Review of Psycho-analysis, 3, 43-47.
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© Copyright 2015 GoodTherapy.org. All rights reserved. Permission to publish granted by Maury Joseph, PsyD, Intensive Short-Term Dynamic Psychotherapy Topic Expert Contributor
The preceding article was solely written by the author named above. Any views and opinions expressed are not necessarily shared by GoodTherapy.org. Questions or concerns about the preceding article can be directed to the author or posted as a comment below.
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Agriculture Secretary Tom Vilsack responds to an attendees experiences with substance abuse at the Hillsborough County Adult Drug Court (HCADC) in Nashua, NH on May 9, 2016. The roundtable discussion focused on support within the criminal justice system for victims of the heroin epidemic. (L TO R around table Agriculture Secretary Tom Vilsack, Senator Jeannie Shaheen (NH), New Hampshire Chief Justice Tina Nadeau, Behavioral Health for Southern NH Medical Center Vice President Lisa Madden, MSW Drug Court Coordinator Julie Christenson-Collins, HCADC Graduate Christopher Overka, PsyD, MLADC, Chief of Services for Greater Nashua Mental Health Center Dr. Cynthia Whitaker, and NH Superior Court and Presiding Justice for Hillsborough County Adult Drug Court Associate Justice the Honorable Judge Jaclyn Colburn). USDA photo by Pollaidh Major.
Earn a PsyD in Clinical Psychology allows the practitioner to diagnose, treat, prevent, and assess mental illness.
Reading about ADD is pretty boring compared to hoarding. Could be because it's all so familiar and the symptoms of ADD are tiresomely annoying while hoarding has a delusional component that is rather fascinating.
This is the required reading for ADD specialist certificate. I'm sitting for the exam this week.
Driven to Distraction: Recognizing and Coping with Attention Deficit Disorder from Childhood through Adulthood by Edward M. Hallowell, M.D. and John J. Ratey, M.D.
An oldie, but goodie. Interesting case studies with a storytelling narrative flavor. Gives a good picture of the kind of people who have ADD and how they are living their lives. Also only book that addresses sex and couple dynamics when one person is ADD. And a chapter on family dynamics when one child is ADD.
More Attention, Less Deficit: Success Strategies for Adults with ADHD by Ari Tuckman, PsyD, MBA Short chapters with descriptive titles make the table of contents the thing to read. Covers all the basis of diagnosis, pharmaceuticals and tips, but not in depth enough to be of any real help.
Fidget to Focus: Outwit Your Boredom: Sensory Strategies for Living With ADD by Roland Rotz, Ph.D and Sarah D. Wright, M.S., A.C.T.
The most interesting and helpful of the lot. A short book with large type full of tips and anecdotes about handling boredom. I hadn't really understood that boredom was key to the ADD brain. Written for the high functioning ADD person who needs to figure out work arounds. Based on leveraging self-monitoring and self regulation skills. Ranges from chewing gum, to playing games on PDF under the table, to doodling, to asking confrontational questions to make things more exciting. I've used the last one, recently, to keep from falling asleep at lectures.
Attention Deficit Disorder: The Unfocused Mind In Children And Adults by Thomas E. Brown, Ph.D.
Clinical description of everything ADD and diagnosis plus blow by blow account of treatments. Describes how shortage of dopamine is problem for ADD brain. Dopamine serves to highlight informational input which helps with executive function, decision making and self-regulation. The newest book in the stack. It goes into how the brain works and why it doesn't in the case of ADD. Good basic introduction to science side of ADD.
ADD-Friendly Ways To Organize Your Life by Judith Kolberg & Kathleen Nadeau, Ph.D.
Written by organizing colleague who started study group on chronic disorganization. Nicely laid out for the ADD mind in clear sections tabbed down the side of the page so is easy to flip through and find solutions. Has in depth organizing tips. Pretty much the bible for organizers.
Colleen Griffin PsyD '15 participated in the excursion with the Latino bilingual track of Pacific's clinical psychology doctorate program.
Everyday People no.164, by Sly & The Family Stone from The Rolling Stone Magazines 500 Greatest Songs Of All Time
Sometimes I'm right and I can be wrong
My own beliefs are in my song
The butcher, the banker, the drummer and then
Makes no difference what group I'm in
I am everyday people, yeah yeah
There is a blue one who can't accept the green one
For living with a fat one trying to be a skinny one
And different strokes for different folks
And so on and so on and scooby dooby doo
For a good read on the way we think, click here www.huffingtonpost.com/roya-r-rad-ma-psyd/self-righteousn...
Brain scan image by A Health Blog www.flickr.com/photos/healthblog/8384110298/
Click here youtu.be/3JvkaUvB-ec to hear full track
Click here songmeanings.com/songs/view/109219/ for full song lyrics
My 365 art project, where I create a year’s worth [yep, 365] of digital collages, with indie songs as my subject
Widener University's PsyD Clinical Psychology students hosted their barbecue as the Fall 2015 semesters gets underway
The Pointe at Kilpatrick - Crestwood, IL
Recently, Dr. Diedre Alexander, PsyD, gave a presentation at The Pointe, highlighting the important link between physical activity and brain health. Dr. Alexander has been practicing psychology for 22 years and has worked in public health for 15 years as a Senior Clinician Consultant, providing psychotherapy and case management for clients and their families. She also teaches psychology and community topics. She has been holding weekly hours at The Pointe for 2 years and assists our residents in dealing with issues common among older adults.
During her presentation, Dr. Alexander explained how the mind and body are connected and how one affects the other. She stressed the importance of exercise, even simple, gentle movements, as well as socialization and mental stimulation. She added that partaking in these activities for as little as 10 minutes a day can make a difference in one's health and overall quality of life. Dr. Alexander also discussed the importance of diet. She pointed out that the brain is like any other organ in the body and needs vitamins and nutrients to remain strong. She really emphasized that it is best to get these through digesting food rather than relying on supplements or pills.
Dr. Alexander finished her presentation by talking questions from the audience. The Pointe is extremely grateful to Dr. Alexander for the generosity of her time and for sharing her experience with our audience. Her dedication to the health and well being of older adults is sincere and genuine and we are blessed to have her as part of our family here at The Pointe.
The Pointe at Kilpatrick - Crestwood, IL
Recently, Dr. Diedre Alexander, PsyD, gave a presentation at The Pointe, highlighting the important link between physical activity and brain health. Dr. Alexander has been practicing psychology for 22 years and has worked in public health for 15 years as a Senior Clinician Consultant, providing psychotherapy and case management for clients and their families. She also teaches psychology and community topics. She has been holding weekly hours at The Pointe for 2 years and assists our residents in dealing with issues common among older adults.
During her presentation, Dr. Alexander explained how the mind and body are connected and how one affects the other. She stressed the importance of exercise, even simple, gentle movements, as well as socialization and mental stimulation. She added that partaking in these activities for as little as 10 minutes a day can make a difference in one's health and overall quality of life. Dr. Alexander also discussed the importance of diet. She pointed out that the brain is like any other organ in the body and needs vitamins and nutrients to remain strong. She really emphasized that it is best to get these through digesting food rather than relying on supplements or pills.
Dr. Alexander finished her presentation by talking questions from the audience. The Pointe is extremely grateful to Dr. Alexander for the generosity of her time and for sharing her experience with our audience. Her dedication to the health and well being of older adults is sincere and genuine and we are blessed to have her as part of our family here at The Pointe.
The Pointe at Kilpatrick - Crestwood, IL
Recently, Dr. Diedre Alexander, PsyD, gave a presentation at The Pointe, highlighting the important link between physical activity and brain health. Dr. Alexander has been practicing psychology for 22 years and has worked in public health for 15 years as a Senior Clinician Consultant, providing psychotherapy and case management for clients and their families. She also teaches psychology and community topics. She has been holding weekly hours at The Pointe for 2 years and assists our residents in dealing with issues common among older adults.
During her presentation, Dr. Alexander explained how the mind and body are connected and how one affects the other. She stressed the importance of exercise, even simple, gentle movements, as well as socialization and mental stimulation. She added that partaking in these activities for as little as 10 minutes a day can make a difference in one's health and overall quality of life. Dr. Alexander also discussed the importance of diet. She pointed out that the brain is like any other organ in the body and needs vitamins and nutrients to remain strong. She really emphasized that it is best to get these through digesting food rather than relying on supplements or pills.
Dr. Alexander finished her presentation by talking questions from the audience. The Pointe is extremely grateful to Dr. Alexander for the generosity of her time and for sharing her experience with our audience. Her dedication to the health and well being of older adults is sincere and genuine and we are blessed to have her as part of our family here at The Pointe.
Kristine M. Diaz, PsyD, is Chair, AAMC Advisory Committee on Sexual Orientation, Gender Identity, and Sex Development
Gov. Jay Inslee is joined by local and state legislators, health experts, and staff of the Volunteers of America Western Washington Behavioral Health Call Center. Each individual pictured had a role to play in the implementation of the new statewide 988 crisis lifeline.
Pictured from left to right:
- Ingrid Ulray, Regional Director for Region 10, U.S. Department of Health and Human Services
- Umair A. Shah MD MPH, Secretary of Health, Washington State Department of Health
- Steve Corsi PsyD, President and CEO, Volunteers of America Western Washington
- Levi Van Dyke, Senior Director of Behavioral Health at the Volunteers of America Western Washington Behavioral Health Call Center
- Rep. Tina Orwall
- Sen. Manka Dingra
Deb Friesen, MD, FACP, and Rachael St.Claire PsyD, Kaiser Permanente Colorado
The Human Rights Campaign celebrates the 303 best places to work, who score 100% on the Corporate Equality Index for Lesbian, Gay, Bisexual, and Transgender Employees. Kaiser Permanente is among this year's 100 % achievers
Dominic Auciello, PsyD, Steven Kurtz, PhD, ABPP, Rachel Busman, PsyD, Jill Emanuele, PhD, Pasko Rakic, MD, PhD, Ron Steingard, MD, Melanie Fernandez, PhD, ABPP, /Natalie Weder, MD, Michael Rosenthal, PhD, Jamie Howard, PhD
Take notes!
Jane Hewitt PsyD knew Eva. Her business is back at 580 California street in suit #1600. Remember to ask for her by name!.
Joined in the accompanying photo of the dedication by three Newark children who will benefit from the presence of the Mobile Medical Clinic are (l-r) Veronica Ray, CEO and Executive Director of The Leaguers, Inc.; Ariel Almacen, PsyD, MSN, APNC, Director of Community and Clinical Affairs for the New Jersey Children’s Health Project; Irwin Redlener, MD, Co-Founder and President, Children’s Health Fund; Delaney Gracy, MD, Children’s Health Fund Childhood Asthma Initiative; Rep. Donald M. Payne (10th District, New Jersey); Mindy Ganz, Executive Director, Webkinz Foundation; Susan W. Salmond, EdD, RN, Dean, UMDNJ-School of Nursing; William F. Owen, Jr., MD, President, University of Medicine and Dentistry of New Jersey; Assemblyman Thomas F. Giblin (34th District, New Jersey); George F. Heinrich, MD, Vice Chairman and CEO, The Foundation of UMDNJ.
Deb Friesen, MD, FACP, Jeff Krehely (HRC), and Rachael St.Claire PsyD, Kaiser Permanente Colorado
The Human Rights Campaign celebrates the 303 best places to work, who score 100% on the Corporate Equality Index for Lesbian, Gay, Bisexual, and Transgender Employees. Kaiser Permanente is among this year's 100 % achievers
Diego F. Hernandez, PsyD, Licensed Clinical Psychologist with Veteran Brian Anderson at University of South Florida College of Nursing demonstrating Accelerated Resolution Therapy ART.
Do you know your true self?
💚 www.washington-psychwellness.com
#mentalhealth #DBT #trueself #mentalhalthawareness #selfawareness #mentalhalthadvocate #knowyourself #therapy #selfinsight #psychology #psychologytips #love #therapyquotes #mentalhealthtips #beyou #inspirational #motivational #selfacceptance #confidence #selfesteem #inclusivity #diversity #acceptance #beYOUtiful #Psychodynamic #psychotherapy #insights #selfgrowth #therapyworks
Joined in the accompanying photo of the dedication by three Newark children who will benefit from the presence of the Mobile Medical Clinic are (l-r) Veronica Ray, CEO and Executive Director of The Leaguers, Inc.; Ariel Almacen, PsyD, MSN, APNC, Director of Community and Clinical Affairs for the New Jersey Children’s Health Project; Irwin Redlener, MD, Co-Founder and President, Children’s Health Fund; Delaney Gracy, MD, Children’s Health Fund Childhood Asthma Initiative; Rep. Donald M. Payne (10th District, New Jersey); Mindy Ganz, Executive Director, Webkinz Foundation; Susan W. Salmond, EdD, RN, Dean, UMDNJ-School of Nursing; William F. Owen, Jr., MD, President, University of Medicine and Dentistry of New Jersey; Assemblyman Thomas F. Giblin (34th District, New Jersey); George F. Heinrich, MD, Vice Chairman and CEO, The Foundation of UMDNJ.
L to R
Mark Smolinski MD MPH
Judith (Judy) F. Karshmer, PhD, PMHCNS-BC SONHP Dean and Professor
The USF DON :)
Kia James Associate SONHP Professor; Chair, MPH Program
Milano, 08 Luglio 2012
Scatto creativo durante un evento al Just Cavalli
©2012 Andrea Bonvissuto
(Tutti i diritti sono riservati)
Professor and Director of Postdoctoral Respecialization & Post-Master's Programs. Faculty, School of Human Service Professions, Clinical Psychology.