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nadeemhasanpsyd.bsky.social
Psychologist • Faculty @SJSU • Views = Mine • 🕊️
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cc: therapists

The basic units in Sullivan's interpersonal theory are the interpersonal field and the relational configurations that derive from it. The individual psyche, in this view, is a part and reflection of a larger whole, and is inconceivable outside of a social matrix. Greenberg & Mitchell

When guilt is intolerable and unacknowledged, it can be projected. The self-reproach that comes from not meeting a standard can be experienced as aggression coming from a critical other. One may hold a grudge, lash out at another, without awareness that the bully comes from within.

🧵 Corrective experiences can come in different doses, with different intensities. While the term can invoke the notion of a singular, powerful new experience, the more subtle, micro-corrective experiences can be deeply rich, paradigm shifting themselves, and worthy of clinical attention.

The therapist's first step in working through a confrontation rupture involves disembedding from the vicious cycle of hostility and counterhostility that is being enacted by metacommunicating to the patient about the current struggle. Safran & Muran, 2000

Keeping the structure of therapy a mystery does the patient a disservice. We need to be explicit with our patients about what we expect of them and what they can expect of us. The therapeutic relationship is a unique one with no parallel in ordinary social interaction. - David Wallin

If an institution, training program, or professional circle claims to value social justice & multiculturalism but you don’t feel comfortable speaking about your culture, concerns, collective trauma, & identity then they may have serious work to do. Selective compassion & empathy lend to exclusion.

Analytic psychotherapy is not a set of techniques that operate independently of those who practice it. Relatively untrained people with good instincts and a good heart can be effective therapists. Highly trained individuals who lack ordinary compassion can be disastrous ones. - Nancy McWilliams

Part of growing as a therapist is learning to say fewer things that aren’t true and more that are in a way that another person can hear.

The latest issue of Lancet Psychiatry contains a profile of me, in which they describe me as “one of the discipline’s foremost public intellectuals”!!! www.thelancet.com/journals/lan...

It's amazing how revitalized and reconnected to ourselves we can feel after encountering and expressing an emotion that had been walled off, living in the background.

Fictional characters can be lessons on how not to live in the world. Their psychologies dripping with inabilities to accept shortcomings, loss, disappointment, limitations. To see themselves as others do. Exaggerated mirrors to nudge us to come to terms with ourselves & live with a bit more grace.

I spoke with Dr. Max on his podcast, wtf is life, about short vs. long-term therapy. Check it out here: youtu.be/tYB_beh8luc?...

Therapy is about centering the client, welcoming the entirety of their psyche & lived experience (including sociopolitical context!), and honoring their agency. -Neutrality in 2025

Psychotherapy starts where common sense ends. Otto Kernberg

Part of why I find the ability to watch a clinician in action to be so valuable. Some folks are gifted at speaking about theory & conducting therapy. Others may be excellent at one & not the other. Find myself weary with hardliners whose work I’ve never seen.

The core experiences of psychological trauma are disempowerment & disconnection from others. Recovery, therefore, is based upon the empowerment of the survivor & the creation of new connections. Recovery can take place only within the context of relationships; it cannot occur in isolation. Herman

It's easier for clinicians to pick apart each others' work than to show their own.

If you had to pick, would you say more change happens within session or between sessions? Feel free to explain your take below.