Best 126 quotes in «psychotherapy quotes» category

In bottom-up approaches [to processing trauma], the body's sensation and movement are the entry points and changes in sensorimotor experience are used to support self-regulation, memory processing, and success in daily life. Meaning and understanding emerge from new experiences rather than the other way around. Through bottom-up interventions, a shift in the somatic sense of self in turn affects the linguistic sense of self.

Maybe I needed that somebody else could cry over my pain, to become able to cry over it myself. Nobody ever cried or was moved when I suffered as a child. (Lisa)

I must assume that knowing is better than not know, venturing better than not venturing; and that magic and illusion, however rich, however alluring, ultimately weaken the human spirit. I take with deep seriousness Thomas Hardy's words, 'If a way to the Better there be, it exacts a full look at the Worst.

Indeed, analyst Robert Bak calls orgasm "the perfect promise between love and death," the means by which we repatriate separation of mother and child through the momentary extinction of the self. It is true that few of us consciously climb into a lover's bed in the hope of finding our mommy between the sheets. But the sexual loss of our separateness (which may scare people so badly they cannot have orgasm) brings us pleasure, in part, because it unconsciously repeats our first connection.

In the cult, the people in power dictate what cult members are to do. Children raised in cults are systematically stripped of their own autonomous power and forced to feel powerful only in the destructive context allowed by the cult, and always under the power of the leader. Ritual abuse survivors have had to learn to be outer oriented - to perceive what is expected of them and do that, whether it is healthy for them or not. When a therapist creates a context in which he or she is the leader, and the client is to listen, learn, and follow what the therapist says, the therapist has inadvertently replicated the power system of the cult. That is not to say that the therapist has no power; the therapist has a lot of power, but the power the therapist has resides in authority based upon his or her expertise, knowledge, training and sensitivity. The point is to use this authority in a way in which the client can also begin to feel his or her own authority, and begin to develop a healthy feeling of power. The word used quite often now is "empowerment." How do you empower a client?

In one sense, all causes of a problem are 'current', although many of them represent the residue of earlier learning or unprocessed memories.

In our normal, everyday forms of consciousness, we suffer form what [William] James calls a 'lifelong habit of inferiority to our full self.' Insofar as the self that encases the seed of a wider consciousness like a husk is seen as 'conventionally healthy,' cracking it open to uncover the higher part leaves the individual exposed to neurosis; but then, as James reminds us and as Jung himself knew, this may well be the chief condition for receptivity to these higher realms.

In such a self-centered society, many people have gone to the extreme of narcissism—being solely concerned about their own personal well-being and agendas while excluding and exploiting others. Narcissism is not only epidemic but is also a pandemic of our times that has been normalized and accepted. Self-serving, narcissistic people are incapable and unwilling to love due to a lack of authentic self and love for one’s self and others.” — Sepideh Irvani, PsyD

In simple, the past is a time gone by and no longer exists in the present moment, but we choose to allow this past to occupy our minds, our bodies and our very existence.

One of my teachers at the psychoanalytic institute where I trained used to say, only half humorously, that 'the most important prerequisite for a vocation as a psychotherapist is a depressed mother'; based on my history, I think that a suffering but inaccessible father and a damaged sibling should be added to the list of qualifications.

It has been fashionable in some psychiatric and lay circles to blame the mother for whatever goes wrong in development. [...] If blame must be assessed it should be placed on the human condition which requires such prolonged dependence on one individual for development to take place. This makes the child extraordinarily vulnerable to the idiosyncrasies of that person (the mother). On the other hand, the prolonged dependence on this relationship also provides the potential for the richness of the human personality. It is a mistake, in my judgment, in psychotherapy to encourage or side with the patient's hostility to the mother. The patient has to become aware of and express it in therapy in order to grow but whatever the source of this hostility is in the past -- be it an actual memory or a fantasy to rationalize a feeling state -- the problem is now the patient's responsibility and he must work it out.

It seems like someone new is here?" I nodded. "Is it okay to talk to you?" I nodded again. "Are you the one who doesn't like the grocery store? "Yes," came the same soft voice. "What is it about the grocery store?" "It's not the store; it's the people. We get scared that some big person is going to hurt us. So we don't let her go places where there are lots of people." I felt dizziness in my head and then a different voice—a little stronger but still young—came out: "And then there's all that noise. We won't let her go in places with too much noise." "Is there someone new here?" "Yes." Is it okay if we talk together?" "Yes." "What's the problem with the noise?" "It was always noisy. A lot of yelling and crying. There was too much going on." "Is that the same kind of problem, the other part has?" "Yes. It's too hard for her to watch everyone to figure out who is going to hurt us next." "Don't you think Olga can take care of you?" "We want to think that, but we aren't sure." "Why is that?" "Because she couldn't take care of us before." "Do you all know what year it is?" "1968?" "Oh, I see. No, it's 1996, and Olga is big now. You all live inside her, and she has learned about you. She is also learning how to stop people from hurting you. She is strong and powerful. Were you there when she stopped the woman in the office from yelling at you?" It's 1996? She's big?" I paused to let the information sink in to all the parts that were listening. "She stopped people from yelling at us?" "Yes." Dr. Summer watched and waited. Home had been so chaotic. I had to watch Popi, Mike, Alex, and my mom very carefully. But I don't live there anymore. I'm grown up now.

It wasn't a sign of weakness to tell what happened to me. I feel guilt no longer, only regret. The other emotions are coming around too. How much further do I need to go? I'm not sure, but there is comfort in the fact that I am in the hands of expert guides, both in the doctor's office and at home with Sue.

I wanted to go to a few therapy sessions and be back to normal. As I saw it, the panic attacks were the problem. What I really wanted was to stop having them. I genuinely thought I could do that. I didn't want to think about the past.

I wish I had a magic wand to make things better, but therapy doesn't work that way.

I recently consulted to a therapist who felt he had accomplished something by getting his dissociative client to remain in her ANP throughout her sessions with him. His view reflects the fundamental mistake that untrained therapists tend to make with DID and DDNOS. Although his client was properly diagnosed, he assumed that the ANP should be encouraged to take charge of the other parts at all times. He also expected her to speak for them—in other words, to do their therapy. This denied the other parts the opportunity to reveal their secrets, heal their pain, or correct their childhood-based beliefs about the world. If you were doing family therapy, would it be a good idea to only meet with the father, especially if he had not talked with his children or his spouse in years? Would the other family members feel as if their experiences and feelings mattered? Would they be able to improve their relationships? You must work with the parts who are inside of the system. Directly.

Ironically your greatest spiritual asset is what appears to be your greatest obstacle: your obsession with yourself. Today we live in the age of individualism. – Richard Harvey

Is suffering in a dream real? Within the dream it sure as hell is! Dukkha is real, seemingly the only reality, while I am dreaming. Once I wake up, however, where is dukkha? What happens when I wake up? I awaken to the fact that the whole complex—for example, in a nightmare, the scary figure chasing me and myself scared—was all just a dream. Everything in the dream, including myself in the dream, was just a dream. The entire dream world was just a dream, including rivers and mountains, space-time, life-death, health-illness. Now awake, it is all gone without remainder.

It is so much more threatening to have something out of hand than to believe that at any moment I can stop (I started to say "This foolishness") any time I need to. When I wrote the previous letter, I had made up my mind I would show you how I could be very composed and cool and not need to ask you to listen to me nor to explain anything to me nor need any help. By telling you that all this about the multiple personalities was not really true but just put on, I could show, or so I thought, that I did not need you. Well, it would have been easier if it were put on. But the only ruse of which I'm guilty is to have pretended for so long before coming to you that nothing was wrong. Pretending that the personalities did not exist has now caused me to lose about two days. Three weeks later Sybil reaffirmed her belief in the existence of her other selves in a letter to Miss Updyke, the school nurse of undergraduate days.

It's not ideas, nor vision, nor tools that truly matter in therapy. If you debrief patients at the end of therapy about the process, what do they remember? Never the ideas—it's always the relationship.

Nita: I think I overdid the vulnerability stuff in this last letter. and that’s why I’m having an anxiety attack. Howard: With the vulnerability comes the possibility that you’ll be betrayed. Now that you’ve laid yourself wide open, I am the agent of this betrayal? It’s not my style. Nita: I’ve thought it wasn't other people’s style, too.

One of the most frightening aspects of this alleged technology is the possibility of mind control by “remote control,” that is, through such technology as microwaves and radio waves. There are many stories about this, coming primarily from survivors, although we do know from a variety of reliable websites and mainstream news that such technology is being developed, or at least the technological groundwork laid. Once again, however, we do not know whether this was in place when today's survivors were programmed. It is difficult at this point to determine how much of this is genuine, and how much comes from false beliefs deliberately induced to make survivors feel powerless, much like the “one huge and invincible cult” of whose existence survivors convinced therapists twenty years ago. I know that one of my mind control survivor clients was convinced of technological monitoring during a psychotic period several years ago, but as he healed he discarded such beliefs, along with many other bizarre ones in favor of recognizing that he had been abused by real human beings whose identity he knew. If some of this remote control it is genuine, we may need to develop technological means to combat it. However, we should not be intimidated. Even if “voices” are induced in the head by remote control rather than through alters doing jobs, survivors can learn to disobey such voices just as they do those of alters. Competent and compassionate therapy for the dissociation can help survivors to heal. Meanwhile, there are numerous survivors whose mind control is of the kind that can be treated through psychotherapy. p205-206

Perfectionism is adaptive if you are mindful of your humanhood.

Perfectionists are not all negative, miserable, unhappy and over controlling individuals

Psychotherapy is the cornerstone of a multidisciplinary treatment plan for dissociative disorders and other trauma-related disorders and must be incorporated into the interventional strategy; whether the mode of psychotherapy is supportive or psychodynamic in nature, or some combination of various approaches, the treatment must be based on the quality and acuity of the patient’s symptoms.

Psychotherapy isn't a twentieth-century artifice imposed on nature, but the reinstatement of a natural healing process.

Psychotherapy works for the treatment of depression, and the benefits are substantial. In head-to-head comparisons, in which the short-term effects of psychotherapy and antidepressants are pitted against each other, psychotherapy works as well as medication. This is true regardless of how depressed the person is to begin with. Psychotherapy looks even better when its long-term effectiveness is assessed. Formerly depressed patients are far more likely to relapse and become depressed again after treatment with antidepressants than they are after psychotherapy. As a result, psychotherapy is significantly more effective than medication when measured some time after treatment has ended, and the more time that has passed since the end of treatment, the larger the difference between drugs and psychotherapy.

Psychoanalysis has suffered the accusation of being “unscientific” from its very beginnings (Schwartz, 1999). In recent years, the Berkeley literary critic Frederick Crews has renewed the assault on the talking cure in verbose, unreadable articles in the New York Review of Books (Crews, 1990), inevitably concluding, because nothing else really persuades, that psychoanalysis fails because it is unscientific. The chorus was joined by philosopher of science, Adolf Grunbaum (1985), who played both ends against the middle: to the philosophers he professed specialist knowledge of psychoanalysis; to the psychoanalysts he professed specialist knowledge of science, particularly physics. Neither was true (Schwartz, 1995a,b, 1996a,b, 2000). The problem that mental health clinicians always face is that we deal with human subjectivity in a culture that is deeply invested in denying the importance of human subjectivity. Freud’s great invention of the analytic hour allows us to explore, with our clients, their inner worlds. Can such a subjective instrument be trusted? Not by very many. It is so dangerously close to women’s intuition. Socalled objectivity is the name of the game in our culture. Nevertheless, 100 years of clinical practice have shown psychoanalysis and psychotherapy not only to be effective, but to yield real understandings of the dynamics of human relationships, particularly the reality of transference–countertransference re-enactments now reformulated by our neuroscientists as right brain to right brain communication (Schore, 1999).

Punishment symptoms Many of the other types of programming produce psychiatric symptoms, usually administered as punishments by insiders who are trained to administer them, if the survivor has breached security or disobeyed the abusers' instructions in other ways. These symptoms serve a variety of purposes, such as disrupting therapy, getting the survivor into hospital, or getting the survivor to return to the perpetrators to have the programming reinforced. p126

Respect your needs and limitations as you work through your grief and begin to heal

...some patients resist the diagnosis of a post-traumatic disorder. They may feel stigmatized by any psychiatric diagnosis or wish to deny their condition out of a sense of pride. Some people feel that acknowledging psychological harm grants a moral victory to the perpetrator, in a way that acknowledging physical harm does not.

Rikki looked over at me. “Why now?" she asked, looking back at Arly. “Why is this happening now?" "Hard to say." Arly [therapist] replied. "DID usually gets diagnosed in adulthood. Something happens that triggers the alters to come out. When Cam's father died and he came in to help his brother run the family business he was in close contact with his mother again. Maybe it was seeing Kyle around the same age when some of the abuse happened. Cam was sick for a long time and finally got better. Maybe he wasn't strong enough until now to handle this. It's probably a combination of things. But it sure looks like some of the abuse Cam experienced involved his mother. And sexual abuse by the mother is considered to he one of the most traumatic forms of abuse. In some ways it's the ultimate betrayal.

¿Sabe lo que es saber que, cuando muera, pueden pasar días o semanas sin que se descubra mi cuerpo, antes de que el olor fétido atraiga a algún extraño? Intento consolarme. A veces, cuando me siento más solo, hablo conmigo mismo.No demasiado alto, porque temo mi propio eco vacío.

Scientism proposes that scientific investigation is nothing more than the accumulation of ‘facts’. The question thus arises: what actually are ‘facts’? They are not simply existing there, waiting for scientific investigation. Only a little phenomenological reflection reveals that they show themselves as facts because of the construction of, or at least the correlation with, what is usually called mind. Mind thus is a fundamental fact. It is psychology that reveals this truth.

Secondary structural dissociation involves one ANP and more than one EP. Examples of secondary structural dissociation are complex PTSD, complex forms of acute stress disorder, complex dissociative amnesia, complex somatoform disorders, some forms of trauma-relayed personality disorders, such as borderline personality disorder, and dissociative disorder not otherwise specified (DDNOS).. Secondary structural dissociation is characterized by divideness of two or more defensive subsystems. For example, there may be different EPs that are devoted to flight, fight or freeze, total submission, and so on. (Van der Hart et al., 2004). Gail, a patient of mine, does not have a personality disorder, but describes herself as a "changed person." She survived a horrific car accident that killed several others, and in which she was the driver. Someone not knowing her history might see her as a relatively normal, somewhat anxious and stiff person (ANP). It would not occur to this observer that only a year before, Gail had been a different person: fun-loving, spontaneous, flexible, and untroubled by frightening nightmares and constant anxiety. Fortunately, Gail has been willing to pay attention to her EPs; she has been able to put the process of integration in motion; and she has been able to heal. p134

Sigmund Freud founded virtually all of psychotherapy on introspection, so one would expect him to be able to explain his own feelings, no matter how primitive. In one area, however, he baffled himself: He could not explain group loyalty. He wrote that he was “irresistibly” bonded to Jews and Jewishness, by “many obscure and emotional forces, which were the more powerful the less they could be expressed in words, as well as by a clear consciousness of inner identity, a deep realization of sharing the same psychic structure.” Freud was writing about powerful feelings of kinship to an entire people. These are the feelings of nationalists and fanatics—and of ordinary people—and do not lend themselves to precise analysis. By refusing to take seriously that which they cannot analyze, social scientists misunderstand how real societies work.

Somehow the disorder hooks into all kinds of fears and insecurities in many clinicians. The flamboyance of the multiple, her intelligence and ability to conceptualize the disorder, coupled with suicidal impulses of various orders of seriousness, all seem to mask for many therapists the underlying pain, dependency, and need that are very much part of the process. In many ways, a professional dealing with a multiple in crisis is in the same position as a parent dealing with a two-year-old or with an adolescent's acting-out behavior. (236)

Someone's got to do some more research, but I would really like to know: when a CBT therapist really gets distressed, who does he go see?

Some survivors have found small metallic “implants” in their teeth or ears, and believe these were designed to monitor their location or to broadcast their words or thoughts to the abusers. Such technology has been developed recently for keeping task of animals or persons with dementia. But to what extent it was used years ago by mind controllers is unknown at this point. At least some of it may be similar to the “bombs” in the stomach, a trick to convince survivors that their abusers monitor them continuously. The presence of an object does not mean it is capable of collecting complex information and sending it back to abusers, or even sending them signals, for twenty or more years as some survivors believe. As with other apparently bizarre beliefs of our survivor clients, we must acknowledge that something happened, and remain open both to the possibility that there was such technology and the possibility that it is yet another deception to convince survivors they cannot escape the grip of their abusers. p205

[S]urely the mysterious inner world of the psyche as such still offers an important forum where religions can meet, leaving their dogmas at the door, and pursue together the elusive quest for a common humanity that transcends religious differences.

Somewhere here I want to bring in a learning which has been most rewarding, because it makes me feel so deeply akin to others. I can word it this way. What is most personal is most general. There have been times when in talking with students or staff, or in my writing, I have expressed myself in ways so personal that I have felt I was expressing an attitude which it was probable no one else could understand, because it was so uniquely my own…. In these instances I have almost invariably found that the very feeling which has seemed to me most private, most personal, and hence most incomprehensible by others, has turned out to be an expression for which there is a resonance in many other people. It has led me to believe that what is most personal and unique in each one of us is probably the very element which would, if it were shared or expressed, speak most deeply to others. This has helped me to understand artists and poets as people who have dared to express the unique in themselves.

Switching is the term in dissociation theory used to refer to the change of state, or moving from one part or alter to another. Some writers use the word splitting when referring to switching, creating a further confusion.

The first thing you need to know if you are a survivor is that parts of you have probably been trained to create a variety of symptoms and behaviours. Abusers actually train child parts to cut the body, to make other parts cut, to attempt suicide, to create flashbacks by releasing pieces of visual or auditory memories, to create body memories of pain or electroshock, and to create depression, terror, anxiety, and despair by releasing the emotional components of memories to the rest of the personality system. The front person and most of the rest of the system do not know that this is the source of these feelings and behaviours. p126

The "apparently normal personality" - the alter you view as "the client" You should not assume that the adult who function in the world, or who presents to you, week after week, is the "real" person, and the other personalities are less real. The client who comes to therapy is not "the" person; there are other personalities to meet and work with. When DID was still officially called MPD, the "person" who lived life on the outside was known as the "host" personality, and the other parts were known as alters. These terms, unfortunately, implied that all the parts other than the host were guests, and therefore of less importance than the host. They were somehow secondary. The currently favored theory of structural dissociation (Nijenhuis & Den Boer, 2009; van der Hart, Nijenhuis, & Steele, 2006), which more accurately describes the way personality systems operate, instead distinguishes between two kinds of states: the apparently normal personality, or ANP, and the emotional personality, or EP, both of which could include a number of parts. p21

[T]he formless self is free from all suffering even as it compassionately ‘takes on’ the suffering of all.

The loss of my child broke my spirit.

Theirs was the eternal youth of an alternating self, a youth with the constant although unfulfilled promise of growing up

The mental health system is filled with survivors of prolonged, repeated childhood trauma. This is true even though most people who have been abused in childhood never come to psychiatric attention. To the extent that these people recover, they do so on their own.[21] While only a small minority of survivors, usually those with the most severe abuse histories, eventually become psychiatric patients, many or even most psychiatric patients are survivors of childhood abuse.[22] The data on this point are beyond contention. On careful questioning, 50-60 percent of psychiatric inpatients and 40-60 percent of outpatients report childhood histories of physical or sexual abuse or both.[23] In one study of psychiatric emergency room patients, 70 percent had abuse histories.[24] Thus abuse in childhood appears to be one of the main factors that lead a person to seek psychiatric treatment as an adult.[25]

There are a great number of ego defenses, and the combinations and circumstances in which we use them reflect on our personality. Indeed, one could go so far as to argue that the self is nothing but the sum of its ego defenses, which are constantly shaping, upholding, protecting, and repairing it. The self is like a cracked mask that is in constant need of being pieced together. But behind the mask there is nobody at home.

The most important study is the practical and sincere study of one’s self: Know Thyself. It is more important to know the truth about one's self than trying to find out the truth about heaven and hell." —Sepideh Irvani, PsyD