American psychiatrist
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Thoughts on Record: Podcast of the Ottawa Institute of Cognitive Behavioural Therapy
Comments or feedback? Send us a text! In this episode, I'm joined by Dr. Scott Waltman and Kasey Pierce coauthors, along with Trent Codd, Ed.S of The Stoicism Workbook - to explore how ancient Stoic philosophy can offer powerful tools for managing today's challenges. From emotional resilience and anxiety to self-compassion and values-driven living, we unpack how timeless Stoic principles can help you navigate stress, uncertainty, and personal growth.Whether you're a mental health professional, a fan of philosophy, or just someone looking for practical ways to feel more grounded, this conversation brings Stoicism down to earth—with insights that align closely with many therapeutic frameworks.We discuss:What Stoicism is and why it's still relevantThe Stoic approach to emotional resilience and anxietyThe difference between values and virtuesHow to apply Stoic practices in daily lifeBuilding tolerance for discomfort and uncertaintyTransforming self-criticism into self-compassionSocratic questioning as a tool for insight and changeEmbracing acceptance without falling into complacencyCultivating wisdom and living in alignment with what matters mostScott Waltman, PsyD, ABPP, is a clinician, international trainer, and practice-based researcher. His interests include evidence-based psychotherapy practice, training, and implementation in systems that provide care to underserved populations. He is president-elect of both the Academy of Cognitive & Behavioral Therapies and the International Association of Cognitive Behavioral Therapies. He is board certified in Behavioral and Cognitive Psychology from the American Board of Professional Psychology. Dr. Waltman, worked as a CBT trainer for one of Dr. Aaron Beck's CBT implementation teams in the Philadelphia public mental health system. He is a practicing Stoic and the first author of The Stoicism Workbook: How the Wisdom of Socrates Can Help You Build Resilience and Overcome Anything Life Throws at You. Kasey Pierce is a writer and Stoicism columnist from the metro Detroit area. She has contributed as a freelance content editor for Donald Robertson's “Verissimus” (St. Martin's Press) and serves as the editor of Tim LeBon's “365 Ways to Be More Stoic” (John Murray Press). Kasey recently coauthored “The Stoicism Workbook” with CBT practitioners Scott Waltman and R. Trent Codd. Additionally, she is the. communications director for Plato's Academy Centre, a nonprofit in Athens, Greece, dedicated to promoting philosophy as a way of life. Kasey's passion lies in making the intersection of Stoic philosophy and cognitive behavioral therapy accessible to everyday people, using relatable examples and humor to enhance understanding and application. https://www.instagram.com/socraticmethodcbt/https://www.instagram.com/kcdwrites/
Nevertheless, She Persisted: Surviving Teen Depression and Anxiety
#210 Today's guest is Kathryn Gordon— a licensed clinical psychologist, speaker, and author. She specializes in cognitive-behavioral therapy (CBT) and has written several books on using CBT skills to prevent suicide. In this episode, we discuss:+ Why people have suicidal thoughts + The "mismatched" nature of feeling suicidal + How suicidal thoughts progress into behaviors + Having healthy conversations about suicide + Co-ruminating about suicide & setting boundaries+ What to expect when in therapy for suicidal thoughts+ CBT skills that are most effective for suicidal thoughts+ Resources for when someone is in a crisis MENTIONED + Kathryn's Website+ The Suicidal Thoughts Workbook+ The Suicidal Thoughts Guided Journal+ ABCT+ The interpersonal theory of suicide+ The three-step theory of suicide+ Heartstopper+ She Persisted episode on anxiety+ Aaron Beck & CBT+ Feeling Good+ Man's Search for Meaning+ She Persisted episode on calling 988+ She Persisted episode on Crisis Text Line+ 988 safety template+ Virtual Hope BoxSHOP GUEST RECOMMENDATIONS: https://amzn.to/3A69GOC⚡ This week's episode is sponsored by Magic Mind. You can get 45% off the Magic Mind Bundle by using this link: https://magicmind.com/SHEPERSISTEDJAN. STARBUCKS GIFTCARD GIVEAWAY: Want coffee on me?! Each month I'll be randomly choosing a winner to receive a Starbucks giftcard! To enter this giveaway, all you have to do is leave a review of the podcast on Spotify and/or
In this episode, Daniel Belkin and Mitch Belkin interview Steven Hollon, PhD about the evolutionary roots of unipolar depression, its prevalence, as well as current treatment options. They discuss Aaron Beck, the father of cognitive therapy (CBT), before diving into the potential adaptive origins of depression, rumination, and how cognitive behavior therapy works. Finally, they touch on whether combining CBT and medication actually decreases relapse rates more than CBT or medication alone.Who is Steven Hollon?Steven Hollon, PhD, is a psychologist and researcher at Vanderbilt University. Dr. Hollon's research focuses on the treatment and prevention of depression.Support the showFollow us at @ExMedPod Subscribe to our Youtube channelConsider supporting us on Patreon
Master Your Mind Through Mastering the Cognitive TriadNegative thoughts, negative feelings, negative actions—sound familiar? It's a vicious cycle, right? Well, Aaron Beck nailed it back in the 1960s with his concept of the Cognitive Triad, which explains how our thoughts, emotions, and actions are all connected in a big feedback loop. But here's the kicker: it works for positive thoughts too!
Cognitive Behavioral Therapy (CBT) is one of the most effective therapeutic models to help people move through negative emotion and create long term change in the way they think, feel and behave in their lives. Today, I'm showing you how you can use the powerful concepts behind Cognitive Behavioral Therapy in parenting.You'll Learn:Why Cognitive Behavioral Therapy is such a powerful toolHow your thoughts affect the way you show up as a parentHow to feel less triggered by your kid's behaviorSome of my favorite tools and strategies for seeing your child in a more positive lightA big part of CALM (the first step in my 4-step Calm Mama Process) is calming yourself when your nervous system gets activated. But I want to take it a step further. I want to help you learn how to not get activated in the first place. Imagine if you were able to stay in your calm state of mind and not get triggered by your kid's behavior. How cool would that be?! ---------------------------What is Cognitive Behavioral Therapy?Cognitive (or cognition) is just a fancy word for thinking. Cognitive Behavioral Therapy (CBT) teaches strategies to think differently so that you act differently. It was created in the 1960s by a psychiatrist named Aaron Beck when he realized that there are three separate parts of cognition. Automatic thoughts - Default thoughts that come from how we were raised and what we've learned from societyCognitive distortions - “Thought errors” where our thoughts can be extreme or untrueUnderlying beliefs - Core beliefs we have about ourselves and the world, which guide our point of view but may or may not be true for usCBT invites you to examine your thinking so that your beliefs help you show up the way you want to. The coaching model that I use is based in cognitive behavior therapy. The idea is that something happens (a circumstance) >> I have a thought about what happened >> That thought creates a feeling >> I act on that feeling. Basically, your thoughts and feelings create how you show up for your kid (and the rest of your life). I don't know about you, but I want to show up as a parent that feels confident and hopeful for my children. I want them to be able to borrow my belief in them when they're struggling to believe in themselves. This is possible for all of us, but there are some patterns that might get in your way. Common Thought Errors in ParentingThere are several common ways we can get caught up in thought errors or cognitive distortions. Negative thought bias. A viewpoint that the world is not so great. My kid's behavior isn't good. That's just the way it is. You expect that things will go wrong.Whether you have a positive or negative outlook, no matter what thoughts you are thinking, your brain will find evidence to prove you right. Some people naturally have a more negative outlook, while others will have an easier time thinking more positively. Either way, you can train your brain to look for the good more often. Black-and-white thinking. Viewing a behavior or your kid as good OR bad. Watch for all-or-nothing or extreme kinds of thoughts. Try to notice what is actually happening right now without projecting it into the past or future. Focusing on the negative more than the positive. Let's say you went on a family vacation that was mostly good, but there were a few negative experiences. When a friend asks you how your trip was, will you say it was mostly good or that it was a disaster? If you...
Special Announcement #1 Attend the Legendary Summer Intensive Featuring Drs. David Burns and Jill Levitt August 8 - 11. 2024 Learn Advanced TEAM-CBT skills Heal yourself, heal your patients First Intensive in 5 years! It will knock your socks off! Limited Seating--Act Fast Click for registration / more information! Sadly, this workshop is a training program which will be limited to therapists and mental health professionals and graduate students in a mental health field Apologies, but therapists have complained when non-therapists have attended our continuing education training programs. This is partly because of the intimate nature of the small group exercises and the personal work the therapists may do during the workshop. Certified coaches and counselors are welcome to attend. Special Announcement #2 Here's some GREAT news! The Feeling Great App is now available in both app stores (IOS and Android) and is for therapists and the general public, and you can take a ride for free! Check it Today's Podcast Practical Philosophy Month Part 1, The Free Will Problem Welcome to Practical Philosophy month. For the next five weeks, we will discuss some of the most popular and challenging problems in philosophy, such as these: Do human beings have free will? Or is free will just an illusion? Do human beings have a “self?” Or is the “self” just another illusion? Is it possible to be more or less “worthwhile?” Are some humans “better” or “worse” than others? Does God exist? Is the universe “real” or “one”? What's the meaning of life? What is “self-esteem”? How does it differ from self-confidence? What's the difference between conditional and unconditional self-esteem? What's the difference between self-esteem and self-acceptance? What do you have to do to experience joy and feelings of worthwhileness? We will try to complete the list in five weeks, so some weeks we may include more than one topic, since many of these topics are related to one another. Rhonda and David will be joined by our beloved Dr. Matt May, a regular on our Ask David episodes, and for the first and second sessions we will be joined by our beloved Dr. Fabrice Nye, who created and hosted the Feeling Good Podcasts several years ago. Each week, you will also hear about the linkage between these philosophical dilemmas, and emotional problems, like depression, anxiety, and relationship conflicts. For example, nearly all depressed individuals believe that they aren't sufficiently “worthwhile.” I see my goal as a psychiatrist not as helping people feel “more worthwhile,” but rather showing people, if interested, how to give up this notion entirely and become free of certain kinds of damaging judgments of the “self” and others. You will also learn how these types of philosophical problems continue to play a large role in psychiatry and psychology, including the DSM5 diagnostic system. For example, is the diagnosis of “Generalized Anxiety Disorder” a true “mental disorder” that you could “have” or “not have?” And might some or most of the so-called “mental disorders” listed in the DSM be based on faulty philosophical / logical thinking? And if many or most of the “mental disorders” are based on goofy, faulty thinking, is there a more productive and effective way to think about most emotional problems? And how did we get into this mess in the first place? Worrying certainly exists, and we all worry at times. But how much or how often do you have to worry before you develop or have a “mental disorder” called “Generalized Anxiety Disorder” that can be diagnosed like any medical illness and treated with drugs? Or is “Generalized Anxiety Disorder” (and hundreds of other “mental disorders in the DSM” based on a certain kind of nonsensical thinking? And if so, why? What is the goofy, faulty thinking in the DSM? And are there some “mental disorders” that are valid and real? We HAVE touched on all of these themes in previous podcasts, but I thought it would be nice to put them all in one place and bring in a variety of “solutions,” controversies, and experts. I David, will often represent (hopefully, and to the best of my ability) the thinking of Ludwig Wittgenstein, as expressed in his famous book, Philosophical Investigation, published in 1950 following his death. That book consists of a series of numbered brief essays (a few paragraphs each) that were based on notes found in a metal box under his dormitory room at Cambridge University. He'd written these in preparation for his weekly seminars in his dormitory room. Wittgenstein, although now widely regarded as one of the greatest philosophers of all time, did not think he knew enough to teach in a classroom. In fact, because of his feelings of depression and self-doubt, he sadly never tried to publish anything when he was alive. Wittgenstein's philosophy also played an indirect but significant role in the evolution of several modern psychotherapies. His philosophy created new ways of thinking that gave rise to the work of Dr. Albert Ellis, the famous New York psychologist who created Rational Emotive Therapy during the 1950s. Ellis emphasized that the “Should Statements” that trigger so much guilt, shame, depression, anxiety, and rage are based on illogical thinking. He might often say, “Where is it written that people or the world “should” be the way you want them to be?” Of course, this idea actually traces back to the Greek Stoic philosophers like Epictetus and Marcus Aurelius. Wittgenstein's thinking also seems to have played a role in the thinking of Dr. Aaron Beck, who adapted the work of Ellis and called his version of the “Cognitive Therapy.” Beck emphasized many thinking errors, like All-or-Nothing Thinking, and Overgeneralization, that trigger depression, anxiety, and more. Sadly, Wittgenstein struggled with severe depression and loneliness throughout his life, and three of his four brothers tragically died by suicide. Wittgenstein also had prolonged periods of time when he considered suicide. It is also sad that he did not know how to apply his brilliant philosophical breakthroughs to his own negative thinking, but that application of his work did not develop at the time he was still alive. Part of Wittgenstein's depression was related, I believe, to the fact that very few people, including the most famous philosophers of Europe, could understand his thinking when he was alive. From time to time, I think he glimpsed the enormous importance of his work; but I believe that he also had prolonged moments of self-doubt when he thought his work was of little value at best. To be as correct as possible, Wittgenstein did write a manuscript called Tractatus Logico Philosophicus as a young man, although he never tried to publish it. He wrote it when he was a prisoner of war. He thought this book solved all the problems of philosophy, which had plagued him since he was a child, and he felt great relief. He sent a copy of his manuscript to Bertrand Russell, who was a famous British philosopher. Bertrand Russell was incredibly impressed with the Tractatus and distributed it to many European philosophers. Bertrand Russell thought it might be the greatest book in the history of philosophy, and a number of the 20th century philosophical movements including Logical Positivism, were inspired by that book. However, Wittgenstein left the field of philosophy, thinking that his work was done, and that he'd found the solutions he was looking for. He tried teaching grammar school for a while, but was fired because he became frustrated and violent toward some of his students. He also tried to survive as a fisher in a Norwegian fishing town, but was not successful at that, either, because he didn't know much about fishing, much less supporting yourself through fishing. One day, he learned that a brilliant Swedish economics student had found a flaw in his Tractatus, and his inner turmoil about the puzzling problems of philosophy flared up again. He decided to return to the study of philosophy. He applied to be an advanced undergraduate at Cambridge University, but when someone in the admissions office spotted his application, they recognized his name and showed his application to Bertrand Russell, who had been wondering what had become of the young man who once sent him such a brilliant manuscript. Russell, who was the chair of the department of philosophy, said to being Wittgenstein to his office immediately for an interview. Russell explained that he would have to reject Wittgenstein's application to be an undergraduate at Cambridge University. Deeply disappointed, Wittgenstein asked why. Russell told him it was because he was already recognized as the greatest philosopher of the 20th century. Bertrand proposed that if Wittgenstein would agree to skip college and graduate school, they would immediately award him a PhD for the manuscript he'd sent to Russell years earlier. Russell also offered him a full professor ship in the department of philosophy. Wittgenstein protested and said he needed to study philosophy again, because of the error in Tractatus, and that he didn't know anything, and definitely could not teach in a classroom. Bertrand Russell insisted, and they finally struck a deal where Wittgenstein would agree to be a professor of philosophy but all he would have to do was to have a conversation session with anybody who wanted to talk to him at his dormitory room once a week. Wittgenstein accepted and met for years with students and famous philosophers who came from around Europe to crowd into his dormitory room for his weekly seminars, and he began to shape a radically different philosophical approach from the one he'd described earlier in his Tractatus. He was determined to find a new way to solve all the problems of philosophy. And, to my way of thinking, along with those few who really understand him, he was successful. But he was often frustrated because, so few understood him. This was unfortunate, because what he was saying was incredibly simple and basic, and it was pretty similar to, if not identical to, the thinking of the Buddha 2500 years earlier. The Buddha apparently had the same problem—almost nobody could understand what he was trying to say when he was still alive. They couldn't “get it” when he was talking about the so-called “Great Death” of the “self,” or talking about the path to enlightenment. The Buddha's frustration resulted from the exact same problem Wittgenstein encountered 2500 years later. The Buddha was saying something that was extremely simple, obvious, and basic—and yet, it was rumored that of his more than 100,000 followers when he was alive, only three actually “got it” and experienced enlightenment. When I read Philosophical Investigations my senior year in college, it was rumored that only seven people in the world understood what Wittgenstein was trying to say. Wittgenstein's dream was that philosophy students would “get” his thinking and give up philosophy when they realized that most if not all philosophical problems are sheer nonsense. He wanted them to do something practical and real in the world instead of studying philosophy. He was verry disappointed when his favorite student, Norman Malcolm (one of the seven who “got it,”) pursued an illustrious career teaching philosophy in America at Cornell University. I always wished I could have known Wittgenstein when he was alive, so I could have told him this: I loved you, too, and I got it after several months of confusion, trying to understand your Philosophical Investigations, but eventually understood it with the help of your student, Norman Malcolm. His book about you was very inspiring. And that's why I left philosophy for something more practical in the world. I decided at the last minute to go to medical school to become a psychiatrist instead of philosophy graduate school. Hopefully, I am doing something that you might be proud of! But oddly enough, your thinking has also influenced my approach to people who feel depressed and worthless. They are also under a kind of destructive “enchantment,” thinking that there is some such “thing” as a more or less worthwhile human being! And this is a major cause of depression and anxiety and feelings of worthlessness and hopelessness. I wonder if you, Wittgenstein, ever felt that you weren't “good enough” when you were feeling down. hopeless and suicidal? I sure wish I could have helped you with that! If you want to understand Wittgenstein's work, the best book in my opinion is Norman Malcolm's moving and affectionate tribute to his beloved teacher, entitled “Ludwig Wittgenstein: A Memoir.” It's a short moving tribute to his beloved teacher, and tears go down my cheeks every time I read it, or even think about it. If you ever visit my office here at home, you'll find that memoir proudly sitting on my bookshelf, with a handsome photo of Wittgenstein on the cover. Toward the end of his life, Wittgenstein appears to have become more or less homeless, and he died from prostate cancer. His doctor said he could live in his home, where he was befriended by the doctor's wife in his final days. His dying words were, “Tell them that I had a wonderful life.” He died on April 29, 1951, just a few hours before my wife was born in Palo Alto, California. Surprisingly, she is the only person I've ever met who understood Wittgenstein's thinking entirely the first time I explained it to her. She “already knew” what Wittgenstein, the greatest philosophical genius of the 20th century, spent a lifetime figuring out! Reincarnation is pretty “out there,” and fairly silly, to my way of thinking, but sometimes it can be fun to think about it! Here is my understanding of how the thinking of the “later Wittgenstein” actually developed. His first book, which is nearly impossible to understand, was called the Tractatus Logico Philosophicus. It is a series of numbered propositions, which he compared to climbing up a ladder, rung by rung, as you read the book until you got to the roof at the top of the ladder. Then you could throw your ladder away and give up philosophical thinking, since he thought his book contained the solution to all the problems of philosophy that had tormented him since childhood, as mentioned previously. The philosophy of language in the Tractatus is based on the thinking of Aristotle and Plato, who thought that the function of language was to name things that exist in the real world. Plato's idea was that our real world consists of imperfect examples of a “Platonic Reality” which consisted of “perfect” representations of everything. So, for example, Plato believed there could be a perfect “table,” a perfect “lamp,” and so forth. In other words, he thought there was an ideal essence to the concept of a “table.” And, I suppose, there might also be a “perfect” version of you! The early Wittgenstein also thought that the logic inherent in our sentences reflected the logic inherent in an external reality. If that doesn't make much sense to you, join the club! But that's kind of what Plato and Aristotle were promoting, at least in my (David's) understanding. When Wittgenstein's Tractatus was debunked, he was devastated, and desperately wanted to find another way to solve the problems of philosophy, since they started tormenting him again. It was much like a relapse of OCD or some other emotional problem. In fact, he thought of philosophy as a kind of mental illness that needed treatment. Here's an example of the types of philosophical problems that tormented him. Do human beings have free will? Do we have a “self?” Is the universal “real?” Of course, we THINK we have free will, and it SEEMS like we make “free decisions” all day long, but is this just an illusion? For example, some people would argue that we cannot have “free will” because we “have to” follow the laws of science that govern everything, including how the brain works. So, since we “have to” do what we are doing at every moment of every day, we must not have free will! Here is an argument that we do NOT have “free will.” When a powerful storm or hurricane destroys a portion of a city, and people die, we see this as a tragedy, but we don't get angry at the hurricane because it does have “free will.” It is just obeying the laws of physics that govern the forces of wind, air pressure, heat and cooling, and so forth. A storm cannot behave in any other way. So, the argument goes, we are also following the laws that govern the functioning of our bodies and brains, and so we cannot do other than what we do, so we, too, have no “free will.” We THINK we are acting freely but it is an illusion, so our brains are obeying the laws of the universe at every moment! For hundreds of years philosophers have struggled with this puzzle, and many people still wrestle with this problem today. It was one of the problems that drew me to philosophy. Impractical for sure, but still tantalizing. Another way to express the free will puzzle is via religious thinking. I was taught when I was growing up that God is omnipotent (all powerful), omnipresent (present everywhere) and omniscient (all knowing.) So, God knows the past, present, and future. And if God knows the future, then God knows what we will do at every moment of every day, and we are helpless to do otherwise. Therefore, we have no “free will,” even though we “think” we do! This free will problem can definitely be unsettling, with troubling moral consequences. If we do not “free will,” then are serial killers really responsible for, or guilty, or accountable for their actions? If we do not have free will, then wouldn't that give us license to do whatever we want whenever we want? Clever arguments for sure! We may “feel” like we have the freedom to do whatever we want at almost any moment of any day, but are we fooling ourselves and living in some gigantic hoax, or illusion? Are we total slaves with the delusion that we are actually acting “freely?” How do we resolve this problem? Well, one day Wittgenstein was walking past a soccer game at the park, and the soccer ball hit him on the head. He wasn't hurt, but had the thought, “What if the function of language is NOT to name things (like trees, or lamps, etc.) that exist in some “external reality,” like Plato and Aristotle thought? What if language actually functions as a series of “language games,” with rules, just like the game of soccer? Then the meaning of any words would simply be the many ways the word is used in different real world situations. In fact, that's what you find in the dictionary when you look up the meaning of a word. The dictionary doesn't ever give you some “correct” or ”pure” meaning, since most words have many meanings. This would be the opposite of the philosophy of Aristotle and Plato who argued that there were “true” meanings for every word, noun, or concept. What if, instead, words had NO true or essential meanings, and their meanings were simply embedded in the context in which they are used in ordinary, everyday language? If so, this might mean that philosophical problems emerge when we try to pull words out of their ordinary meanings, which are always obvious, and put them into some metaphysical realm where philosophers argue about “ultimate truth.” Let's say we wanted to find out if humans have “free will.” Well, not being sure if there is such a “thing” as “free will,” we could look up “free” and “will” in the dictionary. (I know this sounds incredibly obvious and almost ridiculous.) What does “free” mean? Well, we could talk about the many ways we use “free.” Political freedom means that in some countries you cannot contradict the leader (the dictator) without the danger of being thrown in prison or even murdered. But in other countries, you are, In fact, free to express your own ideas and opinions, without fear of punishment. Free also means getting something without having to pay for it, like a seventh bottle of soda is free at the local grocery store if you purchase a six pack. Free can also mean “available.” I am starting up my Sunday hikes again, and I might say, “If you are free this Sunday morning, meet at my front door at 9 and we'll go for a hike and have a dim sum feast afterwards at a Chinese restaurant on Castro Street in Mountain View, California, Now notice that when you talk about “free will” you have taken this word, “free,” out of the familiar contexts in which we find it, and given it some type of metaphysical “meaning.” But in this metaphysical, philosophical arena, it has no meaning. So, instead of trying to “solve” the so-called “free will” problem, we can dismiss it as nonsensical, and ignore it as having no practical meaning, and move on with our lives. We can say, “I just don't understand that problem! I don't know what you're talking about when you ask the general question of whether we have something called ‘free will.'” That either works for you, or it doesn't work for you! Your choice. It does work for me, but it took me months of thinking until I suddenly “got it.” My way of describing this philosophical error is “nounism.” You think that nouns always refer to things that could “exist” or “not-exist,” just like Plato and Aristotle thought. So, you ponder and try to figure out if this notion of “free will” exists or does not exist. But it's arguably a meaningless question. That's why I say, and Wittgenstein might say, I have no idea what you're talking about. Today we'll discuss the free will problem and how it might relate to our field of psychotherapy. Next week, we'll deal with another thorny problem: Do we have a “self?” Or is that also just some kind of illusion? I (David) wrote these show notes before the show, and we have had fairly extensive email exchanges, with a variety of points of view on whether or not we have something we can call “free will.” First, I'll put a great email by Matt, followed by a comment by Fabrice. Here's Matt's email first: Subject: Re: question Yes, that's getting very close to what I'm trying to communicate. I don't believe you are 'slow' or 'super lame', either. In fact, quite the opposite. I suspect I'm failing to do an adequate job of disarming your claims that 'free will' and 'self' are words taken out-of-context and, therefore, can't be shown to exist or not-exist. I apologize, as I am pretty excited about the potential to help people, suffering with self-blame and other-blame, by realizing that we and others don't have a 'self' or 'free will'. I believe we have a brain that makes decisions and creates experiences, including the experience of having a 'self' and 'free will'. I believe that the experience of 'making' a decision is an illusion, as is the idea of a static, unchanging 'self' that controls decision-making. I asked you to pick a movie and you said, 'Green Mile'. You acknowledged that this movie title simply 'popped into my head'. That's correct. Your 'self' didn't control what you selected, using 'free will'. Your brain just came up with that movie title. There was no 'self' that made a decision to choose that word. I agree that we have a brain which is incredibly powerful. I'm claiming that we don't have an auxiliary 'self', with extra super powers, controlling our brain. We can make decisions, but we don't have 'free will', meaning, the ability to control those decisions. I do think you have some resistance to seeing through the illusions of 'self' and 'free will', all of which say awesome things about you, e.g. morality and justice. I'm not trying to convince you, one way or another, and I don't expect to. I'm more interested in the listening audience, as many people are significantly relieved when they realize that we are more the victims of our biology and circumstance rather than defective 'selves' lacking 'willpower'. To put a slightly finer point on the subject, when people say they have 'free will', they don't mean that 'decisions are made'. Obviously, decisions are made. You decided to keep reading this email, for example. Or you didn't. I'm not sure. Either way, a decision was made. When people say they have 'free will', they are saying that they (really, their 'self') are/is free to decide whether to continue reading this email, and that this power goes above and beyond what their brain is doing, according to the laws of physics. I am claiming that this is a ridiculous and dangerous thought, for which there is no evidence. You're saying these terms haven't been defined. I'm pointing out that they already have been, intuitively, by anyone who thinks, 'I shouldn't have done that', or 'they shouldn't have done that'. These thoughts require a belief that they 'could have' done something different, that they had free will. Aside from rage and guilt, let's examine the narcissism and excessive sense of confidence a patient might have, if they believe that they can simply 'decide', through sheer 'willpower', not to beat up on themselves anymore. Or a patient who believes they can simply 'decide' to always use the 5-Secrets, rather than criticize and blame. Can they? I've never seen that happen. That's why I assign homework. I know that the goal is to rewire the brain so they can feel and perform better, later. We can't simply decide to feel good all the time. We all drift in-and-out of enlightenment. If we want to increase the likelihood that we will be able to set aside self-criticism or communicate more effectively, we have to practice new thoughts and behaviors. If we do, we will develop greater skills at defeating negative thoughts and communicating effectively. Otherwise, our brains will do, in the future, what they are programmed to do, now. It's because we lack 'free will', that we must do homework. Similarly, you couldn't simply 'decide' to be the world's best ping-pong player. You realized you would have to work hard to re-wire your brain, if you wanted to have a chance at that. Let's use the murderer/cat example: A cat tortures and kills mice for the same reasons that a murderer does: their brains are programmed to do so. Murderers don't have a defective 'self' that is failing to express 'free will' adequately, when they murder. They're doing precisely what the atomic structure of their brain caused them to do, according to the laws of physics, in that moment, when presented with those precise stimuli. We don't have to judge or punish the cat or the murderer's 'self' and insist they should have used their 'free will'. We can accept that neither creature had the ability to decide differently from what their brain decided, in that moment. That is where the therapeutic element of this realization comes into play. I think it's important on a lot of levels, to stop blaming cats for being cats and murderers for being murderers. Similarly, if a patient doesn't want to do homework, will it do any good to blame them and think they're bad and should decide differently? No, it helps to accept them where they are, and to accept ourselves where we are, with open hands. Realizing nobody has a 'self' operating their brain and making decisions that are better than their brains' decisions doesn't mean we have to let all the murderers go or trust our cat with a new mouse companion. We can still be aware that their brains are programmed to murder. We would still be motivated to do whatever is necessary to protect society and mice. The difference is the attitude towards the murderer. We aren't trying to 'punish' or 'get vengeance' but to protect and, instead of 'labeling' them as having a 'bad self' or even being a 'murderer', but someone who has murdered and, left to their own devices, likely to do so again. Instead of judging and demanding vengeance, we would see a murderer as the victim of their biology and environment. Instead of condemning them as permanently evil and bad, we could recognize that their brain is currently wired to do bad things and they might still learn new ways to interact with others. Perhaps they're not hopeless cases, after all. From the other side, if I ever committed murder, and sentenced to death, I wouldn't want to be feeling defective, thinking what a bad self I have and guilty/ashamed for not flexing my 'free will' in the heat of the moment. Instead, I might feel a sense of relief, purpose and meaning, that I was protecting others by being put to death. Alright, enough out of me! Thanks, Matt And now, the response from Fabrice: Matt's thinking is exactly in line with mine. I don't know if the topic came up in your discussion, but some people argue that actually someone could have done something differently than they did, because there is some randomness in Nature. But that argument doesn't hold water because even if the decision “made” by their brain is different, it has nothing to do with their will but only with the Heisenberg principle. Cheers! Fabrice Nye fabrice@life.net David's wrap up comment. Matt and Fabrice have quite a different view of “free will” and the “self.” They are arguing, very thoughtfully and persuasive, that we do not “have” a “self” or “free will.” People have been involved in this debate, as I've mentioned, for hundreds of years, taking one side or another. My own thinking is different, and reflects my understanding of Wittgenstein's thinking. They have take these words out of the contexts in which they exist in everyday language, (which is a huge temptation) and involved in a debate about abstract concepts which have no meaning. Very few people, it seems, were able to grasp this idea when Wittgenstein was alive, or even today. So, if what I'm saying makes no sense to you, be comforted, since it seems likely that 99% of the people reading this, or listening to the show, will agree with you! And that's still a puzzle to me. It is not clear to me why so many people still cannot “see” or “get” this idea that words do not have any pure or essential “meaning” outside of the context of everyday use of language. The best psychotherapy example I can use is the fact that nearly all depressed individuals are trying to figure out, on some abstract or philosophical level, whether they are “worthwhile” or “good enough,” or whatever. This seems to be a “real” problem, and so they believe that they are not sufficiently worthwhile. This belief can be so convincing that many people commit suicide, out of a sense of hopelessness and self-hatred. But there is not such thing as a human being who is more or less “worthwhile.” Of course, your actions can be more or less worthwhile at any moment, and we can evaluate or judge our specific behaviors. Yesterday, we had our first recording session in a video studio we have set up for our Feeling Great App. We had a lot of fun and recorded some (hopefully) interesting stories we'll publish on our two new YouTube channels. I really appreciated the colleagues who made this possible. It was a relief for me because I tend to have performance anxiety, which impairs my ability to speak naturally and with emotion. But this time, there was no anxiety at all, so it was fun. Did this make me or my colleagues more worthwhile human beings? No! But it did show that we'd become a bit more effective and communicating messages that will trigger healing and understanding in our fans, and hope that includes you! When you “see” this, perhaps for the first time, it can be incredibly liberating, since you no longer have the need to have a “self” that's “special” or worthwhile. And, as some of you know, my beloved teacher and cat, Obie, taught me that when you no longer need to be “special,” life becomes special. When your “self” dies, you inherit the world! There's no funeral, only a celebration! Feel free to contact us with your thoughts, ideas and questions! Thank you for listening today! Rhonda, Matt, Fabrice, and David
We're diving into the She Coaches Coaches vault, to share with you one of our most popular past episodes. Whether you're a long-time listener or new to the podcast, get ready to enjoy a fresh perspective in your new listening space.I explore the second pillar of my Confident Coaches Success Framework: the power of thoughts. Building on our previous discussion about acceptance, I delve into how your thoughts shape your reality and influence your results. By learning to manage and shift your thoughts, you can create a more empowered, successful coaching business and life. Join me as I share insights, personal stories, and practical tips to help you harness the power of your thoughts for better outcomes.Highlights:1. Recap of the Confident Coaches Success Framework: Review of the five components and a focus on the second pillar: the power of thoughts.2. Client Testimonial: A heartfelt note from Coach Elizabeth, highlighting the transformative impact of Candy's coaching on her mindset and self-awareness.3. Thoughts Shape Reality: Explanation of how your thoughts create your results, and the importance of managing your thoughts to live better.4. Practical Exercise: Introduction to the thought download exercise for increasing awareness of habitual thought patterns.5. Real-Life Example: A personal story about Candy's different reactions to a situation compared to her husband's, illustrating how thoughts influence feelings and experiences.Featured on This Show:Click here to find out how to work with meClick here to access valuable free resources for coachesCorrection: This episode refers to "The Model." I'd like to rectify any errors or omissions by giving proper attribution and credit to the originators, Dr. Albert Ellis, who formulated REBT (Rational Emotive Behavior Therapy), and Dr. Aaron Beck, who incorporated it into CBT (Cognitive Behavioral Therapy). "The Model" and references to CTFAR should be more accurately referred to as "The CBT Model." CBT is a widely recognized and effective approach that helps individuals understand how their thought processes impact their daily lives.
We're diving into the She Coaches Coaches vault, to share with you one of our most popular past episodes. Whether you're a long-time listener or new to the podcast, get ready to enjoy a fresh perspective in your new listening space.In this solo episode, I dive into the first element of my Confident Coaches Success Framework: acceptance of yourself and your current reality. True acceptance is not about complacency but about acknowledging your current state without resistance, which sets the foundation for meaningful change. I share personal stories and powerful insights to encourage you to embrace self-acceptance as a key step toward personal and professional growth.Highlights:1. Introduction to the Confident Coaches Success Framework: Candy introduces her five-component framework designed to help coaches overcome mindset challenges. 2. Deep Dive into Acceptance: A detailed exploration of the first element, 'acceptance of yourself and your current reality,' and how it differs from passive complacency.3. Personal Anecdotes on Acceptance: Candy shares personal stories, including her journey from engineering to coaching, illustrating the power of acceptance in overcoming past regrets.4. Importance of Self-Compassion: Emphasizing the need for self-compassion and kindness, and how focusing on strengths rather than weaknesses can lead to personal and professional growth.5. Encouragement for Self-Acceptance: Candy encourages listeners to embrace self-acceptance to release self-judgment, feel lighter, and more relaxed.Featured on This Show:Click here to find out how to work with meClick here to access valuable free resources for coachesCorrection: This episode refers to "The Model." I'd like to rectify any errors or omissions by giving proper attribution and credit to the originators, Dr. Albert Ellis, who formulated REBT (Rational Emotive Behavior Therapy), and Dr. Aaron Beck, who incorporated it into CBT (Cognitive Behavioral Therapy). "The Model" and references to CTFAR should be more accurately referred to as "The CBT Model." CBT is a widely recognized and effective approach that helps individuals understand how their thought processes impact their daily lives.
In my recent exploration of artificial intelligence, I stumbled upon a fascinating article entitled, “Instructors as Innovators: a Future-focused Approach to New AI Learning Opportunities, With Prompts" which introduced the concept of goal-play interaction between students and AI. The authors provided a prompt for this interaction, which I found to be an intriguing application of AI to create interactive, educational experiences for students. I adapted the prompt provided in the article to be more aligned with psychology concepts, particularly for students learning about cognitive distortions. I experimented with various AI models, including Google, Gemini, Meta, Perplexity, and ChatGPT, and the results were truly enlightening. The goal of this exercise is for the individual to assume the role of a counselor, while the AI embodies a person exhibiting cognitive distortions. However, I must note that the outcomes were not always predictable, as different language models sometimes altered the dynamics of the interaction. Despite this unpredictability, I found the interactive conversations to be incredibly valuable, sparking insightful discussions around cognitive distortions and Aaron Beck's groundbreaking work in this field. I invite you to try this out and share your experiences with your students (and with me as well as I'd love to hear how you've been using - and possibly modifying - this prompt). I am continuously refining this experiment and welcome any suggestions to enhance its reliability and effectiveness. I encourage you to engage in this thought-provoking exercise and explore the potential of AI to create engaging and meaningful conversations around psychological concepts. As you'll see, I instructed the AI to draw from content on the Psych Central site, so thanks to them for providing very clear explanations of various types of cognitive distortions. Happy experimenting! Instructions: copy all of the text below (without the lines) and then past it into whichever AI large language model of your choice. I have tried this in the free version of ChapGPT as well as paid versions of Perplexity, Gemini, and Meta, and it works well, though differently, in each one.
Aaron Beck, the All Saints Episcopal School assistant head of school and athletic director talks to us about a high school curriculum program that benefits students in not only athletics, but fine arts and other areas of student excellence.Teague's Take Live ShowsThanks for listening! Find us online and on Twitter! Sign up on our site for free for exclusive content!MERCHANDISE: https://millions.co/products?athleteIds=0165e442-822c-4217-ab47-f63bc3aa37eaShow Website: https://teaguestake.comLatest VOD: https://live.teaguestake.comGeorge Teague Twitter: https://twitter.com/TeaguefootballJT Teague Twitter: https://twitter.com/BamaJ13
Send us a Text Message.Laura & Aaron Beck were devoted parents who, like many, were in the habit of judging other parents who left their child in the back seat of a car until the day it happened to them. In this episode, Laura shares the circumstances leading up to the accident, her new perspective on parenting, how you can prevent hot car infant death & how her non-profit is working for helpful legislative & automobile industry change.If you liked this episode, you'll also like episode 34: FROM EAGLE SCOUT TO INMATERequest to join my private Facebook group to give your opinion & participate in giveaways https://www.facebook.com/groups/mfrcuriousinsiders/ Guest: https://www.instagram.com/becksbackseatpodcast/ | https://www.andersonsalert.org/ | https://www.facebook.com/profile.php?id=100091688697854 | https://www.linkedin.com/in/anderson-s-alert-910017283/ Host: https://www.meredithforreal.com/ | https://www.instagram.com/meredithforreal/ | meredith@meredithforreal.com | https://www.youtube.com/meredithforreal | https://www.facebook.com/meredithforrealthecuriousintrovertSponsors: https://www.jordanharbinger.com/starterpacks/ | https://uwf.edu/university-advancement/departments/historic-trust/ | https://www.ensec.net/
Do we have a "Self"? Or "Personality"? What's the best way to combat Should Statements? Is TEAM effective without a therapist? What's the Difference between Positive Reframing and Positive Thoughts? Note: The answers below were written by David prior to the podcast, just to give some structure to the discussion. Keep in mind that the actual live discussion by Rhonda, Matt and David will often go in different directions with different information and opinions. So, please listen to the podcast for the more complete answers! Questions for today's Ask David Podcast: Stefan asks if we have a “self” or a “personality.” Slash wants to know how to combat a “Should Statement.” Magellan asks about the effectiveness of TEAM without the guidance of a therapist. Werner asks about the differences between Positive Reframing and the Positive Thoughts you record on the Daily Mood Log. 1. Stefan asks if we have a “self” or a “personality.” What is the so-called “Great Death” of the “self,” referred to in Buddhism? Hi David, I really love your work, both the books and the podcast you've created. Lots of great tools there. I think your down-to-earth approach is effective and great in de-mythologizing mental health care. Still, one thing has been bugging me about your approach: the fact that you quite casually seem to discount the existence of the self. As a theologian I understand this position. In discounting the self as a construct, you'll open the way to less resistance and more acceptance. I studied both Christianity and some Buddhism, and in that tradition the self is essentially something to let go of as an illusion. I think you called this the death of the ego, and it's common in many mystical currents both within and without the major religious traditions. However, by embracing this tradition in a therapeutic setting, I think there's a great risk to gloss over long-held implicit beliefs or patterns in the construction of a personality that might hold people back from reaching their full potential. More specifically, I'm talking about schemas or Lifetraps (in the terminology of Jeffrey E. Young and Janet S. Klosko). I know Aaron Beck supports their work to address these “chronic self-defeating personality patterns” that are usually considered the be part of the self. What's your take on their work? Kind regards, Stefan David's reply Hi Stefan, Personality, like "self" is not a "thing," but just the observations that different people have different behavioral patterns. So, some are more outgoing, for example, while others are more introverted and shy and insecure. The only meaning of "self" is the context in which the word appears. So, "behave yourself" simply means that you are misbehaving and need to stop! Can you come to the Sunday hike is a question. It does not need the add on, "and do you plan to bring you 'self.'" The only meaning of any word is the context, and many uses in the English language, or any language. Nouns do not always refer to "things." Words are just sounds that come out of our mouths. I don't go into this much because few people "get it." Thanks so much, Stefan. Warmly, david PS The above is my take on Wittgenstein's Philosophical investigations, published after he died in 1950. . Second PS I had a random and fairly weak thought, but here it is. When doing my daily “slogging” a while back, I was going through a pleasant and familiar path and noticing how beautiful everything was, and had the thought, “This land is so valuable and expensive, and I'm SO GLAD I don't have to own it. It would involve a nightmare of paper work, taxes and all kinds of worries. But I can just enjoy it without any of those burdens of ownership. Then I thought of the “self,” and what a heavy burden it is to “have one,” and worry about whether or not it is “good enough,” or “inferior,” and so forth. Selves tend to be a bit overweight, and heavy to carry around. And how much more fun, beautiful, and rewarding life is without having to have a “self” to worry about. Rhonda found this helpful after a time feeling confused about the "self," and Matt added this: "Right, and if we own the 'land' one day, and it changes, the next moment, is it the same 'land'? Do we still own it?" Matt's "Self" Thoughts Wittgenstein is one of my favorite philosophers due to the elegance of his solution to philosophical problems, which is to recognize that they are not, in fact, ‘problems'. Instead of trying to answer the question, ‘is there a self', ‘do I have a self', he would point out that these questions are meaningless and can't be answered. One way to bring these questions into a form that could be useful and answerable, is to define the terms. What is the ‘self', and what can it do? How would I know, if I had a ‘self'? If the definition was in the form of a testable hypothesis, we'd be a step closer to arriving at a meaningful answer. In some cases, this answer is incredibly meaningful, in terms of our mental state and relationships. Let's try on a few possible definitions of ‘self' and consider some experiments that could be done to test whether these hold water. ‘Self': (from Meriam Webster): one's essential being, which separates them from others. (I don't find this definition useful, because now I just have to define what is an ‘essential being'? What are we talking about? ‘Self': The subject of our experience; the thing that is thinking our thoughts, and feeling our feelings. (This is also problematic for many reasons. First, it's based on an unproven assumption that experience requires an experiencer. Descartes believed this but Nietsche retorted that this logic was highly flawed as it smuggles the ‘self' into the equation without any justification. Further, there are many ‘nondualistic' philosophies that challenge the ‘separateness' of ‘self' and experience. Meaning, the presence of thought doesn't mean anything other than the presence of thought. We ought to be skeptical of introducing additional complexity into the situation according to the principle of ‘Occam's Razor', that the simplest hypothesis that explains all the observations is more likely to be correct). ‘Self': The ‘CEO' of your mind, the aspec of yourself that is directing your body, attention and decision-making. (This is problematic in many of the same ways as the above definition. It's also the most readily falsifiable definition. We can experiment with our ability to control our decision-making in a variety of ways, one of which is to see if you can ‘choose', with your ‘self' not to understand the words on this page. Or to sit quietly and not think. If our ‘self' can't use its ‘free will' to control the brain's activities in such simple ways, why would we imagine that we have a self, controlling our brain, at all? In fact, most of us believe in a ‘self', which, if we attempt to define it carefully, it can be proven NOT to exist. However, this is an unacceptable conclusion for many people, even though it results in a form of enlightenment. This form of enlightenement is slightly different from ‘self acceptance'. It's more like ‘waking up from a dream of a self' than ‘acceping a flawed self'. All that said, yes, it's often incredibly useful to inspect our assumptions about our ‘self', in terms of our ‘roles' and ‘rules' in our relationships. David offers the ‘Interpersonal Downward Arrow' to do this in a single session. There, we might discover we are stuck in a belief system that is counterproductive, like, ‘we must be perfect', ‘we should never have conflict', etc. There are countless ways people think about their ‘self' which can be productive or a ‘trap'. Obviously, if we had no sense of our identity, purpose, role, etc., it would be hard to know what to do with our ‘selves' on a day-to-day basis! 2. Slash asks how she can combat her “Should Statement.” Hi David I did some exercises and found I a believe that I should play guitar effortlessly or else I should enjoy the process of learning. My disadvantages are greater in CBA. Now what thought should I replace with so that I could have the advantages too. Slash David's reply Thanks, Slash! It is a should statement. Essentially, your “should” doesn't make sense since there is no rule that says you should, must, or ought to enjoy something you don't enjoy right now, so you are just putting pressure on yourself unnecessarily. I once had a patient who had previously been treated briefly by Dr. Albert Ellis when he was in New York. He was on vacation, and was feeling depressed and telling himself that he SHOULDN'T be unhappy since he was on vacation. He thought he SHOULD be enjoying himself. He said that the thing that helped the most was when Dr. Ellis said, “Where the F__K is it written that you are obligated to enjoy being on vacation?” (Ellis used that word a lot!) He said he immediately gave himself permission to feel miserable on vacation, and instantly felt better! This is an example of what I call the Acceptance Paradox. When he accepted his unhappiness, instead of struggling in shame to make it go away, it disappeared. I have a similar story. I used to have a keen interest in collecting coins from around the world, and when I was an intern at Highland Hospital in Oakland, I used to enjoy going to the local coin stores to see if I could find some interesting foreign coin to purchase for a few dollars. This was always exciting, but one day I was in the S & D Coin store just a few miles from our apartment, realized I was totally bored and had lost my interest in collecting foreign coins. I told the friendly dealer, and he said, “Oh, don't worry about it. Just do something else in your free time for a few weeks and your interest in collecting will probably come back.” So, I did that, and that's just what happened. Essentially, he was also giving me “permission” to feel the way I was feeling, and not the way I thought I “should” feel! And when I accepted my negative feelings, they ran their course and disappeared. That worked for me, but there are a lot of methods in TEAM, and you sometimes have to try quite a few before you find the one that works for you, since we're all different. The “go to” method for Should Statements is called the Semantic Technique. Using this method, you could tell yourself, “Right now I seem to have lost interest in music. It would be great if it comes back again, and probably will. But it's natural not to feel excited about music all the time.” Notice that I used “it would be great if” in place of the “Shoulds.” As an aside, we just completed a new class for the Feeling Great App entitled “Your PhD in Shoulds.” You might want to check it out. There's also a lesson on perfectionism at the end of the class. Best, david Cost-Benefit Analysis If I make mistakes, then I am not talented enough to play guitar.(associating my self worth with talent of playing guitar.) Advantages of Believing This Disadvantages of Believing This 1.It will push me to work harder. 1.There is lot of internal pressure. 2.It will motivate me to try different things until I find any solution. 2.It makes me depressed. 3.It can help me to be perfect/achive skills like my idol guitarist. 3.It ruins my currently playing technique I want to master. 4.People will admire me. 4.It makes me stuck at particular point from where I am not able to move forward. 5.It shows that I am one cut above others. 5.It hinders my progress with respect to guitar playing skills. 6.People who think I am not enough I can prove it to them. 6.It makes me frustrated irritated. 7.It can help me to be confident. 7.Endless cycle which I feel I am stuck in the moment and cant get out of it. 8.The quest to achieve will take forever which will make me hopeless and which further decreases my tolerance to make mistakes/which will further make me vigilant to see my mistakes as fault which cannot be corrected. 9.My moral goes down. 3. Magellan asks: Can you do TEAM-CBT without a shrink? Dear David, Could you tell us about studies of the effectiveness of any written TEAM or other therapy materials offered without therapist guidance (for example when people are on a waitlist to see a therapist)? I think I heard of one done with Feeling Good. I wonder if one may be done with Feeling Great. Thanks, Magellan David's response: We have impressive results with our app, which I can describe. It is completely automated without therapist guidance. It is kind of like my first book, Feeling Good, on steroids! I also have precise data on waiting list controls. The waiting list do not improve until they start the Feeling Great App and then they experience rapid and dramatic changes with a couple days. There's no doubt about the effectiveness of the app. Also, there's extensive research proving the effectiveness' o my first book, Feeling Good. There's no question about the effectiveness of these self-help tools. I have many questions about the effectiveness of human shrinks, however! 4. From Werner Spitzfaden: Positive Reframing vs Positive Thoughts I periodically come across clients who get confused by the concept of the Positive Reframing vs Positive Thoughts on the DML. The question they pose is if the Positive Reframe is similar to the Positive Thoughts on the DML? After some explanation I focus on Positive Reframing as a way of seeing that even the most difficult and painful thoughts and feelings reveal something powerful and awesome about us and then ask if that's true about them. This focuses on Outcome Resistance. The positive thoughts on the DML focus on defeating their negative thinking with 2 conditions needing to be present: their new positive thought needs to be believable and it has to drastically reduce the distress resulting from your negative thought. This focuses on the early stages of Methods coming after looking at Distortions followed by the Straight Forward Technique. I would love to hear David's take on this. David's Response Yes, Werner, you are right! The goal of Positive Reframing is not to “Cheerlead” or to persuade the patient that their negative thoughts are not correct, but rather to help them see why they may fight to hang on to their negative thoughts and feelings, because they are beneficial and helpful in many ways. This is the latest list of questions you can ask when doing PR with a negative thought. Most will also apply to a negative feeling. What is the truth in this negative thought? (This is essentially the Disarming Technique applied to your own self-criticism) Why might this negative thought or feeling be healthy and appropriate, given my circumstances. Why might this negative thought or feeling be helpful to me? What does it show about me and my core values that's positive and awesome? What might be some negative consequences of giving up this negative thought or feeling? You were spot on about Positive Thoughts. To be helpful, they must fulfill two conditions. They must be 100% true. Half-truths and rationalizations are rarely or never helpful/ They must drastically reduce your belief in the distorted negative thought. Hey, Werner, we miss you like crazy in the Tuesday group and in our (now small and humble) Sunday hikes. Hope you're doing well.
Can You Treat ADHD with TEAM? Does Humor Play a Role in Therapy? What's the Difference between Rejection Practice and Shame-Attacking Exercises? Featuring Dr. Matthew May Note: Not all of the information covered here is in the podcast, and much of what we discuss in the podcast is not covered here. Questions for the next two Ask David Podcasts: Rich asks how you treat ADHD in TEAM. Hwa-Chi Qiu Alvarez asks about the use of humor in therapy. Rima asks about the differences between Rejection Practice and Shame-Attacking Exercises. Rich asks: How do you treat ADHD? From Richard: How about a podcast concerning ADHD? I feel that applying TEAM would work. No? I mean “disorders” arise from distortions…so what does a distraction “disorder” arise from? Thanks for all you do David, Rich David's reply: Hi Rich, I don't treat “disorders,” I treat individuals at specific moments when they're struggling and wanting help! Hope that helps. As an aside, if you or a friend, colleague, or patient have ADHD and you can describe a specific moment when that person was struggling, I would love to hear about it! Then you'll see how TEAM works it's magic by focusing on individuals, and not “problems” or “disorders,” etc. TEAM is a “fractal psychotherapy.” I will explain! Warmly, david Matt's Take: Thanks for the question, Rich! I love what David is saying, about treating the individual, not the diagnosis. There are a lot of things that can interfere with focus and attention, such as. medical problems, sleep difficulties, toxin exposure, substance misuse, and relationship problems. In addition, depression and anxiety can interfere with concentration and contribute to ADHD symptoms. Below, I've listed many of the distracting thoughts that my clients have had. Along with a list of some good things about being Distracted. Hope you enjoy! Matt's A – Z List of Distracting Thoughts: I don't feel like doing this This is boring and no fun I never get to do what I want It's not fair I'll do it later There's plenty of time Best not to rush things I might be missing out on something interesting or important I'll check my phone one more time, real quick, and then get right back to work This time will be different. Seriously. I mean it. Actually, I'm feeling too tired to concentrate I'll just take a quick, 5-minute nap I'll get to work when I feel more rested and motivated I've had a hard day and deserve a little break and some fun Tomorrow's going to be really hard, so I need to rest up I just *can't* concentrate, at all There's something seriously wrong with me I lack willpower / I have no ambition I shouldn't have to do this There's no point doing this I'll never be able to do this I need to be doing important, interesting things It would be really exciting and fun to … x, y, z, instead I need to tidy up a bit before starting this big project I don't know where to get started / don't want to mess up I'll be too distracted if I don't take care of this one thing, first Matt's A – Z List of GOOD Reasons to be Distracted I can be spontaneous, have fun and be present, in-the-moment I won't miss out on something interesting and important I won't waste my life doing boring stuff that leads nowhere I'll focus on what makes me happy I won't let other people control me or make my decisions for me I like to feel powerful and in-charge; I call the shots This is my time, nobody controls me It's calming to know that I'm in-control I want to treat myself with respect I want to be free, not shackled It's important to take breaks I want to maintain a good work-life balance It's fun and exciting to be a bit of a ‘rebel' I'm my own unique person, doing things my way I just want to ‘go with the flow', it's easier I want to be safe, protected me from failure. I can't really fail if I don't give it my all I can get instant relief from the pressure anxiety when I outsource this task to ‘future me' I deserve to do what I want, when I want to; I'm sticking up for me I can reject others' advice and feel superior I don't know where to start I can have more time to plan I'll be less likely to mess up if I consider my approach carefully I don't want to do an average job, this needs to be amazing I can prepare, talk, plan and complain; that's more interesting and fun than doing I don't have to face how dull and boring some parts of life can be I can daydream about a better life On the live podcast, Matt and Rhonda gave examples of individuals diagnosed with “ADHD” who all needed completely different and highly individualized treatment, which is what TEAM is all about. Matt described treating a boy with ADHD who would get anxious in class when he was called on to read out loud. He was afraid he'd get nervous and make mistakes, and the other students would judge him. The technique that helped him was the Feared Fantasy. Matt also described a fellow with ADHD who had trouble keeping appointments and getting places on time. He was helped by the technique I have called “Little Steps for Big Feats,” and the treatment was similar to the methods we used to treat procrastination. Rhonda described someone with ADHD who felt anxious in social situations, and he was helped with the same types of techniques we would used to help anyone with social anxiety. The bottom line: treat the person, not the so-called “disorder”! Hwa-Chi Qiu Alvarez suggests: An episode focused on humor and its uses/impacts could be interesting, I didn't find any. What are some strategies for when humor backfires? How did you learn to appropriately use humor with patients? David's reply will include: First, time I “discovered” humor when teaching the psychiatric residents with Aaron Beck. How I think about my own use of humor: I just kind of blurt out things that are outrageous. Buddhists have concept of “Laughing Enlightenment,” which occurred during the Terri jumping jacks video. What laughing creates is the experience of not taking ourselves so The time I laughed with a patient during the entire session. When NOT to use humor, and what to do when it backfires. During the live podcast, Matt, Rhonda and David talked about why and how humor can be helpful—in therapy, in teaching, during podcasts, and in life in general. David talked about how he “discovered” humor when teaching a group of psychiatric residents at the University of Pennsylvania, and how he used a humorous Feared Fantasy to help a depressed FBI agent who was demoralized because he didn't have a sense of humor. This was a problem because the men at work of joked around the water or coffee pot during breaks. When David modeled how to accept the fact that he had no sense of humor during the Feared Fantasy, it struck his funny bone, and he laughed so hard he fell out of his chair. This was a paradox, since the very moment he accepted the fact, without shame, that he had no sense of humor, he suddenly discovered his awesome sense of humor! I, David, call that the Acceptance Paradox. David also described how humor helped a woman who had struggled for ten years with terrifying panic attacks and extreme depression. David also warned about the pitfalls of using humor with angry or severely depressed individuals who feel intense grief or extreme worthlessness and hopelessness. Matt's Take I've noticed that if you're ‘supposed' to laugh, you won't. But, if you're not supposed to laugh, you probably won't be able to stop laughing. Maybe that's why, when we tried to talk about it, on the podcast, it was really dry and unfunny? Normally I'm hilarious. Rima asks: I believe rejection practice is a fine art and I'm just trying to understand the specifics a little more, and how it differs from Shame Attacking Exercises. David talks about some of his male patients doing rejection practice by asking as many women out as possible and collecting no's from them. The way David explains it, it seems standard practice for the patients to self disclose to the women that they are doing the rejection practice and are collecting no's. My question is, if you disclose this information, would that be considered a safety behaviour and maybe less powerful exposure than not disclosing what you are doing? I'll give you a personal example that hopefully will clarify more. I have been doing my own rejection practice to experience how it feels for myself. One of the things I set myself was to ask someone to sing a duet with me. I found that a little daunting so to make it easier for myself, I disclosed to a woman that I am doing shame attacking/rejection practice and thus would she help me and sing with me. I felt I was using a safety behaviour and protecting myself from certain judgements from her. Therefore, I'm wondering if the patient disclosing what they are doing would be as helpful exposure as not disclosing. David Comment You are confusing Rejection Practice with Shame Attacking Exercises. They are actually very different. You can do Rejection Practice with or without telling the person what you are doing. Shame Attacking is just done without giving away what or why you're doing it. For example, if you want to sing in public, you can just do that. Or you can approach a person or couple and offer to sing for them, and then when done hold out your hand as if asking for a tip. There are certain general guidelines for Shame Attacking that we can mention, as they are very important. You can also do with as a duet with someone you know, so you are doing Shame Attacking together. But in this case, you are definitely not confusing it with Rejection Practice. During the live podcast, Matt discussed the pros and cons of two different styles of Rejection Practice, and David and Rhonda and Matt sharpened the contrast between Shame-Attacking Exercises and Rejection Practice, which are actually quite different, although there is clear some overlap. Rhonda described a Shame-Attacking Exercise that David persuaded her to do after a Sunday hike, in a Chinese restaurant when everyone was ordering dim sum. Rhonda went to a nearby table and asked the people who were seated if she could taste their food! This was almost impossibly anxiety provoking, but to Rhonda's surprise, they let her tase one of their dim sum and she said it tasted great. They asked if she wanted more! It was a great exercise in overcoming social anxiety. Matt described one of his outrageous Shame-Attacking Exercises in a grocery store, lying on his back making angels in the snow in the produce section, talking loudly about what an awesome grocery store it was. He said that he was surprised and relieved to discover that no one seemed interested in what he was doing. He said that one of our illusions is that people are incredibly interested in us, whereas in reality, most people are mainly interested in themselves! Quite a useful discovery. Matt's Take Hi Rima, thanks for this nuanced question, I can tell you've been paying close attention! As a little background, the fear of getting rejected can cause a lot of suffering and deprivation, both emotionally and in the form of loneliness, relationship problems and career development. Overcoming this fear can improve one's social life, relationships and career. However, there's a ‘necessary' part of overcoming any fear, which people don't want to do. It is to lower our defenses and face the fear directly. This is the only way to prove that we are, in fact, ‘safe', for example, when we are rejected. Rejection Collection (getting rejected frequently and regularly, and counting these as ‘wins') is a powerful social exposure method that has helped many people, including myself, overcome the fear of getting rejected. Huge thanks to David for helping me overcome my resistance to trying this (extremely challenging) exercise. Doing so has helped me overcome my fear and has radically improved many aspects of my life. Exposure may not work, however, for a variety of reasons. A common one is motivational. For example, we may not want to feel ok, if we're getting rejected. We might prefer to feel upset, perhaps as a motivator to improve. Surprisingly, there are many good reasons to base some portion of our worth on the approval of others: Wanting to live up to their expectations, wanting to be open to feedback, wanting to avoid conflict, wanting to be maximally motivated to work hard, in our relationships, to be mature and responsible. TEAM therapy stresses the importance of raising these motivational elements to the surface for discussion, in an admiring way, before deciding whether to change anything about a person. If someone can still convince me that they want to overcome the fear of rejection and are willing to do the hard work, rejection collection is extremely effective and powerful. It's good to know that one's nerves won't be the thing that gets in the way of developing a wonderful social life. Rejection collection can still fail, however, for other reasons. For example, it's common to focus too narrowly on only one method. There are many, many methods that can help, and may be necessary, to overcome a fear of rejection. Just in the category of ‘Social Exposure' there are quite a few: TEAM Therapy Social Exposure Methods: ‘Smile and Say Hello' practice ‘Talk Show Host' technique ‘Self-Disclosure' ‘Flirting Training' ‘Survey Technique' ‘Shame attacking' ‘Rejection Collection' ‘Rejection Feared Fantasy' You're correct, too, Rima, about the problem of ‘safety behaviors'. Even if ‘rejection collection' were the method that could lead to a cure, it still might fail if we are, in some way, ‘protecting' ourselves, during the rejection collection exercise. The most common form of ‘safety behavior' I've seen, when doing ‘rejection collection', is to rush the process. Then, we can tell ourselves, ‘well, if I'd really tried and put in the time and all my effort, I wouldn't have gotten rejected'. This defeats the most liberating experience of, ‘I got thoroughly rejected, despite my best effort, and it's totally fine'. You asked, is it would be a ‘safety behavior'. if you said this to a stranger: “Please reject me, to help me get over my fear of rejection.', I would not necessarily label it as a safety behavior, unless it was the only thing that was said. I would consider this to be ‘Self Disclosure' (talking about oneself in a vulnerable way) combined with rejection collection. If this were the only thing you said to someone, then I'd agree that it's a ‘safety behavior', as there's a rushed element to it, as opposed to a ‘best effort, still failed, it's fine' experience. The liberation of a ‘real' rejection is a glorious thing and is, in my experience, most often achieved by combining multiple of the above techniques, starting with, ‘smile and say hello', ‘talk show host technique', ‘flirting', self-disclosure, survey technique and only then asking for a rejection. Practicing this for a bit using the ‘Rejection Feared Fantasy' (a role-play/practice exercise with one's therapist) is often great preparation for the real-life experience. We thank Rhonda for recording for us today, when she is just starting to recover from COVID, and the day before a trip to visit her son, daughter in law, and two wonderful grandchildren. We love you Rhonda, and wish you the best for a wonderful month! Thanks for listening today, and thanks for submitting your excellent questions. Stay tuned for more answers to your questions next week, including these: Magellan asks about the effectiveness of TEAM without the guidance of a therapist. Werner asks about the differences between Positive Reframing and the Positive Thoughts you record on the Daily Mood Log. Anonymous asks several questions about the Feeling Great App. Matt, Rhonda, and David
In today's episode of the podcast, we interview Dr. Judith Beck, a prominent figure in the field of psychology and author of the highly regarded textbook, Cognitive Behavior Therapy: Basics and Beyond, which is a staple in the academic journey of many students in psychiatry, psychology, counseling, social work, and psychiatric nursing. This book, translated into 20 languages, is a key resource in the U.S. as well as globally. Dr. Beck serves as the president of the Beck Institute for Cognitive Behavior Therapy, which she co-founded with her late father, Dr. Aaron Beck, who is considered the father of CBT. The Beck Institute is a non-profit organization based in Philadelphia. In addition to her leadership role, she is a Clinical Professor of Psychology in Psychiatry at the University of Pennsylvania, where she educates residents.
Rational Emotive Behavior Therapy (REBT), as elucidated by its founder, Dr. Albert Ellis, is more than a therapeutic technique; it's a philosophy for living. Dr. Ellis, a trailblazer in the field, introduced REBT well ahead of Cognitive Behavior Therapy (CBT), laying the groundwork for Aaron Beck, CBT's originator, with whom he shared a professional relationship. Having Dr. Debbie Joffe Ellis, the late-Dr. Albert Ellis' esteemed wife and a dedicated practitioner of REBT, join us was enlightening. Her role as an adjunct professor at Columbia University and her therapeutic practice embody the essence of REBT. Central to REBT is the identification and challenging of irrational thoughts that lead to emotional imbalance. In a world brimming with stressors and irrationality, mastering REBT's techniques equips us to navigate life more effectively and healthily. Tune in to my conversation with Dr. Joffe Ellis to discover why REBT is a pivotal tool for cognitive and emotional regulation, essential for anyone's mental arsenal.
EPISODE 98 | Smoke & Mirrors: Unintentional Dangers and Slow Thinking (Because Reasons 8) Guest: Kent Weishaus, licensed clinical social worker, author of Stop Breaking Down: The Secret to Avoiding Overwhelm and Crack-Up Why are there so many adherents to conspiracy theories these days? What are the mechanisms that encourage people to latch onto a particular narrative? We are modern creatures with out-dated brains. Clinical social worker (and former TV guy) Kent Weishaus talks about various theories and cognitive biases, and champions slow thinking in an age that seems too fast for our minds to keep pace with. Like what we do? Then buy us a beer or three via our page on Buy Me a Coffee. #ConspiracyClearinghouse #sharingiscaring #donations #support #buymeacoffee You can also SUBSCRIBE to this podcast. Review us here or on IMDb! SECTIONS 03:48 - Smoke & Mirrors - TV, unreasonable expectations, wraparound for commercials, the hard edge 09:49 - Cognitive Distortions - Daniel Kahneman's Availability Heuristic, it's the system, TV was Gen X's buddy, we love fat (and sugar) 15:37 - Prospect Theory, Loss Aversion, the Endowment Effect, Aaron Beck's thought distortions, overgeneralization, "mind reading", slow thinking, I-know-how-this-will-end, please get raptured, humans crave structure, think about your thinking, Richard Schwartz's Internal Family Systems (IFS) says we are fragmented beings 26:10 - Towards Accuracy - E-Prime, people are not their diagnosis, slow thinking helps counteract otherization 33:46 - Too Much Information - Fast thinking feels good, apes with car keys, phantom urgency, unintentional dangers, too much sensory input 41:39 - Slow Thinking - Emotions are not uncontrollable, list the systems you're embedded in, nothing goes away in the digital system, Thomas Piketty and late-stage capitalism, the system is out of control Music by Fanette Ronjat More Info Kent Weishaus website Stop Breaking Down: The Secret to Avoiding Overwhelm and Crack-Up by Kent Weishaus Kent Weishaus on IMDb Availability Heuristic And Decision Making Prospect Theory: What It Is and How It Works, With Examples Loss aversion on BehavioralEconomics.com The Endowment Effect: Why Perceived Value Increases with Ownership Cognitive Distortions: Unhelpful Thinking Habits 13 Cognitive Distortions Identified In CBT Cognitive Distortions: 22 Examples & Worksheets (& PDF) Thinking, Fast and Slow by Daniel Kahneman Internal Family Systems (IFS) About IFS (Internal Family Systems) E-Prime on Wikipedia Discovering E-Prime E-Prime and Linguistic Revision Wandering Gaia: Dispatches from the Anthropocene website for Gaia Vince Galapagos by Kurt Vonnegut Jr. The Nature of the Modern Mind by Pierre Steiner Turning the stone: embedding systems thinking in the everyday by Oliver Standing Capital and Ideology by Thomas Piketty Follow us on social: Facebook Twitter Other Podcasts by Derek DeWitt DIGITAL SIGNAGE DONE RIGHT - Winner of a 2022 Gold Quill Award, 2022 Gold MarCom Award, 2021 AVA Digital Award Gold, 2021 Silver Davey Award, 2020 Communicator Award of Excellence, and on numerous top 10 podcast lists. PRAGUE TIMES - A city is more than just a location - it's a kaleidoscope of history, places, people and trends. This podcast looks at Prague, in the center of Europe, from a number of perspectives, including what it is now, what is has been and where it's going. It's Prague THEN, Prague NOW, Prague LATER
Hi and welcome to another episode and another great guest. Today I am joined by Dr Robert L. Leahy. Dr Leahy completed a Postdoctoral Fellowship in the Department of Psychiatry, at the University of Pennsylvania Medical School under the direction of Dr. Aaron Beck, the founder of cognitive therapy. As well as being an editor on journals, serving on scientific advisory committees and being a frequent keynote speaker throughout the world, Dr Leahy is author and editor of 29 books, including his latest book If Only.. Finding Freedom From Regret and The Worry Cure which received critical praise from the New York Times and has been selected by Self Magazine as one of the top eight self-help books of all time. It's safe to say, he knows his stuff and on top of all these accomplishments, he's a really lovely person and it's my absolute pleasure to welcome Dr Robert L Leahy to the podcast. Episode Links Website https://www.cognitivetherapynyc.com/ Author Page http://bit.ly/LeahyAmazonAuthorPage Google Scholar http://bit.ly/LeahyGoogleScholar Links to Dr Hayley D Quinn Resources Group Coaching Waitlist: https://drhayleydquinn.myflodesk.com/timetothrivewaitlist Link to podcast mailing list: https://drhayleydquinn.com/podcast/ Instagram: https://www.instagram.com/drhayleydquinn Facebook: https://www.facebook.com/drhayleydquinn Freebies: https://drhayleydquinn.com/resources Meditations: https://drhayleydquinn.com/shop/ Journal: https://drhayleydquinn.com/product/welcome-to-self-compassionate-journal/
Aujourd'hui dans Graine de Métamorphose Xavier Pitois reçoit Cyrus North créateur de contenu, vidéaste web français et vulgarisateur de philosophie sur YouTube. Comment vivre libre et accroître son bonheur ? Que nous disent nos émotions ? Que puis-je connaître de moi-même ? Qu'est-ce qui dépend de moi ? C'est désormais avec un premier ouvrage - mais toujours teinté d'humour - que Cyrus North reconnecte des sujets brûlants comme le développement personnel et la philosophie. Dans cet épisode, il nous invite à se questionner tout en nous offrant des méthodes et des réflexions au service du bonheur au quotidien. Épisode #67Quelques-unes des questions à Cyrus North : Est-ce qu'avoir une vie plus heureuse, ce ne serait pas finalement mieux vivre avec ses souffrances ?Ton livre est très imprégné de stoïcisme, quels sont les principes de cette philosophie ?Vois-tu les religions comme un accès éventuel au bonheur ?Quelle serait la vertu la plus importante à entretenir ?Est-ce que notre bonheur augmente si on diminue notre désir ?Ton outil préféré pour gérer les émotions est les colonnes de Aaron Beck, pourrais-tu nous le présenter ?Comment es-tu venu à la méditation et que t'a-t-elle apportée ?Comment entretenir une relation saine avec l'argent ?Qui est mon invité du jour Cyrus North ? : Cyrus North est un créateur de contenu et vidéaste web français qui s'est fait connaître pour son travail de vulgarisation de la philosophie sur YouTube, sur sa chaîne éponyme lancée en 2013 (794 000 abonnés). À partir de 2016, son contenu se diversifie avec des sujets plus généralistes et met en lumière des liens entre certaines branches de la philosophie (axiologie, éthique) et le développement personnel. En dehors de sa chaîne principale, il poursuit la ligne initiale d'initiation à la philo avec la chaîne l'Antisèche (645 000 abonnés). Il a publié son premier ouvrage intitulé "Le code" aux éditions Albin Michel.Quelques citations de l'épisode avec Cyrus North : "A partir du moment où tu peux te remettre en question, ta recherche vers la vérité se passe globalement bien.""Comme tout est impermanent, ton désir l'est aussi.""Je désacralise l'argent, ça me permet de ne pas en avoir peur."Retrouvez Graine de Métamorphose Podcast sur InstaInscrivez-vous à la Newsletter ici : https://www.metamorphosepodcast.com/Découvrez gratuitement La Roue Métamorphose et les 9 piliers de votre vie !Soutenez la Tribu Métamorphose, devenez actifs !Retrouvez Graine de Métamorphose sur Apple Podcast / Spotify / Google Podcasts / Deezer / YouTube / SoundCloud / CastBox/ TuneIn.Photo © Hippolyte Petit Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.
Aujourd'hui dans Graine de Métamorphose Xavier Pitois reçoit Cyrus North créateur de contenu, vidéaste web français et vulgarisateur de philosophie sur YouTube. Comment vivre libre et accroître son bonheur ? Que nous disent nos émotions ? Que puis-je connaître de moi-même ? Qu'est-ce qui dépend de moi ? C'est désormais avec un premier ouvrage - mais toujours teinté d'humour - que Cyrus North reconnecte des sujets brûlants comme le développement personnel et la philosophie. Dans cet épisode, il nous invite à se questionner tout en nous offrant des méthodes et des réflexions au service du bonheur au quotidien. Épisode #67Quelques-unes des questions à Cyrus North : Est-ce qu'avoir une vie plus heureuse, ce ne serait pas finalement mieux vivre avec ses souffrances ?Ton livre est très imprégné de stoïcisme, quels sont les principes de cette philosophie ?Vois-tu les religions comme un accès éventuel au bonheur ?Quelle serait la vertu la plus importante à entretenir ?Est-ce que notre bonheur augmente si on diminue notre désir ?Ton outil préféré pour gérer les émotions est les colonnes de Aaron Beck, pourrais-tu nous le présenter ?Comment es-tu venu à la méditation et que t'a-t-elle apportée ?Comment entretenir une relation saine avec l'argent ?Qui est mon invité du jour Cyrus North ? : Cyrus North est un créateur de contenu et vidéaste web français qui s'est fait connaître pour son travail de vulgarisation de la philosophie sur YouTube, sur sa chaîne éponyme lancée en 2013 (794 000 abonnés). À partir de 2016, son contenu se diversifie avec des sujets plus généralistes et met en lumière des liens entre certaines branches de la philosophie (axiologie, éthique) et le développement personnel. En dehors de sa chaîne principale, il poursuit la ligne initiale d'initiation à la philo avec la chaîne l'Antisèche (645 000 abonnés). Il a publié son premier ouvrage intitulé "Le code" aux éditions Albin Michel.Quelques citations de l'épisode avec Cyrus North : "A partir du moment où tu peux te remettre en question, ta recherche vers la vérité se passe globalement bien.""Comme tout est impermanent, ton désir l'est aussi.""Je désacralise l'argent, ça me permet de ne pas en avoir peur."Retrouvez Graine de Métamorphose Podcast sur InstaInscrivez-vous à la Newsletter ici : https://www.metamorphosepodcast.com/Découvrez gratuitement La Roue Métamorphose et les 9 piliers de votre vie !Soutenez la Tribu Métamorphose, devenez actifs !Retrouvez Graine de Métamorphose sur Apple Podcast / Spotify / Google Podcasts / Deezer / YouTube / SoundCloud / CastBox/ TuneIn.Photo © Hippolyte Petit Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.
Edward is a consultant in Eye Movement Desensitisation and Reprocessing, EMDR, accredited by the professional body that oversees this treatment: EMDRA, UK and Eire, emdrassociation.org.uk.Edward Sim trained in the United States with the founders of Cognitive Therapy and Rational Emotive Behaviour Therapy, Dr Aaron Beck and Dr Albert Ellis. His training in EMDR came from Dr Francine Shapiro, who pioneered EMDR, now recognised by the National Institute of Clinical Excellence as the leading treatment for chronic Post-Traumatic Stress Disorder, PTSD. In Toronto, Edward trained in Neurofeedback with Dr Michael and Linda Thompson, the leaders in this field.Edward Sim specialises in treating people living with PTSD, and also those who live with phobias, complex grief, panic attacks and stress. If you have psychological problems resulting from physical or sexual abuse, there's confidential help at hand. Edward Sim can see you at his clinic on Harley Street in London, in Brighton or in Uckfield, East Sussex. If you're unable to leave your house, home visits are easily arranged.Edward Sim is ready to help you transform your life. Your recovery starts today.Connect with Ed: Website | InstagramEnjoy a free month of the Ed Can Help App: For iOS devices, click here. For Android devices, use code “podcast” when clicking on the monthly subscriptions.* The Baby Dust Fertility Podcast is hosted by Hannah Bowers. Follow her on Instagram for tips, insight, and encouragement.* New to TTC? Download our FREE eBook.* Want to improve your fertility? Enroll in Hannah's course, “The Fertility Roadmap,” where she walks you through identifying peak fertility, which pregnancy tests to use, proven lifestyle shifts for better fertility, and so much more. Sign up here.The Tempdrop makes charting your basal body temperature a breeze! Enjoy 10% when you order with code blissberrywellnessClick Here to Order NowDisclaimer: This email is for educational purposes only and does not constitute medical advice. Please speak to your care provider before making any changes to your diet, lifestyle, or currently prescribed medications. *This email contains affiliate links. You will not be charged extra for purchasing through one of our links, but a small portion of the proceeds will go to support Baby Dust. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit babydust.substack.com
CounselingExamHave you ever wondered why Cognitive Behavioral Therapy (CBT) garners so much attention in Mental Health? Are you curious how changing your thoughts can transform your feelings and actions? Join your hosts, Dr. Linton Hutchinson and Stacy Frost, in a riveting discussion on the finer points of CBT in our latest episode of the Theory to Therapy series. Let's embark on an enlightening exploration of this popular therapeutic approach together as we break down the complexities of CBT into easily digestible parts, revealing its inner workings and the array of techniques employed in this method.In this episode, we delve into the rich history of CBT, tracing its roots back to Aaron Beck's work with clients suffering from depression. We'll explore his influential hypothesis that psychological issues stem from negative automatic thoughts and cognitive distortions. You'll also discover five essential CBT techniques, including cognitive restructuring and behavioral experiments - we will illustrate their effectiveness through real-life examples. So, tune in and equip yourself with a new understanding of CBT that goes beyond the textbook definitions, penetrating the very heart of this therapeutic approach.If you need to study for your NCMHCE narrative exam, try the free samplers at: CounselingExam.comThis podcast is not associated with the National Board of Certified Counselors (NBCC) or any state or governmental agency responsible for licensure.
NationalCounselingExamHave you ever wondered why Cognitive Behavioral Therapy (CBT) garners so much attention in Mental Health? Are you curious how changing your thoughts can transform your feelings and actions? Join your hosts, Dr. Linton Hutchinson and Stacy Frost, in a riveting discussion on the finer points of CBT in our latest episode of the Theory to Therapy series. Let's embark on an enlightening exploration of this popular therapeutic approach together as we break down the complexities of CBT into easily digestible parts, revealing its inner workings and the vast array of techniques employed in this method.In this episode, we delve into the rich history of CBT, tracing its roots back to Aaron Beck's research on the dream content of depressed patients. We'll explore his influential hypothesis that psychological issues stem from negative automatic thoughts and cognitive distortions. You'll also discover five essential CBT techniques, including cognitive restructuring and behavioral experiments - we will illustrate their effectiveness through real-life examples. So, tune in and equip yourself with a new understanding of CBT that goes beyond the textbook definitions, penetrating the very heart of this therapeutic approach.If preparing for your National Counseling Exam visit NationalCounselingExam and try our samplers completely free of charge! It's a fantastic way to identify any areas you might want to review. and brush up on.This podcast is not associated with the National Board of Certified Counselors (NBCC) or any state or governmental agency responsible for licensure.
To access our full conference library of 200+ fascinating psychology talks and interviews (with certification), please visit: https://twumembers.com. In this episode, I'm joined by Professor Windy Dryden. Professor Dryden is a therapist, trainer, academic and author who has published more than 240 books. In many ways, Windy could be described as a pioneer in the field. He was one of the first in the UK to be trained in CBT, having learned directly from Albert Ellis and Aaron Beck, and has since trained therapists all over the world in the approach. He is best known for his work in Rational Emotive Behaviour Therapy (REBT), which will be the focus of today's conversation where we discuss: — Windy's "general-specific" philosophy of psychotherapy — The foundational principles of REBT and its benefits compared to other approaches — The A B C's of REBT, and how understanding this simple concept can enhance emotional intelligence — How Windy helps clients drop rigid attitudes and develop a more flexible and compassionate relationship with themselves. And more. You can learn more about Professor Dryden's work by going to www.windydryden.com. --- This session was recorded as part of our Holistic Psychotherapy Summit in January 2023. To access the full summit package, as well as supporting materials, quizzes, and certification, please visit: https://theweekenduniversity.com/membership. --- Windy Dryden is one of the leading practitioners and trainers in the UK in the Cognitive Behaviour Therapy (CBT) tradition of psychotherapy. He is best known for his work in Rational-Emotive Cognitive Behaviour Therapy (RECBT), a leading CBT approach. He has been working in the field of counselling and psychotherapy since 1975 and was one of the first people in Britain to be trained in CBT. He is Emeritus Professor of Psychotherapeutic Studies at Goldsmiths University of London. Interview Links: — Windy's website: https://www.windydryden.com — Windy's books: https://www.windydryden.com/books 3 Books Professor Dryden Recommends Every Therapist Should Read: — Reason And Emotion In Psychotherapy - Dr Albert Ellis- https://amzn.to/3A2qecq — Embodied Theories - Ernesto Spinelli and Sue Marshall- https://amzn.to/3pl0QcE — Single Session Therapy - Moshe Talmon- https://amzn.to/3QqS48X
Are the "physical" symptoms of depression specific or non-specific? How do you treat schizophrenia with TEAM? Why don't more shrinks help themselves? Healthy vs unhealthy negative feelings-- what's the difference? Questions answered in this podcast: 1. Laura asks: Why don't you include the physical symptoms of depression in your assessment tests? 2. Fred asks: How would you use TEAM-CBT to treat individuals with schizophrenia? 3. Author not known: Why don't the therapists you treat with TEAM treat themselves using self-help techniques? 4. Zach: How does David understand the difference between healthy and unhealthy emotions? Is there any overlap between EFT (Emotionally Focused Therapy) and David's TEAM-CBT? The following are David's written responses to these questions. However, in the podcast, Rhonda and David discuss them, and their answers together may differ or enlarge on the material below. Also, in some cases, the written answers contain additional information not included in the live podcast. 1. Laura asks: Why don't you include the physical symptoms of depression in your assessment tests? Author: Laura asks a question about post #248: “David and Rhonda Answer Your Questions about Exercise, Empathy, Euphoria, Exposure, Psychodynamic Therapy, and more!” Comment: Fabulous, David. Bless you. Have you done a show on assessments? I'll be honest about my confusion. Some of the measures that you have developed almost seem too simple to be accurate. For example, the depression test isn't sensitive to any of the physical manifestations of the illness. Anyway, I was just curious about that. David's Reply Thanks, Laura! Good questions! First, the so-called physical symptoms of depression are non-specific and not uniquely associated with depression. Only the core emotional symptoms are good indicators of depression: feeling down, hopeless, worthless, unmotivated, and not enjoying life. If you want to measure physical symptoms, they won't give you much information about depression, but at least they need to be worded correctly, which they aren't in most assessment tols. For example, you can measure weight gain, OR weight loss, in single and separate items, but not in the same item. But if you go to a mall and ask how many people have had weight gain, you'll probably find that more than 50% report weight gain, but this is rarely due to depression, rather it is due to overeating! Similarly, a significant fraction will say yes to a question about weight loss, and in the vast majority of cases this will be due to dieting, not depression. Similarly with the other poorly thought out physical symptoms, like trouble sleeping. The reliability of my depression measures has typically been .95 or better, as compared with measures like the Beck or PHQ9 that have only .78 to .80 reliability coefficients (called “coefficient alpha.”) I have observed a phenomenal lack of critical thinking behind most current psychological tests for depression, anxiety, and other variables of interest to clinicians and researchers. You also asked about apps for anxiety, like OCD, as opposed to depression. The Feeling Good App causes rapid and significant reductions in, not one, but seven categories of negative feelings, including feelings of depression, anxiety, guilty/shame, inadequacy, loneliness, hopelessness and anger. Thanks so much! Finally, I have to confess my bias toward trying hard to make things simple, so we can all understand what we're talking about! When things are overly complicated or hard to “get,” I usually feel fairly suspicious about the person who is trying to “teach.” In college I always had the policy that if I can't understand what the teacher is trying to say, the teacher has a problem! My thinking today is pretty similar! I've always appreciated teachers who keep things simple for us mere mortals who appreciate having things explained clearly and in everyday words. Best, david 2. Fred asks: How would you use TEAM-CBT to treat individuals with schizophrenia? Hi David, Do you have any schizophrenia thought experiments? Most of my clients struggle with voices. I tell them there is always a good voice, which I believe is the Holy Spirit woven into every person at birth. I also tell them to welcome the voices and listen for what they need, because the voices need to be welcomed back into the body - the "family" - of the person, according to Internal Family Systems. I welcome your thoughts. I am not a therapist so anything I say or do needs to fit my role as a recovery coach. Fred South Bend, Indiana David's Reply. Thanks, Fred, great question. I have treated many individuals with schizophrenia, but they have rarely or never asked for help with the voices they hear. I like to set the agenda for each patient, finding out what they specifically want help with. And individuals with schizophrenia respond very well to TEM-CBT, both the individual treatment model for depression and anxiety, as well as the interpersonal model for relationship problems. An experience early in my career highlighted the folly of trying to challenge the delusions of individuals with schizophrenia. A young man, a new patient, seemed uncomfortable and when I inquired, he explained that the receptionist, Lucretia, was listening in because she could “hear” our thoughts and our conversation. I explained that Lucretia did not have much money, and that if he wanted we could do an experiment to test his belief. I put a $20 bill on the desk and said that if Lucretia knocked and came into the office, she could have the money. So I did that and Lucretia did not knock on the door or appear in the office. I asked the young man what he concluded from our “experiment.” He said that she “knew” it was an experiment since she could “hear” our thoughts, and didn't come in because she didn't want us to know she was “listening in” on our dialogue! That's an excellent example of what happens when the shrink tries to set the agenda, as opposed to helping patients with what THEY want help with! In my experience, you can help individuals with schizophrenia with self-esteem, anxiety, and relationship problems with psychotherapy, and they do feel and function somewhat better, but they still, sadly, have schizophrenia. This is my thinking only, and others may differ. I know that Aaron Beck and many of his followers have done research studies claiming they can help schizophrenia with traditional CBT. I am skeptical, but have not read those studies or evaluated the data with a critical eye! So who knows? Maybe they have some decent results. Best, david 3. Author not known asks: Why don't the therapists you treat with TEAM treat themselves using self-help techniques? Why can't the TEAM-CBT therapists who have done personal work with you on the podcasts do that work themselves in self-help mode?" They know all the techniques and have all the tools. With no qualifications, I have my own theory on that, which is actually based on TEAM. I don't know how to give myself the level of E=empathy required to move on to the next stage. So I guess my question could be reworded as "Is it possible to give yourself sufficient empathy in self-help mode?" or "Are there techniques or tools you can use to give yourself empathy in self-help mode?" David's Response Thanks, cool question! Blind spot, especially in relationship problems To get experience in the “patient” role Sometimes, we all need a little help from a friend, and that can sometimes be vastly faster than trying to do everything on your own. But in terms of empathy, I believe you CAN treat yourself with empathy, warmth, and compassion, and that is actually one of the keys to recovery, whether or not you're in treatment with a shrink! 4. How does David understand the difference between healthy and unhealthy emotions? Is there any overlap between EFT (Emotionally Focused Therapy) and David's TEAM-CBT? Hi Dr. David and Dr. Rhonda, I have a question if you have a chance, and maybe this is better for an Ask David. David talks about healthy emotions sometimes, and this feels like a faint through-line to EFT model. Does David have a framework for understanding healthy emotions or emotional needs? When a client is grieving, David encourages the tears to flow and notes it's an expression of how much the client valued something. David also demonstrates what EFT would call protective anger, when using the counterattack method, “I'm tired of listening to your BS.” And lastly David demonstrates what EFT labels self-compassion while using the acceptance paradox and 5 secrets responses to critical thoughts. Thanks, Zach David's Response Thanks for the excellent question. I have to confess that I don't know much about EFT, but I think there's a lot of overlap in different “therapies” since many people “borrow” ideas from other experts, and get so excited about them that they call them their own, and simply give them a new name, claiming to have something entirely new. And it sounds like there are some definitely similarities between my TEAM-CBT and what is called “EFT.” If this is true, I'm certain I didn't do the “borrowing” since I don't attend to the work of others in the field, for better or worse. At any rate, I have always taught my students that each negative feeling has a healthy and an unhealthy version, as you can see in the following table. The main difference is that the healthy version results from valid negative thoughts, and the unhealthy version results from distorted negative thoughts. However, in the past 25 years or so, I've taken a new look at so-called “unhealthy negative feelings” in my TEAM-CBT. There, we reframe the negative feelings, showing what's beautiful and awesome about each one. IN other words, we genuinely try to sell the patient on NOT changing. Paradoxically, this approach, which I call Positive Reframing, seems to melt the patient's resistance to change, and that nearly always opens the door to the possibility of rapid change. Healthy vs Unhealthy Negative Feelings Healthy Version Unhealthy Version Sadness, grief when you've lost someone or something you loved Depression, worthlessness, hopelessness Healthy fear when you're in danger Anxiety, nervousness, worry, and panic, and phobias Healthy remorse when you've hurt someone you love Neurotic guilt, blaming yourself for something you're not entirely, or at all, responsible for Healthy inadequacy and awareness of your very real shortcomings and limitations Worthlessness, inferiority Missing someone you love Desperate loneliness, abandonment, feeling unlovable Discouragement when you fail or when things don't work you Hopelessness Sharing your anger in the spirit of love and respect Unhealthy anger, aggression, acting out your anger with the goal of hurting or upsetting the other person, or getting back at them Thanks so much for listening today! Warmly, Rhonda and David
Ask David: Burn Out; When Challenging Thoughts Doesn't Work; and more! Featuring Dr. Matthew May In today's podcast, Matt, Rhonda and David discuss four challenging questions from podcast fans like you: 1. Joseph asks if it's okay to take a break when you get “burned out.” Below, David expands on this and describes the difference between “healthy” and “unhealthy burnout.” 2. Joseph also asks why your feelings might not change when you challenge your negative thought with a positive thought that's 100% true. 3. Dan asks about Step 4 of the Relationship Journal, which is the most difficult and important step in the TEAM interpersonal model—see exactly how you're forcefully causing and reinforcing the very relationship problem you're complaining about. For example, if the person doesn't “listen,” you'll see that you're forcing them not to listen. If she or he doesn't open up and express feelings, you'll see that you prevent them from opening up. And if you think your partner doesn't treat you in a loving and respectful way, you'll suddenly see exactly why this is happening—if you have the courage to take look and see: But if fact, this is one of the “Great Deaths” of the “self” in TEAM-CBT, and very few folks are willing to “die” in this way. 4. Finally, Clay asks about EMDR. He's been treated with it without success. David and Matt weigh in with their thoughts about EMDR. This question was not addressed on the podcast, since some practitioners of EMDR might be offended by David and Matt's thinking, but they did describe their thoughts in the show notes below. If you are an EMDR enthusiast, you might prefer NOT to read our comments. Joseph writes: Thanks, David, for sharing so much on the podcasts! I have a couple questions. Personally, I find that when I'm burnt out, I get a lot more anxious automatic thoughts. While it's definitely good to combat these distorted thoughts by replacing them with realistic ones, my takeaway is that it's also sometimes wise to change our lives / circumstances (e.g. to take a break). By the way, I also wanted to ask if you've ever faced a situation where you are convinced that a thought is distorted and irrational (and you know what the realistic thought is), but you still can't shake it off? I sometimes get stuck when I already know the "right answer" (ie. what the realistic thoughts are based on the methods you've taught), but I just can't seem to get my brain to fully believe it. For example, I was recently on vacation and a small blip made me think "my vacation is ruined!". I immediately identified it as all-or-nothing thinking, and replaced it with "my vacation is still going very well even if it's not perfect" (and I'm convinced this thought is true), but somehow my mind kept going back to the automatic thought again and again. Curious if you've ever experienced this. Thanks again so much for your time and your teaching; just wanted to say I really appreciate it! :) Regards Joseph David's Reply to Joseph. Thanks for the great questions. We address both of them on an upcoming podcast. Here's the quick response. Yes, it is okay to take a break when you feel “burned out.” However, you can get “burned out” in a healthy or unhealthy way. For example, after I edit for two or three hours, which I love, my brain gets “burned out.” So I take a break and come back later, maybe even a day later, and I feel refreshed and filled with enthusiasm about writing and editing some more, because I love these activities. When I was in private practice in Philadelphia, I saw 17 patients back to back on Wednesdays. That way, I could have a three day weekend. Actually, I loved it and as the day went on, I got higher and higher. At the end I was exhausted, but exhilarated. I was never “burned out” because I loved what I was doing, and the clinical work was SO rewarding! However, sometimes I made a mistake and a patient would get very upset, sometimes angry with me, or felt hurt. THAT was when I got suddenly burned out and exhausted. But it wasn't because of my work, or the conflict, but rather my thoughts about it, which generally involved a combination of self criticism and frustration with the patient, both the result of distorted thoughts, generally Self-Directed and Other-Directed Should Statements. And THAT kind of “burned out” won't improve with a break. The answer is challenging and changing your own inner dialogue, as well as your dialogue with the other person, using the “failure” in the relationship as an opportunity to listen and support and create a deeper and more meaningful relationship. With regard to your second excellent question, we explored that in depth in the podcast, and also made it a problem for our listeners to think about. So tune in for the answers! This is a popular question I've been answering for more than 40 years, and the answers tell us a great deal about how cognitive therapy actually works. Thanks so much, Joseph! Subject: Relationship Journal Gem I Found Dan (a former participant in David and Jill's Tuesday training group at Stanford) writes: Hello to the Dynamic Duo (David and Jill), I came across this doc for Step 4 of the Relationship Journal, but I don't really understand it and I don't remember the context. I know it was from the Tuesday Group years ago. It says it's about conceptualizing the problem, just not sure how to utilize this in step 4. Thanks. (You will find this document in the show notes below.) ~Dan (Daniel C. Linehan, MSW, LCSW) David's Reply Hi Dan, Great question. In this document, I am trying to make it a bit easier for folks to see how they are triggering the very problem they are complaining about. So, I have listed three categories of common complaints. For example, an Empathy complaint would be that “My partner doesn't listen,” or “always has to be right.” Then you ask, “If I wanted to force my partner to behave like this, how could I so?” Well, one good way would be to interrupt when your partner is trying to talk, or argue and insist your partner is wrong when they're trying to make a point, and so forth. This would force your partner to argue and insist that they are right! It is pretty basic and obvious. But most human beings don't “get it,” and in part that's because a great many don't want to. Blaming the other person seems way more popular than looking at your own role in the problem these days. Good to hear from you on this important topic! People can usually “see” how step 3 of the Relationship Journal works—you simply examine what you wrote down in Step 2, and you can almost always see no E (Empathy), no A (assertively sharing your feelings with “I Feel” Statements, and no R (conveying respect or liking to the other person, even when you're angry.) But most people don't seem to have the natural mental aptitude or the stomach for Step 4, where you go beyond Step 3 and explain EXACTLY how you FORCE the other person to behave in the exact way you're complaining about. The document in the link is an attempt to help people with Step 4—IF you are willing to examine your own role in the problem. In Step 4, you ask yourself what category you see the other person in, and there are three choices to make it fairly simple. You might feel that they don't listen or try to see your point of view. This would be an E = no Empathy complaint. Or you might feel like they can't, or won't, share their feelings. Instead, they might just keep arguing, or they might refuse to open up. This would be an A = no Assertiveness complaint. Or, you might complaint that they don't treat you with warmth, love, or respect. That would be an R = no Respect complaint. This makes it much easier to “see” how your response to the other person in Step 2 actually causes and reinforces the exact behavior you're complaining about. Lots of people get defensive or annoyed at this step of the RJ, and refuse to continue! That's because Step 4 is all about the third “Great Death” of the “self,” or “ego,” in TEAM-CBT. Most of us don't want to “die” in this way. It can feel humiliating, or shameful, to pinpoint your own role in the problem. But, there's usually a big reward—you're suddenly “reborn” into a far more loving and satisfying relationship. In the podcast, brave and wonderful Rhonda provided David and Matt with an example when she was visiting her son and daughter in law in Germany last month to help out with their twin baby girls. This example really brings this “Great Death” to life, and we are grateful to Rhonda for helping us in this very vulnerable and real way! Feel free to ask again if I have not made it clear. To me, this phenomenon of causing the very problems we are complaining about in our relationships with others is incredibly fascinating. However, change involves the “death of the self,” which is painful, because you have to see, usually for the first time, your own role in the problem you're complaining about. It is based on the Buddhist idea that we create our own interpersonal reality at every moment of every day. In other words, we CREATE our enemies, and then whine and complaint about it! Most people don't want to see this! They want the therapist (or friend they're confiding to) to agree that the other person REALLY IS a jerk, or to blame, or whatever. They just want to complain and blame and feel superior! In my book, Feeling Good Together, I think I said something to the effect that we “want to do our dirty work in the dark.” In other words, we don't want to turn the lights on so we can “see” how we're actually causing the conflict. The person asking for help can nearly always be shown to be the 100% cause of the conflict. This technique is one I recommend when working with an individual, and not a couple. Other less confrontational techniques are probably more effective when you are working with both partners at the same time. Warmly, david (David D. Burns, MD) Here's the document: Conceptualizing the Patient's Complaint in Step 4 of the Relationship Journal (RJ) By David D. Burns, MD* Problem Area Specific Complaint—S/he Complaints about the other person's lack of E = Empathy Won't listen Does not understand me Always has to be right Always criticizes me Constantly complains and ignores my advice Constantly brags and talks about himself / herself Doesn't value my thinking or ideas. Is defensive and argumentative Doesn't care about my feelings. Complaints about the other person's lack of A = Assertiveness Cannot (or will not) express his or her feelings Cannot deal with negative feelings Expects me to read his or her mind Clams up and refuses to talk to me Won't be honest with me pouts and slams doors, insisting s/he isn't mad! won't tell me how she / he is feeling. isn't honest with me. suddenly explodes for no reason, out of the blue. Complaints about the other person's lack of R = Respect Always has to get his or her way Is stubborn Is controlling Does all the taking, while I do all the giving Uses me Puts me down Is judgmental Does not care about me or respect me Only cares about is himself / herself Constantly complains and ignores my advice. Explanation. When you are using the Relationship Journal, you will usually have a complaint about the other person. For example, you may complain that she or he “never listens,” or “is always si critical,” or “constantly complains but never listen to my advice.” If you write down one thing the other person said in Step 1 of the RJ, and exactly what you said in Step 2, you can usually easily analyze your response with the EAR Checklist. That shows what you did wrong, and why your response was ineffective. You can also use the Bad Communication Checklist to pinpoint your communication errors, and some people prefer this format. In Step 4, you go spell out precisely why your response will FORCE the other person to keep doing the exact thing you're complaining about. One easy way to conceptualize the nature of your complaint about the other person is with our convenient EAR algorithm. This document can help you “see” the problem you're complaining about when you do Step 4 of the RJ. That makes it much easier to discover exactly how you are triggering and reinforces the exact problem you're complaining about. LMK what you think! Clay writes: Hello David, I know you no longer practice, but could I please get an opinion from you on EMDR? So far I have done about six sessions of EMDR and I feel worse than when I began. Does one typically feel worse before one feels better with EMDR? I know you are for Team CBT, and I think it has a lot of merit and science behind it! It just seems a little magical to me that by alternately tapping that I am going to resolve traumas or anxiety issues that happened a long time ago and maybe even recently, but I am going into it with an open mind and the possibilities. Best to you and your family, David, and thank you for the revolution in cognitive therapy you started with Aaron Beck and Albert Ellis! Kind regards, Clay Wilson Hi Clay, I've never been an EMDR enthusiast. To me, it's just cognitive exposure, which definitely can have value in anxiety, coupled with “eye jiggling.” Many of it's proponents seem to think that they have found the holy grail, and I have no doubt that a few will slam me for me non-supportive response! And please remember that I'm a cynic, so take it with a grain of salt. In TEAM, we use more than a hundred M = Methods, and only after doing the T, E, A steps, which are absolutely crucial to success in most cases. Best, david PS I'm copying Rhonda and Matt. If we used your question on an Ask David, would you be open to that, with or without your correct first name? Happy to disguise your name. David D. Burns, MD Dear David, I greatly value your ideas and that you are a cynic. In 6 sessions of the EMDR, I have not felt any better. You are absolutely free to use my name and you don't need to disguise it at all. I live in Columbus, Montana and as far as I know, there is only one person in Bozeman who does Team CBT. I sent her an email but didn't hear back but it's 100 miles from us anyway. Thank you very, very much for your view on EMDR! I was thinking something similar myself. All the very best to you and your family! Most Sincerely, Clay David's Response HI Clay, You're welcome. My website is full of free resources, anxiety class, depression class, more than 300 TEAM podcasts, and more. My book, When Panic Attacks, is pretty cheap in paperback. Also, beta testing of thee Feeling Good App is still free. T = Testing, E = Empathy, A = Addressing Resistance, and M = Methods (more than 100.) A is likely the most important step! Thanks, best, david Matt's Response Hi Dan and David, My guess is that EMDR showed some early results due to the tendency of most therapists to avoid exposure techniques and try to 'smooth over' anxious thinking and trauma, rather than just dive in and explore it, fearlessly. I suspect this created a large cohort of anxious and traumatized patients, waiting in the wings, for such treatment, so it showed immediate favorable data. However, this method is only one of dozens, and the setup is key. Why would you want to overcome something traumatic? Wouldn't it be more useful to remember it and avoid anything that resembles it? Meaning, there may be powerful methods, including exposure and (usually) less-effective methods, like 'eye-jiggling' and other distraction techniques out there for anyone, but why bother with these if the symptoms are helpful and appropriate? This is the main idea in TEAM . People recover when they want to recover, not when someone applies the correct methodology. -Matt Hi Dan, David, and Matt: In addition to being a TEAM therapist, I also practice EMDR. I find it to be very effective, especially when used within the TEAM structure. It may not be for everyone, but it's great to have many options for our clients. -Rhonda David's comment. Yes, and here Matt's is pointing out some of the paradoxical “Outcome Resistance” strategies we use with anxious patients when doing TEAM therapy. We become the voice of the patient's resistance to change, and verbalize all the really positive things about the anxiety symptoms: how they protect us from danger and express our core values as human beings. Paradoxically, this often reduces resistance and opens the door to change. In TEAM, we treat the human being with systematic TEAM therapy. We do not treat symptoms with techniques. The meaning of this may be hard to “see” if you haven't seen or experienced it. But there are a large number of actual therapy sessions your can listen to in the podcasts. Best, David Thanks for asking such terrific questions and for listening! We all greatly appreciate your support. Keep your questions and comments (negative as well as positive) coming! Rhonda, Matt, and David
From the time Aaron Beck and Albert Ellis recognized the importance of addressing unhelpful cognitions and cognitive processes in the treatment of depression in the 1960's, cognitive behavioral therapy has become a driving force in the world of evidence-based practice. Initially, Drs. Beck and Ellis focused on the content of thoughts as the primary target for psychological interventions. Similarly, modern behavioral psychology has emphasized the importance of addressing cognition as a key aspect of successful psychotherapy. However, B.F. Skinner's focus on verbal behavior as a generalized operant and modern contextual behavioral scientists' work on Relational Frame Theory tend to emphasize the importance of addressing contextual factors that influence the function or impact of language over the content of thoughts. In this wide ranging episode, Drs. Jeff Mann, Andy Santanello, and Kevin Holloway discuss places of convergence between these two great traditions and look toward the future of process-based approaches to cognition. Make sure you grab some coffee and a snack: this is a LONG one!Jeffrey Mann, Psy.D., is a Military Behavioral Health Psychologist at the Center for Deployment Psychology (CDP) with the Uniformed Services University of the Health Sciences. Dr. Mann provides support Navy mental health training programs and is a Veteran of the United States Air Force (USAF) where he served as a psychologist from 2009 to 2013. In 2013, he deployed to Southwest Asia in support of Operation Enduring Freedom.Dr. Mann received his bachelor's degree in computer science from DePauw University and his master's and doctorate degrees in clinical psychology from the Adler School of Professional Psychology, Chicago, with a specialization in primary care psychology. He is a 2010 graduate of the Wilford Hall USAF Medical Center Psychology Residency Program.Dr. Mann's clinical work has focused on the assessment and treatment of trauma-related mental health conditions, anxiety disorders, insomnia and the use of Telebehavioral Health.Calls-to-action: Subscribe to the Practical for Your Practice PodcastSubscribe to The Center for Deployment Psychology Monthly Email
It's May according to the calendar. That means we have reached Mental Health Awareness Month once again. This week the guys are talking Recovery-oriented Cognitive Therapy (CT-R). A form of therapy that was based around cognitive behavioral therapy, Aaron Beck's therapy developed from a belief that a person's experiences result in cognitions or thoughts and these are related to core beliefs developed from early life. These cognitions create our emotional behaviors and states. Hey everyone, welcome to episode two hundred three of Above Ground Podcast. We are into May, spring and we continue to grow. Above Ground Podcast is always trying to bring you useful tools and to turn you on to something new to bring to your mental wellness. This week talk CT-R , a form of CBT that Will was just recently turned on too. CBT Aaron Beck's Beck's work with depressed patients taught him that depression is the result of hostility turned inward. CT-R is Beck's most recent research and developed theory of therapy. This modality focuses on concrete and actionable steps to promote resilience and recovery. Rather than focusing on symptoms, the team works on aspirations, to identify values and to take steps in pursuit of ones goals. Thank you for listening this week. Join us all month and all year everywhere you pod. Until next week, get well, be safe, stay ABOVE.
COHERENCIA es una de las palabras que se han puesto de moda últimamente. Todo el mundo como loco buscando ser coherente. Coherencia es uno de los pilares básicos de los cambios en TCO Psicología y coaching, de hecho, uno de nuestros lemas es “vivir sin sufrimiento es vivir en coherencia” En este podcast te explico lo que entendemos por coherencia y como conseguirla, basándonos en la triada cognitiva de Aaron Beck. SUSCRIBIRTE A NEWSLETTER: https://acumbamail.com/newform/web/uSH9vHsVMBMsXreNjQ3jhCcQfQQ7R0Nbsm8IAZkLq3WtT/35726/ DESCARGARTE EL TEST DE AUTOESTIMA: https://www.tcopsicologiaycoaching.com/testautoestimapodcast Sesión Informativa: https://www.tcopsicologiaycoaching.com/sesioninformativagratuita Como siempre te pedimos TRES favores muy grandes UNO PARA NOSOTROS, OTRO PARA ALGUIEN QUE QUIERAS y OTRO PARA TI. 💙 Favor para nosotras: Da LIKE al episodio SUSCRÍBETE al podcast para que nos incluyan en los ránking y poder llegar cada vez a más personas. 💞 favor para alguien a quien quieras: 1. Piensa en alguien que tenga algún problema relacionado con este audio. 2. COMPARTE este audio dándole a compartir en esta misma plataforma. 💝 Un favor PARA TI Si algo de todo esto ha resonado contigo no mires hacia otro lado y pon solución. 1. Pon en práctica lo que hayas aprendido 2. Si no puedes en solitario busca ayuda profesional que te asegure llegar a tus metas en menos tiempo y con el menor sufrimiento posible. Si quieres que nosotras te acompañemos pídenos una sesión informativa en contacto@tcopsicologiaycoaching.com o rellenando el formulario de la web. Sesión Informativa: https://www.tcopsicologiaycoaching.com/sesioninformativagratuita SUSCRIBIRTE A NEWSLETTER: https://acumbamail.com/newform/web/uSH9vHsVMBMsXreNjQ3jhCcQfQQ7R0Nbsm8IAZkLq3WtT/35726/ DESCARGARTE EL TEST DE AUTOESTIMA: https://www.tcopsicologiaycoaching.com/testautoestimapodcast Sesión Informativa: https://www.tcopsicologiaycoaching.com/sesioninformativagratuita Contacta con nosotras en: www.tcopsicologiaycoaching.com contacto@tcopsicologiaycoaching.com IG: @aroagranadospsicologa ¡Gracias por estar ahí! ¡Muchas gracias! Nos vemos en el siguiente podcast y recuerda: en la vida a veces se gana y a veces se aprende ¡piensa positivo! #psicologia, #psicologiaonline, #terapiaonline, #terapiapsicologica, #ayudaprofesional, #salumental, #normalizariraterapia, #normalizarpedirayuda, #pedirayuda, #psicologo, #terapia, #tco, #tcopsicologiaycoaching, #autoestima, #autoestimaalta #autoestimabaja #amorpropio #egoismo #ego #autovaloracion #autorespeto #autoconcepto #autoconocimiento, #coherencia, #aaronbeck #beck, #triadacognitiva
The sales process is rarely discussed in artist circles. We often think of sales as a single step. Either someone buys your art or they don't. There's' so much more to it. Yet, many of us think of sales as a dirty word, which is a bit ridiculous if we want to grow our businesses and careers. Artists need to adopt a new mindset surrounding sales in order to be successful. My guest on this episode of The Art Biz is Miriam Schulman, artist and founder of the Inspiration Place, where she helps other artists learn how to profit from their passion or become better artists. Miriam is the author of Artpreneur: The Step-by-Step Guide to Making a Sustainable Living from Your Creativity. In this conversation, Miriam and I review her Artpreneur Sales Playbook and 10-step sales process. Highlights Miriam's struggle with sales, despite her background in finance. (3:30) The evolution from general sales and marketing to effective art sales. (6:56) Curating your valuable contacts list. (9:05) The importance of mindset in sales success. (12:30) Developing a confident belief in the value of your art. (14:47) The first 5 steps of selling your art. (21:05) Body language, previewing the process, and establishing the decision maker. (27:37) Sell with stories, not facts, and selling happy endings. (33:10) Overcoming objections with the right language. (40:07) Close the sale by asking for it. (42:45) This Week's Action This week's action has two parts. Part 1 is to download the free chapter of Artpreneur at schulmanart.com/believe. Part 2 is to write out Miriam's 10 steps in the sales process and post them somewhere so you're reminded that it is a process. You need to be invested in the steps of the process in order for it to work. Mentioned ArtBizAccelerator.com Free chapter of Miriam's book The Inspiration Place podcast Miriam on Instagram The Cone Sisters Dr. Aaron Beck's Cognitive Behavior Therapy Resources Show notes, images, and listener comments How to Price Your Art free report Art Biz Connection artist membership Quotes “Once I started making the connection between sales in general and selling for art and understood that there wasn't a difference, I became a student of marketing and sales, and that has made all the difference.” — Miriam Schulman “Marketing 101 is investing in human relationships.” — Miriam Schulman “My art, going out into people's homes, became ambassadors for me.” — Miriam Schulman “Mindset is everything. Mindset trumps talent.” — Miriam Schulman “Overcoming objections is about having compassion for the buyer and knowing where they are coming from.” — Miriam Schulman About My Guest Miriam Schulman is an artist and founder of The Inspiration Place, where she helps other artists learn how to profit from their passion or become better artists. She's helped thousands of artists around the world develop their skill sets and create more time and freedom to do what they love. Her art and story have been featured in major publications including Forbes, The New York Times, Art of Man, Art Journaling magazine, What Women Create as well as featured on NBC's “Parenthood” and the Amazon series “Hunters” with Al Pacino. Schulman's forthcoming book with HarperCollins Leadership Artpreneur is scheduled to be released on January 31, 2023. First posted: ArtBizSuccess.com/sales-schulman-podcast
You guys know that I'm a total nerd when it comes to these things, and I've been asked to address this a surprising number of times, so let's look at how Stoic philosophy and Cognitive Behavioral Therapy (CBT) are connected. You really can draw a line from Zeno of City to Aaron Beck if you take a few minutes... This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit theanxiousmorning.substack.com
This episode will challenge you to notice the cognitive thought errors in your life - errors like catastrophic thinking, overgeneralization, jumping to conclusions, and more - and discuss ways to overcome these errors in order to improve your mental state. To learn more about me and my reproductive psychiatry clinic helping patients across California, please visit - AnnaGlezerMD.comLinks:Cognitive-therapy psychologists with workbooks and other self-help materials:Aaron Beck, PhD https://beckinstitute.org/David Burns, MD https://feelinggood.com/
This week, Anna and Bonnie talk about the father of cognitive behavioral therapy (CBT), Dr. Aaron Beck. As always, Anna talks about Aaron's life and times, of which there are many, because this was a very busy man. They chat about CBT techniques that Beck created and even used on himself, along with how those were radically different than the Freudian stuff of the time. Then Bonnie talks about several of the assessments created by Aaron himself, including the Beck Depression Inventory.
Scott Waltman is a clinical psychologist who specializes in cognitive behavior therapy. He is the first author of "Socratic Questioning for Therapists and Counselors: Learn How to Think and Intervene Like a Cognitive Behavior Therapist." He was a trainer for the late Aaron Beck, the originator of cognitive behavior therapy. He is a clinician and practice-based researcher Self-Sabotage FREE masterclass Follow me on Instagram Subscribe to the free “Happy, Healthy Newsletter" Join "The Happy Healthy Human Academy" free private Facebook community Support the show by buying a coffee! Connect on Linkedin Scott's AMAZING Instagram The FREE "think like socrates event"
Scott Waltman is a clinical psychologist who specializes in cognitive behavior therapy. He is the first author of "Socratic Questioning for Therapists and Counselors: Learn How to Think and Intervene Like a Cognitive Behavior Therapist." He was a trainer for the late Aaron Beck, the originator of cognitive behavior therapy. He is a clinician and practice-based researcher Self-Sabotage FREE masterclass Follow me on Instagram Subscribe to the free “Happy, Healthy Newsletter" Join "The Happy Healthy Human Academy" free private Facebook community Support the show by buying a coffee! Connect on Linkedin Scott's AMAZING Instagram The FREE "think like socrates event"
前面提过,恐惧包含很多负面的情绪,也是现代人都要面对的心理现实。恐惧,自然带来无力和绝望的感受,而长期的无力甚至绝望感,也造成一个人忧郁不安,甚至疲惫失眠等身心症状。不快乐,在我们身边其实比比皆是。忧郁,已经成为一种个人和社会集体的慢性疾病。心理学家已经发现,长期的无力感是忧郁症的因子。无力感和其他情绪一样,是可以透过经验而养成的。一九六七年美国宾州大学的赛里格曼(Martin Seligman)针对忧郁的机制作了一整套实验。他将狗关在笼子里,让地板接上微量的电流,发出的电击不会致命,却很不舒服。一个笼子里设有开关,里头的狗可以用鼻子顶着顶着,去关掉电击。另一个笼子则没有开关,狗无法控制,除了忍受电击,什么也做不了。研究人员等到狗习惯笼子里的生活后,再把狗放到同样有电击的另一个笼子,没有开关。不过,笼子里有一个矮隔板,只要狗跳到隔板的另一边,就可以躲开电击。已经习惯了有开关可以控制电击的狗,会设法离开电击(见左图),没多久就会发现只要跨过矮隔板就没事了。至于已经习惯无法控制环境的狗,则只是躺在那里,无奈地忍受电流时不时的刺激。即使隔间就在眼前,就在它跨一步就过得去的距离,也不想尝试。任何人只要看到那一幕,一定能体会到——无法控制环境的刺激,长期下来所养成的无力感,自然让狗对一切失去兴趣,就连逃开难受的环境,都打不起精神来尝试。如果是人有这种情况,我们会称他得了忧郁症。一个人如果无法控制周遭的一切,也许是被长期冷落忽视、什么都做不成、做什么都被喝止或打压,甚或遭遇命运不可抗力的捉弄,长期下来,那种无能为力的感觉不光是让人难受,也让人对周边的一切失去兴趣,甚至就连一口呼吸都感觉费力。相信我们都在身边看过这种人,也可能自己现在或曾经有过同样的情况。很难挣脱那一股灰暗和黏滞,连想挣脱的念头都无力生起,只能任由自己被深深的无力往下拉。就连清晨的阳光都刺眼,只希望第二天不要再来。这种时候,对人生很难不悲观。更辛苦的是,旁人种种善意的鼓励和打气,反而像一个个沉重的包袱,再多应付一个,都让人更绝望。会走到这样极端的绝望和悲观,可以说是我们的大脑「迷路」了,走进一个难以脱身的认知迷宫。认知学派的心理学家贝克(Aaron Beck)在一九七○年提出「忧郁的认知三角」,又称为「负面思考三角」,描述一个人的信念怎么造出一个忧郁的迷宫。这个迷宫包括三个要素:自己、世界、未来。而大脑在对这三个要素的负面想法之间迷路了,就像下一页的图一样,在「我真是糟透了」→「这个世界不公平」→「未来没有希望」……的循环里走不出来。贝克从这个负面认知的三角循环下手,开启了很有名的认知行为治疗学派,是一个经过学术检验有效的心理治疗方法。疗程大约六至八周,比传统动辄好几年的精神分析更快看到效果,而被医院和学校广泛采用。他教病人认出自己负面的念头,认出自己是怎么生出这些想法,而这些想法又是怎么延续下去,让自己更不快乐。透过有意识的觉察、记录和观察,中断这些负面想法的恶性循环,确实帮助很多不快乐的人跳出这个迷宫。面对这些想法带来的痛苦,最好的解答其实是提醒自己——我不是这个负面的认知。任何念头都是一个妄想,而这个认知不等于我。要怎么彻底解开这个恶性循环,还有一个很简单的方法,这本书到后面会提出解答。——摘自《不合理的快乐》—————————————作者:杨定一博士播音:张婉琦背景音乐:瑜珈练习音乐
Podcast 289: A Case of Social Anxiety: Featuring David with Dr. Stirling Moorey (Part 1 of 2) Today, David is joined by one of his first students, Dr. Stirling Moorey, for co-therapy with Anita, a woman struggling with social anxiety. You may remember Stirling from Podcast 280. Stirling was one of David's first cognitive therapy students, and they spend a month doing cotherapy tether in 1979 and again in 1980. David described the magic of their work together in his first book, Feeling Good, and today they are reunited as a therapy team again for the first time in more than 40 years! I, David, am super excited about working with Stirling again, and hope you enjoy our work with Anita. Rhonda, Stirling, and I are very grateful for Anita's courage and generosity in letting us share this very personal and real session with you! Anita is a member of the Wednesday International TEAM Training group run by Rhonda and Richard Lam, LMFT. She lives in Nairobi, Kenya, and has a Master's Degree in Counseling. Here is how she introduces herself: I am Anita Awuor from Nairobi, Kenya. I have worked as a therapist for 20 years but only recently been introduced to the TEAM Model which has changed the way I work. I work with couples, individuals and families. And recently I worked with an NGO part time. It's an honor for me to be here to work with David, Rhonda and Stirling. Dr. Stirling Moorey had the good fortune to be trained by two founders of Cognitive Behavioral Therapy, Dr. Aaron Beck, and our own, Dr. David Burns. Stirling and David worked together in 1979, when Stirling was in medical school in London and came to Pennsylvania for an elective with Dr. Beck. Once he arrived, Dr. Beck asked David if he would work with Stirling, and then, history was made as David created the 5-Secrets of Effective Communication after watching Stirling provide deep empathy to the patients they worked with together. Stirling is currently a Consultant Psychiatrist in Cognitive Behavioral Therapy and was the Professional Head of Psychiatry for the So. London & Maudsley Trust from 2005-2013. He is currently the visiting senior lecturer at the Institute of Psychiatry, Psychology and Neuroscience in London. He is the co-author, with Steven Greer of The Oxford Guide to CBT for People with Cancer, and co-edited the book, The Therapeutic Relationship in CBT, published by Sage Publishing. T = Testing If you click here, you can take a look at Anita's initial Brief Mood Survey, which was completed just prior to her session with Stirling and David. As you can see, her depression and anxiety scores were in the moderate to severe range, but her anger score was minimal, only 1 on a scale from 0 to 20. Her Happiness score was extremely low, and here marital satisfaction score was fairly good, but with some room for improvement, especially in the category of “resolving conflicts. E = Empathy You can take a look at the first of two Daily Mood Logs that Anita sent to us just prior to the session. It describes her anxiety while driving to a support group. As you can see, her suffering was intense. She also brought in a second Daily Mood Log which described her feelings after receiving a poor evaluation from one of her supervisors at work. The supervision did not involve her clinical work but some management work she was doing. Stirling, with backup from David, did explored and summarized Anita's feelings. She explained that “Sadness has been a part of my life. I'm sad more often than I'm happy. Sometimes, the negative feelings are hard to live with. . . Problems in relationships often trigger my negative feelings, especially when others criticize me, and I've been down the last several days because of a poor evaluation I received from one of my supervisors at work. . . I don't like criticisms or conflicts, and sometimes I tell myself that I'll never be comfortable in groups.” Stirling asked about Anita's negative thoughts when criticized: I'll never be good enough. What's wrong with me? It's all my fault. She described a sequence where her negative thoughts about the situation lead on to more general self critical thoughts like “I'll never be comfortable in groups” and she then ruminates about her perceived shortcomings. She said, “when I have these kinds of thoughts, the feelings of sadness, anxiety and worthlessness get very high.” David read her two Daily Mood Logs (LINK) and she described the criticisms she received from her supervisor, who suggested that Anita's efforts had not been helpful. Anita felt hurt and angry, especially since this was the first time she'd received criticisms from her supervisor. Anita added that when she goes into a negative spiral, everything becomes ‘huge,” and she also tells herself, “I'm a bad mom.” Stirling asked what she does to cope when she's in pain: “I cry a lot. I beat myself up. And sometimes I share my feelings with my husband, but sometimes I just hold it all inside. Sometimes sharing with my husband helps, but sometimes it doesn't.” David asked Anita how she was feeling now, and she said that her anxiety had already gone down a lot. To bring closure to the Empathy phase of the session, David asked Anita to grade us on Empathy and she gave us As, and Rhonda had the same idea, scoring us as A +. I commented on the idea that Stirling's superb empathy skills were based, in part, on the "nothing technique." He systematically, skillfully, and compassionately summarized her words and acknowledged the pain they conveyed, without trying to make interpretations, and without trying to help or rescue. In other words, he gave her nothing but tremendous listening, which was exactly what she needed! Although this sounds simple, and nearly all therapists will think, "Oh, I do that, too," in my experience, this skill is actually quite rare. it can be taught, and that's on eo the goals of our two free weekly training groups for therapists. But learning genuine and effective use of the Five Secrets of Effective communication requires tremendous humility, dedication, and hard work on the part of the therapists who hopes to learn. End of Part 1. Next week, you will hear the exciting conclusion of the live therapy session with Anita!
Food prices were 7.6 per cent higher than in March last year, the highest annual rise in food prices in ten-years. The last time food prices rose so much in a year was July 2011 - that rise was 7.9 per cent but was influenced by the rise in GST the previous year. Stats NZ recorded increases in every food price category it measures - the most dramatic - an 18 per cent increase in the price of fruit and vegetables. Kathryn speaks with Stats NZ Senior Manager for pricing, social and population insights, Aaron Beck.
The Taproot Therapy Podcast - https://www.GetTherapyBirmingham.com
What went wrong with research and psychotherapy research? The McNamara fallacy, named for Robert McNamara, the US Secretary of Defense from 1961 to 1968, involves making a decision based solely on quantitative observations and ignoring all others. The reason given is often that these other observations cannot be proven. The fallacy refers to McNamara's belief as to what led the United States to defeat in the Vietnam War—specifically, his quantification of success in the war (e.g., in terms of enemy body count), ignoring other variables. -From Wikipedia I remember going into my first day of research class during my masters program. We sat and learned the evidence based practice system that the psychology profession is based on. Put simply, evidence based practice is the system by which clinicians make sure that the techniques that they are using are backed by science. Evidence based practice means that psychotherapists only use interventions that research has proved are effective. Evidence is determined by research studies that test for measurable changes in a population given a certain intervention. What a brilliant system, I had thought. I then became enamored with research journals. I memorized every methodology by which research was conducted. I would peruse academic libraries at night for every clinical topic that I encountered clinically. I would select studies that used only the best methodologies before I would believe that their findings had merit. I loved research and the evidence based practice system. I was so proud to be a part of a profession that took science so seriously and used it to improve the quality of care I gave patients. There was just one problem. The more that I learned about psychotherapy the less helpful I found research. Every expert that I encountered in the profession didn't use methods that I kept reading about in research. In fact there were actually psychological journals from the nineteen seventies that I found more helpful than modern evidence based practice obsessed publications. They would come up in digital libraries when I searched for more information about the interventions my patients liked. Moreover I found that all of the most popular and effective private practice clinicians were not using the techniques that I was reading about in the scientific literature either. What gives? Psychological trauma and the symptoms and conditions psychological trauma causes (PTSD, dissociative disorders, panic disorders, etc) are some of the most difficult symptoms to treat in psychotherapy. It therefore follows that patients with disorders caused by psychological trauma would be one of the most studied populations in research. So what are the two most commonly researched interventions for trauma? Prescribing medication and CBT or cognitive behavioral therapy. One thing that most of the best trauma therapists in the world all agree on is that CBT and medication don't actually process trauma at all, but instead assist patients in managing the symptoms that trauma causes. As a trauma therapist it is my goal to help patients actually process and eliminate psychological trauma. Teaching patients to drug or manage symptoms might be necessary periodically, but surely it shouldn't be the GOAL of treatment. I'm mixing metaphors but this image might help clarify these treatment modalities for those unfamiliar. Imagine that psychological trauma is like an allergy to a cat. Once you have an allergic reaction to the cat, a psychiatrist could give you an allergy medication like benadryl. A CBT therapist would teach you how to change your behavior based on your allergy. They might tell you to avoid cats or wash after touching one. A therapist practicing brain based or somatic focused trauma treatment would give you an allergy shot to help you develop an immunity to cats. The CBT patient never gets to know a cat's love. I don't have time to explore here why therapy that gives patients scripted ego management strategies like CBT took over the profession after the nineteen eighties . If you have any interest in why check out my article Is the Corporatization of Healthcare and Academia Ruining Psychotherapy?. Suffice it to say that insurance and american healthcare companies pay for much of the research that is conducted and they like to make money. CBT and prescribing drugs are two of the easiest ways for those institutions to accomplish those goals. Many of the MOST effective ways to treat trauma use the body and deep emotional brain system to assist patients in processing and permanently releasing psychological trauma. Unlike CBT the modalities that accomplish this are not manualizable. They can not be reduced to a “if they say this then you say that” script. Instead somatic therapies often use a therapist's intuition and make room for the patient to participate in the therapeutic process. CBT on the other hand is a formula that a therapist is performing “correctly” or “incorrectly” based on their adherence to a manual. Right now hospitals are rushing to program computers to do CBT so they can reduce overhead. Yikes! Think of a therapy experience like the self checkout at Walmart. If myself and most of the leading voices of the profession agree that newer brain based and body based therapy modalities are the future of trauma treatment then why hasn't research caught up yet? To stop this article from becoming a book I will break down the failure of modern research to back the techniques that actually work in psychotherapy. 1. It's Expensive – cash moves everything around me Research studies cost tons of money and take tons of time. Researchers have to plan studies and get the studies cleared with funders, ethics boards, university staff, etc.. They then have to screen participants and train and pay staff. The average study costs about $45,000. I would love to do a study myself on some of the therapy modalities that we use at Taproot Therapy Collective, but unfortunately I have to pay my mortgage. Studies get more expensive when you are studying things that have more moving parts and variables. Things like, Uh… therapy modalities that actually work to treat trauma. These modalities are unscripted and allow a clinician you use their intuition, conventional wisdom, and make room for a patient to discover their own insights and interventions. Someone has to pay for those studies and those someones usually aren't giving you that money without an agenda. Giant institutions are the ones most likely to benefit from researching things like prescribing drugs and CBT. They are also the ones that are the most likely to be in control of who gets to research what. The sedative drugs prescribed to treat trauma work essentially like alcohol, they dull and numb a person's ability to feel. Antidepressants reduce hopelessness and obsession. While this might help manage symptoms, it doesn't help patients process trauma or have insight into their psychology. Antidepressants and sedatives also block the healthy and normal anxieties that poor choices should cause us to feel. Despite this drugs are often prescribed to patients that have never been referred to therapy. For all the “rigorous ethical standards” modern research mandates, it doesn't specify who pays the bills for the studies. Drug companies conduct the vast majority of research studies in the United States, and those drug companies also like to make money. Funnily enough most of the research drug companies perform tends to validate the effectiveness of their product. Does anyone remember all the 90s cigarette company research that failed to prove that cigarettes were dangerous? All those studies still passed an ethics board review though. Maybe we should distribute research money to the professionals wha are actually working clinically with patients instead of career academics who do research for a living. At the very least keep it out of the hands of people who have a conflict of interest with the results. This leads me to my next point. 2. We Only Use Research to Prove Things that we Want to Know – Duh! The thing that got left out of my research 101 class was that the research usually has an agenda. Even if the science is solid there are some things that the commissioners of the studies don't want to know. For example, did you know that the D.A.R.E. program caused kids to use drugs? Uh..yeah, that wasn't what patrons of that research study meant to prove, so you never heard about it. It also didn't stop the DARE program for sticking around for another 10 years and 10 more studies that said the same thing. Giant institutions don't like to be told that their programs need to change. They wield an enormous amount of power over what gets researched and they tend to research things that would validate the decisions that they make, even the bad decisions. If you want research to be an effective guide for clinicians to use evidence interventions then you have to research all modalities of psychotherapy in equal measure. When the vast majority of research is funneled into the same areas, then those areas of medicine become better known clinically regardless of their validity. When very few models of therapy are researched, then those few models appear, falsely, to be superior. Easier and cheaper research studies are going to be designed and completed much more often than research studies that are more complicated. Even when institutional or monetary control of research is not an issue, the very nature of research design means that it is trickier to research things like “patient insight” than it is to research “hours of sleep”. This leads me to my next point. 3. Objective is not Better – People are not Robots CBT was designed by Aaron Beck to be a faster and data-driven alternative to the subjective and lengthy process of Freudian Psychoanalysis. Beck did this by saying that patient's had to agree on a goal that was measurable with a number, like “hours of sleep” or “times I drank” and then complete assessments to see if the goal was being accomplished. Because of this CBT is inherently objective and research based. CBT is therefore extremely easy to research. This approach works when it works, but a person's humanity is not always reducible to a number. I once heard a story from a colleague who was seeing a patient who had just completed CBT with another clinician to “reduce” marijuana use. The patient, who appeared to be very high, explained that his CBT clinician had discharged him after he cut back from 6 to only one joint per day. The patient explained proudly that he had simply begun to roll joints that were 6 times the size of the originals. That story is humorous, but it shows you the irony of a number based system invading a very human type of medicine. Squeezing people and behavior into tiny boxes means that you miss the whole person. Patients with complex symptoms presentations of PTSD and trauma are often excluded from research studies because they do not fit the criteria of having one measurable symptom. Discarding the most severe and treatment resistant cases means that researchers are left with only the easiest cases of PTSD to treat. This in turn, falsely inflates the perceived efficacy of the model that you are researching. Additionally, these studies usually exclude people who “drop out” of therapy early. In my experience people who leave therapy have failed to be engaged by the therapist and their model of choice. This falsely inflates the efficacy of models that discount patients that don't continue to come to a treatment that they feel is not helping them. It is my belief that it is the therapists job to engage a patient in treatment, not the patient to engage themselves. Trauma patients often quickly know whether or not a treatment is something that is going to help them or whether or not the information that a therapist has is something that they've already heard. Trauma affects the subcortical regions of the brain, the same regions that newer brain based medicine is targeting. CBT is a cognitive based intervention that measures and seeks to modify cognition. Clinical research stays away from measuring subcortical activation and patients' subjective feelings in favor of measuring cognition and behavior. Newer models of therapy like brainspotting and sensorimotor therapy are able to deliver results to a patient in a few sessions instead of a few months. Brainspotting therapy changed my life, but after completing the therapy I didn't “know” anything different. Brainspotting did not impart intellectual or cognitive knowledge. I was able to notice how my body responded to my emotions. I was also able to release stored emotional energy that had previously caused me distress in certain situations. Brainspotting did not significantly change my behavior and it would be difficult to quantify how my life changed with an objective number. These kinds of subjective and patient centered results are difficult for our modern evidence based system to quantify. Researchers hesitate to measure things like “insight” “body energy”, “happiness”, or “self actualization”. However it is these messy and human concepts that clinicians need to see in research journals in order to learn how to do a human connection centered profession. 4. People Learn from People not Numbers – Publish or Perish Once a research study is complete, the way that it is delivered to the professional community is through a research journal. Modern research journals focus on cold data driven outcomes and ignore things like impressionistic case studies and subjective patient impressions of a modality. The decision to do this means that the modern research journal is useless to most practicing clinicians. Remember when I said that I read academic journals from the 70's and 80's? I do that because those papers actually discuss therapy techniques, style and research that might help me understand a patient. Recent research articles look more like Excel spreadsheets. The corporatization of healthcare and academia, not only changed hospitals, it changed Universities as well. The people designing and running research studies and publishing those papers have a PhD. Academia is an extremely competitive game. Not only do you have to hustle to get a PhD., you have to keep hustling once you do. How do you compete with other academics once you get your PhD? The answer is that you get other people to cite your research in their research. You raise the status of yourself as an academic or your academic journal based on how many people cite your article in their article. The amount of times that a publication has its articles cited is called an impact factor and the amount of times that an author's articles get cited is measured with something called an h-index or RCR. In my opinion many of the journals and academics with the low scores by these metrics are the best in the profession. The modern research system focusing on these metrics has definitely not resulted in the creation of some page turner academic papers. In fact this competitive academic culture has led to modern journals being garbage that create careers for the people that write them and not change in the clinical profession. Academics research things that will get cited, not things that will help anyone and certainly not anything that anyone wants to read. Often the abstract for a modern research paper begins like this “In order to challenge the prevailing paradigm, we took the data from 7 studies and extrapolated it against our filter in order to refine data to compare against a metric…”. They are papers written to get cited but not to be read. They are the modern equivalent of those web pages that are supposed to be picked up by google but not read by humans. 5. Good Psychology Thrives in Complexity – In-tuition is Out Do you remember the middle school counselor that said “I understand how you are feeling” with a dull blank look in her eyes? Remember how that didn't work? Good therapy is about a clinician teaching a patient to use their own intuition and the clinician using their own. It is not about memorizing phrases and cognitive suggestions. The best modalities are ways of understanding and conceptualizing patients that allow a therapist to apply their own intuition. A modality becomes easier to study, but less effective, when it strips out all of the opportunity for personality, individuality and unique life experience that a clinician might need to make a genuine connection with a patient. Research studies are deeply uncomfortable with not being able to control every variable that goes on in a therapy room. However, the therapy modalities that strip that amount of control from a clinician could be done by a computer. Why is it not okay to research more abstract, less definable properties that are still helpful and observable. For example let's say that this is the research finding: “Clinicians who introduce patients to the idea that emotion is experienced somatically first, then cognitively secondarily in the first session had less patients drop out after the first session.” or “Clinicians that use a parts based approach to therapy (Jungian, IFS, Voice Dialogue, etc.) were able to reduce trauma symptoms faster than cognitive and mindfulness based approaches.” If those statements are true then why does it matter HOW those clinicians are implementing those conceptualizations in therapy? If we know that certain strategies of conceptualization are effective then why does research need to control how those conceptualizations are applied? If clinicians who conceptualize cases in a certain way tend to keep patients, then why does it matter if we can't control for all the other unique variables that that clinician introduces into treatment. With a big enough sample, we can still see what types of training and what modes of thinking are working. Modern research has become more interested in why something works instead of being content to simply find what works. If patient's and clinicians with trauma all favor a certain modality, then why does it matter if we can't extrapolate and control all the variables present in those successful sessions. Research has stayed away from modalities that regulate the subcortical brain and instead emphasized more measurable cognitive variables simply because it is harder to measure the variables that make therapy for trauma effective! This is a whole other article, but the American medical community has become fixated on managing symptoms instead of curing or preventing actual illness. Research has become hostile to variables that contain affective experience or clinical complexity or challenging the existing institutional status quo. The concept of “evidence” needs to be expanded to include scientifically plausible working theories that have been validated by clinicians and patients alike. This is especially important regarding diagnoses that are difficult to broadly generalize like dissociative and affective disorders. 6. In Conclusion – Results Psychotherapy is a modality that is conducted between humans and it is best learned about and conveyed in a medium that considers our Humanity. The interests of the modern research conducting institution and research publishing bodies largely contradict the interests of psychotherapy as a profession. The trends in modern evidence based practice make it exceptionally poor at evaluating the techniques and practices that are actually helping patients in the field or that are popular with trauma focused clinicians. Addendum: Before someone leaves a comment, yes, I know about CPT, CBT-D, and TF-CBT. I've read those books. I'm going to call CBT-BS before you post that comment. So before you ask, no, they don't hold a candle to Brainspotting, Sensorimotor, Internal Family Systems, EMDR, Neurofeedback, QEEG or any of the other effective brain based and somatic based medicine for PTSD and trauma. Find more @ https://gettherapybirmingham.com/
Jay dives into the language of money, something he thinks our school system needs to teach, as he believes it is the core root of expressions of civil unrest in the world today. He opens up about his son's alternative schooling, and the circle of life parallels it teaches which mirror that of the market, and of life. Cycles are constant, and nothing stays the same. He also touches on the research of Aaron Beck, to highlight the mental health effects of this conflict and division which need to be discussed. Jay believes we are entering a new world order, and it is more important now than ever to understand the language of money. Fortunately for us, it's never too late. Join our investment community and sign up for our free weekly newsletter at cambridgehouse.com. Keep up with Jay all over social media @JayMartinBC. Be sure to leave a review, rate us 5 stars, and follow the podcast to be notified of new episodes each week.
The Feeling Good App: Part 2 of 2-- The Surprising Basic Science Findings-- How Does Psychotherapy REALLY Work? And Why Did Everything Change So Fast? Feeling Good Podcast Special Edition #2: March 07, 2022 Today's special podcast features the second part of the recording with David and Jeremy Karmel, David's founding partner of the Feeling Good App. Jeremy and David discuss the exciting results of the basic science findings most recent beta test, which included 140 participants. David uses an advanced form of statistics, called Structural Equation Modeling (SEM) to identify causal effects and to learn more about how the app actually works. This information has immense practical and theoretical implications. Here's a portion of what we've discovered so far. All seven negative feelings are high correlated because they all share an unknown Common Cause (CC) predicted by David in one of the top psychology research journals in the late 1990's. Here's the reference2 Burns, D. D., & Eidelson, R. (1998). Why are measures of depression and anxiety correlated? -- A test of the tripartite theory. Journal of Consulting and Clinical Psychology, 66(3): 461 - 473. The CC accounts for most of the variance in all seven negative feelings, with R-square values ranging from 66% for anger, and 98% for Anxiety. Since there has to be some error variance in the estimates of the negative feelings, there is practically no room left for any significant additional causes. If you would like to see the standardized output of the SEM model, click here. The CC also has causal effects on Happiness, but these effects are much smaller, with an R-square of only 30%. This proves that Happiness has its own causes that are completely different from the factors that trigger depression. Happiness, in other words, is NOT just the absence of depression. The radical reductions in all seven negative feelings were mediated by the reduction in the user's belief in their negative thoughts, as predicted by cognitive therapists, like Albert Ellis and Aaron Beck, as well as the Greek Stoic philosopher, Epictetus, nearly 2,000 years ago. This is the first proof of that theory! At least three components of the app have been isolated which appear to have substantial causal effects in the Common Cause, which in turn triggers simultaneous changes all negative feelings as well as happiness. Those three components include: A cognitive variable: the user's belief in his or her negative thoughts. A motivational variable: measured with extremely precise and sensitive instruments. the user's liking of the app. The magnitude of all three causal effects was large. However, the motivational variables and user's liking did not have direct effects on changes in depression and other negative feelings. The changes were ALL mediated via reductions in the user's belief in his or her negative thoughts. This finding is consistent with the hypothesis that it is impossible to reduce negative feelings without change the belief in the negative thoughts that trigger those feelings. The SEM models were replicated in two independent groups, including 60 participants with moderate to extremely severe depression at the start of the day, and 73 participants with no or only mild feelings of depression. The fit of the model was outstanding in both groups, and there were few or no significant differences in the parameter estimates. This indicates that the findings are valid and do not represent capitalization on chance. David has reported extremely rapid changes in all negative feelings in his single-session treatment of individuals using TEAM-CBT. Some people have suggested that this is because he often treats mental health professionals as well as individuals who are very acquainted with his work. CLICK HERE FOR THE FULLL REPORT However, data from the beta test indicates this is not likely to be true. Mental health professionals did not respond any differently from non-professionals. In addition, the Familiarity with David or with TEAM variables did have modest effects on the degree of liking of the app, but no direct causal effects on changes in depression or the Common Cause. The basic research is just beginning and ongoing. David believes that the research potential of the Feeling Good App may be as significant as the healing effects documented in the outcome findings with the app in the previous podcast. If you are interested in participating in our upcoming beta test, you can sign up at www.feelinggood.com/app. We will be testing a radically revised version of the basic training module, plus some powerful new modules, and we will also be looking at relapse and relapse prevention techniques for the first time to find out if the improvements last. Research on more than 10,000 sessions by human therapists using TEAM indicates that a portion of the gains patients make during individual sessions dissipates between sessions, but the “staying power” of the gains is facilitated by the patient's homework between sessions. As a result, patient gains tend to reach a steady state after four or five sessions. We anticipate that something similar may be documented in longitudinal studies with the app, and are eager to see what we can learn in the next study which will extend beyond one day. So, hopefully, the new study will be pretty cool, too! And who knows what we'll discover, with your help! Make sure you sign up if you're interested in being one of our beta testers! David and Jeremy Rhonda, Jeremy, and David
In this special exchange, Pooja and Professor Negi discuss the central tenants and urgency of compassion, a focus of His Holiness, the Dalai Lama. Dr. Negi expands on how although humans have made tremendous progress from an outward, material standpoint, we have neglected to develop the core inner values that lead to contentment and inner peace. In other words, we have been focused on educating the mind, while forgetting to educate the heart. Dr. Negi shares how compassion is linked to the idea of safety and security in a world with so much diverse thought, biases, and differing groups of people. It is in this kind of world, especially, that people need to feel safe. He shares that at the heart of compassion is a sense of meaningful, tender connection with each other, and that creates a sense of security and trust, happiness and love.Pooja and Dr. Negi also uncover the links between traditional Tibetan Buddhist mind training practices called "Lojong", which systematically look within, closely observing what triggers our emotions. This scientific examination parallels some of the main practices and strategies used in CBT, originating in the 1960's by Dr. Aaron Beck, globally recognized as the father of Cognitive Behavior Therapy (CBT) and one of the world's leading researchers in psychopathology.--LOBSANG TENZIN NEGI, Ph.D. is the co-founder and Executive Director of the Center for Contemplative Science and Compassion-Based Ethics at Emory University, formerly the Emory-Tibet Partnership. Prof. Negi is also a Professor of Pedagogy in Emory University's Department of Religion and the founder and spiritual director of Drepung Loseling Monastery, Inc., in Atlanta, GA. Over the past two decades, Prof. Negi has been a pioneer of compassion training programs for adults and children and he has contributed to the development and burgeoning of compassion science through his research initiatives and collaborations. Through his center, Prof. Negi has developed and now oversees three programs, which are dedicated to expanding compassion and engaging in research. In 2004, Prof. Negi developed CBCT® (Cognitively-Based Compassion Training), a secularized contemplative program based on Tibetan Buddhist mind training practices that deliberately and systematically works to cultivate compassion. He also oversees SEE Learning™ (Social, Emotional and Ethical Learning), a program that develops and implements curricula for kindergarten through university level education for the education of heart and mind. The third program of the center is the Emory-Tibet Science Initiative, a program he developed, at the invitation of His Holiness the Dalai Lama, to develop and implement a comprehensive modern science curriculum specifically for Tibetan monastics. Prof. Negi was born in Kinnaur, a remote Himalayan region adjoining Tibet. A former monk of 27 years, he began his monastic training at The Institute of Buddhist Dialectics in Dharamasala, India and continued his education at Drepung Loseling Monastery in south India, where in 1994 he received the Geshe Lharampa degree. Prof. Negi completed his Ph.D. at Emory University in 1999; his interdisciplinary dissertation centered on traditional Buddhist and contemporary Western approaches to emotions and their impact on wellness. His current research focuses on the complementarity of modern science and contemplative practice.--Follow Dr. Negi's work:http://www.tibet.emory.eduhttp://www.drepung.orghttps://compassion.emory.edu/https://seelearning.emory.edu/node/5https://compassionshift.emory.edu/ Follow & Attend the World Happiness Fest:https://worldhappiness.foundation/fest/about/--More on this Podcast: https://www.calmandfreepodcast.com/For more from Host Pooja Mottl: https://www.poojamottl.com/Podcast Producer: https://www.go-toproductions.com/Twitter @PoojaMottl: https://twitter.com/poojamottlInstagram: @TheCalmandFreePodcast https://www.instagram.com/thecalmandfreepodcast/and @PoojaMottl https://www.instagram.com/poojamottl/LinkedIn: @PoojaMottl https://www.linkedin.com/in/poojamottl/--Special Thanks : Kris Kosach of the TPR Podcast for lending her VO for our Podcast Intro: https://www.sites.google.com/view/textproserocknroll/homeJessica Panian https://www.jessicapanian.com/ for her help with our graphic design: https://www.jessicapanian.com/
On today's episode of the Health and fitness connector podcast, host Kelly Duggan had the pleasure of speaking with Dr. Aaron Beck of Plymouth Bay Orthopedic Associates. Dr. Beck is a local orthopedic surgeon who specializes in the spine. As more and more people are working from home, or attending zoom class, there have been more incidences of low back pain. Tune in to hear from Dr. Beck as he gives some tips on how to keep your spine healthy, when you should see a specialist, and much more! Learn more about Dr. Beck Follow Plymouth Bay Orthopedics on social media! Instagram Facebook
How can we control our minds, handle adversity, set goals, manage expectations, access logic, and protect ourselves by creating an inner citadel? Stoicism, a philosophy that originated in ancient Rome, helps answer the above questions and many more. Stoicism consists of practical principles on how to live a good life. This episode provides a brief introduction of this philosophy.Concepts discussed include control the controllables, serenity prayer, negative visualisation, voluntary discomfort, cognitive behavioural therapy (CBT), resilience, mental strength, inner citadel, expectation setting, catastrophizing, happiness. People discussed include Marcus Aurelius, Seneca, Epictetus, Dr Aaron Beck.Shownoteshttps://howtolive.life/episode/006-stoicism-how-to-live-a-good-lifeFollow us onFacebook: https://www.facebook.com/PodcastHowtolive/Instagram: https://www.instagram.com/podcasthowtolive/Information on Podcast & Hosthttps://howtolive.life/
On this episode of Sanity, Dr. Jason Duncan and Lisa Pote discuss current happenings at the Beck Institute. They talk about the creation of cognitive-behavioral therapy (CBT) and how the Beck Institute is attempting to disseminate skills originally taught by Dr. Aaron Beck to a wide range of individuals, including clinicians, other professionals, and potential clients. Lisa Pote describes some of the challenges our field currently faces, and how the Beck Institute is working to overcome these issues through innovations in accessibility and training. Finally, future directions for the Beck Institute are discussed. If you are interested in learning more about CBT or what is available through the Beck Institute, check out the various links below! Looking to better understand CBT for potential clients or find certified therapists: https://cares.beckinstitute.org/ Professionals and CBT courses available at the Beck Institute : https://beckinstitute.org/ Social Media Information: Twitter: @LisaPote Facebook: Beck Institute for Cognitive Behavior Therapy Twitter: @BeckInstitute
On this episode of “Sanity” Dr. Jason Duncan and Dr. Scott Waltman discuss some of the pitfalls mental health professionals make when implementing cognitive-behavioral therapy (CBT). The most common pitfalls identified in research completed by Dr. Waltman included socratic questioning and guided discovery. Dr. Waltman and Dr. Duncan discuss socratic questioning, its origin with the Greek philosopher Socrates, and how it can be an effective tool in therapy. They provide numerous benefits to this intervention, including helping clients “become their own therapists.” Dr. Waltman discloses the framework for honing the skill of socratic questioning from his new book, Socratic Questioning for Therapists and Counselors: Learn How to Think and Intervene Like a Cognitive Behavior Therapist. Dr. Waltman also identifies a number of other pitfalls therapists make when implementing CBT, such as setting an agenda, pacing the session, receiving feedback from clients, reviewing and developing individualized homework, trouble selecting when to implement interventions and deciding where to intervene. He describes his own therapeutic techniques and how to combat some of these pitfalls. Dr. Duncan and Dr. Waltman both emphasize the importance and difficulty of learning these important skills. They described numerous resources for therapists interested in learning more about CBT, including websites, research studies, books, trainings, and certificates. Dr. Waltman is a clinical psychologist, international trainer, and practice-based researcher. His interests include evidence-based psychotherapy practice, training, and implementation in systems that provide care to underserved populations. He is certified as a qualified Cognitive Therapist and Trainer/Consultant by the Academy of Cognitive & Behavioral Therapies and is board certified in Behavioral and Cognitive Psychology from the American Board of Professional Psychology. He is a board member for the International Association of Cognitive Psychotherapy. More recently, he worked as a CBT trainer for one of Dr. Aaron Beck's CBT implementation teams in the Philadelphia public mental health system. He is the first author of the book Socratic Questioning for Therapists and Counselors: Learn How to Think and Intervene like a Cognitive Behavior Therapist. CBT Competence and Fidelity Measure - The Cognitive Behavior Rating Scale (Beck and Young, 1980): https://www.yu.edu/sites/default/files/inline-files/Cognitive%20Therapy%20Rating%20Scale%20%28CTRS%29.pdf CBT Express: Effective 15-Minute Techniques for Treating Children and Adolescents by Jessica M McClure, Robert D. Friedberg, Micaela A. Thordarson, and Marisa Keller: https://www.amazon.com/CBT-Express-Effective-Techniques-Adolescents/dp/1462540317 Socratic Questioning for Therapists and Counselors by Scott H. Waltman, Trent Codd, III, Lynn M. McFarr, and Bret A. Moore: https://www.amazon.com/Socratic-Questioning-Therapists-Counselors-Psychology-ebook/dp/B08CXN96PS Instagram @socraticmethod CBT Listserv: https://www.newyorkcbt.com/ To be certified in CBT: https://www.abct.org/ Academy of Cognitive Therapy: https://www.academyofct.org/ Beck Institute: https://beckinstitute.org/
Episode #427: How to Identify Thought Distortions Today I want to share with you the monthly blog article from my business partner Robert Stuberg. The of the blog entry is Thought Distortions. This blog is packed with content and ideas on how to start REALLY changing your thoughts.... especially the ones you Don't want to be having. Head over to Stuberg.com to get tons of additional blog articles and ideas that can help you Unleash Your Potential. Thought Distortions Blog July 1, 2021 One of the questions clients frequently ask me is, What is the best way to change your thoughts? In other words, how do you get rid of thoughts you don't want running through your mind? If you take the time to analyze your unwanted thoughts, you will often discover that they are based on distortions of reality. Finding ways to eliminate these “Thought Distortions” can take many forms. Over the years, I have used several methods but some of the ones I've found most effective have been self-hypnosis, sleep programming, meditation, and even something I call “Hypnology” which you may find fun to investigate and experience for yourself. (There is a FREE product titled Provocative Destiny on my website if you would like to explore the concept of “Hypnology” which involves using your musical intelligence to reprogram your subconscious mind. It's an extremely powerful way to change your thinking. The challenge to eliminating your unwanted thoughts, however, is that you first have to figure out what thoughts you need to eliminate. So let me begin by telling you about Cognitive Behavioral Therapy (CBT) which was developed by the American psychiatrist Aaron Beck in the 1960's. Beck originally used Freudian Psychoanalysis with his patients but as a researcher and scientist, he decided to put psychoanalysis to the test. Unfortunately, those tests he conducted did not produce the results he was expecting which is what lead him to start developing and testing other methods. As you might imagine, Beck was not originally applauded for challenging accepted beliefs and practices but as other colleagues began trying his methods, Beck was vindicated and eventually regarded as an important pioneer in the field of psychiatry. The essence of what Beck discovered is that negative thoughts fall into three categories: negative ideas about the self, negative ideas about the world, and negative thoughts about the future. For many people, these negative thoughts become automatic over time so they are no longer even questioned. But when Beck began questioning patients about their thoughts and pointing out various inaccuracies or distortions, patients could recognize their faulty thinking and choose new thoughts. As simple as it sounds, it was revolutionary at the time and it still remains a major part of psychiatry today. It is especially significant in the treatment of depression. I find it one of the best tools available to clarify one's thinking about anything. Read the next section on thought distortions to see if you can uncover any in your own thinking. I think it is safe to say that we all have thought distortions, but we can eliminate them by recognizing and acknowledging them, and by beginning to ask better questions to get to the truth. The key is learn to rise above thought distortions which always fall into those three main categories I mentioned—i.e., negative thoughts that are personal, pervasive, and permanent. The good news is that with clear, rational thinking you can spot these. However, it's always recommended to brainstorm what you are thinking about with a coach, mentor, counselor, or doctor to get real unbiased feedback. THE COGNITIVE TRIAD The Self – Is the self worthless or valuable? (Personal) The World/Environment – Is the world unfair, fair, or neutral? (Pervasive) The Future – Is the future hopeless or hopeful? (Permanent) Again, the most challenging problems are the ones that we convince ourselves are personal, pervasive, and permanent. Put those on your list to be eliminated. TYPES OF THOUGHT DISTORTIONS All-Or-Nothing Thinking Engaging in black-or-white thinking. Thinking in extremes, such as all good or all bad, with nothing in the middle. Selective Abstraction Selecting one idea or fact from an event while ignoring other facts in order to support negative thinking. Mind Reading Believing that we know the thoughts in another person's mind. Negative Prediction Believing that something bad is going to happen even though there is no evidence to support this prediction. Catastrophizing Exaggerating the potential or real consequences of an event and becoming fearful of the consequences. Overgeneralization Making a rule based on a few negative or isolated events and then applying it broadly. Labeling Creating a negative view of oneself based on errors or mistakes that one has made. This is a type of overgeneralizing which affects one's view of oneself. Magnification Exaggerating an imperfection into something greater than it is. Minimization Making a positive event much less important than it really is. Personalization Taking a common or general event and relating it to oneself thus making a connection where one really doesn't exist. I've found this list of Thought Distortion Types to be extremely valuable for myself and my clients as a reference guide to help spot thoughts you are thinking that are not good for you, not good for others, and don't serve the greater good. More importantly, since they are Thought Distortions, they are not true. And I believe that all progress starts with telling yourself the truth. Or as an old mentor said to me one day: “Robert, you might as well start with the truth because you are going to end with it.” Sage advice indeed. Daily Mastermind Resources: Prosperity Pillars Poster The Prosperity Pillars Poster is a collection of 12 Principles for Success and Prosperity that will help you Live the life you were meant to live and Unleash Your Potential Daily. Create daily rituals and affirmations with this 24x36 inch poster. www.prosperitypillars.com FREE Mobile App Download APPLE or ANDROID You are a Driven, Passionate Entrepreneur and your Thoughts Create Your Life. You need on-the-go Daily Motivation, Inspirations, and Insights to Fuel your day. That's why you are part of the MASTERMIND and use the Daily Mastermind Mobile App. Apple Download https://apps.apple.com/ca/app/daily-mastermind/id1405808860 Android Download https://play.google.com/store/apps/details?id=com.app_imlmastermind.layout&hl=en_IE FREE eBook: The Truth About Success and Failure by Robert Stuberg What if success isn't what you think it is? What if many of the people who you think are succeeding are actually losing, and many of the people who you think are failing are really succeeding? Download at www.Stuberg.com
This week, we learn about the development of Cognitive Behavioral Therapy, the work of Aaron Beck, and finally get a lot better at talking to patients with mental illness. Send Aaron Beck a birthday greeting for his 100th birthday!Check out our website!E-mail me!Say hi on Facebook! Transcripts and Sources here!
"The first and most important step toward success is the feeling that we can succeed." Nelson Boswell Today I want to share with you the monthly blog article from my business partner Robert Stuberg. The of the blog entry is Thought Distortions. This blog is packed with content and ideas on how to start REALLY changing your thoughts....especially the ones you Don't want to be having. Head over to Stuberg.com to get tons of additional blog articles and ideas that can help you Unleash Your Potential. Thought Distortions Blog July 1, 2021 One of the questions clients frequently ask me is, What is the best way to change your thoughts? In other words, how do you get rid of thoughts you don't want running through your mind? If you take the time to analyze your unwanted thoughts, you will often discover that they are based on distortions of reality. Finding ways to eliminate these “Thought Distortions” can take many forms. Over the years, I have used several methods but some of the ones I've found most effective have been self-hypnosis, sleep programming, meditation, and even something I call “Hypnology” which you may find fun to investigate and experience for yourself. (There is a FREE product titled Provocative Destiny on my website if you would like to explore the concept of “Hypnology” which involves using your musical intelligence to reprogram your subconscious mind. It's an extremely powerful way to change your thinking. Just click HERE for your FREE copy!) The challenge to eliminating your unwanted thoughts, however, is that you first have to figure out what thoughts you need to eliminate. So let me begin by telling you about Cognitive Behavioral Therapy (CBT) which was developed by the American psychiatrist Aaron Beck in the 1960's. Beck originally used Freudian Psychoanalysis with his patients but as a researcher and scientist, he decided to put psychoanalysis to the test. Unfortunately, those tests he conducted did not produce the results he was expecting which is what lead him to start developing and testing other methods. As you might imagine, Beck was not originally applauded for challenging accepted beliefs and practices but as other colleagues began trying his methods, Beck was vindicated and eventually regarded as an important pioneer in the field of psychiatry. The essence of what Beck discovered is that negative thoughts fall into three categories: negative ideas about the self, negative ideas about the world, and negative thoughts about the future. For many people, these negative thoughts become automatic over time so they are no longer even questioned. But when Beck began questioning patients about their thoughts and pointing out various inaccuracies or distortions, patients could recognize their faulty thinking and choose new thoughts. As simple as it sounds, it was revolutionary at the time and it still remains a major part of psychiatry today. It is especially significant in the treatment of depression. I find it one of the best tools available to clarify one's thinking about anything. Read the next section on thought distortions to see if you can uncover any in your own thinking. I think it is safe to say that we all have thought distortions, but we can eliminate them by recognizing and acknowledging them, and by beginning to ask better questions to get to the truth. The key is learn to rise above thought distortions which always fall into those three main categories I mentioned—i.e., negative thoughts that are personal, pervasive, and permanent. The good news is that with clear, rational thinking you can spot these. However, it's always recommended to brainstorm what you are thinking about with a coach, mentor, counselor, or doctor to get real unbiased feedback. THE COGNITIVE TRIAD The Self – Is the self worthless or valuable? (Personal) The World/Environment – Is the world unfair, fair, or neutral? (Pervasive) The Future – Is the future hopeless or hopeful? (Permanent) Again, the most challenging problems are the ones that we convince ourselves are personal, pervasive, and permanent. Put those on your list to be eliminated. TYPES OF THOUGHT DISTORTIONS All-Or-Nothing Thinking Engaging in black-or-white thinking. Thinking in extremes, such as all good or all bad, with nothing in the middle. Selective Abstraction Selecting one idea or fact from an event while ignoring other facts in order to support negative thinking. Mind Reading Believing that we know the thoughts in another person's mind. Negative Prediction Believing that something bad is going to happen even though there is no evidence to support this prediction. Catastrophizing Exaggerating the potential or real consequences of an event and becoming fearful of the consequences. Overgeneralization Making a rule based on a few negative or isolated events and then applying it broadly. Labeling Creating a negative view of oneself based on errors or mistakes that one has made. This is a type of overgeneralizing which affects one's view of oneself. Magnification Exaggerating an imperfection into something greater than it is. Minimization Making a positive event much less important than it really is. Personalization Taking a common or general event and relating it to oneself thus making a connection where one really doesn't exist. I've found this list of Thought Distortion Types to be extremely valuable for myself and my clients as a reference guide to help spot thoughts you are thinking that are not good for you, not good for others, and don't serve the greater good. More importantly, since they are Thought Distortions, they are not true. And I believe that all progress starts with telling yourself the truth. Or as an old mentor said to me one day: “Robert, you might as well start with the truth because you are going to end with it.” Sage advice indeed.
In this episode we brace ourselves, take a deep breath, and consider magick and spirituality as an antidote to suffering, but not without their risks and limits; a bullshit exercise from Robert Anton Wilson; the limits of belief-shifting; dubious "exercises" in books on magick; the belief in belief-shifting; reality and belief-shifting; results from a recent sigil; possibilities for their causation; magick as adaptation to reality; the limitation of reality; the inescapability of feelings; the influence of Cognitive Behavioural Therapy (CBT) on the contemporary understanding of suffering; Aaron Beck on depression as faulty cognition; the locus of responsibility for suffering; belief-shifting as a form of CBT; how work with spirits can also fall into this dynamic; how CBT and belief-shifting chime nicely with capitalism and neoliberalism; Byung-Chul Han on self-exploitation under neoliberalism; Mark Fisher on the dirty secrets of capitalism; how neoliberalism distracts us from these; magick and the lure of pseudo-freedom; Federico Campagna on the paradigms of technic and magick: instrumentality versus meaning; psychogeography as the practice of transitioning from technic to magick; Gareth Rees on car parks and the ubiquity of sliced ham; the limits of technic and capitalism; the insatiability of desire and the inevitability of suffering; a means to an end versus the endlessly meaningful; bringing meaning to suffering; magick as a means of encountering reality; Campagna on magick and technic as two contrasting ethical frameworks; avoiding harm versus maximising salvation; magicians as always caught between these two ethical outlooks; magickal crises and the pains of magick; the magick of the oppressed; Trump's presidency and its end as a magickal result; anti-magick as the elimination of the Other; depression as the absence of the Other, and magick as a reaching out for the Other; Han on the Other as a metaphysical anti-depressant; meaning as connection with the Other; mysticism as recognition of the self as Other; magick as a spectrum, including forms of magick that tend towards technic. Federico Campagna (2018). Technic and Magic: The Reconstruction of Reality. London: Bloomsbury. Mark Fisher (2009). Capitalist Realism: Is There No Alternative? Alresford: Zero Books. Byung-Chul Han (2017). Psychopolitics: Neoliberalism and New Technologies of Power, translated by Erik Butler. London: Verso. Byung-Chul Han (2018). The Expulsion of the Other: Society, Perception and Communication Today, translated by Wieland Hoban. Cambridge: Polity Press. Catherine Jackson & Rosemary Rizq, eds. (2019). The Industrialisation of Care: Counselling, Psychotherapy and the Impact of IAPT. Monmouth: PCCS Books. Gary Lachman (2018). Dark Star Rising: Magick and Power in the Age of Trump. New York: TarcherPerigree. Gareth E. Rees (2019). Car Park Life. London: Influx Press.
Dr. Raffa and Anthony discuss the diagnosis, evaluation and treatment of ADHD and dive into some background on Dr. Aaron Beck. Dr. Raffa debunks some myths associated with ADHD.Welcome to Talk Therapy CBT | Conversation about Educating, Connecting, Helping Individuals to the World of Psychology.This podcast is sponsored by (https://www.innerbalancepsychology.com/) - Inner Balance Psychology Center, Psychological Treatment and Evaluations for Children, Adolescents and AdultsAs solution-focused therapists, our goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.Follow Us on Social Media:Blog : (https://www.innerbalancepsychology.com/blog/ )FAQs : ( https://www.innerbalancepsychology.com/faqs/ )Facebook : (https://www.facebook.com/ibpcllc)Instagram : (https://www.Instagram.com/innerbalancepsychology) Check out our website for more information : (https://www.innerbalancepsychology.com/) or email Dr. Raffa : (dawnraffa@innerbalancepsychology.com)This podcast is hosted by and produced by (https://www.innerbalancepsychology.com/) Please consider subscribing and sharing this episode if you found it entertaining or informative. If you want to go the extra mile, you can leave us a rating or review which helps the show with rankings and algorithms on certain platforms. you can leave us a review on Podchaser or Apple Podcasts Launch Your Podcast App Grab your phone and open up your Apple Podcast app – it's a purple icon with a radiating “i” on it. If you can't find it already installed on your phone, simply search for it in your app store. You can even just click here if you're on an Apple device.Locate the search bar and enter “Talk Therapy CBT” When the app is open, go down to the little magnifying glass icon in the bottom right corner to search. Type in “Talk Therapy CBT” When you see the album art for the cover, simply select it and you'll be taken to the podcast's homepage.Leave a Rating and a Review Once you're there, click on the stars for a rating (5 stars for top rating) and then scroll to the bottom, past someone else's review, and you'll see clickable text, “Write a Review.” Hit submit. Make sure you're subscribed to the podcast so you get the latest episodes. Our Podcast Page : (https://www.innerbalancepsychology.com/ )( Subscribe with Apple Podcast )( Follow on Spotify )( Subscribe with Stitcher )( Subscribe on IHeartRadio )( Listen on other streaming platforms )DISCLAIMEROpinions expressed are solely the hosts and guest(s) and do not represent or express the views or opinions of Inner Balance Psychology