Podcast appearances and mentions of Marsha M Linehan

Another hotly requested topic for you this week.It's Borderline Personality Disorder, explained and explored by the wonderful Dr Chetna Kang. Dr Chetna makes her return to the Wellbeing Lab to delve into the causes of BPD, the symptoms, the treatments and the misconceptions.If you're looking for information on Marsha M. Linehan, the developer of dialectical behaviour therapy mentioned in the episode, you can find her handouts and worksheets here, plus her memoir, Building A Life Worth Living, here.The Wellbeing Lab team read all the correspondence that comes in, so please get in touch if you have anything to say about this episode, or any other. You can contact the lab on the links below:Instagram, Facebook, Twitter or Email: hello@wellbeinglabpodcast.comThe Wellbeing Lab is produced by AudioAF and is part of the Acast creator network. Hosted on Acast. See acast.com/privacy for more information.

On this podcast I discuss the TIP Distress Tolerance Skills of the DBT Manual by Marsha M. Linehan. It's a great way to reduce extreme emotions quickly. This is not only helpful for people with Borderline Personality Disorder but also for anyone in need of scaling down their emotions in time of distress. If you've enjoyed it then share, subscribe, and leave a review if you haven't already :) Join us on social media: Instagram: www.intagram.com/bpdbravery Facebook: www.facebook.com/BPD-Bravery-Borderline-Personality-Disorder-401267653957962 and feel free to contact us via email at braverybpd@gmail.com --- Support this podcast: https://podcasters.spotify.com/pod/show/bpd-bravery/support

Guest Shannon Waller, from Strategic Coach, is back for Part 2 of the Wise Mind discussion with André. The Wise Mind is construct in Dialectical Behaviourial Therapy (DBT) created by Marsha M. Linehan. They discuss about awareness is applied knowledge, release emotional attachment, you don't need to know the whole path to achieve it, and being present. Final note: Self Acceptance is key to self-validation. Balancing Doing and Being Mind Construct as per Marsha M. Linehan. Wise Mind: States of Mind Construct as per Marsha M. Linehan Books Referenced In the Episode: Polarity Management by Barry Johnson, Ph. D. The Impulsive Thinker is sponsored by the Centre of ADHD Awareness, Canada.  Please donate here! We would like to hear from you!  Please send show ideas, questions, or feedback to questions@theimpulsivethinker.com and join our mailing list here!  Follow us on Facebook and LinkedIn. André Brisson can also be found on LinkedIn. Produced By Tactical Breakthroughs Strategic Coach®, Unique Ability®, and Unique Ability® Specialist are registered trademarks of The Strategic Coach Inc. All rights reserved.

Guest Shannon Waller, from Strategic Coach, and André discuss the Dialectical Behavioural Therapy (DBT) construct of the Wise Mind and the States of Mind as per Marsha M. Linehan the creator of DBT. They discuss about body awareness, radical acceptance, and the difference between creative and reactive responses. Have the intention and not the attachment. Wise Mind: States of Mind Construct as per Marsha M. Linehan Books Referenced In the Episode: No Ego by Cy Wakeman Radical Candor by Kim Scott The Impulsive Thinker is sponsored by the Centre of ADHD Awareness, Canada.  Please donate here! We would like to hear from you!  Please send show ideas, questions, or feedback to questions@theimpulsivethinker.com and join our mailing list here!  Follow us on Facebook and LinkedIn. André Brisson can also be found on LinkedIn. Produced By Tactical Breakthroughs Strategic Coach®, Unique Ability®, and Unique Ability® Specialist are registered trademarks of The Strategic Coach Inc. All rights reserved.

Join host Dr. Larry Benz, nationally recognized for his expertise in private practice physical therapy and occupational medicine alongside NEW co-hosts Tim Reynolds and Bryan Guzski. From Evidence In Motion, The Practice Leadership Podcast's Movers and Shakers Season will go straight to the source, asking the industry heavyweights about research, social media, what technology challenges lie ahead, their seasoned advice form the clinic floor, and where to take action in advocacy. This week on the nineth episode of the season Larry Benz, Tim Reynolds and Bryan Guzski are joined by Hunter Hoffman, PhD. He is the Director of the Virtual Reality Research Center at the Human Photonics Lab at the University of Washington Dept of Mechanical Engineering in Seattle and he is affiliate faculty in the University of Washington Depts of Radiology and UW Dept of Psychology. He also collaborates with researchers in UW departments of Radiology, Psychology, Rehabilitation Medicine, Orthopedic and Sports Medicine, and Anesthesiology.   Since 1993, he has developed, Virtual Reality Monitoring World, SpiderWorld (For treating spider phobia), World Trade Center World, an immersive virtual reality simulation of the 9/1 attacks for treating civilian PTSD with VR exposure therapy, SnoWorld, the first VR world designed for treating pain and VR DBT Mindfulness Skills learning World (in collaboration with Marsha M. Linehan et al).  In 1997, Hoffman and clinical researcher David Patterson originated the technique of using immersive virtual reality for pain distraction during painful medical procedures, at Harborview Burn Center in Seattle. Hoffman, Patterson, and Walter Meyer MD have recently conducted joint research using VR distraction to reduce pain in children with unusually large severe burn wound injuries at Shriners Hospitals for Children in Galveston Texas. Hoffman is also collaborating with researchers at the University of Montreal, using VR distraction to reduce the pain of young children (average age 2 years old) during burn wound care. SnowWorld went on a one year exhibit tour at the Smithsonian Cooper Hewitt National Museum of Design Triennial in Manhattan, and the Boston Museum of Contemporary Art. Hoffman was identified by FastCompany.com as one of the Fast 50 people most likely to influence the next 10 years. Dr. Hoffman says he started out using immersive virtual reality in the 1990s and his colleague and him were the first publish using virtual reality as a distraction. A lot of their early research done was with burn patients during physical therapy range of motion exercises. It worked well for reducing the pain of children and adults with severe burns. As the they were recovering from the burns the skin contracts so there are two things happening, the muscles atrophy from not being used and the skin contracts so the range of motion exercise helps maintain the elasticity of the skin also it helps to strengthen the muscles. As a universal problem with physical therapy, all living organisms avoid pain, so it is hard to get people to do things that make them feel pain. The nice thing about virtual reality is it reduces your pain while you are wearing the helmet. Using it as a simple distraction was easier to get people in. Hunter and his team then developed a question to measure success, How much fun did you have during your wound care or physical therapy? The medical community said that was inappropriate but what was found was that the patients fun went from a 0 or 1 to a 7or 8 out of a 10. Some people pushed back and said they must not of understood the question. Hunter says whether they did or not the answer to the question is how much pain  the patient had during their physical therapy, and they are answering that they had fun. It is easier to get someone to do something they remember doing that was fun than painful.   In dealing with persistent pain patients Hunter says virtual reality has a lot of potential for at home patient work because it can be more motivating by being intrinsically interesting.  To get long-term benefits, he sees an opportunity in changing the persons memories by performing movements with less pain. Avatars are being introduced into virtual reality where you do not need anything on your hand and this is good news for patients with chronic pain. Often, chronic pain patients do not like having any equipment on their bodies. If you start getting more effective treatment you are going to start seeing  an increase in retention of physical therapy.    Learn more about the recent and past experiments with thermal pain stimulation Hunter has conducted. The role that phycological influence has in our pain perception, his previous projects, how this technology might be used in a clinic in the future and more! More Links: Larry Benz – Twitter - @PhysicalTherapy Tim Reynolds – Twitter -@ TimReynoldsDPT Movers & Mentors – Twitter - @MoversMentors Evidence In Motion – Twitter- @EIMTeam  Additional Research Virtual Reality Training: Pain Neuroscience Education, EIM Course in partnership with BEHAVR https://www.behavr.com/about-us/ Ad Info: Evidence In Motion is excited to be back in person and back to hands-on learning for the 2022 Align Conference. This year you can join an all-star lineup of speakers in Dallas, Texas, August 26 through the 28. The labs and lectures focus on sharpening the physical, hands-on treatments essential to patient care. Save 5% on registration as a practice Leadership Podcast listener. Visit alignconference.com and use the promo code PRACTICELEADERSHIP at checkout.

Evidence-based interventions are so critical to treating mental illness and behaviors like suicide, but the road to developing these interventions is far from easy. Psychology PhD candidate Abby Ridge-Anderson shares more about her path into adolescent suicide research, how new treatments can specifically target the drivers of suicide, and common misconceptions about suicide and mental illness. If you want to learn more about the topics discussed in this episode, check out:Ask Dr. Jill: Does Mental Illness Play a Role in Suicide? (website)Uncovering Suicidal Thoughts and 10 Things to Say to a Suicidal Person (website for suicidal individuals and their loved ones)Reach Out: How to Help Someone at Risk of Suicide (article)News articles on Meghan Markle's mental health stories and ways that it has changed the way we talk about suicideSuicidal Behavior in Children and Adolescents by Barry M. Wagner (book)Managing Suicidal Risk: A Collaborative Approach by David A. Jobes (book)Dialectical Behavior Therapy with Suicidal Adolescents by Alec M. Miller, Jill H. Rathus, & Marsha M. Linehan (book)If you or someone you care about is struggling with suicidal thoughts, we encourage you to check out the following resources: The Jed Foundation13 Reasons Why by Helping Give Away Psychological Science (HGAPS)The Trevor ProjectAmerican Foundation for Suicide Prevention (AFSP)Suicide Prevention Resource Center (SPRC)The American Association of Suicidology (AAS) Don't forget to follow us on Twitter @SpotlightThePod to stay up-to-date on all news and episode releases!Learn more about Northwestern University SPOT on Twitter @SPOTForceNU or at our website spot.northwestern.eduPodcast artwork created by Edie Jiang, available at her website https://ediejiang.weebly.com/ or on Instagram @ediejiangMusic in this episode: Earth by MusicbyAden https://soundcloud.com/musicbyadenCreative Commons — Attribution-ShareAlike 3.0 Unported — CC BY-SA 3.0Free Download / Stream: https://bit.ly/_earthMusic promoted by Audio Library https://youtu.be/5yIbZVOv438

Dialectical behavior therapy, also known as DBT, is a form of psychotherapy that is founded on the principals of cognitive behavioral therapy (CBT). Psychologist Marsha M. Linehan developed DBT in the late 1980s as a means to help better treat chronically suicidal individuals diagnosed with borderline personality disorder (BPD). Although touched upon in cognitive behavioral therapy, DBT places primary emphasis on the psychosocial aspects of treatment. DBT combines standard CBT techniques for emotional regulation and reality testing with concepts derived from Buddhist meditative practice such as awareness, mindfulness and attentiveness to current situations and emotional experiences to encourage acceptance. On today's episode of the podcast, I sit down with Daina Haines, MA, LCSW, who facilitates DBT therapy groups at Tri-State DBT Associates in Medford, New Jersey. Some of the topics discussed on this episode: ■ Daina's first experience with DBT in clinical practice (being thrown into a group DBT session without preparation)■ A breakdown of the four skills modules in DBT therapy (core mindfulness skills, distress tolerance skills, interpersonal effectiveness skills, and emotion regulation skills)■ What is “wise mind” in DBT therapy■ Struggling with suicidal ideation and how Daina handles this with her clients ■ Quiet vs. “classic” BPD (internalizing vs. externalizing)■ The four stages of competence (“the competence spectrum”)■ The link between rage and anger in borderline personality disorder■ Accepting reality (radical acceptance)■ Why people with BPD are considered “difficult patients” (turning willfulness into willingness)■ How re can reframe stigmatizing words often used to describe people with BPD (“attention-seeking” and “manipulative”)■ Why identifying our unmet needs is so hard for those of us with complex trauma and BPD■ The cultural differences in emotional expression (Eastern vs. Western thought)■ Hope for BPD recoveryFollow the podcast on Instagram: https://www.instagram.com/bpdtea/Support the podcast on Patreon & join Mollie's monthly live "Ask Me Anything" sessions: https://www.patreon.com/backfromtheborderline See acast.com/privacy for privacy and opt-out information.

Hello! Dr. L here, bringing you another episode of Mindful Living. Yessss, I am a day late. Happy Belated Thanksgiving! On this episode I bring you the acronym, PLEASE! PLEASE was originally an acronym for skills within Dr. Marsha Linehan's Dialectical Behavioral Therapy. I found an updated version of this acronym called PLEASED. Many scholars, psychologists and mental health professionals have since created updated versions of DBT and its tools and techniques. One such author is Lane Pederson, who wrote The Expanded Dialectical Behavioral Therapy Skills Training Manual (Second Edition, 2017). In this version, PLEASED (yep, a D was added) stands for the following: P: Physical Health L: List resources and barriers E: Eat balanced meals A: Avoid drugs and alcohol S: Sleep between 7 and 10 hours E: Exercise for 20 to 60 minutes a few days per week D: Daily (Use PLEASED skills daily) I provide my definition and opinions for each letter of the acronym. For the exact definitions of PLEASE from Marsha Linehan, this information is found free online, as well as many other mental health professional's version of this acronym. I hope this episode helps you in some way! Until next time. :) IG: @drcecilialopez Email: cecilia@drcecilialopez.com Business email: contact@drcecilialopez.com Become a Patron! https://www.patreon.com/join/drcecilialopez? Lane Pederson, PsyD, LP, DBTC is not affiliated or associated with Marsha M. Linehan, PhD, ABPP, or her organization.

Dr. Peter brings you inside the inner world of so many parents, spouses, children, and siblings of those who died by suicide.  Through an imagination exercise, research, quotes from family members, and the Internal Family Systems model of the person, he invites you to a deeper understanding of other others experience a loved one's suicide.   Lead-in The world is full of ‘friends' of suicide victims thinking ‘if I had only made that drive over there, I could have done something.' —Darnell Lamont Walker  an artist; a writer, photographer, painter, and filmmaker.  Ok, so we're continuing to discuss suicide here, we're taking on the tough topics  And I want to start with a caution -- if you have lost a loved one to suicide, this episode may be really healing but it also may be really difficult.  If you are raw and struggling with a death, be really thoughtful about when and how you listen to this.  Pay attention to your window of tolerance and if it's too much right now, know that I respect that and I invite you to approach this topic in a way that is right for you, with help from a counselor, a spiritual director, a trusted friend, somebody you know.   Also, this imagination exercise will be hard to really get into if you're driving or engaged in other activities.  You can try it, but it's going to be really emotionally evocative for many people.  I suggest that you create a good space to engage with  Imagine looking through your front window and seeing a police cruiser pull up.   One uniformed police officer gets out and a woman in plainclothes and they slowly walk to your door.  They ring the doorbell.  You open the door.  The officer removes his hat and tucks it under his arm.  The man seems nervous and clears his throat.  The woman introduces herself and tells you she is the victims' assistance coordinator or something like that for your county.  She asks your name.  You give it.  She asks if they can come inside and talk with you.  "We have very difficult news for you," she says with sympathy in her brown eyes.  Your heart stops beating.  The officer looks away, he looks like he'd be anywhere else, rather than here with you.  You let them in, now only vaguely aware of your surroundings, the shape your living room is in right now.   From the couch, in a gentle, matter-of-fact and very calm manner , the victim service coordinator tells you that the one you so love, you so cherish in the world is dead.  She names the name.  Yes, it's verified.  Yes, there is no mistake.  How, how did this happen you ask.  The officer explains the details of the citizens' reports called in earlier in the day. He was the first law enforcement officer on the scene, got there just before the EMTs, he had photographed the body, taken notes, conducted the brief investigation.  His throat catches.  There are tears in his eyes.  He hates this part of the job.  He tells a few details of the suicide scene.  You need to know this, he says, I'm required to tell you.  The woman reaches out her professional hand to you, offering her version of compassion.   Observe what's going on inside you right now, as you enter into this scene in your imagination.  What is happening in your body, your thoughts, you emotions, your impulses, your desires? Let yourself enter into this experience  The victims' assistance coordinator is discussing a few details "Things I have to tell you" she says.  Standard protocols in situations like this.  Something about confirming the identity in the morgue, something else about an autopsy.  Something about who you can lean on in your support network family and friends.  Something about how hard this all is to take in at once.  And there are some government forms to fill out.  And a very nicely designed brochure entitled "Surviving the Loss of a Loved One to Suicide" that you get to keep for handy reference.  Do you have any questions at this point she asks?  Yes, we are sure it's your loved one.  The identification was very clear, there is no mistake.   Stay with this experience for just a minute if you can without losing your grounding.  See if you can just accept what's going on inside -- and acceptance doesn't necessarily mean endorsement -- see if you can accept what's going on inside and really experience it -- the feelings, the impulses, the assumptions, the thoughts, the beliefs, the implications, whatever is coming up.    Do you notice different parts within you?  Different modes of being, maybe different messages coming to you?  You may just have experienced a taste, a sip of the cup that 300,000 parents, siblings, children and spouses of those who die by suicide experience each year in the US, and millions worldwide.  Hang on to what you learned about your reactions, keep it in mind as we dive deep into suicides devastating impact on those left behind.  [Cue Intro Music]   Opening Welcome to the podcast Interior Integration for Catholics, thank you for being here with me, it is good to be here with you, I am glad we are together as we face this difficult topic of suicide.  In episode I am clinical psychological Peter Malinoski and you are listening to the Interior Integration for Catholics podcast, where we take on the toughest topics, the most difficult and raw themes that many people want to avoid.  Interior Integration for Catholics is part of our broader outreach Souls and Hearts bringing the best of psychology grounded in a Catholic worldview to you and the rest of the world through our website soulsandhearts.com   This is the fourth in our series on Suicide. In episode 76, we got into what the secular experts have to say about suicide.  In episode 77, we reviewed the suicides in Sacred Scripture, in the Bible.   In the last episode, number 78, we sought to really understand the phenomenological worlds of those who kill themselves -- what happens inside?  How can we understand suicidal behaviors more clearly, dispelling myths and gripping on to the sense of desperation and the need for relief that drives so much suicidal behavior.  Today, in Episode 79, released on August 2, 2021 we will take a deep dive into the devastating impact of suicide on those left behind.  We'll go deep into the internal experience of the parents, spouses, children, siblings, and friends of those who killed themselves to see how they experienced suicide.   Alison Wertheimer: A Special Scar: The Experiences of People Bereaved by Suicide said this: [Suicide] has often far-reaching repercussions for many others. It is rather like throwing a stone into a pond; the ripples spread and spread.  Now, Alison, with all due respect, I think you're totally wrong about that.  It's not just ripples from a stone in a pond. For the spouses, parents, children, siblings and friends who are left behind to deal with the impact of a suicide it's more like a tidal wave resulting from an underwater earthquake than ripples from a stone.    Linda Lee Landon -- Author of Life after Suicide said this, which is much more on the money:  Suicide creates a monstrous emotional upsurge of shame and guilt. Everyone participates in feeling responsible and even shamed at knowing the suicidal candidate.  What those who attempt suicide often don't think about is that suicide is not just an ending.  It's a beginning.  The beginning of many new things for many people, for the ones left behind.     Why religions of the world condemn suicide  Article on theconversation.com from June 12, 2018 Mathew Schmalz Associate Professor of Religion, College of the Holy Cross Many of the world's religions have traditionally condemned suicide because, as they believe, human life fundamentally belongs to God. Many of world's religions have beliefs that condemn suicide.  In the Jewish tradition, the prohibition against suicide originated in Genesis 9:5, which says, “And for your lifeblood I will require a reckoning.” This means that humans are accountable to God for the choices they make. From this perspective, life belongs to God and is not yours to take. Jewish civil and religious law, the Talmud, withheld from a suicide the rituals and treatment that were given to the body in the case of other deaths, such as burial in a Jewish cemetery, though this is not the case today. A similar perspective shaped Catholic teachings about suicide. St. Augustine of Hippo, an early Christian bishop and philosopher, wrote that “he who kills himself is a homicide.” In fact, according the Catechism of St. Pius X, an early 20th-century compendium of Catholic beliefs, someone who died by suicide should be denied Christian burial – a prohibition that is no longer observed. Original Condemnation of Suicide  The Catholic view of suicide developed in the Greco-Roman world where suicide was quite common, easily tolerated, seldom condemned or criticized, sometimes applauded, and quite frequently undertaken for the most trivial of reasons. These teachings developed in protest to the abuse of life manifested in this culture.  Fr. Robert Barry, The Development of the Roman Catholic Teachings on Suicide.  p.  460 The Italian poet Dante Aligheri, in “The Inferno,” extrapolated from traditional Catholic beliefs and placed those who had committed the sin of suicide on the seventh level of hell, where they exist in the form of trees that painfully bleed when cut or pruned. According to traditional Islamic understandings, the fate of those who die by suicide is similarly dreadful. Hadiths, or sayings, attributed to the Prophet Muhammad warn Muslims against committing suicide. The hadiths say that those who kill themselves suffer hellfire. And in hell, they will continue to inflict pain on themselves, according to the method of their suicide. In Hinduism, suicide is referred to by the Sanskrit word “atmahatya,” literally meaning “soul-murder.” “Soul-murder” is said to produce a string of karmic reactions that prevent the soul from obtaining liberation. In fact, Indian folklore has numerous stories about those who commit suicide. According to the Hindu philosophy of birth and rebirth, in not being reincarnated, souls linger on the earth, and at times, trouble the living. Buddhism also prohibits suicide, or aiding and abetting the act, because such self-harm causes more suffering rather than alleviating it. And most basically, suicide violates a fundamental Buddhist moral precept: to abstain from taking life. Secular positions “When people kill themselves, they think they're ending the pain, but all they're doing is passing it on to those they leave behind.” ― Jeannette Walls  “Committing suicide essentially said to friends and loved ones and the world at large that you were the only thing that mattered, that your problems were hopeless that you deserved to escape from them and to hell with everyone else.  Suicide was nothing more than a way to look in the eye of the people who loved you and say, "My pain is paramount and I want it to end. The pain you will feel when I am gone, and the guilt you will experience at not having been able to stop me, do not matter to me. I am willing for you to suffer for the rest of your life so that I can take the easy way out of mine.”        ― Christine Warren, You're So Vein  “When you attempt suicide, the counselors try to talk you out of trying it again by asking you about other people, which is good prevention if you care about other people.”― Albert Borris, Crash Into Me   Marsha M. Linehan, Cognitive-Behavioral Treatment of Borderline Personality Disorder:  “The desire to commit suicide, however, has at its base a belief that life cannot or will not improve. Although that may be the case in some instances, it is not true in all instances. Death, however, rules out hope in all instances. We do not have any data indicating that people who are dead lead better lives." Sinead O'Connor -- Irish Singer and Songwriter, history of acts hostile to the Catholic church:  Suicide doesn't solve your problems. It only makes them infinitely, un-countably worse.   Lack of empathy, hardness, even harshness toward victims of suicide.  The pendulum swings.  No Sin, no crime  Huffington Post article Why You Should Stop Saying ‘Committed Suicide'   Lindsay Holmes The phrase is stigmatizing in a lot of outdated, insensitive ways.  Simply put, “committed suicide” conveys shame and wrongdoing; it doesn't capture the pathology of the condition that ultimately led to a death. It implies that the person who died was a perpetrator rather than a victim.  Stop Saying 'Committed Suicide.'  Say 'Died by Suicide' instead.  by Kevin Caruso   Criminals commit crimes.  Suicide is not a crime.  So STOP SAYING “Committed Suicide.”  That is a term that needs to be expunged completely. It is inaccurate; it is insensitive; and it strongly contributes to the horrible stigma that is still associated with suicide.  A much better term is: “Died by Suicide.” Gabriel's Light, Carol and Brendon Deely.  :Words have power. It is important that we stop using the word “committed” when talking about suicide. Think about phrases like “commit murder” or “commit adultery.”  The word commit harkens back to beliefs that suicide is a crime or sin. But suicide is a sin  Sin as breaking divine laws Baltimore Catechism  #3 Lesson 6:  Q. 278. What is actual sin?  A. Actual sin is any willful thought, word, deed, or omission contrary to the law of God.  1849 Sin is an offense against reason, truth, and right conscience; it is failure in genuine love for God and neighbor caused by a perverse attachment to certain goods. It wounds the nature of man and injures human solidarity. It has been defined as "an utterance, a deed, or a desire contrary to the eternal law." Sins break relationships.  Jesuit Fr. Andrew Hamilton in a post called "Sin, the Breaking of Relationship" on the ignatianspiritulality.com website:  I think that the best images from a Christian point of view describe sin in terms of breaches of relationships between people, between people and themselves, between people and the world of which we are part, and between people and God. All those relationships have a proper form of respect that considers all relationships and not just the ones immediately involved in an engagement. In sin these relationships are breached by greed, arrogance, rage, resentment, contempt, fear, lack of due attention, and so on. Because respect is the natural expression of love, sin is always a failure to love. Breaking of relationship with self -- Love your neighbor as yourself.  -- second great commandment The person who takes his own life is indeed a victim.  He is the victim of a killing, the one who is killed. But he is also a perpetrator -- the one who did the killing.   He has a relationship with himself.  A perpetrator - victim relationship.   Breaking of relationship with others -- a lack of love, a lack of giving of himself Whether they want to or not, those who suicide break relationships with others.   The one who suicides may not be capable  But how did he get there. Concern that considering suicide as not a crime or a sin, and looking at it as a disease for example can make it seem as though it springs up from nowhere.    Case of 17 year old Michelle Carter Michelle Carter Case: Facts  THE PUZZLE OF INCITING SUICIDE  Guyora Binder* and Luis Chiesa** In 2014, 18-year-old Conrad Roy committed suicide, two years after a previous unsuccessful attempt. Police soon discovered that in the preceding week, 17-year-old Michelle Carter, who described Roy as her boyfriend, had sent him many text messages urging him to develop and carry out a plan to kill himself.  Moreover, Carter had pressed Roy to proceed in a phone call when he hesitated  in the very process of killing himself. And yet Carter had originally tried to talk Roy out of suicide, and only changed her position after he persuaded her that nothing else could relieve his misery.  Carter was charged with manslaughter in a Massachusetts juvenile court. The charge was upheld by the Massachusetts Supreme Judicial Court and, in 2017, Carter was convicted, and sentenced to a fifteen-month term of imprisonment Most people recognize that Michelle Carter's actions in this case were wrong.   If suicide is not a sin, if it's not wrong, if it's just a choice -- why was Michelle Carter convicted?   Going to look at impact -- impact on parents, spouses, children, and siblings of those who kill themselves. Definition of parts Suicide makes so much more sense if we understand each person not as a uniform, monolithic, homogenous, single personality, but rather as a dynamic system including a core self and parts.  That helps to explain so much, including shifts over time.   Definition of Parts:  Separate, independently operating personalities within us, each with own unique prominent needs, roles in our lives, emotions, body sensations, guiding beliefs and assumptions, typical thoughts, intentions, desires, attitudes, impulses, interpersonal style, and world view.  Each part also has an image of God and also its own approach to sexuality.  Robert Falconer calls them insiders.  You can also think of them as separate modes of operating if that is helpful.  Not just transient mood states, but whole constellations of all these aspects.   Parts are seeking some good for us, even when the means they use are maladaptive or harmful. Three roles Exiles --  most sensitive -- these exiles have been exploited, rejected, abandoned in external relationships They have suffered relational traumas or attachment injuries Suicide is an extreme form of  relational trauma, an extreme form of abandonment in relationship.  Suicide can also be experienced, rightly or wrongly, as a form of rejection.   Exiled parts hold the painful experiences that have been isolated from conscious awareness to protect the person from being overwhelmed with the intensity of the experience of the loss of the loved one.  The grief, the pain, the loss, and also the anger and resentment, the shame and the blame.   Exiled parts desperately want to be seen and known, to be safe and secure, to be comforted and soothed, to be cared for and loved and healed of their wounds, relieved of the burdens that were thrust upon them by the suicide -- and this is true whether or not the person who committed suicide intended harm or not -- even if there was no ill-will, no intention, it's still wounding, it's still harmful.   Exiled parts want rescue, redemption, healing And in the intensity of their needs and emotions, they threaten to take over and destabilize the person's whole being, the person's whole system -- they want to take over the raft to be seen and heard, to be known, to be understood.  But they can flood us with the intensity of their experience, with the intensity of the burdens they carry.   Burdens they carry:  Shame, dependency, worthlessness, Fear/Terror, Grief/Loss, Loneliness, Neediness, Pain, lack of meaning or purpose, a sense of being unloved and unlovable, inadequate, abandoned All of those can be created or exacerbated by a loved one's suicide Young parts, not mature ways of thinking Filters, lenses -- Suicide of a loved one can confirm and strengthen the feelings of intrinsic badness or unworthiness that an exile carries.   Managers These are the proactive protector parts.  They work strategically, with forethought and planning to keep in control of situations and relationships to minimize the likelihood of you being hurt.  They work really hard to keep you safe.  "Never again" attitude toward the exiles.   Very much about reducing risk of overwhelm.   controlling, striving, planning, caretaking, judging,  Can be pessimistic, self-critical, very demanding.   Firefighters When exiles break through and threaten to take over the system, like in Inside Out, remember the parts and the control panel?  So when these exiles are about the break out, the firefighters leap into action.  It's an emergency situation, a crisis, like a fire raging in a house.  No concern for niceties, for propriety, for etiquette, for little details like that.   Firefighter take bold, drastic actions to stifle, numb or distract from the intensity of the exile's experiences.   Intense neediness and grief are overwhelming us!  Emergency actions -- battle stations!   Evasive maneuvers, Arm the torpedoes, Full speed ahead!  No concern for consequences -- don't you get it, we are in a crisis,  All kinds of addictions -- alcohol use, binge eating, shopping, sleeping, dieting, excessive working or exercise, suicidal actions, self-harm, violence, dissociation, distractions, obsessions, compulsions, escapes into fantasy, and raging.   Parts can take over the person  Impact on Parents Amy Evans, Kathleen Abrahamson 2020 review article Journal of Psychosocial Nursing and Mental Health Services:  A systematic review of the literature was conducted to evaluate the impact of public stigma on bereavement of suicide survivors. A total of 11 qualitative and quantitative studies were reviewed. Suicide survivors reported feeling shamed, blamed, and judged. They perceived a general discomfort and awkwardness surrounding the suicide, which contributed to avoidance and secrecy. Higher perceived stigma levels were associated with global psychological distress, depression, self-harm, and suicidality.  Suicide Bearing families report higher levels of rejection, shame, stigma, the need to conceal the loved one's cause of death, and blaming.  Ilanit Tal: Death Studies 2017 those with complicated grief after suicide had the highest rates of lifetime depression, pre-loss passive suicidal ideation, self-blaming thoughts, and impaired work and social adjustment compared to other causes of death.   Ultimate failure of parent -- > Shame  Desire to disconnect  2018 article Parents' Experiences of Suicide-Bereavement: A Qualitative Study at 6 and 12 Months after Loss  Victoria Ross, Kairi Kõlves,* Lisa Kunde, and Diego De Leo  2018 article International Journal of Environmental Research and Public Health.  Research in Queensland, Australia.  7 mothers and 7 fathers (no couples) who had lost a child to suicide.   Death of a child by suicide is a severe trauma, increases risks of psychological and physical symptoms.  Increases risk of internal fragmentation, increasing disconnection among parts.   Three major themes  Searching for answers and sense making  -- the question of "Why?"  Reflective process Where there had been no previous indications that the suicide would occur, parents described their feelings of shock and bewilderment, and reflected on their many unanswered questions about the motivations for the suicide.  From a mother, six months after her son died by suicide:  “There are times when you start to think and you think, why? I mean we had no idea that he'd ever do anything like this, we didn't think he would. He even said that he would never ever do anything like this, and then to turn around and do it.”   Father, six months after his son committed suicide:  “You question so much all the time. Because you're going to naturally question whether it's you, whether he's in trouble at uni, money trouble… Maybe he was depressed. I don't know. We didn't see any signs... It would've been nice to have someone who would've had the answers, to tell you the thought processes that could go on. But no one's really had any idea. Just the questions behind why—give us some ideas why he would've done it.” Coping Strategies and support Avoidance, e.g. excessive working   From a father whose child died by suicide 12 months earlier:  “But we don't really talk about it—if you mean the incident or what happened.”   Manager activity -- proactive Excessive drinking to avoid the pain of loss From a father whose child died by suicide six months earlier:  “It's the weekly, every day drinking in the week that's definitely increased. Whereas before, we'd try not drink for three days … but now it's definitely, at least one bottle to myself, every night.”  Firefighter activity -- reactive   Quote from a mother whose child died by suicide six months earlier: “Like I said, you know, you either collapse under the pile, or you scrabble up with it, dig in your toes, and your fingernails, and even your teeth if you have to, to just rise above it …”   Adaptive processes -- come more from the self -- engaging with internal experience Writing letters to children  Celebrating birthdays  Visiting gravesites  Psychotherapy or marital counseling  Support groups   Finding meaning and purpose Learning process  Reflecting and re-evaluating their lives  Changing priorities  Making positive contributions  Mother , 12 months “I have good days and bad days. It's horrible, just horrible. There's probably not a day goes by that I don't have a cry ... It just doesn't get any easier.”   Importance of integration.  Impact on the Spouse  Reactions  Rejection and betrayal Broken vows, commitments abandoned  Could not look to you for help.  How is this not a breaking of relationship?   Unspoken criticism stemming from negative judgment Proactive manager parts asking questions like this -- What was so wrong with the marriage that he would prefer to kill himself?   Shame -- deeply burdensome.   Guilt -- frantic looking for what I did wrong, in an effort to make sure this never happens to anyone again.   JAMA Psychiatry Article Yeates Conwell, MD et al. Association Between Spousal Suicide and Mental, Physical, and Social Health Outcomes: A Longitudinal and Nationwide Register-Based Study.  Denmark.   3.5 million men (4,814 of whom were bereaved by spousal suicide) and more than 3.5 million women (10,793 of whom who were bereaved by spousal suicide). Major Findings Spouses bereaved by a partner's suicide had higher risk than the general population of developing mental health disorders within five years of the loss.   Spouses bereaved by a partner's suicide had elevated risk for developing physical disorders, such as cirrhosis and sleep disorders, which may be attributed to unhealthy coping styles, than the general population. Spouses bereaved by a partner's suicide were more likely to use more sick leave benefits, disability pension funds and municipal support than the general population. Compared with spouses bereaved by other manners of death for a partner, those bereaved by suicide had higher risks for developing mental health disorders, suicidal behaviors and death. Impact on Children Children are existentially vulnerable and they know it.  It's obvious to them.   Johns Hopkins researchers: 2010 Journal of the American Academy of Child & Adolescent Psychiatry. Those who lost a parent to suicide as children or teens were three times more likely to commit suicide than children and teenagers with living parents. However there was no difference in suicide risk when the researchers compared those 18 years and older. Young adults who lost a parent to suicide did not have a higher risk when compared to those with living parents. Children under the age of 13 whose parent died suddenly in an accident were twice as likely to die by suicide as those whose parents were alive but the difference disappeared in the older groups  Harold S. Koplewicz, MD, Commenting on that article:  Even more than an accidental death, a suicide generates horror, anger, shame, confusion, and guilt—all feelings that a child can experience as overwhelming. The biggest risk to a child's emotional health is not being able, or encouraged, to express these feelings, and get an understanding of what happened that he or she can live with. When a mother who has been depressed commits suicide, for instance, we want that understanding to be that she suffered from a mental illness, a disorder in her brain that caused her death, despite the efforts of those who loved her to save her.   Guidance: The Centre for Addiction and Mental Health (CAMH) is Canada's largest mental health teaching hospital and one of the world's leading research centres in its field. CAMH is fully affiliated with the University of Toronto https://www.camh.ca/en/health-info/guides-and-publications/when-a-parent-dies-by-suicide Did I do something to make this happen?  Is it my fault  If I'd only done what Mom asked me to do."  "If I hadn't fought with my brothers so much."  Manager parts -- seeking to prevent future tragedy Could I have prevented Mom's suicide What could I have done differently? Will I die by suicide too? Are you going to die, too?  Will I be left alone? If I die by suicide too, will I see mom again?   Why am I so sad?  Will I be sad forever? After the death of a parent, children may also feel:      abandoned    shocked    sad    angry    fearful    guilty    confused    depressed    anxious    lost or empty.When will it stop hurting?  When will I feel betterSuicide is never anyone's fault. This message needs to be repeated over and over again. Damaging to self esteem --  I was not worth living for.  Loss of protection, caregiver, mentor.   Impact on Siblings  Taylor Porco's brother, Jordan, died by suicide  National Public Radio August 25, 2017 "I was really depressed and in such extreme pain. Nothing, literally, mattered to me after he died. All I wanted was my brother back. I never loved someone as much as I loved him," she says. Siblings have deep, protective bonds.  Shared experience of sharing parents.   Psychotherapist Leah Royden Psychology Today February 15, 2019  -- Lost her brother to suicide when she was 21.   It's confusing, painful, and hard—with more challenges than "normal" bereavement. A marked sense of guilt and responsibility around the death -- often carried by exiles but also by managers  Intense anger, stemming from a deep sense of rejection and abandonment -- the exiles, but also the firefighters  Feelings of shame and worthlessness -- exiles.   Overwhelming anxiety and fear -- this is the exiles breaking through.   Siblings suffer intensely—and they also tend to suffer invisibly -- attention tends to go to the parents.   surviving siblings “often find themselves not only neglected, but expected to put their needs aside in order to spare their parents further distress” (1992 dissertation by Ariate S. Rakic, 1992, p. 2). Rakic:  Even though they shared many demographic similarities, the sibling survivor group were operating at well below their potential. While the other bereaved siblings were taking positive, active steps towards a secure future, “all the siblings in the suicide group … envisioned a narrow range of possibilities for success, and blamed themselves for the decisions and choices that proved to be detrimental to their lives.”   Royden:  presence of anger towards the dead sibling—let alone its expression—is usually viewed as highly inappropriate and unacceptable, even in families that can speak relatively freely about emotions. There's usually no space to talk within the family—and nowhere to talk outside of it either.  I would add not a place to have an internal dialog about it all.   The loss can cast a very long shadow, affecting the siblings' sense of security in the future, in relationships, and in life itself. Many siblings eventually create meaningful, purposeful lives out of this emotional nightmare—with a greater sense of perspective and empathy. Impact on the Church, the Mystical Body of Christ 1 Corinthians 12 12-14  12 For just as the body is one and has many members, and all the members of the body, though many, are one body, so it is with Christ. 13 For by one Spirit we were all baptized into one body—Jews or Greeks, slaves or free—and all were made to drink of one Spirit. 14 For the body does not consist of one member but of many.   26 If one member suffers, all suffer together; if one member is honored, all rejoice together. 27 Now you are the body of Christ and individually members of it. As Catholics, we are all in relationship with each other.  If one of us dies by suicide, it's not just some isolated choice but a separate person, with no impact.  We are part of the same body.  The mystical body of Christ.  There's a real loss there.    Action Items If you are having suicidal thoughts or know of someone who is, contact the National Suicide Prevention Lifeline at 1-800-273-8255 for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911.  Subscribe to this podcast -- like it on social media, leave reviews on Apple Podcasts or whatever podcast platform you use.   Resilient Catholics Community.   Catholic's Guide to Helping a Loved One in Distress  Conversation hours T, R 317.567.9594    Pray for me and for the other listeners   Patronness and patron

Jenn and Audriannah take the week off from a major episode release, and instead offer you this bite-sized lesson about one of our favorite therapy modalities: Dialectical Behavior Therapy.   Research - as well as the ladies' experience as therapists - support this therapy as an effective intervention for just about any issue, from anxiety and depression to Borderline Personality Disorder, addiction, and self-harm.  In this episode, Jenn provides a brief background on how the therapy was developed as well as a crash course in the concept of "dialectics."   This episode serves as a precursor (a teaser, if you will) to next week's full-length episode, in which Audriannah and Jenn will do a deeper dive into the 4 major components of DBT as well as some specific coping skills that help people experience more ease and stability in their lives.Shout-Outs/Resources in this Episode:- DBT Skills Training Manual by Marsha M. Linehan (book)NOTE: All episodes contain guided meditation and grounding.  Please skip these exercises if you're driving.  RECORDED: 7/13/21

Neste episódio as psicólogas Luisa Franco e Thatiana Cicolo abordaram alguns mitos/regras/pensamentos que a acabam atrapalhando nossas relações interpessoais. Mitos esses estabelecidos pela teórica Marsha M. Linehan. Ela é a criadora da terapia comportamental dialética, um tipo de psicoterapia que combina ciência comportamental com conceitos como aceitação e atenção plena.

TW: Mention of suicide Welcome back to my ~glamorous~ life!!!!!! Happy April Showers of Self Love!! Today we are joined by a very special guest, Déjà who is a Clinical Psych PhD/MPH Student to discuss mental health. Déjà shares her background with us and why she became interested in Clinical Psych. She discusses multiple important topics such as The Strong Black Women schema and the effects it can have on young girls and women, she breaks down multiple types of therapy and what you can do for self care (even if you only have 5 minutes) if you don't have a therapist. LINKS: Déjà's Instagram: https://www.instagram.com/__deja_nicole/ Déjà's Twitter: https://twitter.com/clementdeja?lang=en MENTIONS: DBT Skills and Training Workbook by Marsha M. Linehan: https://www.guilford.com/books/DBT-Skills-Training-Handouts-and-Worksheets/Marsha-Linehan/9781572307810 Mindful Way Through Anxiety Website: https://mindfulwaythroughanxiety.com/ Mindful Way Through Anxiety Books: https://mindfulwaythroughanxiety.com/books/

Wut, Stress, Angst – unsere Gefühle versetzen uns oft in Anspannung. An manchen Tagen scheint alles zusammen zu kommen und dann sind wir am Limit. Was im Alltag bereits richtig nerven kann, ist für Menschen, die unter hohen Anspannungsgraden leiden, wie zum Beispiel Betroffene der Borderline Persönlichkeitsstörung eine Qual und kann echt gefährlich werden. Darum hat die amerikanische Psychologin Marsha M. Linehan das Skillstraining entwickelt. Hierbei lernen Menschen im Rahmen einer Dialektisch-Behavioralen Therapie Möglichkeiten, ihre Anspannung zu kanalisieren ohne sich dabei Schaden zuzufügen. Im Gespräch mit dem psychologischen Psychotherapeuten Martin Widemann lerne ich heute, was genau das Skillstraining ist und wie es uns auch in alltäglichen Situationen der Anspannung helfen kann. DBT-Dachverband (Karte mit Therapieangeboten): https://www.dachverband-dbt.de/index.php/component/content/article/2-uncategorised/4-hauptbeitrag?Itemid=193 Martin Widemann: http://www.mwpp.de/ Buch "DBT Skills Training Manual" von Marsha M. Linehan (englisch): https://www.buecher.de/shop/englische-buecher/dbt-skills-training-manual/linehan-marsha-m-university-of-washington-emeritus-seattle-un/products_products/detail/prod_id/40620543/

♡ SUPPORT THIS PODCAST ♡ In today's episode, Gina discusses the greatly powerful tool of radical acceptance for overcoming anxiety. Our suffering can be greatly curtailed through the practice of radical acceptance. Listen in to learn about this critical tool and turn your experience of life around! Grab an awesome audio book for FREE, like The Power Of Now  by Eckhart Tolle www.anxietycoachespodcast.com/audibletrial  To learn more go to: http://www.theanxietycoachespodcast.com Join our Group Coaching Full or Mini Membership Program  Learn more about our One-on-One Coaching What is anxiety? Quote: Radical acceptance rests on letting go of the illusion of control and a willingness to notice and accept things as they are right now, without judging. -Marsha M. Linehan

♡ SUPPORT THIS PODCAST ♡ In today's episode, Gina discusses the greatly powerful tool of radical acceptance for overcoming anxiety.  Our suffering can be greatly curtailed through the practice of radical acceptance.  Listen in to learn about this critical tool and turn your experience of life around! Grab an awesome audio book for FREE, like The Power Of Now  by Eckhart Tolle  www.anxietycoachespodcast.com/audibletrial  To learn more go to: http://www.theanxietycoachespodcast.com Join our Group Coaching Full or Mini Membership Program  Learn more about our One-on-One Coaching What is anxiety? Quote: Radical acceptance rests on letting go of the illusion of control and a willingness to notice and accept things as they are right now, without judging. -Marsha M. Linehan

This week Alice and Kim highlight 50 awesome nonfiction books to celebrate their 50th episode! This episode is sponsored by Get Booked from Book Riot, Me and White Supremacy from Sourcebooks, and Book Riot Insiders. Subscribe to For Real using RSS, Apple Podcasts, Spotify, or Stitcher. For more nonfiction recommendations, sign up for our True Story newsletter, edited by Alice Burton. Books Mentioned Bad Blood by John Carreyrou Building a Life Worth Living by Marsha M. Linehan The Boys in the Boat by Daniel James Brown Unfollow by Megan Roper Phelps The Art of Choosing  by Sheena Iyengar A Woman’s Crusade by Mary Walton The Great Beanie Baby Bubble by Zac Bissonnette  Meaty by Samantha Irby The Poisoner’s Handbook by Deborah Blum Moonbound by Jonathan Fetter-Vorm Without You There Is No Us by Suki Kim Men Explain Things to Me by Rebecca Solnit Stiff by Mary Roach Spare Parts by Joshua Davis Word Freak by Stefan Fatsis  King Mob by Christopher Hibbert When Breath Becomes Air by Paul Kalanithi The Orchid Thief by Susan Orlean Educated by Tara Westover My Squirrel Days by Ellie Kemper Assassination Vacation by Sarah Vowell Portage by Sue Leaf  White Fragility by Robin DiAngelo My Own Devices by Dessa  All You Can Ever Know by Nicole Chung The Distraction Addiction by Alex Soojung-Kim Pang Crash Override by Zoe Quinn How Star Wars Conquered the Universe by Chris Taylor The Last Black Unicorn by Tiffany Haddish The Power of Meaning by Emily Esfahani Smith Never Caught by Erica Armstrong Dunbar The Emperor of All Maladies by Siddhartha Mukherjee  They Can’t Kill Us All by Wesley Lowery From the Corner of the Oval by Beck Dorey-Stein American Heiress by Jeffrey Toobin Good Talk by Mira Jacob Political Tribes by Amy Chua The Empathy Exams by Leslie Jamison Amateur by Thomas Page McBee Knocking on Heaven’s Door by Katy Butler We Should All Be Feminists by Chimamanda Ngozi Adichie Leaving Orbit by Margaret Lazarus Dean The Ridiculous Race by Steve Hely and Vali Chandrasekaran Five Days at Memorial by Sheri Fink Mayflower by Nathaniel Philbrick Another Day in the Death of America by Gary Younge I’ll Be Gone in the Dark by Michelle McNamara This Life is In Your Hands by Melissa Coleman The Sixth Extinction by Elizabeth Kolbert Reset by Ellen Pao

In this episode we welcome Alicia Paz, a DBT expert who talks with us about what exactly DBT is. We break down what the DBT approach looks like, how it differs from other styles of therapy, what it's used for, and the history of how DBT was created. DBT is highly effective for borderline personality disorder, but it's effectively used for various mental health symptoms regardless of diagnosis. We touch upon how DBT can help you survive the holidays so you can survive the holiday meal! Is DBT for you? Tune in and find out!Dialectical behavior therapy (DBT) is a specific type of cognitive-behavioral psychotherapy developed in the late 1980s by psychologist Marsha M. Linehan to help better treat borderline personality disorder. Since its development, it has also been used for the treatment of other kinds of mental health disorders.To apply to work with us or for more information on Being UnNormal check out our website at www.beingunnormal.comFollow us on social media!Facebook: https://www.facebook.com/beingunnormalInstagram: https://www.instagram.com/beingunnormalpodcastTo donate to Project Holiday Hope you can either go to our website to donate online, or send a gift card from Target electronically to projectholidayhope@gmail.comSupport the show (http://www.pateron.com/beingunnormal)

What are all the different kinds and how to find what works best for you? There are around 400 types of accepted therapy by the American Psychological Association. I have my preferences for personal reasons and those I’ll provide once I finish my masters of counselling psychology and become a registered psychotherapist. It is important to note that the most important thing is that you are doing something! We can’t get better unless we are moving in the direction of healing and recovery.  I the podcast I reference Jon Kabat-Zinn the founder of Mindfulness-Based Stress Reduction, who really pioneered western medical mindfulness interventions and the founder of Dialectical Behavioural Therapy Marsha M. Linehan. There are so many other people to learn from, these are just two who I discussed in the podcast amongst other things. 

Interview with Marsha M. Linehan, PhD, author of Dialectical Behavior Therapy for High Suicide Risk in Individuals With Borderline Personality Disorder: A Randomized Clinical Trial and Component Analysis