Pinned Tweet
An excerpt below from the brilliant ‘Personality Syndromes’ paper by @JonathanShedler
(reference jonathanshedler.com/wp-conte… )
I think about this often, and it really gets to the heart of what it’s all about. I’m in the infancy of my career in this field,but this is central 4me.
exisdential retweeted
“I must not fear. Fear is the mind-killer. Fear is the little-death that brings total obliteration. I will face my fear. I will permit it to pass over me and through me. And when it has gone past I will turn the inner eye to see its path. Where the fear has gone there will be nothing. Only I will remain.”
--Frank Herbert, Dune
exisdential retweeted
I chose psychiatry because it once balanced art with science- but now think the focus on science too often obscures its crucial art.
I love this piece because it answers the most crucial #psychotherapy questions in such an artful way.
& its free:
psychotherapynetworker.org/a…
exisdential retweeted
[L]ife is a series of passages. In every passage there is a death of some sort, the death of naïveté, the death of a dependency, the death of an understanding of self and world. And, after that death, there is often a terrible “in-between,” sometimes lasting years.~James Hollis
exisdential retweeted
Al final, es lo de siempre. Necesitar menos y distinguir lo que importa de lo que solo hace ruido.
Perfect Days
Wim Wenders
2023
Probably the most important thing to understand about people with psychotic illnesses or psychotic-level psychologies is that they are terrified……..the person with a vulnerability to psychotic disorganization lacks a basic sense of security in the world and is ready to believe that annihilation is imminent.
Adopting any approach that permits a lot of ambiguity, as does traditional analytic therapy with neurotics, is like throwing gasoline into the flame of psychotic-level terror. Consequently, the treatment of choice with psychotic-level patients has generally been framed as "supportive therapy," an approach that emphasizes active support of the patient's dignity, self-esteem, ego strength, and need for information and guidance.
Dr Nancy McWilliams
Psychoanalytic Diagnosis
Second Edition
On a purely personal level, when encountering people in the psychotic range, I have felt sincerity, honesty, and being someone who can be quite forthright, and structured at times helps.
Just as a physician expects a healthy person to recover faster and more completely from an illness than a sickly one, or as a teacher assumes that an intelligent student will master more material than a slow one, a therapist should have different expectations for people with different levels of character development.
Realistic goals protect patients from demoralization and therapists from burnout.
Dr Nancy McWilliams
Psychoanalytic Diagnosis
Second Edition
Beyond conveying certain basic therapeutic attitudes, including curiosity, respect, compassion, devotion, integrity, and the willingness to admit mistakes and limitations. I do not believe in teaching a particular “technique" in the absence of trying to understand the psychology of the person to whom one is applying the technique.
Dr Nancy McWilliams
Psychoanalytic Diagnosis
Second Edition
exisdential retweeted
The Master is on my holiday watchlist. I revisited this amid @SeanFennessey putting together an awesome list of films that accompanied The Brutalist. But given I’ll have more time to revisit films over the next two months, I’d like to go back to one of PTA’s finest films & re-examine aspects of this movie which I may have previously missed. Hoping to revisit a number of movies this holiday season.
On the other hand, I also have seen that individuals with childhood trauma are more likely to misperceive themselves as having neurodiversity because of social deficits, sense of otherness, and repetitive and dissociative coping strategies. Lack of appropriate parental modelling, shame, anxiety and generalised mistrust can hold individuals back from engaging and acquiring developmentally appropriate social skills.
Reference:
cambridge.org/core/journals/…
exisdential retweeted
I just found out that Sir Patrick Stewart has died.
Here is a video he made on the advice he would give to his younger self.
RIP
Hi all, looking for psychotherapy outcomes research papers?
In process of reading one but anything related to this would love to read!
exisdential retweeted
Some movies make you cry. MANCHESTER BY THE SEA (2016) leaves you sitting in silence, trying to process what you just watched. Casey Affleck plays a man who has lost the ability to imagine a future for himself, and the film never takes the easy way out.
Can someone recommend a movie that will absolutely destroy you in the most beautiful way?
Something deeply human that makes you feel connected to the characters, leaves you staring at the credits in silence, and stays in your head for days. Not necessarily sad, just something that makes you feel EVERYTHING.
A film about life, love, loss, loneliness, or the beautiful mess of being human. Something that leaves a little hole in your heart when it’s over.
exisdential retweeted
Al Pacino only owning one Oscar still feels so incredibly wrong. Don’t bore me with details - don’t drown me in a year-by-year analysis as to why Pacino didn’t win more. Yada yada yada. This man should have multiple statutes and it hurts @TheAcademy’s own credibility that he doesn’t have more. Pacino’s humility always gets me. For all his fame & all his talent, Pacino still feels modest. I love this man & his entire body of work.
exisdential retweeted
I love how Insomnia (2002) turns something as ordinary as daylight into a source of anxiety. There's nowhere for Al Pacino's character to hide, not even when he's trying to sleep. Such a clever way to reflect his guilt.




















