tag:blogger.com,1999:blog-1923249419959081206.post6672684420668324868..comments2024-02-28T17:40:59.264-05:00Comments on Inside/Outside: In MotionLinda Sherby PH.D., ABPPhttp://www.blogger.com/profile/09279584570624265917noreply@blogger.comBlogger8125tag:blogger.com,1999:blog-1923249419959081206.post-63858460406444595662014-08-05T19:18:32.828-04:002014-08-05T19:18:32.828-04:00Thanks for your feedback and input, DrT. It is alw...Thanks for your feedback and input, DrT. It is always informative to have another perspective and to look at a patient's behavior from a different vantage point.Linda Sherby PH.D., ABPPhttps://www.blogger.com/profile/09279584570624265917noreply@blogger.comtag:blogger.com,1999:blog-1923249419959081206.post-28249144158039649822014-08-05T18:01:04.749-04:002014-08-05T18:01:04.749-04:00Very nice Linda. I am sure this was a well thought...Very nice Linda. I am sure this was a well thought out and well-timed interpretation helping your patient to slow down, and feel his feelings. And I take it as a given that you really know your client, so I am sure it was spot on. So many times it is really so that we can sense how our clients fear what lies under the stillness, so the chaos continues. Also your CT helped you understand your client even better.<br /><br />I have a comment/concern on the topic of lateness in general however. The question I would have in the beginning as I get to know the patient is how much is this a defense (as you sensed in your patient), and how much is this a reflection of a dopamine deprived brain style, a true organic/neurochemical life long condition, that makes the person feel bad about themselves, as they sense they are living under their potential. They lead a life of disorganization, hurry, catching up, etc. When parents, spouses, teachers, and therapists (analysts) also do not understand, misunderstanding and misattribution can have really deleterious consequences. A person with ADHD struggling with the difficulties of this brain style, already feels "made wrong" in a 1000 ways. For most of his/her life. Sadly I have seen analytic interpretations compound this problem, when the therapist does not have the appropriate background to recognize the condition. And to complicate matters further, a patient's behaviors of hurry, overscheduling, etc., can have both deficit and defense aspects. So lateness is a complicated thorny issue.<br /><br />Thanks so much for your post! Warmly, TeresaDrThttps://www.blogger.com/profile/17414862731541656893noreply@blogger.comtag:blogger.com,1999:blog-1923249419959081206.post-60312342326578970442014-08-03T16:51:11.578-04:002014-08-03T16:51:11.578-04:00No, it's not technically a manic defense, but ...No, it's not technically a manic defense, but can certainly be understood as being on that continuum.Linda Sherby PH.D., ABPPhttps://www.blogger.com/profile/09279584570624265917noreply@blogger.comtag:blogger.com,1999:blog-1923249419959081206.post-20994079963057792692014-08-02T19:56:31.592-04:002014-08-02T19:56:31.592-04:00I don't think that this behavior is what is ac...I don't think that this behavior is what is actually called the "manic defense"... but I have always thought it should be!S.L.E.Meindlhttps://www.blogger.com/profile/10167990030842534485noreply@blogger.comtag:blogger.com,1999:blog-1923249419959081206.post-88115533077515636012014-07-31T19:10:34.764-04:002014-07-31T19:10:34.764-04:00So glad to have been of help, Linda. Being able to...So glad to have been of help, Linda. Being able to look at ourselves and our own feelings is vital to our work as therapists. <br /><br />And to add, I know I'd be angry if a patient emailed me to say she wanted to "take a break" and that I'd call and ask her to come in. Doesn't mean she would, but I'd want to be clear that it wasn't all right with me that a relationship based on verbal communication would be unilaterally terminated via email. Linda Sherby PH.D., ABPPhttps://www.blogger.com/profile/09279584570624265917noreply@blogger.comtag:blogger.com,1999:blog-1923249419959081206.post-20687529956935655352014-07-31T09:24:58.173-04:002014-07-31T09:24:58.173-04:00Thank you! Your description of your interaction h...Thank you! Your description of your interaction helped me sort through a "rejection" by a patient who wants to "take a break" from therapy in an email. I am reminded to look at my historical feelings of not being good enough so I can attend to what I know about her in the work we have done together. Linda WayneAnonymoushttps://www.blogger.com/profile/07288196336855194442noreply@blogger.comtag:blogger.com,1999:blog-1923249419959081206.post-19675649295871247122014-07-30T19:55:18.702-04:002014-07-30T19:55:18.702-04:00Thank you, Miriam. I appreciate both your self-ref...Thank you, Miriam. I appreciate both your self-reflection and your feedback.Linda Sherby PH.D., ABPPhttps://www.blogger.com/profile/09279584570624265917noreply@blogger.comtag:blogger.com,1999:blog-1923249419959081206.post-59644956341321041962014-07-30T13:47:41.947-04:002014-07-30T13:47:41.947-04:00Well written and moving, this account speaks to bo...Well written and moving, this account speaks to both the therapist in me and the deflector in me and enabled me to feel my own sadness in a far too busy day today. I'm glad I paused to read and self reflect. Thank you.Anonymoushttps://www.blogger.com/profile/04524596537226320795noreply@blogger.com