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On second thought...

Posted by Amelia_in_StPaul on June 19, 2009, at 13:35:46

In reply to Re: Two psychology boards? Reply to all, posted by Amelia_in_StPaul on June 19, 2009, at 12:12:25

After reading further posts at the psychology board, I am more convinced than ever that this psychology board is in fact dominated by people who are in psychoanalysis, or are in therapy that is dominated by psychodynamic approaches.

The problem then is that you can bring up a concept with others, but the concept will mean something very different, or it will mean nothing at all. For instance, boundaries. Boundaries are very, very important to DBT--declaring your boundaries and making sure you understand what they are. Boundaries are ESPECIALLY important between T and client.

With psychodynamic therapy, there is more fluidity, in part because of some of the core concepts like transference: "Passionately held contradictory positions espoused by senior clinicians make formulating psychodynamic boundary interventions a conceptual and clinical minefield for therapists.1214,1618 Clinicians who deviate from traditional practice risk censure from those who consider they have entered a danger zone of boundary fluidity. Other theorists dismiss traditional interventions as exclusively limit-setting techniques that diminish mutuality and empathic dialogue.1922 An integrated approach, one that honors traditional parameters and yet encourages an openness to creative, uncharted outcomes within ethical frames, is hard to find." http://jppr.psychiatryonline.org/cgi/content/full/8/4/292

That is just one example of many. So I'd like to see a "Psychodynamic" board (understanding this can encompass eclecticism) and a "Skills" board (for CBT, DBT etc., also understanding this can encompass elcecticism).

But since, as others have said, this site is moving towards streamlining, it might be better to just create my own bulletin board. I would love to connect with people who are doing the same work I am doing. Maybe that will not happen here. C'est la vie.

Pardon me for brain fog. I sometimes confuse terms. It's not idiocy, it's my brain fog. Physical conditions that make me confused, at times.

> These are all great suggestions, great feedback. (Alexandra, thank you for the validation.) And I am not offended by any criticism. Please understand that I did not mean to offend; what I said came from a place of wanting to be able to have a place to share with like-minded people. I am hearing from a few responses on the psychology board that others like or want to talk about solutions-focused therapy.
>
> Hmmm. Lots to think about.
>
> Of course, I agree that the lines are squishy; when I go to my DBT individual therapist, by necessity we end up "talking" about stuff, but we do so in service of understanding what my triggers are. We always come back to what I can do to cope. What skills. DBT has an elaborate framework, with lots of acronyms (DEAR MAN, FAST, GIVE, PLS, ACCEPTS), etc. Just last night, I was having a panic attack. I used my self-soothe skills (it means something specific in DBT, even though all therapies advocate self soothing) and sensations skills to get through it with a minimum of duration and intensity.
>
> Okay, in this era of cutting back, what about replacing some of the barely-used boards? Or whether by addition or substitution, what about boards like these (Tabitha, thanks for the brain wave!):
>
> 1. Skills - a focus on coping skills you/me/we are learning in therapy
> 2. Relationships or T issues - a focus on the relationship with the therapist, including transference
>


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URL: http://www.dr-bob.org/babble/admin/20090529/msgs/902078.html