What a great lecture. As a mental health professional, I'm not convinced about everything covered, but Dr Said is very persuasive. He very well may be right. The list of contraindications must be quite long (hard to believe it's as short as noted here).
This sounds good in theory but it takes time for patients to learn to cope when their life long defenses are removed. Other authors have more recently acknowledged the need to show respect for the purpose of defenses rather than crashing through them too quickly and leaving the patient without a way of coping- especially in the case of significant trauma.
The point is that patients within the treatment are exposed to not getting that terrifying result they so fear, and for the therapist to regulate their anxiety so they don't go overboard. They don't have to instantly apply all of it in daily life, so they can use their defences as much as they like. They learn different ways of being right there in the treatment and can start changing their daily life whenever they feel ready for that. It's never actually "too quick" unless the ISTDP therapist is somehow not catching on to signals / doing something wrong. The therapist can't even force them to give up their defences. All they can do is ask for the real feeling, and assess the reaction, and point out the defence to the patient. If they don't give it up they don't give it up. It's not like we can make them give it up.
This is an excellent introduction to ISTDP. No easy task without any slides or video! Great job by Dr. Said.
Absolutely LOVE this lecture. I've watched it many times. Well done!
What a great lecture. As a mental health professional, I'm not convinced about everything covered, but Dr Said is very persuasive. He very well may be right. The list of contraindications must be quite long (hard to believe it's as short as noted here).
Guilt is also there it seems because there's love beneath it. It's the conflict between rage and love that gives rise to guilt in the child.
Is this the same Tewfik Said who attended West Hill High School, Montreal? If so I went to school with him... he's a great guy!
This is such a contrast to IFS, where defenses are seen as "good intentioned" and are talked to with kindness and compassion
Dr. Said has made concepts so clear
Great lecture , loved it
Great lecture, thanks for posting this!
This sounds good in theory but it takes time for patients to learn to cope when their life long defenses are removed. Other authors have more recently acknowledged the need to show respect for the purpose of defenses rather than crashing through them too quickly and leaving the patient without a way of coping- especially in the case of significant trauma.
The point is that patients within the treatment are exposed to not getting that terrifying result they so fear, and for the therapist to regulate their anxiety so they don't go overboard. They don't have to instantly apply all of it in daily life, so they can use their defences as much as they like. They learn different ways of being right there in the treatment and can start changing their daily life whenever they feel ready for that. It's never actually "too quick" unless the ISTDP therapist is somehow not catching on to signals / doing something wrong. The therapist can't even force them to give up their defences. All they can do is ask for the real feeling, and assess the reaction, and point out the defence to the patient. If they don't give it up they don't give it up. It's not like we can make them give it up.
This type of therapy is narcissist abuse
I am a victim of this "specialized" Treatment. It causes me a lot of damage.
Very interesting.