First Talk-What is a Good Psychotherapy Session and Why? 11/12/12

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Uploaded by on Nov 2, 2011

How does psychotherapy work; what a psychotherapist does to create a good session first session. http://www.marksehl.com/psychotherapy-interventions.html Fear, judgement, shame and parent's needs vs child's needs. Intruding on patients, defenses are necessary, countertransference, what was former treatment like?, setting fees and frequency, what is a well conducted first session. "It is joy to be hidden and disaster not to be found", what would you like to do when you grow up (is this a genuine question?).

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Uploader Comments (therapyfortheheart)

  • Thank you for your interesting question. No to both questions. Everyone is different. Some people can visibly cry and feel less intensely than those who don't shed tears.

  • Great first video.. It's great to relearn to basics as establishing that connection with a client is so vital and important to their healing! Thanks..

  • @rimarobot I am glad you are getting something out of the tapes. It is good to revisit the basics. Thank you for your comment.

  • 2) My experience is that one's personality type/patterns bring unique strengths to one's work with patients, but can also unconsciously undermine or bias one's approach as a psychotherapist. You embody a treatment that is deeply receptive, accepting, nonjudgmental and patient. My question is, isn't there also a legitimate place for hard conversations and the need for challenging the patient, IF the occasion calls for it, and once a foundation of trust and rapport is established?

  • @Ramtin108 Yes. You make a good point, and the analyst has to be able to tease out the person's aggression, challenge the patient, and be able to stand up and sometimes give a dose of aggression back. If a therapist is too nice and friendly the person may not trust and get somewhat paranoid. Sometimes that paranoia may be justified because a too friendly persona may cover the opposite. Whatever the therapist does he/she has to observe the patient's reaction to the intervention.

  • 1) I really appreciate the empathy and understanding you have for the internal vulnerability of the patient, and the safe and respectful space you create for patients processing concerns and issues, in their own pace. The experience of somebody accepting you and allowing you to freely be and express yourself is truly transformative and liberating. I can sense your good heart and grounded maturity and I love your presentation. I also have a question that I would appreciate to hear your take on.

  • @Ramtin108 Good question and I attempted to answer it above.

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  • To mourn or feel loss does a patient have to shed tears? Are tears a intrinsic part of the psychoanalytic process?

  • 3) Or maybe that would belong more in the realm of coaching where one works toward a designated goal and has the responsibility to hold the client accountable...?

  • @arknewman I know what you mean about identifying as a psychoanalyst. Sometimes I am reluctant to tell people what I am, but on the other hand I also like these videos because many people have a one-sided view of this profession. Thanks for the comment and I trust that these and future videos will help you sort things out about psychoanalysis. If you have time and would like to post this on the main channel page under channel comments that would be great. Happy New Year.

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