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After Psychotherapy

Insights from 30+ years in the profession

Category: The Psychotherapy Relationship

The Question of Sliding Scale Payment in Psychodynamic Therapy

In the psychotherapy relationship, the therapy itself is about the client’s needs while the fee concerns the therapist’s need to earn a living. When the fee is reduced due to financial hardship, the client still receives what he or she needs but the therapist must make do with less.

Published July 19, 2011
Categorized as Points of Departure, The Psychotherapy Relationship

The Interpretation of a Dream

An example of dream interpretation with a client in psychotherapy, with some thoughts about Freud’s The Interpretation of Dreams.

Published July 3, 2011
Categorized as Destinations, Self-Esteem and Self-Sabotage, The Psychotherapy Relationship

Why Empathy Fails

In order to empathize with another person, you have to recognize that he or she actually exists apart from and without specific reference to you. Our ability to tolerate separateness largely determines how well we are able to empathize with others.

Published June 14, 2011
Categorized as Defense Mechanisms, Points of Departure, The Psychotherapy Relationship, Unbearable Emotion

Working with Borderline Personality Disorder

What experience has taught me about borderline personality disorder — in my work with clients from my practice as well as managing the volatile and difficult man who lives inside me.

Published June 10, 2011
Categorized as Love and Hatred, The Psychotherapy Relationship

Defense Mechanisms II: Denial

Like all defense mechanisms, denial has its normal and constructive uses: by denying the awareness of unavoidable death, for instance, we’re able to continue with our daily lives.

Published May 19, 2011
Categorized as Defense Mechanisms, Rules of the Road, The Psychotherapy Relationship, Unbearable Emotion

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