Lying to Our Clients

During several recent sessions, one of my clients has been struggling to make an important decision in her life that’s causing her considerable anguish — whether or not to leave her husband. I don’t normally give advice in such cases, but based on my lengthy relationship with this client, I strongly believe that she ought… Continue reading Lying to Our Clients

How Feelings of Helplessness May Give Rise to Destructive Violence

Reading about Adam Lanza, the Newtown shooter, in today’s New York Times brought to mind Anders Behring Breivik, the Norwegian mass murderer who set off bombs and murdered at least 76 people back in 2011. These two men have several features in common, including social isolation, a fascination with Call of Duty (a war-oriented video… Continue reading How Feelings of Helplessness May Give Rise to Destructive Violence

Why Free Association is So Difficult

Most people understand what free association means: to voice all thoughts, feelings and ideas that come to mind during a therapy session, without deciding in advance whether they’re relevant or “worth saying.” At the beginning of traditional psychoanalysis, clients are instructed to freely associate and occasionally reminded to do so as the treatment proceeds. We… Continue reading Why Free Association is So Difficult

Keeping Secrets from Your Therapist

When people enter psychotherapy, even if they’re desperate and deeply in need, they don’t fully reveal themselves in the early phases of treatment. As in any relationship, it takes time to develop enough trust so you feel safe making yourself vulnerable. A prudent reserve makes sense: how can you be sure the stranger sitting in… Continue reading Keeping Secrets from Your Therapist