Modern Wisdom - #567 - Dr Jonathan Shedler - 14 Psychoanalytical Concepts To Understand Yourself

Episode Date: December 19, 2022

Dr Jonathan Shedler is a psychologist, author, master clinician and clinical professor of psychiatry at the University of California. We do not understand ourselves. Almost all of what is inside of ou...r minds is obscured from us. We don't need to exclusively despair though. With a little work and some good insights from psychoanalysis, the view can be made a little clearer. Expect to learn why people believe that their suffering makes them more moral than others, how you can create a false identity without realising, the ruthless danger of projective identification, how come it's easier for us to see people as either good or bad, how extreme envy can manifest, the manipulative strategies we all enact without thinking and much more... Sponsors: Get 15% discount on Craftd London’s jewellery at https://bit.ly/cdwisdom (use code MW15) Get over 37% discount on all products site-wide from MyProtein at https://bit.ly/proteinwisdom (use code: MODERNWISDOM) Get 20% discount on House Of Macadamias’ nuts at https://houseofmacadamias.com/modernwisdom (use code MW20) Extra Stuff: Check out Jonathan's website - https://jonathanshedler.com/  Follow Jonathan on Twitter - https://twitter.com/jonathanshedler  Get my free Reading List of 100 books to read before you die → https://chriswillx.com/books/ To support me on Patreon (thank you): https://www.patreon.com/modernwisdom - Get in touch. Instagram: https://www.instagram.com/chriswillx Twitter: https://www.twitter.com/chriswillx YouTube: https://www.youtube.com/modernwisdompodcast Email: https://chriswillx.com/contact/  Learn more about your ad choices. Visit megaphone.fm/adchoices

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Starting point is 00:00:00 Hello everybody, welcome back to the show. My guest today is Dr Jonathan Shedler, he's a psychologist, author, master clinician and a clinical professor of psychiatry at the University of California. We do not understand ourselves. Almost all of what is inside of our minds is obscured from us. We don't need to exclusively despair though, with a little work and some good insights from psychoanalysis, the view can be made a little clearer. Expect to learn why people believe that their suffering makes them more moral than others, how you can create a false identity without realizing it, the ruthless danger of projective identification, how come it's easier for us to see people as only either good or bad,
Starting point is 00:00:43 how extreme envy can be manifested, the manipulative strategies we all enact without thinking, and much more. Dr. Shedler's stuff is really cool. I'm not super familiar, I wasn't super familiar with psychoanalysis before this. I kind of thought it was this old and worldy kind of forgotten doesn't really make sense anymore inside. But the fundamental lesson is that we do not know ourselves and the subconscious mind is largely in control. The only way that we can become aware of that is by doing work like this. So I actually really, really appreciated it today and I hope that you take tons away from this one.
Starting point is 00:01:21 We are approaching Christmas and given that, I've thought it might be an appropriate time to ask for a Christmas present, if you are listening on Apple podcasts or on Spotify, just pick your favorite episode from the last year and share it with a friend. That is the best thing that you could do for me. The only way that this show grows is from people like you sharing it with people like you, and if you've had one that's particularly been great or interesting or useful or emotionally supportive this year, just send it to someone or throw it in a group chat and induct them into the cult of monomysdom as well. Thank you very much.
Starting point is 00:01:56 But now, ladies and gentlemen, please welcome Dr Jonathan Shedler. For the people who aren't familiar with you, what's your background? Who are you? What do you do? I'm a psychologist. I'm a professor of psychology at University of California San Francisco. I practice psychoanalytic psychology, which for people who may not know, is based on the understanding that we don't fully know ourselves, that there's such a thing as unconscious mental life, and that we can explore it and understand it and be better for it. What is unique about that compared with other approaches for psychology? Yeah, that's a good question. There's been a trend.
Starting point is 00:02:57 So first of all, I mean, there's just mind-boggling psychological illiteracy in the culture. And it's not the fault of, you know, it's not the fault of anyone. It's what they're teaching in universities. I mean, even people who, you know, even people who take university level courses in psychology are going to miss something really important. And the important thing is that over the last 25 to 30 years,
Starting point is 00:03:23 the entire field of psychotherapy has really been getting very, very shallow. There's been a focus on increasingly brief, increasingly superficial, and increasingly cheap interventions. And they get sold to the public by academic researchers, and I'm not taking shot. I am an academic researcher. I'm not trying to trash anyone, but they get sold to the public as, you know, these are scientific forms of treatment, they're evidence-based, they're the gold standard, but actually they've been getting increasingly
Starting point is 00:03:59 superficial. And what I mean by superficial is there's an assumption that it can happen very quickly, that we can deal with what's on the surface of consciousness. So your conscious beliefs and thoughts. So the focus is very much on managing symptoms and dealing with thoughts and behaviors that are very much on the surface of things, rather than the underlying psychology that gives rise to them. The entire tradition that I'm part of is based on the understanding that we don't fully know our own hearts and minds. Nobody does.
Starting point is 00:04:40 It's the nature of the human condition. It's rooted in the structure of the rain. We don't fully know ourselves. And because we don't fully know ourselves, we find ourselves repeating the same kinds of patterns, and getting into the same kinds of difficulties over and over again in life. And the idea is that by coming to know the parts of ourselves that were previously unknown,
Starting point is 00:05:02 that gives us some freedom to be able to do things differently, so that we're not doomed to repeating the same patterns over and over. Given that we don't know ourselves, does that not provide a very difficult challenge when it comes to trying to uncover that? If somebody doesn't know how do you get to know? Well, it's a matter of degree, and this entire approach to therapy is all about, you know, how do we work in a way that makes the unknown parts of ourselves more known? And actually, you know, probably the most straightforward way to explain it is the unknown parts of ourselves emerge in a relationship. It doesn't happen in a vacuum, right?
Starting point is 00:05:46 Which is why all these, you know, self-help programs and wellness apps and, you know, online things are sort of miss the point that the things about ourselves that we don't know are manifested in our relationships. We tend to repeat the same kind of relationship patterns over and over again, for better or worse. And psychotherapy, meaningful psychotherapy, is also a relationship. So we tend to bring our patterns and our templates for relationships into the psychotherapy relationship, and they get repeated there. And a therapist who really knows what he's doing, that's not a distraction from the therapy. That is the therapy. It's because we bring our patterns into the therapy situation, that it becomes possible to recognize them, understand them, and hopefully to rework them. Our path, when I say parts of ourselves, we don't mean, our repetitive relationship patterns have been there
Starting point is 00:06:45 from the very beginning. They're formed in our earliest relationships with caretakers. And because they've been there from the beginning, they're as invisible to us as water is to a fish. For us, that's just how it is. So it's in the context of a relationship where somebody else can say, well, wait a minute, you're assuming this, you're doing that.
Starting point is 00:07:08 Perhaps there's another way to think about this. But that's kind of a short quick answer. You look, you look puzzled. No, I like it. I like it very much. I, um, I mean, I'm fascinated by human nature and by the parts of us that we don't understand. As far as I can see, the only way to transcend your programming is to become aware of it, or
Starting point is 00:07:30 at least first you have to become aware of it. You have to become aware of it, and you have to become aware of it, not in some just cognitive or intellectual sense. You have to become aware of it in a sort of deeper, emotional, lived way that actually makes a difference. Because intellectual knowledge is kind of cheap. So when we say in psychoanalytic therapy, we talk about insight, we don't mean something that somebody can just tell you or that you can read in a book.
Starting point is 00:07:57 We mean insight that really syncs in at a deep emotional level in a way that leads you to do something different. So I would say it's lived inside, not intellectual inside. So you had this thread, this is how I came across you, this brilliant thread on Twitter, which broke down a bunch of psychoanalytical concepts and ideas. Some of them people are probably going to be familiar with and some will be new to them. But the reason that I really liked it was it identified to me where I had misunderstood some ideas that I thought I had a really good grasp on. So I just want you to go through
Starting point is 00:08:30 a bunch of them today. And we can riff off some of my favorite ones from that tweet thread. And for the people who want to go check it out, I'll link that below and they can go and check it out once we're done. So moral massacism, leaving your suffering makes you more important or virtuous than others. For example, feeling superior to others based on your self-deprivation or self-sacrifice. What's that? So, this is a very interesting concept. We all do things. We have to do things to try to find a way to feel good about ourselves, to feel like we're good people,
Starting point is 00:09:07 other people like us, other people care about us, we're good human being. Moral massacism is something really specific where somehow the person's self-esteem gets tied up with how much self-renunciation or self-suffering they endure. So the idea is, I'm a better person than you because I suffer more. I'm more morally virtuous than you because I'm a victim. I'm more morally virtuous than you because I deprive myself of more, give up more. It's kind of the martyr complex. And it's very difficult to treat in psychotherapy that usually nobody comes in and says, I'm here because I struggle with moral massacism. That has never happened
Starting point is 00:10:01 in the history of the world. Usually when somebody like this comes to therapy, the way they experience it is as depression. They're down, they're listless, they've lost their enthusiasm for life, they're despondent. And normally when you treat depression as psychotherapy, there's an improvement fairly quickly, at least initially, that comes about just by virtue of being in a relationship where the person can be heard deeply, listen to, understood where there's an expectation of help. There's usually a fairly quick shift, at least at the start.
Starting point is 00:10:44 And what happens when you see somebody where moral masochism is prominent is they don't respond positively to the therapist's sympathetic compassionate interest. It's unconscious, but there's an important way they don't want to feel better, because they're suffering and their self-deprivation and their self-punitiveness is what makes them feel like they're a better person.
Starting point is 00:11:15 And actually, we see this in social media all the time. I mean, you can look at your Twitter know, just look for five minutes and you'll find examples of moral massacrism. Well, basically the message being broadcast is that I'm somehow morally superior or morally more virtuous than you because I'm more deprived. So then the person ends up, it's not just that they're deprived, they really have a strong psychological incentive to remain deprived. Further the deprivation. Yeah, because if they gave up the deprivation,
Starting point is 00:11:52 well, then they're just a human being like the rest of us. They're not self-righteously virtuous or morally superior in any way. They're just people. It feels like there's maybe two broad categories that are contributing here. One being what the world is doing to the person. IE the world holds back from them or puts them into a situation which causes them to suffer. And the other side of this
Starting point is 00:12:18 is what the person does to themselves. It's how they either continue to propagate or cause in the first place and instigate the issue. Yeah, and the person who is not morally massacistic, who is put by the world, you know, circumstances, social conditions, you know, put in a position of deprivation or suffering, they will do whatever they can do, whatever they know how to do to try to escape those conditions. Right? It's not like they see any particular virtue in it. It's like this sucks. Like, how can I find something better for myself in the world? How can I find a better place for myself?
Starting point is 00:12:59 I'm not being so put upon or so deprived. whereas for somebody with moral massacism, it's like, they'll complain bitterly about it, but a part of them is really, really attached to the suffering. They're reveling in it almost. There's a way that they're reveling in it. So just for when we go through these concepts, are these all clinically diagnosable? These are represented in the clinical literature? Yes, but all of these things are matters of degree. These aren't special, mysterious things that apply to some subset of the population. I mean, these are things that apply to humans to varying degrees.
Starting point is 00:13:43 And all of the things we're going to talk about today, I mean, every one of us does some of these things, some of the time to some extent. It becomes a problem when this becomes a sort of dominant way of living in the world. Yes. So the moral massacism thing, my eyes a little when you first said that, throughout most of my 20s, I attached my sense of self-worth to the business that I ran,
Starting point is 00:14:09 which I don't think is too uncommon. You know, you're a young guy going out into the world, not really much of a sense of self. You find something that you're good at, and then you begin to attach you to the performance of the thing that you do. I imagine that athletes and classical music players probably have the same sort the thing that you do. I imagine that athletes and classical music players probably have the same sort of thing. They have a good recital or a good practice or a good game. They feel great, they have a bad one, they feel bad. The interesting thing that changed after a little bit of time was I started attaching my sense of self-worth to the amount of suffering that I went through in order to achieve the outcome of the event. So let's say that the club night that we ran went well
Starting point is 00:14:46 or badly, that would be the first phase. So if it went badly, I was going to feel bad. But if it went well, I would always look at how much did I suffer in contribution to this performance. And if it had come too easily, I'd feel like I'd cheated somehow, or like I owed something. It was like a Puritan work ethic that just came through.
Starting point is 00:15:09 Well, I would say that, you know, that sounds more like, that sounds more like internalized guilt. Like if things are going very well for you, you know, maybe you don't deserve it. Maybe you're doing better than other people in your life that you, if that you care about, you know, friends, family, loved ones, maybe you feel like you're getting away with something.
Starting point is 00:15:28 So that's actually a little different than moral massacism because what you're describing, it's not that you're feeling superior or virtuous or especially righteous because you've worked so hard and suffered so much. It sounds like things were going pretty well and you were having some real successes. And then you have something,
Starting point is 00:15:51 it's kind of closely related to survivor guilt. You see this in, I mean, most saliently in the military, in a combat veteran, their whole platoon gets attacked. Everybody gets killed in a lucky one or two come home. And you think, God, they've got it made. There's a real likelihood they may suffer the rest of their lives, because they have this guilt.
Starting point is 00:16:19 It's like, why did they deserve to die? Why did they deserve to live when people who were equally or more deserving worthy and they were good at human beings as they are when they didn't live. So some of us have to like expiate or atone for our guilt as a precondition for being able to enjoy our successes. Some of this, you asked us this just about pathology or these disorders or as this everyone. It's everyone. And some of this is different societies
Starting point is 00:16:56 and religions have found ways of institutionalizing ways of handling this. So the confession and Catholicism is kind of an institutionally structured way of dealing with guilt. You can be successful, you know, in your life and then, you know, feel good about it. But here we have this very structured channel place where you can go and, you know, confess to your sins and your crimes, real and imagined, and be granted absolution, and then you can carry on. I like that.
Starting point is 00:17:29 Okay, so next one, false self, a false sense of identity borrowed from others in place of exploring and developing your own. Yeah, all of the ones, I wrote 16 concepts, that's actually the one I was least happy with how I described it. I don't think I did justice to it. This goes back to early childhood and infancy that under ideal circumstances, with empathic, loving parents who are not using a child, you know, to sort of compensate
Starting point is 00:18:08 for some, you know, some felt deficiency of their own. I mean, the parent is in the business of helping the child to grow and discover who they are. I mean, that's what we'd ideally like to see. It's sort of a process of, you process of growing up is becoming more fully ourselves. But often something goes wrong. So you have a parent, typically a parent with some narcissistic difficulties. They don't feel good about themselves in some important way. And they need the child to be something,
Starting point is 00:18:48 to make them feel better about themselves. So rather than parenting as being about, we're discovering together, who this growing person is becoming. It becomes about the child has to be something. They have to do something, they have to behave a certain way, they have to be very good at something, they have to look a certain way, not for their own sake, but basically for the parents' ego.
Starting point is 00:19:17 And when the start is very early on, it's like this way a child really never has an opportunity to discover their own thoughts, their own feelings, their own experience, their own preferences, likes and dislikes. They end up kind of having to mold themselves into being something that serves the parent's needs. And we call that a false self, as opposed to a true self, and that can last a lifetime. And you see it in... I just imagine that when you get to later into adulthood, and people really have this discordance,
Starting point is 00:19:52 there'll probably be almost kind of two versions of themselves battling inside of their mind. You see it in entertainment a lot, you see in celebrities a lot, like looking from the outside, it's like my god, this person has everything, you know, fame, wealth, looks, talent, right? And inside, there's something about it that all feels empty. And it's like, it's never enough, no matter how much success, how much money, how much fame, how accolades, it's sort of never enough to fill the emptiness inside. And it's because, and it's because it's like they, they have to be these things, really explaining very well. I mean, I imagine, you know, a child is very,
Starting point is 00:20:39 just physically attractive, and the parents take great pleasure in that for their own purposes. They don't love the child's experiences, they don't feel love because they're them, they feel love because they look a certain way, and that does something for the parents. Right? Well now they grow up, imagine they become an actor or a model or something like that. And it's like they end up living out, you know, living out somebody else's needs, living out their parents' needs, rather than discovering and living their own. So they perpetually feel unhappy and empty.
Starting point is 00:21:17 And then people look from the outside and say, you know, I don't get it, this person has everything. But it's because they can't see this discordance that's going on inside of them. It's because they never had an opportunity to discover who they are and what's meaningful to them, what brings them satisfaction and, you know, and meaning, you know, independent of serving a function for somebody else. Is it always parenthcely induced?
Starting point is 00:21:52 Is there any other way that a false self can come about? Good question. I think it starts in early childhood with your primary caretakers, but then it tends to continue elsewhere, right? It begins that way, and then it develops a certain momentum. So, suppose a child feels the parent that, usually the child has some gift or ability, suppose they're very bright. Parents take great pleasure in this. But it's not that the child enjoys being bright. It's that they have to be otherwise they feel like, they're not really loved, they're not loved for themselves. Now they go to school and maybe they attract teachers' attention
Starting point is 00:22:40 because they're particularly bright. And then it just kind of creates a vicious circle. It feeds on itself. You do more and more of the thing that you get a positive attention for, but at the expense of discovering what's actually meaningful to you, and at the expense of feeling loved and worthy for your own right, versus some particular gift or ability. Transference, responding to another person as if they were someone from your past. For example, punishing someone in the present
Starting point is 00:23:21 for wrongs, someone else did to you when you were growing up. That's the big one. So let's go back to what I said at the beginning, we form certain kinds of patterns, of relational patterns, ways of relating to other people, and we tend to recreate these patterns for the rest of our lives. You know, sometimes we're better, sometimes we're worse, and the patterns are formed in our earliest attachments. They begin with our parents, and family, siblings, and so on, and they continue through other people. And, you know, the patterns are invisible to us, but the thing is our expectations of what happens in relationships are forged
Starting point is 00:24:11 in our earliest relationships. So we don't see other people so much as who they are in any objective sense, we see them through the lens of our own patterns, our own experience, our own relationship patterns. So, I mean, let me make it a little more clear. In our earliest relationships, we learn, how to be with another person, how to respond when somebody is angry with us, how to make somebody like us.
Starting point is 00:24:45 How to get attention. What other people find charming? What other people find intolerable? It's like we kind of internalize these rules of the relational road about how to live and how to be in relationships with other people. Now you go out in the world and you encounter new people who you don't know and you apply the old rules of the road for better or worse. So it's like our experience of other people in relationship
Starting point is 00:25:13 is always experienced through the lens, that the lens is that we bring with us. Now, this is the sort of gradations. I like, that's always the case. We always bring who we are into a relationship. That, you know, ideally there's some, you know, some relationship, some, some, you know, some, I don't know, synergy between what we're bringing and being able to experience the other person as they are.
Starting point is 00:25:42 When things go wrong, it's like we don't even see the other person, we just bring our own assumptions and our own desires and wants and needs and it's like the other person is irrelevant. It's like they get shoe-worned to fit into our patterns. Imagine somebody who's grown up and a family where they were mistreated in some way or mistreated coerced. They just, they experience other people as angry and hostile and trying to control and
Starting point is 00:26:11 coerce them. Now they go into the world and bump up against all kinds of people who do what they do, but everything is through the lens of they're feeling put upon, they're feeling mistreated. And they tend to lash out at the people. through the lens of their feeling put upon, they're feeling mistreated, and they tend to lash out at the people. And the person getting lashed out is like, you know, like what the hell, what did I do? I mean, so this is the most important concept,
Starting point is 00:26:36 I think in all of psychology. So the idea is we transfer, the word is transference. We transfer our early patterns, wishes, desires, fears, needs that were created in early relationships. We transfer them into current relationships. I imagine that somebody that has more extreme transference will start to believe, will see more, not serendipity, but a deja vu occurring
Starting point is 00:27:09 because all of their relationships, they always end really bitterly. They're always, people are always this to me and people are always that to me. What is that the case? Or is it the lens in which you're seeing this is coloring whatever they do? Well, it's a little bit of both, but it's the lens through which you're seeing this is coloring whatever they do. Well, it's a little bit of both, but it's the lens through which you're seeing that. But if you then respond accordingly, if you think somebody is being hostile or controlling
Starting point is 00:27:34 or coercive, and then you respond to that, you respond with hostility yourself. And now there's a way we end up creating. We draw the other person, we draw the other person into our patterns. We end up recreating, you know, recreating the patterns that we brought to it. Let me give you like a concrete example. This comes up a lot. So one of the personality disorders is paranoid personality. So these are people who go through the world with constant chronic suspicion.
Starting point is 00:28:05 They think other people are out to do them harm. That's their default assumption. And it's like water to a fish. It's not like, well, I think that about this particular person because here, this unusual thing happened. It's like, there's always something in their mind that explains why they think somebody else is out to hurt them. And so they begin acting very angrily and belligerently and become controlling around other people. Out of a desire to protect themselves. Well, if you're on the other end, if you're on the receiving end of that,
Starting point is 00:28:39 it's like who the hell wants to deal with that person. So now you don't include them, you're not upfront with them, you're not up front with them, you don't share things with them, you watch your back, you tend to get more controlling yourself because the other person is going to take advantage of you if you don't. Someone with a paranoid personality style, this way that they create a paranoid environment for themselves, right? They make it come true. So this way, we bring these lenses, you know, from past relationships. We bring them with us into new relationships. But the other people, you know, they're involved. It's an interaction. There's two people here,
Starting point is 00:29:22 right? The other people get kind of drawn into like, you know, interested in the magnetic field of, you know, of, it's like, it's like they get, it's like they get gravitationally pulled in to the other person's distorted view of things. And now it's actually happening. It feels to me like you have another concept that might be very closely tied to this projective identification, projecting or acknowledged feelings motives onto someone else, then behaving in ways that provoke the very feelings you have projected, for example, projecting rage onto someone else and then treating them so badly that they actually become enraged. Well, that's a, yeah, that's the most complicated one of all. And in fact, that is a very particular version of transference.
Starting point is 00:30:11 And we're seeing a lot of it in public life right now. So, so let's start with the simpler instance. The simpler instance is just plain projection. Plane projection is there something unacceptable, you know, something I feel unacceptable in myself, you know, my anger, my hostility, my sexual wishes, my whatever. Unacceptable myself, I don't want to know it about myself, I defend against it, I'm not these things. And the way I defend against it is I project it
Starting point is 00:30:45 onto someone else, onto you. I'm not, you know, angry and toxic and, you know, destructive and wanting to hurt people. You are. Right. That's the projection. What makes it a projective identification is the person takes it a step further. It's not just that I see you as being angry and hostile when you otherwise might not be at all. It's that I then proceed to treat you in ways that actually evoke those feelings in you. In other words, I make the projection come true. So if I see you as angry and hostile,
Starting point is 00:31:20 and I then treat you so badly and do it so relentlessly until you actually become angry. And it's like, now it's confirmed, right? It's not defense. It's really true. You know, I wasn't a projection that I saw you as angry in hostile. Look at that. You are angry in hostile. So, so projected identification is getting rid of some, you know, some feeling or motive that we find is intolerable in ourselves, mistakenly imagining that it applies to somebody else and then treating them in such a way that you actually managed to you actually managed to create the kinds of feelings and attitudes that you've projected to begin with.
Starting point is 00:32:07 I could think of it as a kind of a self-fulfilling prophecy. Precisely what I had in my mind yet. And also, it ends up justifying your own viewpoint to yourself. If you do provoke somebody to become enraged or whatever it might be. When they do finally snap and treat you in that manner, it is a reinforcement mechanism for your prediction. And you know, and you it all along. Exactly. It's confirmation. So, you know, the way it works, it goes hand in hand with another defense, but people who do this tend to see the world in very black and white terms. So other people are good or bad caricatures. They're heroes or they're villains. That's splitting, right?
Starting point is 00:32:53 That is splitting. Yes. So the projected by identification, you decide that someone, invocation, you decide that someone, some group, some identity is bad, you know, they're evil. And then you treat them as if that were true, as if it were a fact. You treat them like they're evil, and you treat them so badly, you know, that they finally react against it. And, you know, when then push back and, you know, and, you know, become angry and aggressive because they've got no choice. They've pushed into it. They're getting treated like a punching bag.
Starting point is 00:33:34 They put up with it so long and finally they punch back and say, ha, see that person is toxic. I knew they wanted to punch me. It's gone like that. So going on to splitting, perceiving others in black or white categories, seeing them as one dimensional, as purely good or purely evil, this is something that I see so much online at the moment. And I've always wondered what's going on psychologically that is causing people to choose a lower resolution view of other
Starting point is 00:34:06 people. I understand that it's simpler to throw people into categories of either good or bad or evil or my team or their team or whatever because the nuance of I disagree with this person on X but may agree with them on Y requires an awful lot more mental effort. Well, everything you said is right, but it goes much deeper than that. So our understanding, early childhood development is... Let's see, I don't know. We have a concept in I don't know, I, we have a concept in called object constancy, so object constancy. So if you spend time with little children, you see it, that before a certain developmental stage, if something isn't like physically present in front of them, the child or the infant doesn't really have the capacity to hold it in mind. So, for example, parents all over the world play, usually mothers and children, they play the
Starting point is 00:35:10 Pika Boo game. And there's the squeal, you know, Pika Boo and there's like squeals of delight from the children, and the children never get tired of it, you know, they can play Pika Boo forever. But, you know, why is it so exciting? What's really going on? You know, why is it so exciting? What's really going on? They just, when the mother covers her face, peekaboo, up to a certain developmental level, the child actually doesn't have the mental equipment at that point, they say, oh yeah, she's still here,
Starting point is 00:35:37 she's just behind her hands, right? So the child's experience is something like, she magically vanishes and magically reappears. And the moment the child achieves what we call object constancy, which is the ability to recognize that something still exists, whether we see it or not in front of us. The moment that happens, then the game stops being fun. It's just like, oh, you know, mommy's hiding her face, right? The magic of it is gone. So if you take that concept and you apply it to people, I mean, you don't have a stable enduring sense of,
Starting point is 00:36:15 you know, this is my mother. This is my mother, you know, in this setting, this is my mother when she's cuddling me, this is my mother when she's scolding me, punishing me, right, in the absence of object constancy, it's like the child keeps having these unrelated experiences with different mothers. We know it's the same mother, right? But up until a certain developmental point, the child doesn't know, right? So you can think of it as a kind of shifting kaleidoscope of mental representations of the other person,
Starting point is 00:36:49 or the self in relation to the other person. And they're all separate. It's like they're shifting kaleidoscope of like fragmented parts and pieces. And with development comes the ability to start to integrate those different representations. And you recognize, it's the same mother.
Starting point is 00:37:07 You know, the mother who accidentally poked me with a diaper pin, you know, and made me cry is the same mother who held me and cuddles me and feed me. It's not two different people. It's one person. Right? So you can think of these, these, you know, snippets, pieces of relationships as kind of the building blocks of mental life. Now, when the building blocks start getting integrated into what we call, you know,
Starting point is 00:37:32 a whole representation, right, a three-dimensional representation of the mother. And it's the same mother, the mother's angry at me is the same mother who, you know, who loves me and and cuddles me. It's the same person. You now have what we call a more integrated representation of the person, right? It encompasses, you know, both things that we feel good about and things we feel bad about. As the building blocks come together, they don't come together randomly, they come together along emotional lines. So the different images of the mother that are positive that we feel good about come together and create one image of good mother. The images that we feel bad about, pain hurt, aloneness, anger, whatever, those come together. We have an image of a bad mother.
Starting point is 00:38:20 They're like two different people, the good mother and the bad mother. And then with further development, the good and the bad get integrated. And it's like, oh, it's mother and sometimes she's good and makes me feel good. And sometimes she's bad and makes me feel bad, but it's the same person. And I have all the right. So in a way, the child achieves ambivalence. Right? An ambivalence means you have multiple and sometimes conflicting or contradictory feelings toward the same person.
Starting point is 00:38:44 Right? So I like this about you. I don't like that about you. That's that's ambivalence. That's a very nuanced three-dimensional view of you. So when something goes horribly wrong in development and often it's related to abuse or neglect, that level of integration doesn't happen. And you experience the world in this fragmented way where people are good or bad. Don't see people in their complexity. And you carry that forward. It's like something that was supposed to happen developmentally never happened. And what happens is when the person gets upset, they completely lose the capacity to recognize that somebody else is another human being, just like them with good qualities and bad qualities, and that people are nuanced and complicated and exist in shades of gray,
Starting point is 00:39:41 that's the human condition. That's so. We, the person loses the ability to perceive it that way. So that in certain other people are seen as, you know, all good, all virtuous heroes, you know, and others are seen as all bad, as villains. So the person ends up seeing the world in this very caricatured cartoon like, you know, cartoon like way, you know, when there's heroes and villains, and no three-dimensional whole people. And when you're on the receiving end of it, you know,
Starting point is 00:40:13 because you're just going about your life, interacting with them, doing whatever you do, and all of a sudden, you're getting vilified in this extreme way. You're getting seen. Has somebody, it just has no relation to how you experience yourself. It's like, where did that come from? Right? Well, where it came from is this bad, you know, this bad representation inside the other person, right? They don't recognize it as a part of themselves. It's gone projected onto you. And now you're the bad person, and they can treat you that way.
Starting point is 00:40:54 And I honestly think this goes a long way to explaining some of the worst aspects of the culture wars because we'd lose the ability to see other people as complex three-dimensional human beings. We start seeing the world as caricatures of good and evil, and the good people are completely right and virtuous and in the right, and what they want to do is, what they want to do is the right way and the people who become the bad objects, you know, they're evil and they should be treated that way. You had this other tweet thread that I loved, I think, splitting projection and projective
Starting point is 00:41:36 identification seem to all tie into this. Severe personality problems find camouflage. No one thinks I'm a sadist or I'm a malignant narcissist. They find a belief system or social group that validates their most hateful destructive impulses and can strew them as virtues. The most toxic and hateful people in the world are 100% convinced they fight for what is true and right. Yeah, well think about it.
Starting point is 00:42:03 Nobody thinks of very rare exceptions. Nobody thinks, I'm a bad person, I'm cruel and I'm vicious and I want to hurt people. I like destroying things. I like doing damage. I like causing other people pain. It's pretty hard to live your life and think that about yourself. Now, in fact, there's something inside the person
Starting point is 00:42:31 that they do want to, they do want to do damage to others. There is something in these people that's very cruel and very destructive. But that's not their experience of themselves, right? Their experience of them, their experience is, although that evil isn't inside of me, it's inside you, you're the one who's evil, right? So there's the splitting and the projection, right? The splitting, if the person were not splitting, they'd be like, you know, this is me and I have some good qualities and God, sometimes I'm just an asshole and, you know, sometimes I'm just needlessly cruel.
Starting point is 00:43:10 But, you know, I'm more than that, too. I'm also kind and loving. Right? We have this very complex nuance view of ourselves, ideally. When splitting happens, we don't have that. I'm good. You're bad. You're cruel.
Starting point is 00:43:24 You're violent. You're destructive, you're a bad person. So that's the splitting and the projection. If I see you as a bad person who's harmful and destructive, and needs to be reigned in. Now, I feel fully justified in treating you horribly, you know, in abusing you, mistreating you, hounding you out of a job, you know, canceling you, I can do anything to you because you're evil and you deserve it. There's no limits on, you know, how there's no limits to my cruelty, because in my mind, it's not my cruelty, you're the cruel evil person,
Starting point is 00:44:10 and you need to be held to account, right? So, you treat somebody that way long enough, well, they will become enraged, and they will want to fight back. And like we were talking about before, that now confirms, my view, you really are, you know, you really are this evil, violent person who wants to, you know, who wants to do harm.
Starting point is 00:44:32 Right? So we find a way to justify our worst impulses and imagine ourselves to be very good and virtuous while we're doing that. Right? We're not being cruel, we're fighting evil. The problem is, even with this understanding, even knowing the fact that most people see themselves not as evil or bad or purposefully trying to do ill stuff to everybody else, when we see the impact of what these people's actions do, it's very hard to find empathy for them. You're like, why should I, why should I care? Why should I care that you have this
Starting point is 00:45:05 litany of issues, which is contributing to the way that you're behaving and that there's maybe even some clinical diagnosis that could look at this person as it toward the upper end of this particular spectrum of disorders or a combination of spectrum of disorders, you just think that person's a dick and I need to respond to them in kind. And that's the project of identification. Right. Now, you don't get to respond to them the way you might otherwise spontaneously, you know, want to treat them. You're now responding to the provocation. They are turning you into the worst version of yourself. So the projection becomes true. I think this person is a dick.
Starting point is 00:45:49 I treat them horribly and low and behold, they start acting like a dick. That was right. So the person engaged in this gets a, it's a very primitive kind of defense because, you know, I mean, it's really saying, here are these things about me, my capacity for cruelty, my
Starting point is 00:46:09 pleasure in hurting people, my destructiveness. We all have it. It's in all of us. Everybody has a capacity for these things. And it's saying, no, no, these don't belong to me. This is not me. This is you. And so it's a defense that really distorts our perception of the world and our perception
Starting point is 00:46:28 of other people. It's a costly defense because it really causes us to lose touch with who the other people are around us. What's the role that the group plays here? So you said they find a belief system or social group that validates their most hateful destructive impulses and can strews them as virtues. Yeah, so some people get, you know, some people get the goodness projected onto them. And they're treated wonderfully. They're heroic.
Starting point is 00:47:08 They're good people. They're virtuous. They can be appreciated. They can be admired. Well, those people start thinking, how do you are a great guy? The people that you're projecting the badness onto in mistreating. They think you're a horrible person.
Starting point is 00:47:20 So you've got two groups of people that are having completely different experiences of the same person. So you've got two groups of people that are having completely different experiences of the same person, depending on whether the good or bad is being projected onto them. So, you know, usually, you know, especially if you spin it in sort of moral terms, you know, they're bad and immoral and they need to be stopped. We're good and we're moral and we're going to stop them because we're fighting the good fight. If you do that, then the people doing the most cruel and toxic and destructive things find an in-group that shares them on and says, yes, yes, you know, we're on the side of good and right and virtue. Repetition and enactment, when something we do not
Starting point is 00:48:12 want to know or understand about ourselves gets played out with others over and over. Yeah, well, that would be an example. If something we don't want to know about ourselves, it's just our capacity for cruelty and destructiveness. And we keep making other people the villains, not because the other people are inherently villains, because we need to see them that way. And we keep reliving this relationship over and over and over again, not just the damn dishing wherever I go in the world. There's just horrible, vile, evil people
Starting point is 00:48:46 that need to be stopped, no matter where, no matter which social media site I go on, by God, here they are also. And there's no acknowledgement, that the Kate and the cruelty and the destructiveness comes from within. That's an extreme example. We're all involved in repetition and enactments.
Starting point is 00:49:05 So repetition is the idea. We all have all kinds of unresolved conflicts. We sort of carry with us. This isn't go to bad or pathological. It's just human nature. And in one way or another, we tend to repeat it over and over again as we go through our lives. And so that would be, that's called a repetition, when we draw somebody else into playing out that
Starting point is 00:49:33 script with us, we call it an enactment, because now there's two people involved in enacting it out together. And actually, this is how the kind of therapy I practice works. People come into therapy and they begin repeating what they repeat in relationships in general, but now they're doing it in the therapy relationship, because that's a relationship too. And they draw the therapist in to re-enacting something. It's almost unvoidable. You get pulled into enacting something, and the therapist does. And what makes therapy therapy good therapy, and not just one more relationship where the same old thing happens, is in the rest of life, you just continue reenacting the pattern.
Starting point is 00:50:18 In therapy, you reenact the pattern, but somebody, hopefully the therapist has the capacity to step back and say, basically, something's going on here. What are we doing? Let's think about this. Did you notice, did you notice, you seem to assume this or that about me, and treated me on that basis. And when I had to cancel our appointment, because of an emergency came up in my life,
Starting point is 00:50:53 in your mind, it's because I don't like you, and I'm fed up with you, and I would rather not have you as a patient, I would rather be done with you and I would rather not have you as a patient. I would rather be done with you. And you responded to me on that basis. I wonder if we can think about, that may be true. But I wonder if you can think of other reasons why I might have had to cancel the appointment.
Starting point is 00:51:24 You're trying to expand the person's capacity to think differently so that the things they take for granted, the things that I call water to a fish, suddenly become things that we can call into question and reflect about. It's like, oh, maybe you didn't hate me, maybe you don't really hate me and want to be rid of me with a patient. Maybe you have a sick childhood home or whatever. So we take these patterns that we just reenact mindlessly throughout our lives. And we basically say, look, there's a pattern going on here.
Starting point is 00:51:56 Let's really think about this. How did this came about? What led up to it? How did you understand when I did lessen so? How did you understand it when did Thesson so? How did you understand it when you responded, you know, Thesson so? So that what we're really doing is in the rest of life things happen very automatically and rapidly. We go from point A to point B and it just, you know, in our mind, that's just the way it is. What we do in therapy is we slow
Starting point is 00:52:21 things down and say, well, between point A and point B, a lot has gone on. There's all kinds of thoughts and feelings and experiences and memories. And maybe it's not a foregone conclusion that, you know, that A leads to B and that just, you know, that's just a fact. Maybe there's choices between point A and point B. Maybe A, you know, maybe A doesn't have to inevitably lead to point B. Maybe there's more freedom there than we realize. Reaction formation, masking, underlying feelings and attitudes by expressing that opposite to an exaggerated degree, for example, expressing exaggerated approval and admiration towards someone you secretly look down on. Yeah, so it's a pretty straightforward defense where we protect ourselves from knowing
Starting point is 00:53:07 something that we don't want to know about ourselves by experiencing the opposite of that. An example would be, imagine somebody who's just absolutely fascinated, drawn to pornography, but that's completely unacceptable. They weren't raised in a community that has any place for that that could possibly accept it or understand it. It's bad. I'm not the kind of person that's interested in pornography. In fact, I hate. I do test pornography. It needs to be condemned. So imagine somebody like that who then devotes himself to becoming an anti-phoranography crusader, which requires constantly looking to find pornography so that you can condemn it.
Starting point is 00:53:56 That's a reaction formation. It's saying, I'm not interested in this, I'm not drawn to this. I'm disgusted by it. So we often, you know, we can mask a particular feeling or attitude by substituting the opposite. The example I gave in the thread that you read was, what did I say again? That pertinence. Expressing exaggerated approval and admiration towards someone you strictly looked at. So suppose you look down on someone, you know, you load them, you think they're inferior, but you're not the kind of person that would ever look down on and think somebody was inferior. Certainly not on the basis of, you know, some identity characteristic, you're just, you know, you're just not that kind of person. Well, if the impulse to look down on
Starting point is 00:54:47 them is strong, you need to defend against it, maybe you turn it into the opposite. You valorize and glorify them. And then all of a sudden, the person could do no wrong in your eyes. And you scratch the surface of those attitudes, though, sometimes you find quite the opposite. So this performative empathy that is often being, maybe you become very deferential and worshipful to the group that you don't see on. And many, many, many parallels with the modern world at the moment.
Starting point is 00:55:26 Yes. That's the thing. These are concepts that go back to the turn of the century, the turn of the 20th century. These are 100 plus year old ideas. And people sometimes they get discussed as if they were these ancient artifacts. We don't have to deal with that anymore, right? That's what I meant when I said we have very cheap superficial kinds of therapies now. Right? These are these ideas don't apply to us. These are, you know, things from the distant past. Like, no, they're not.
Starting point is 00:56:00 They're here with us every single day. We're swimming them all the time. People may not know the words or the concepts, but we're living with them all the time. It's not like this is some dated, outmoded thing that's not relevant to day-to-day life. It could not be more relevant to our day-to-day life. Displacement, shifting feelings from one person or situation to a different, safer one. For example, attacking someone who cannot defend themselves in the place of attacking someone who can retaliate. Yeah, so the classic example of that is somebody feels badly treated at work. They're angry at their boss, they feel like their boss didn't, did wrong by them. They'd like to shout at the boss or punch the boss,
Starting point is 00:56:48 but of course you can't do that. Maybe they come home and kick the dog. That would be a fewer example of displacement. So one of the things that we understand in psychology is that there's something about feelings that they can be shifted very easily. They can be redirected so that a feeling that originates in one place can be expressed in another place.
Starting point is 00:57:10 And that's what displacement is. The feeling is still there. Whatever the feeling is, but we're directing it at something else, something or someone else, other than we're really started. That sounds quite cowardly. That seems like a cowardly approach to whatever's going on rather than pushing back against the person or the thing which is causing you issue, you go to something which is more vulnerable. Well, it would be cowardly if it were a conscious choice, and we knew that that's what we were
Starting point is 00:57:47 doing. But the thing about all of these defenses is they operate relatively unconsciously. While we're doing it, we think we're just dealing with reality. We kicked the dog because the dog was being bad. So when we start to talk about cowardice, that implies understanding and choice. Like the lessons, yeah, yeah, and volition. Whereas if this is operating outside of awareness, it's not clear that there's that much choice. Well, that is where the difficulty in culpability comes from.
Starting point is 00:58:26 We like to think that people are the architects of their own actions. We definitely like to think that we are the architects of our own actions. We like to think that. We don't wanna feel like we're at the mercy of our programming and there's just some several hundred thousand year old biological predisposition
Starting point is 00:58:42 just pulling the strings above us. That's definitely not something that we want I mean, you know, maybe maybe other people, but certainly not us and certainly not the people. So it seems like a very difficult situation to be able to find the requisite Understanding an empathy for people who do these things especially given most of the stuff that we've gone through today is really fucking annoying like if anybody did that it's so super super irritating you know people do it every day there's nothing mysterious about any of this we encounter this you know we encounter this regularly there is this sort of modern Bailey thing as well with the pullback
Starting point is 00:59:23 like this is what I'm so well that wasn't what I was saying actually meant to and then you get the response and then somebody complains about the response and then maybe they end up doing something to somebody else because of the response that you gave to them and I can see that these all kind of I would imagine not like comorbidities but co uh... Yeah, they're all intercomplexly interrelated. Yes, yes. And one will cascade down into it. And this is the essence of it. I mean, this, this trace is all the way back to, you know, to Sigmund Freud and, you know, turn of the century Vienna that he, you know, I mean, some of what he wrote has stood the test of time, some not so much. He wrote, has stood the test of time, some not so much, but the fundamental breakthrough is we don't fully know ourselves, we don't fully know our hearts and minds. There's such a thing as unconscious mental life, and that is the essence of it. That has stood the test of time.
Starting point is 01:00:20 And now we have research, you know, we couldn't do it. And for today, we have research and experimental psychology. We have research in cognitive neuroscience. We know that it's true. We don't have one brain, right? But the brain didn't evolve all at once. The brain is composed of multiple structures that came up about, you know, at different points in the evolution of the species.
Starting point is 01:00:41 And they're not in harmony, right? Like the conflict, meaning contradictory, contradictory experiences about things, contradictory motives, is rooted in the architecture of the brain itself. We know that now. So Freud said in his own time, he said that his insight was the third of three great blows to human dignity. And the first blow was Copernicus, said, we are not at the center of the universe. We're just one more planet among many others. Man is not at the center of the universe. The second blow came from from Darwin who said, you know, we are not separate in a part from the animal kingdom. We are part of the animal kingdom.
Starting point is 01:01:31 We are biological animals. We are biological beings with all of the evolutionary heritage that goes that. And the third grade blow was the one that Freud himself identified, and it is, we're not masters of our own house. We think that we're doing things because we've decided to, and it's volitional, and it's conscious, and what we consciously think about something is all there is. Whereas in fact, mental consciousness is like the tip of the iceberg of mental life. So we're doing all sorts of things all the time for reasons we don't fully understand. The other contribution was, you know, it doesn't have to stay that way to that extent. That in fact, we can come to know ourselves more fully. And that's what this kind of therapy is about.
Starting point is 01:02:33 But fundamentally, you know, fundamentally, there are things about ourselves, why we do what we do, that, you know, aren't fully under control. What do you wish more people knew if you could try and give a single insight that you think would have the most impact to the well-being of people's psychological health? Would it be that? Would it be the fact that we are not completely in control and that there are mechanisms that are working below the surface, or is there something else? There's mechanisms working below the surface, but many of them can be brought to the surface. We get into the question of free will, which is a philosophical question that's not going to
Starting point is 01:03:19 have an answer. I can't speak to, do we or do we not have free will? What I can say with some confidence is there are things that we can do to develop a free or well, well, freer than before. And that might make all the difference. And as far as what I'd like people, you know, to know, right? So people are getting sold a bill of goods about what psychotherapy is. And It'll take depression, for example. That's the most, probably the most common diagnosis that you see in medical records. There's kind of this cultural myth that depression is like a disease. Depression you have, depression. Well, for most people most of the time, depression is an effect, not a cause.
Starting point is 01:04:08 The thing that's wrong isn't your depression. The thing that's wrong is something going on psychologically that's causing distress, and we experience distress in the form of depression. form of depression. So good therapy, as I understand it, is let's find out what's underlying this depression so that maybe it doesn't have to continue. Versus, you have depression, depression is the love problem. Here's techniques and interventions we use for depression. We'll change your thoughts. We'll try it. Medication. Without any concept of weight a minute, here's techniques and interventions we use for depression, you know, will change your thoughts. We'll try this. Medication.
Starting point is 01:04:48 Without any concept of, wait a minute, there's more to this than meets the eye. You know, we're more than our symptoms. We're more than our conscious thoughts and our behavior. There's more to us than that. And before we're getting, you know, in such a hurry to get rid of a symptom, which generally doesn't work, get rid of the symptom, which generally doesn't work, get rid of the depression. Maybe it's there for a reason.
Starting point is 01:05:09 Maybe we can understand the reason, right? And out of that understanding comes the freedom to do things differently so that we don't have to keep experiencing the same kind of distress. How can people choose or work out whether they are currently with a therapist that is useful and effective for them?
Starting point is 01:05:31 What is a way that a patient or somebody that is going through therapy would be able to judge the usefulness of the therapeutic relationship with the particular clinician they're working on? Yeah, so there's different, I should put it in context. I mean, there's different kinds of therapy for different purposes, kind of therapy that I'm, you know, that I practice and that I talk about is called psychoanalytic or psychodynamic therapy, which is oriented around, you know, coming to know aspects of our experience that, you know, we're not fully known.
Starting point is 01:06:02 And that requires a relationship, it happens in a relationship. So remember, I said, you come into the therapy relationship, you bring your lenses or your templates from your past relationships and you start reliving them, reenacted women therapy. I mean, that's where the information is. So once you understand that,
Starting point is 01:06:19 what it means is if you're in meaningful therapy that's aimed at inside an understanding, means you're going to be talking about the relationship in the room with the therapist. So here's like a two question test, are you getting meaningful for psychotherapy? It comes from a friend and colleague of mine, Michael Carson. I can't take credit for it. Think of a time that you were upset with your therapist. Did you tell them?
Starting point is 01:06:48 Yes or no? If the answer is yes, it might be a meaningful therapy. If the answer is no, you're not in meaningful therapy. Because the work is a... We count on the patient to fuck up the therapy relationship in the same kinds of ways that they fuck up their other relationships. We have to talk about, we have to pay attention to what goes on in the psychotherapy relationship. It is an intimate relationship.
Starting point is 01:07:20 We are talking about very, very personal private emotionally charged things. It is impossible to have that kind of relationship sustained over time where you do not get upset with the other person. It just doesn't happen. They're going to say, so they're going to piss you off. They're going to misunderstand you. They're going to say the wrong thing. They're going to get it wrong.
Starting point is 01:07:37 They're going to say something that sounds called or callous. It's going to happen. What makes therapy, what makes this kind of therapy meaningful is you can tell the therapist you're upset, that's the thing, step one. Now, a lot of people are very inhibited about, you know, asserting themselves about saying to another person, I don't like this and this pissed me off. Some people have already time doing it, so I went and added a qualification. Think about a time you were upset with the therapist. Did you tell them, or is the work in therapy moving in a direction
Starting point is 01:08:14 where you're going to be increasingly likely to tell them, increasingly able to tell them in the future? So did you tell them, if you told them you might be a meaningful therapy, and then part two, when you told them, did they respond with interest and curiosity? Where did they get defensive? So a competent therapist, you know, say to your therapist, you know, you can't but ask all about blah blah blah whatever. A competent therapist doesn't explain themselves and say, oh no, I didn't mean that. You mean that you've understood. I meant to do this. When they're rushing within apology, a competent therapist basically says, oh, tell me more about that. I'd like to understand this better. So the things that are going on in the therapy relationship
Starting point is 01:09:05 between the two of you, the sources of friction, become things to think about and talk about and reflect on together. So we say, we count on the patient to fuck up the therapy relationship the way they fuck up their other relationships. By talking about it, thinking about it, reflecting on it together,
Starting point is 01:09:27 we go through a process of, you know, unfucking it, right, making sense of it, clarifying it, finding a way to have a relationship that works for two people, not just for one person of the other's expense, right? And once we know how to have a relationship that works for two people, right, that then, that works for two people, that understanding, that way of being and thinking, then carries over into other life relationships. So we can have a more intimate relationship with our partner, husband or wife. We can have more meaningful and closer friendships. We can collaborate more effectively with co-workers, people at work, right?
Starting point is 01:10:08 Our capacity for communication and connection with other people and intimacy with other people increases. So let's come full circle and bring it back to the example of depression. There's a lot of ways to get to depression. Depression is like the psychological equivalent of fever. So what's fever? Febr is a non-specific response to an enormous range of underlying physiological difficulties, anything from the common call to Ebola.
Starting point is 01:10:42 So when a physician takes your temperature and you have fever, that's not the end of the diagnostic process, that's the beginning. So it's non-specific. Depression is a non-specific response to a new enormous range of underlying psychological difficulties. When we know somebody is depressed, we haven't diagnosed the problem. We've described the most surface manifestation of a problem. Now we've got to figure out what's going on, what's making
Starting point is 01:11:12 them depressed. So suppose something consistently goes wrong in your relationships, you never get your needs met. Are there people never respond to you the way you'd really like? You never feel cared for, you never feel like you matter in relationships. Is that going to lead to depression? Hell yes, you are going to sooner or later, that is going to show up as depression. What do we treat? Do we treat your depression? Or do we look at what's going on in the relationships? That's getting in the way of getting what you need from them. Well, that's what we do. We look at what's going on in the relationships that's getting in the way, starting with what's going on in the therapy relationship itself, and
Starting point is 01:11:55 that understanding that carries over into our other relationships. I imagine that there must be a difficulty if the client patient is very concerned with politeness, maybe, or with not being seen by the therapist as making too much of a fuss or misbehaving in some way, because what you end up with is a very sort of sheltered, thin veil that kind of obscures some of the stuff that you're looking to do. It's so such an interesting dynamic to say that what you're actively looking for as a therapist is for the patient to fuck up the relationship between you and them in the same way that they do with everybody else. Yeah, we don't even have to look for it. It just happens. What we have to do is be able to recognize it and create a space together where it becomes possible to think about it and discuss it.
Starting point is 01:12:52 Right? They are going to fuck up the relationship in whatever ways they're going to. And actually, the example you gave, maybe the most common. So we see this a lot. There are people who are either relatively unaware of their own emotional needs. They don't let themselves know what they need or want, or they know, but they have a lot of difficulty speaking up and saying so. They tend to go together actually.
Starting point is 01:13:26 So, if you are that kind of person, and it's really common, I mean, I really want, you're listeners to understand that these are not obscure disorders. This is just woven into the fabric of day-to-day life for lots of us. And if you are the kind of person who has difficulty recognizing or expressing your needs from other people, your experience of life, your experience of relationships is, you don't get your needs met. Then a lot of things follow from that. You're likely to feel depressed, hopeless, deflated. I, you know, nothing ever works out for me. I never get what I really want.
Starting point is 01:14:08 You know, I met this guy. I thought he was wonderful. This guy was going to be different, but he doesn't care about what I need either. Right. And then maybe the person gets increasingly resentful because they're putting all this effort and energy into this relationship and their experience as nothing is coming back
Starting point is 01:14:25 to one way street. He's saying, you know, what's wrong? My husband doesn't, he doesn't give a shit about my feelings. He thinks only about himself. Maybe you get the husband, you know, you get the husband and you might hear a very different take. The husband be like, I do everything I can to try to please her and make her happy.
Starting point is 01:14:43 And it's like, you know, nothing I do is good enough. Why is it not good enough? Because she never said what she wanted. He's not a mind reader. Right. So the idea is that that dynamic is going to get recreated in the therapy relationship. So, I mean, all kinds of things are going to come up day in and day out where the person, the patient, is unhappy about something in the therapy or want something that they're not getting. And they don't speak up about it. That's the problem, right? They're in the therapy relationship.
Starting point is 01:15:09 Now they start to get resentful or sullen. And the thing that makes it therapy is you don't just relive the pattern with another person, you're just reenact it with somebody new. And the therapist says, but something is going on here. There seems to be something that you want from me, that you're not getting. No, no, you're great. You know, you're a really good therapist. You know, everything is good.
Starting point is 01:15:32 He's like, well, yeah, I know any, I mean, I appreciate that you're, you know, I appreciate that you're being so nice about it. But it seems like we're only hearing from one part of you. It seems like perhaps there's another part of you that has something else to say that we're not getting to hear from. So, repeatedly, we just keep inviting into the room what's being left out. I mean, a pretty trivial, normal example. Suppose therapists five minutes late for the session. A lot of patients who are, you know, sort of agreeable, nice people will say,
Starting point is 01:16:16 oh, no, the therapist, I'm sorry, I was late, I blah, blah, blah, blah. Something ran over time, oh, no, it's okay. And, you know, you're always here on time. You know, always I knew there must have been a reason, right? They'll sort of, you know, let it slide. And what we say in therapy is, you know, basically, you know, all of that's true. You know, yes, I am always here, but you know, I notice, I notice we're not hearing. Neither of us are hearing. You know, hearing. You know, what it was like for you when you were here and you know I wasn't here when you expected me. You know, it seems like we're not hearing from that part of you. No, you've taken very good care of me. Yeah, I know. That's true. That perhaps there's something else that's also true. Maybe we could make some room for that. Well, I did think for a moment, maybe you just forgot about my appointment.
Starting point is 01:17:11 Now we've just got a little crack in the door about, you know, there's a whole world of meaning behind that, that we wouldn't otherwise hear from, hear about, you know, unless we pursued it. Chances are the person who does that is probably, you know, suppose they're, you know, suppose they're, I don't know, happily or unhappily married, or they're in a marriage and they're dissatisfied with something. Do you think that kind of interaction, oh no, it's just fine.
Starting point is 01:17:42 Do you think that doesn't happen every single day in some way or other? Right? Maybe we don't get to hear about the things that aren't just fine. So that's kind of the parallel between what goes on in the therapy relationship and what goes on in real life relationships
Starting point is 01:17:58 outside of the therapy. I really like that insight. Jonathan, let's bring it home. I've really, really enjoyed this. I love your insights here Why should people go if they want to keep up to date with the stuff you do? Well, I'm on Twitter Jonathan at Jonathan Shedler on Twitter I've got a web page online. It's my name and people can find articles and blogs and papers that I've written
Starting point is 01:18:24 All right, Jonathan. I appreciate you very much. Thank you. Thank you. you

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