The space between psychotherapy sessions is not empty. It is saturated with psychic material such as fantasy, frustration, longing and resistance. It is where the work reverberates, where the transference lives on, where the unconscious continues its motion. Yet increasingly, this space is being colonised by something that feels helpful: AI therapy. Apps that prompt,…
Masochism is perhaps one of the most misunderstood clinical structures in psychoanalytic psychotherapy. It has been removed from the DSM for largely political reasons and has thus disappeared from the psychological lexicon. It is a term that is conflated with victimhood, reactivity, or submission; however, its true meaning as a personality style is more complex….
In recent years, Dissociative Identity Disorder (DID) has become a trending topic on social media, particularly on platforms like TikTok. Short-form videos often depict individuals rapidly switching between so-called “alters,” complete with visual and behavioural cues. The implication—sometimes explicit, often subtle—is that these portrayals are representative of DID. They are not. Clinically, DID remains one…
There is currently a great deal of noise and speculation about whether artificial intelligence (AI) can provide therapy. There are strong advocates on both sides of the argument, and evidence would suggest that, at least to some degree, AI can provide what some describe as ‘therapy’. The NHS, in part driven by its chronic funding…
When working with trainees and supervisees, I frequently refer to the need for a psychotherapist to ‘stay in their chair’. Let me explain. Psychotherapy is a relationship. It is a very intimate and unique relationship between the clinician and their patient, which is principally about the needs of the patient. This, however, does not mean…
We all dream – whether we remember them or not. And there is plenty of fascination about dreams and what they may mean, ranging from nothing at all, to being a means and method of understanding a patient’s unconscious. In 1899, Sigmund Freud wrote The Interpretation of Dreams outlining his theory of the unconscious and…
Most of us make some sort of New Year’s resolution, whether overtly or covertly. The new year can feel like an opportunity to put the past behind us and to start afresh. Whether or not we actively name and own our New Year’s resolutions, most of us can also attest to the best held intentions…
Twixtmas, that time between Christmas and New Year seems to be a particularly difficult time for many. Why is this? The build up to Christmas and the accompanying excitement for some, and anxiety for many, can leave us feeling depleted and down in the immediate aftermath of the big day. Perhaps a lot of why…
Christmas can be an emotionally challenging and difficult time for many of us. There is such expectation on how Christmas ‘should’ be, yet like the weather, it often fails to deliver on the ‘winter wonderland’ scenes on the TV adverts. For so many of us our family experience often falls far short of the loving…
Self-esteem is often spoken about and seen as something that we should be aspiring towards. However, what is less clear is exactly what constitutes ‘self-esteem’ and how we can best define this concept. What is self-esteem? Well, according to Jordan Peterson it simply does not exist. However, he is in the minority with this. Whilst…
All forms of psychotherapy, from the classically analytical, through to humanistic, evolved from psychoanalysis and thus Freud. The cadence of psychoanalysis has changed very little over the years, with sessions taking place between three and five times per week, generally at the same time each day. Psychotherapy evolved directly from analysis but is also quite…
On the face of it, these two words seem to have similar meanings, however, spontaneity is generally deemed a positive attribute whilst impulsivity a negative one. Why is this? If we check how the dictionary defines the act of being spontaneous, it suggests that it is an adjective used to describe someone given to acting…