We all experience negative thoughts and sometimes these thoughts can be painful, undermining and leave us feeling worthless. Some people simply try to tolerate them, and others might feel they are deserved – or even criticise themselves for having them in the first place. But is there another way to work with negative thoughts? What…
Winnicott’s radical insight: There is no such thing as a baby Winnicott’s claim that “there is no such thing as a baby” is one of those deceptively simple psychoanalytic truths that resists being reduced to metaphor. He wasn’t being poetic. He meant it literally: there is no baby in isolation. There is always a baby…
EMDR has become one of the most talked-about psychotherapy treatments – and for good reason. Extensive research has shown that it is one of the most effective approaches developed so far for trauma and chronic pain. It is recommended by the National Institute for Clinical Excellence (NICE). The acronym stands for Eye Movement Desensitization and…
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…
Why psychotherapists must remain vigilant about boundaries Despite training, supervision, and ethical guidelines, psychotherapists—like all human beings—remain vulnerable to lapses in judgment. At best, these take the form of clinical misattunements. At worst, they can result in serious boundary violations with lasting harm. Understanding the structural and psychological functions of boundaries is essential to safeguard…
“… the truth is that if division and violence define war, the world has always been at war and always will be; if man is waiting for universal peace in order to establish his existence validly, he will wait indefinitely: there will never be any other future”. (Beauvoir, 1948, p.128-9) It is hard to look…
The rise in diagnosis Talking therapies are a well-established means by which we think about and work with mental health. They don’t sit in a traditional clinical framework where we think of consultation, diagnosis and treatment. They offer a much more nuanced approach which breaks down the dynamic of specialist and patient. It is more…
We can get confusing mixed messages when it comes to understanding vulnerability. Some people tell us that it’s vital to show our vulnerable side in our relationships, though for reasons that often seem less than clear to us. Whereas our typical response to vulnerability might more realistically be to run away as fast as we…
After many years of hard work, when life was finally falling into place, does it feel like everything is suddenly changing? That you’re blinking into a life transition you neither asked for nor saw coming? In this article we’ll be discussing life transitions: how they can challenge us at a deep and even existential level,…
The importance of boundaries in psychotherapy I think it’s probably fair to say that all models of psychotherapy view boundaries as important. Analytic therapies particularly emphasise the role of boundaries and see them as integral to the psychotherapeutic process. There are many ways of understanding why boundaries are crucial. When I reflect on my work…
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…