In the therapy room, shame – which we often hide, almost at any cost – frequently hinders progress. Clients sometimes conceal aspects of their behaviour they fear are shameful, such as viewing pornography, taking class A drugs, or losing their temper. This is because it is perhaps one of the most intense and complex feelings…
Psychotherapy was revolutionised in the second half of the last century by the development of attachment theory, the science of human bonding and needs. I wrote about this in my BHP blog ‘Why we need a secure base’. It describes how infants who do not have their primary needs met – for comfort, warmth and…
In my last blog ‘What is the unconscious?’, I attempted a very brief explanation of what we might mean and understand when we refer to the unconscious and how exploring this unknown territory is an integral aspect of the therapeutic alliance. This alliance can be described as an intersubjective (between two people) process, in which…
Ask any psychotherapist what the goal of therapy is and you will likely get a slightly different answer. However, I would suggest that assertiveness is a core aspect of the work – allow me to explain. Assertiveness is relational in context. We can and need courage to go forth in life but assertiveness is only…
I was recently invited onto the Podcast ‘Conversations with Annalisa Barbieri’ to talk about the topic of ‘Belonging’. The discussion centred around our mutual experience of growing up in cultures that were not of our families of origin. Annalisa is technically a ‘second culture kid’, and I am a ‘third culture kid’ – the latter…
Freud stated that his aim in psychoanalysis was to help patients transform ‘hysterical misery into common unhappiness’. Similarly in Buddhism, the concept ‘Dukkha’ is commonly translated to suffering, unhappiness, pain or stress and refers to the habitual experience of mundane life. Why Do We Get Addicted to Things? Addiction has been around for thousands of…
This piece is written by a ‘fictional’ client who is a composite of three real-life clients who have shared their experience of psychotherapy with me. Some details have been changed to ensure confidentiality, however, the thoughts feeling and experiences expressed are those of three very real clients: When I came to psychotherapy I did not…
There is No Such Thing as a Baby I frequently blog about the importance about including the body in the process of psychotherapy and how the unconscious resides in the body. However, unlike many ‘body psychotherapists,’ I believe that the involvement of the body is more profound than identifying the presence of the body in…
In this age of jettisoning the past and continually embracing the new, the answer to the question of how psychotherapy works has remained largely unchanged since the days of Freud. Modern enquiry and comprehension brings the capacity to understand what happens in the brain as a result of effective analysis, psychotherapy, or indeed, good enough…
From ‘the family’ to ‘the couple’ There has been a historical shift from ‘the family’ to ‘the couple’ as the central organising unit in contemporary life, with an emphasis on intimate connection. The ‘ideal’ couple of today are both friends and lovers immersed in a disclosing intimacy of mind and body. For previous generations, the…
Grief is often referred to in the context of intense feelings experienced with the loss of a loved one. The loss we experience is often caused through death. Grief is, therefore, synonymous with bereavement. This, however, is nowhere near the whole story. In order to know how to grieve, we need to understand grief. When we are told that someone…
We all use the word ‘personality’ in everyday language. We might use it to describe how we experience another person (“She has a nice personality.”) We use it to describe elements of how a person may behave, in the case of personality traits. And sometimes we use it interchangeably with the word ‘character’ to describe…