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David reads your posts as soon as they come out and tells me about them. We have both done DBT, him more extensively than me and have come to despise it for many reasons. I'm the kid of a psychiatrist and apprenticed to him since childhood so I came into most talk therapy very skeptical. Most studies show the modality of therapy doesn't matter it's the therapeutic relationship (eg it is healing to form a safe attachment with a therapist). So it took me longer to understand how terrible DBT was bc the one therapist I saw who did DBT was a Black woman who implicitly shared much of my political orientation but was older school and didn't do a ton of self disclosure. It wasn't until I tried doing DBT groups and read the source material that I truly hated it. I don't think much of most talk therapy to be honest. Outside of the scientific method itself I also don't think most of western science is that scientific anyways.

Aurora's piece was fantastic when she wrote the new introduction months ago and as relevant as ever. I think it's the best case as well.

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Oh, wow, thanks David! Yeah, I have basically come to the (you, know, dialectical) conclusion that the main thing about talk therapy is the relationship with the therapist. I have had mixed experiences with talk therapy, including a truly bizarre experience with “family systems therapy” where what I thought was going to be a simple (and free) consultation turned into a three-hour lecture for which I was charged $140, in cash.

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I've had a few good therapists over the years. I kinda like internal family systems therapy but my current therapist is a Lebanese/syrian American social worker who is getting her masters in bioethics so I'm clear that I probably wouldn't like IFS as much if it was done by someone I didn't align with. I do like the idea of there are no bad parts. It makes more cohesive sense than DBT which essentially cannibalizes a bunch of contemplative traditions it doesn't really understand in a gaslighting mess of behaviorism. It's not said to be as evidence based but I find polyvagal theory and IFS to be more practical and helpful ways to integrate trauma as talk therapy is not a great modality for trauma anyways. Actually physical therapists and osteopaths with neuro training and polyvagal training tend to be more helpful in my experience. I see having a therapist as useful insurance to be taken seriously in medical contexts so I don't have to waste time with them refusing to do work up before seeing a therapist. I also think there is likely to be physiological roots for most "treatment-resistant" mental health issues, as well as obviously socioeconomic.

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“gaslighting mess of behaviorism” is now my new favorite phrase

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