BrightonPsych
@BrightonPsych
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Tweets by Mark Vahrmeyer | UKCP Psychoanalytical Psychotherapist | Views my own | Co-owner of Brighton and Hove Psychotherapy in #Brighton and #Lewes, UK
East Sussex
Joined July 2011
Why AI “therapy” between sessions may feel helpful - but is quietly undermining real psychotherapy and change. 🧵 I am seeing more and more articles about how AI can be used to support patients between sessions. This is why this is a bad idea:
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If your life is organised around staying one step ahead of your inner world, the question is not how to run faster. The question is whether you are ready to stop turn toward the storm and let someone walk into it with you. That's depth psychotherapy.
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DeFi taxes are a mess. Staking, LPs, wrapping, bridges - what's taxable and what's not? Most tax software can't handle it. Most CPAs don't understand it. Here's what DeFi investors actually need to know before Dec 31.
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The work of therapy is bison work. Session by session we help the patient stop running and face the storm they carry in their body and mind. Our role is to accompany the patient so that they slowly discover that the feared breakdown can become a breakthrough.
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Bison herds do something interesting when a storm rolls in, they turn toward it and walk into it. By going through the centre they shorten their exposure. Humans tend to behave like anxious lone cattle trying to escape but with it ever looming.
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Relational therapy is not about teaching the patient to outrun their inner world. It is about two people gradually turning toward the darkening sky in the room. Naming the wind, feeling the cold and discovering that together the patient can survive it.
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So much of what gets called coping is actually sophisticated avoidance. Defences are not simply bad, as they once protected the child: the problem is that in adulthood they keep the person running from a storm that eventually will catch up.
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Winnicott wrote of the fear of breakdown as fear of something that has already been lived but never consciously experienced. The storm is both ahead and behind. Avoiding it keeps the person trapped in a present organised around an unprocessed past.
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The defences are how people stay one step ahead of the storm and In the consulting room this often shows up as hyper-functioning - overworking, overthinking over giving. The task is to stay just ahead of the imagined breakdown so that the mind is not allowed to stop and feel.
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On staying one step ahead of the storm. 🧵 This describes how many people live. Psychoanalytically we might call it a life organised around anticipating collapse rather than asking why the feared collapse feels so near.
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There is no such thing as 'AI psychotherapy'. It was a pleasure to be interviewed by Paula Fontenelle for her podcast Relating to AI on "Why chatbots keep us from growing up": https://t.co/2Fk95hZfTx
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Everyone wants change in psychotherapy until they realize that the only change possible lies within them.
“Everyone wants to heal until the medicine shows up in the form of discipline.” --Hippocrates
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'Therapy chatbot works best with emotion' - What they mean is simulated emotion that the patient can be fooled to believe it for a short span of time.
bbc.com
The research suggests AI therapy works if patients "feel emotionally close" to the chatbot.
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TikTok “therapists” claiming credit for ‘bids for connection’ now. Soon the will tout that they have discovered attachment theory…
theguardian.com
TikTokers say it will show the health of your relationship. Does it really show how we think about romance?
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On the pathologisation of ordinary life -
bbc.co.uk
Hundreds of GPs in England tell the BBC they are also worried about a lack of help for patients.
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This can only be good news:
bbc.co.uk
The health secretary says the aim is to tackle a rising demand for services and pressure on the NHS.
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30% of new cases of psychosis linked to the use of high-potency cannabis in UK.
theguardian.com
Katie hears voices and has been sectioned 50 times. Isiah became paranoid and tried to kill himself. Both link their illness to cannabis – and the drug is getting more and more potent. Is a tiny...
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‘What is fully completely understood leaves no trace as memory’ - Jiddu Krishnamurti
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Beneath words, the unconscious speaks its own language through slips, silences, and symbols. It is a communication that transcends words, and the therapist’s task is to listen to what is being said without being spoken.
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This is why symbolism in therapy often speaks more powerfully than ‘feeling words’. When a patient and therapist can swim in shared symbolism, something profoundly intimate occurs: the patient’s inner world is being lived as if in real time.
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Never assume you know a patient’s experience, past or present. Stay curious. Ask them to say more. Language can reveal, but it can also conceal.
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