Aquí es donde entro en barrena (como pollo sin cabeza) sobre temas en psicología que me acechan. No sé mucho pero espero poder aprender y contribuir algo.
Joined May 2020
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el pollo general sanitario retweeted
There can never be a helpful depression treatment algorithm because depression is not a single condition.
Depression is most helpfully understood as the psychic equivalent of fever. Fever is a NON-SPECIFIC physiological response to an enormous range of underlying conditions, from the common cold to Ebola.
Likewise, depression is a NON-SPECIFIC psychological response to an enormous range of underlying causes which may be psychological, social, biological, or a complex interaction between them.
In other words, depression is an effect, not a cause. The DSM diagnosis is merely descriptive, not explanatory—and not as basis for treatment decisions. Algorithms that incorrectly assume the diagnosis “depression” defines the problem will always lead to poor care.
P.S. love your videos
Question for psychiatrists. Where in the depression treatment algorithm would you place psychedelics? Is this kind of like cannabis being roughly the 86th best treatment for glaucoma? It has a very mild effect but you would never actually prescribe it because there are so many better options. This is an honest question.
el pollo general sanitario retweeted
The “false self” is a core psychoanalytic concept, familiar to every psychoanalytic therapist.
Psychoanalyst Donald Winnicott coined the term 66 years ago. His work is widely read today and foundational to contemporary psychodynamic therapy.
(see #8 in thread below)
This is a technical term from RFT that I think deserves a plain-language explanation, because it describes something that causes a great deal of quiet suffering, especially in people who are high-achieving and outwardly successful.
Pliance is behavior that's controlled by the approval or disapproval of others, rather than by your own values or the direct consequences of what you're doing. In other words, you're doing it because someone important to you expects it, or would be upset if you didn't, not because it actually matters to you. The behavior might look purposeful from the outside; internally, it tends to feel hollow.
A common example: a therapist who chose the profession partly because it was what their family respected, rather than because they genuinely wanted to do it, may find years later that even client breakthroughs don't feel satisfying. The motivation was built on pliance, on doing what earned approval, and that foundation doesn't sustain meaning over time.
el pollo general sanitario retweeted
I love B.F. Skinner. I keep the cumulative record next to Freud on my bookshelf. I find RFT is his most natural successor, and I am thankful it brought the unconscious to American Behaviorism. Alas, I had to read most passages 2-4 times to understand it 😂
I developed this theory with colleagues starting in the 1980s, and it became the scientific foundation for ACT. I want to explain it plainly, because it answers a question most people have never thought to ask: why does language create suffering?
Relational Frame Theory is a scientific account of how human language and thinking work. The core finding is that humans, uniquely among animals, learn to relate anything to anything else in an almost infinite number of ways: this is like that, this is better than that, this causes that, this is the opposite of that. This ability is what gives us science, art, and civilization. It also means we can never fully escape painful experiences by changing our environment, because any situation, any word, any sunset can trigger an entire network of connected meanings that brings pain back.
A dog can learn to avoid a hot stove by touching it once. A human being who has been hurt by someone named Michael can feel anxious meeting a new Michael who has done nothing wrong, simply because the name carries the relational network forward. That's RFT in action.
el pollo general sanitario retweeted
I developed this theory with colleagues starting in the 1980s, and it became the scientific foundation for ACT. I want to explain it plainly, because it answers a question most people have never thought to ask: why does language create suffering?
Relational Frame Theory is a scientific account of how human language and thinking work. The core finding is that humans, uniquely among animals, learn to relate anything to anything else in an almost infinite number of ways: this is like that, this is better than that, this causes that, this is the opposite of that. This ability is what gives us science, art, and civilization. It also means we can never fully escape painful experiences by changing our environment, because any situation, any word, any sunset can trigger an entire network of connected meanings that brings pain back.
A dog can learn to avoid a hot stove by touching it once. A human being who has been hurt by someone named Michael can feel anxious meeting a new Michael who has done nothing wrong, simply because the name carries the relational network forward. That's RFT in action.
el pollo general sanitario retweeted
If your goal is to amplify personality pathology, definitely use AI for emotional support. I will guarantee the results.
el pollo general sanitario retweeted
wtf is with everyone talking about their "nervous system" all of a sudden. Instead of "I feel anxious" its "my nervous system is dysregulated" or something. What is that?
el pollo general sanitario retweeted
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:
el pollo general sanitario retweeted
Ibai jamás se ha quejado de impuestos y me parece una fantasía el discurso que tiene porque realmente es lo que yo pienso, que no entiendo como alguien que antes no tenía nada y ahora todo, le jode pagar impuestos, no se puede ser más egoísta
el pollo general sanitario retweeted
🧵 Different personality styles struggle under different triggers:
Borderline: attachment loss
Narcissistic: image loss
Depressive: loss of love or moral/meaning failure
Obsessive: collapse of inner rules or chaos
Schizoid: invasion or engulfment
el pollo general sanitario retweeted
Quien quiera ser psicólogo, que estudie psicología.
Quien quiera ser psicólogo sanitario, que estudie el máster.
Quien quiera ser psicólogo clínico, que haga el pir, para aprender de clínica y trabajar en el sns.
El que quiera colarse o saltarse pasos, que se ponga a la fila.
el pollo general sanitario retweeted
Do therapists have sad eyes before they become therapists or does the job just do that to you
el pollo general sanitario retweeted
- He estado "ausente" en sesiones de terapia o supervisión.
- Me he sentido perdido en más de una ocasión, incompetente o carente de habilidades.
- Me he castigado por lo anterior.
el pollo general sanitario retweeted
Así que, aunque de esto no tengo números, os puedo decir que en 2024:
- He tenido malas sesiones.
- He tenido momentos desastrosos en sesión.
- He errado en algunas intervenciones.
- No he logrado ayudar a algunas personas. He tenido que derivar algún caso; otros han abandonado.
el pollo general sanitario retweeted
Nancy McWilliams on conflicting needs between supervisor and supervisee: “Supervisors want to feel useful; they want to have a sense of having added to the supervisee’s knowledge and skill. They feel good about themselves when they have offered something, taught something,
