Never once, during any of my bouts of depression, had I been inclined or able to pick up a telephone and ask a friend for help. It wasn't in me.
Kay Redfield JamisonRead
Psychotherapy is a sanctuary; it is a battleground; it is a place I have been psychotic, neurotic, elated, confused, and despairing beyond belief.
Interpretation
Psychotherapy serves as both a safe haven and a challenging space for individuals to confront their mental struggles.
This quote highlights the complex nature of psychotherapy, emphasizing that it is not just a refuge for psychological healing, but also a place where deep emotional and mental battles occur. In this sanctuary, individuals may experience a wide range of feelings, from distress to clarity, indicating that the process of therapy is multifaceted and often tumultuous, yet ultimately vital for personal growth and understanding.
In practice
A therapist might use this quote to explain the challenges and victories clients experience during therapy.
Never once, during any of my bouts of depression, had I been inclined or able to pick up a telephone and ask a friend for help. It wasn't in me.
No pill can help me deal with the problem of not wanting to take pills; likewise, no amount of psychotherapy alone can prevent my manias and depressions. I need both. It is an odd thing, owing life to pills, one's own quirks and tenacities, and this unique, strange, and ultimately profound relationship called psychotherapy
Mood disorders are terribly painful illnesses, and they are isolating illnesses. And they make people feel terrible about themselves when, in fact, they can be treated.
When people are suicidal, their thinking is paralyzed, their options appear spare or nonexistent, their mood is despairing, and hopelessness permeates their entire mental domain. The future cannot be separated from the present, and the present is painful beyond solace. βThis is my last experiment,β wrote a young chemist in his suicide note. βIf there is any eternal torment worse than mine Iβll have to be shown.
When public figures remain silent about depression, there is a cost to the rest of society. Silence contributes to the misperception that successful people do not get depressed, and it keeps the public from seeing that treatment allows many individuals to return to competitive professional lives.
Because I teach and write about depression and bipolar illness, I am often asked what is the most important factor in treating bipolar disorder. My answer is competence. Empathy is important, but competence is essential.
Self-pity, a dominant characteristic of sociopaths, is also the characteristic that differentiates heroic storytelling from psychological rumination. When you talk about your experiences to shed light, you may feel wrenching pain, grief, anger, or shame. Your audience may pity you, but not because you want them to.
Psychotic hallucinations, whether they are visual or vocal, they address you. They accuse you. They seduce you. They humiliate you. They jeer at you. You interact with them.
Time perspective is one of the most powerful influences on all of human behavior. We're trying to show how people become biased to being exclusively past-, present- or future-oriented.
The 'self-image' is the key to human personality and human behavior. Change the self image and you change the personality and the behavior.
I hesitate to use a pathologizing label, but underneath the so-called narcissistic personality is definitely shame and the paralyzing fear of being ordinary.
I believe that the therapist's function should be to help people become free to be aware of and to experience their possibilities.
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